The 80-year-old mother-in-law went to the hospital for poor appetite and choking after swallowing, and after examination, it was found that it was acute kidney failure, and under the treatment of nephrologists from Wuhan Third Hospital, her mother-in-law was discharged from the hospital in good health.
In the past half a month, Granny Ma felt that she didn't want to eat and had difficulty swallowing solid food, so her family sent her to the Third Hospital of Wuhan for treatment, and this examination found that Granny Ma's kidney function index - creatinine increased to 4411umol l, uric acid is also as high as 767umol l!
Hu Manli, the attending physician of the Department of Nephrology of Wuhan Third Hospital, asked about her medical history and found that Granny Ma had gone to a community hospital for lung infection one month ago, and her creatinine and urea nitrogen were completely normal at that time, and she had no history of hypertension and immune system diseases, and she had not taken unknown health products. Although she has a history of diabetes and urinary retention, Granny Wen's blood sugar is currently under stable control and her urine and bowel movements are normal. What caused Granny Wen's sudden deterioration in kidney function within 1 month?
Through investigation, the only possibility is the history of Granny Ma's hyperuricemia, and the uric acid test result of this admission is as high as 767umol l. Hyperuricemia may cause large amounts of crystals to clog the renal tubules, eventually leading to acute renal failure. "Of course, because Granny Ma refused to do a kidney biopsy, it could not completely rule out the damage of other hidden factors to the renal interstitium. ”
So, why did Granny Ma's uric acid suddenly soar? Through inquiry and communication, it was found that Granny Ma only ate tofu brain for three meals a day for more than 10 days because of swallowing obstruction! Hu Manli continued: "It is now generally known that patients with hyperuricemia and gout need a low-purine diet, and seafood, beer, and beans are high-purine foods. However, some studies have proved that the content of purines will be significantly reduced in the process of processing beans into soy products, and continuous consumption of a large number of soy products will still lead to a sharp increase in our uric acid, and quantitative changes will inevitably lead to qualitative changes! ”
Through more than 10 days of uric acid reduction, alkalinization of urine and appropriate rehydration**, Ma Po's uric acid has dropped to the normal range, and creatinine has also dropped to more than 200. Through gastroscopy, it was found that Granny Ma's swallowing obstruction was caused by reflux esophagitis, and the symptoms of Granny Wen were also relieved after giving the corresponding **. In the follow-up, Granny Wen will continue to follow up in the outpatient department of nephrology to monitor kidney function and uric acid levels, and adjust medication.
The doctor reminds that the excretion of uric acid is mainly through the kidneys, although soy products are not high-purine foods, but if you continue to eat too much, it will also lead to hyperuricemia and even acute kidney failure! The New Year is approaching, I hope the public will have a healthy diet and have a healthy year!
Reporter: Zhang Weijie Correspondent: Jiang Hongying, Chen Shu.
Editor: Wang Jian.
Editor-in-charge: Summer.
Editor: Wang Jun.