The human kidney has a powerful compensatory function. As long as the loss of renal function is not more than 75%, it still can maintain the stability of body environment. That is why you do not have any obvious symptoms when you are in early stage CKD so as to lose the best treatment time. When uremia comes, your mouth will send these signals. Pay attention to them, you may avoid dialysis.
Chronic kidney failure patients often feel a peculiar smell in the mouth, with varying opinions, such as "ammonia", "urine odor", "metallic taste", "bad breath" and so on. Based on the odour coming out of the patient's mouth, experienced doctors can roughly estimate the value of the patient's urea nitrogen and determine whether the patient's disease is stable or worsening.
Why do people with chronic renal failure have bad breath in their mouth?
Due to renal failure, the toxins in the body, such as urea nitrogen, cannot be excreted normally, so they accumulate in the body. Urea enzymes of the bacteria in the intestinal tract decompose urea into ammonia and stimulate the gastrointestinal mucosa, thus giving off an odour from the mouth, commonly known as "urine smell" or "ammonia smell". In view of this mechanism, it is not difficult to understand that urine taste is closely related to the level of urea nitrogen.
Some patients also have this experience. When the disease gets improved, the smell of urine in the mouth is slight; when the disease gets worse, the smell of urine in the mouth is strong. Therefore, when bad breath occurs, we should pay attention to the following situations:
1. Besides oral diseases, gastrointestinal and kidney diseases are also common causes of bad breath.
2. In the case of uremia, the gastrointestinal tract is usually bad, because the gastrointestinal tract can become swollen due to blood stasis and edema, and there may be discomfort such as malignant vomiting, abdominal pain and bad breath.
3. When uremia comes, there are also some other symptoms.
-Yellow or pale skin, and weakness caused by anemia. Anemia often goes together with impaired renal function. And it gets worse with the progression of kidney disease.
-Edema. In the early stage, you may only have ankle and eyelid swelling, and it disappears after rest. If it develops further to persistent or systemic edema, you have generally entered the typical uremia period.
-Symptoms of the digestive system. The main manifestations are poor appetite, taste disorders, nausea and vomiting, and in a few cases, diarrhea, abdominal distension and constipation, etc.
-Decreased urine output. Although it is not possible to judge renal function entirely by the amount of urine, some patients will have less urine as the disease progresses due to the decline of renal filtration function.
-High blood pressure. The damaged kidneys can not normally drain sodium and water from the body, and sodium and water retention can cause hypertension. In addition, some substances that increase blood pressure are secreted after kidney damage.
-When uremia occurs, cardiac function is usually poor, and patients will have active chest sulfudation and palpitations.
All in all, when you have bad odor in mouth, and the above referred symptoms, you should go to hospital for checkups as early as possible. For more information on uremia treatment, please leave a message below or contact online doctor.
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