Conditions
RENAL DISEASES
Do I have a renal disease?
The kidneys are responsible for eliminating waste from the body. They do this by removing waste products from the blood, and water from the body, combining these waste products in the urine, which is collected in the bladder and then expelled. Renal diseases cause damage to the kidneys, making them unable to expel these waste products. Conditions such as kidney stones, urinary tract or bladder infections when left untreated can lead to chronic kidney disease (CKD) or kidney failure, which may be life-threatening.
How does one develop renal disease or chronic kidney disease?
When left untreated, kidney stones or urinary bladder infections can lead to chronic kidney disease (CKD) or kidney failure. Certain medications can harm the kidneys, but renal conditions and kidney diseases can also be caused by injuries to the kidney. Those with high blood pressure, heart disease, diabetes and a family history of these conditions have a higher risk for developing kidney disease. These individuals should thus be proactive in kidney health and see their physician for screening regularly. As a physician, Dr Roos also has a personal interest in nephrology and thus is very knowledgeable in kidney and bladder related conditions.
Treatment options
For bladder infections and kidney stones, treatment will depend on the severity of the case. Bladder infections may be treated with antibiotics and prevented by practising good self-care. Kidney stones, on the other hand, may be treated with certain medications, but in severe cases, larger stones may require extracorporeal shock wave lithotripsy or surgery to treat – in which case you may be referred to a specialist urologist.
For those with chronic kidney disease, Dr Roos may advise lowering blood pressure and cholesterol, treating anaemia and following a specialised diet low in waste products to prevent progression of the disease. In severe cases, your physician may refer you to a specialist nephrologist.
SYMPTOMS
Those with conditions such as bladder infections and kidney stones may experience:
Pain in the lower back or side
Burning pain when urinating
Needing to urinate frequently and urgently
Passing little urine when urinating
Blood in the urine
Cloudy, foul-smelling urine
Nausea
Fever and chills
In the early stages of chronic kidney failure symptoms may include:
Changes in urination
Nausea and vomiting
Loss of appetite
Fatigue and weakness
Mental fog
Muscle twitches and cramps
Swelling of the feet and ankles
Chest pain
Shortness of breath

