Strange Stories that Nephrologists Face from their Patients

Click Here to Submit Your Article

v\:* {behavior:url(#default#VML);} o\:* {behavior:url(#default#VML);} w\:* {behavior:url(#default#VML);} .shape {behavior:url(#default#VML);}

Normal 0 false false false false EN-IN X-NONE KN /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin-top:0in; mso-para-margin-right:0in; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0in; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Tunga; mso-bidi-theme-font:minor-bidi; mso-ansi-language:EN-IN;}

Nephrologists are usually very busy people with highly variable working lives. They bear the burden of helping people have a reasonable quality of life after the kidney, a major organ in the body, fails to perform optimally. Good nephrologists have the power extend the life of chronically ill patients through optimal treatment, and enjoy the rewards of watching a patient enjoy his everyday life. Nephrologists are found both in general nephrology clinics as well as transplant or dialysis clinics. Nephrologists spend their non-clinical hours involved in management and administration, audit, teaching, undertaking research and participating in continuing professional development.

While the life of a nephrologist is quite a busy one, their practice is not as easy as that in other fields of medicine. Each kidney patient either with acute or chronic kidney disease presents with various symptoms, and a nephrologist must always be on the lookout for new remedies to different symptoms that show up in kidney patients. Here are a few of uncommon symptoms that kidney patients show up with:

a. Weight loss and change in taste of food

Some kidney patients complain of loss of appetite after starting dialysis and having a foul smell in the mouth as though they were drinking iron. This foul smell is a result of a build-up of wastes in the blood, a condition called uremia, and makes food taste different and cause bad breath. The patient notices weight loss resulting from the loss of appetite.

b. Very less physical work leading to shortness of breath

Abnormal kidney function causes shortness of breath in two ways, first is the inability of the lungs to filter optimum fluid leading to the buildup of fluid in the body, especially the lungs, and second is anemia caused by the shortage of oxygen-carrying RBCs due to the insufficient manufacture of erythropoietin by the kidneys. The patients complain of constantly being tired and uninterested in doing any physical work.

c. Feeling cold and experiencing chills while others feel warm

This is another symptom that kidney patients experience, and this too is caused by anemia. Anemia makes patients feel cold all the time, even when the weather outside is warm. Patients complain of chills, and say that they feel extremely cold while others in the same room complain of heat.

d. Xerosis and skin pigmentation disorders

Most kidney patients experience dry and rough skin, especially those under dialysis. Cracks develop in the rough skin, leading to bacterial and viral infections caused by the microorganisms present in the environment. Since dialysis involves cleaning a patient’s blood when the kidneys have failed to perform their function, Kidney dialysis patients experience hyperpigmentation, changes in pallor, and yellow discoloration of the skin caused by the deposition of lipochrome and carotenoid in the skin.

e. Menstrual irregularities in women

Women with chronic kidney disease experience various menstrual irregularities including excessive bleeding, missed periods, and the early onset of menopause. These women also complain of ***ual dysfunction including the loss of libido, fatigue, loss of interest in ***, ******l dryness, and painful intercourse.

Thus, a nephrologist has to deal with a number of bodily dysfunctions, and it is not only the kidneys that he has to concentrate on. All bodily functions and organ systems have to be kept in mind while giving care to a kidney patient.