msBahasa Malaysia

Definition

What is acute kidney failure?

Acute kidney failure, also called acute kidney injury or acute renal failure, happens when your kidneys suddenly lose the ability to eliminate excess salts, fluids, and waste materials from the blood. This elimination is the core of your kidneys’ main function. Body fluids can rise to dangerous levels when kidneys lose their filtering ability. The condition will also cause electrolytes and waste material to accumulate in your body, which can also be life-threatening.

Acute kidney failure can be life-threatening and requires intensive treatment. However, it may be reversible. If you’re in good health otherwise, recovery is possible.

How common is acute kidney failure?

It’s common in people who are already in the hospital. It may develop rapidly over a few hours. It can also develop over a few days to weeks. People who are critically ill and need intensive care have the highest risk of developing acute kidney failure. Please discuss with your doctor for further information.

Symptoms

What are the symptoms of acute kidney failure?

The common symptoms of acute kidney failure are:

  • Bloody stools
  • Breath odor
  • Slow, sluggish movements
  • Generalized swelling or fluid retention
  • Fatigue
  • Pain between ribs and hips
  • Hand tremor
  • Bruising easily
  • Changes in mental status or mood, especially in older adults
  • Decreased appetite
  • Decreased sensation, especially in your hands or feet
  • Prolonged bleeding
  • Seizures
  • Nausea
  • Vomiting
  • High blood pressure
  • A metallic taste in your mouth

There may be some symptoms not listed above. If you have any concerns about a symptom, please consult your doctor.

When should I see my doctor?

If you have any signs or symptoms listed above or have any questions, please consult with your doctor. Everyone’s body acts differently. It is always best to discuss with your doctor what is best for your situation.

Causes

What causes acute kidney failure?

Acute kidney failure can occur for many reasons. Among the most common reasons are:

  • Acute tubular necrosis (ATN)
  • Severe or sudden dehydration
  • Toxic kidney injury from poisons or certain medications
  • Autoimmune kidney diseases, such as acute nephritic syndrome and interstitial nephritis
  • Urinary tract obstruction

Reduced blood flow can damage your kidneys. The following conditions can lead to decreased blood flow to your kidneys:

  • Low blood pressure
  • Burns
  • Dehydration
  • Hemorrhage
  • Injury
  • Septic shock
  • Serious illness
  • Surgery

Certain disorders can cause clotting within your kidney’s blood vessels, and this can lead to acute kidney failure. These conditions include:

  • Hemolytic uremic syndrome
  • Idiopathic thrombocytopenic thrombotic purpura (ITTP)
  • Malignant hypertension
  • Transfusion reaction
  • Scleroderma

Some infections, such as septicemia and acute pyelonephritis, can directly injure your kidneys.

Pregnancy can also cause complications that harm the kidneys, including placenta previa and placenta abruption.

Risk factors

What increases my risk for acute kidney failure?

The chances of acquiring acute kidney failure are greater if you’re an older person or if you have any of the following long-term health problems:

  • Kidney disease
  • Liver disease
  • Diabetes, especially if it’s not well controlled
  • High blood pressure
  • Heart failure
  • Morbid obesity

If you’re ill or being treated in a hospital’s intensive care unit, you’re at an extremely high risk for acute kidney failure. Being the recipient of heart surgery, abdominal surgery, or a bone marrow transplant can also increase your risk.

Diagnosis & treatment

The information provided is not a substitute for any medical advice. ALWAYS consult with your doctor for more information.

How is acute kidney failure diagnosed?

If you have acute kidney failure, you may have generalized swelling. The swelling is due to fluid retention.

Using a stethoscope, your doctor may hear crackling in the lungs. These sounds can signal fluid retention.

Results of laboratory tests may also show abnormal values, which are new and different from baseline levels. Some of these tests include:

  • Blood urea nitrogen (BUN)
  • Serum potassium
  • Serum sodium
  • Estimated glomerular filtration rate (eGFR)
  • Urinalysis
  • Creatinine clearance
  • Serum creatinine

An ultrasound is the preferred method for diagnosing acute kidney failure. However, abdominal X-ray, abdominal CT scan, and abdominal MRI can help your doctor determine if there’s a blockage in your urinary tract.

Certain blood tests may also reveal underlying causes of acute kidney failure.

How is acute kidney failure treated?

Your treatment will depend on the cause of your acute kidney failure. The goal is to restore normal kidney function. Preventing fluids and wastes from building up in your body while your kidneys recover is important. In the majority of cases, a kidney specialist called a “nephrologist” makes an evaluation.

Diet

Your doctor will restrict your diet and the amount of liquids you eat and drink. This will reduce the buildup of toxins that the kidneys would normally eliminate. A diet high in carbohydrates and low in protein, salt, and potassium is usually recommended.

Medications

Your doctor may prescribe antibiotics to treat or prevent any infections that occur at the same time. Diuretics may help your kidneys eliminate fluid. Calcium and insulin can help you avoid dangerous increases in your blood potassium levels.

Dialysis

You may need dialysis, but it’s not always necessary, and it will likely only be temporary. Dialysis involves diverting blood out of your body into a machine that filters out waste. The clean blood then returns to your body. If your potassium levels are dangerously high, dialysis can save your life.

Dialysis is necessary if there are changes in your mental status or if you stop urinating. You may also need dialysis if you develop pericarditis or inflammation of the heart. Dialysis can help eliminate nitrogen waste products from your body.

Lifestyle changes & home remedies

What are some lifestyle changes or home remedies that can help me manage acute kidney failure?

During your recovery from acute kidney failure, your doctor may recommend a special diet to help support your kidneys and limit the work they must do. Your doctor may refer you to a dietitian who can analyze your current diet and suggest ways to make your diet easier on your kidneys.

Depending on your situation, your dietitian may recommend that you:

  • Choose lower potassium foods. Your dietitian may recommend that you choose lower potassium foods. High-potassium foods include bananas, oranges, potatoes, spinach and tomatoes. Examples of low-potassium foods include apples, cabbage, green beans, grapes and strawberries.
  • Avoid products with added salt. Lower the amount of sodium you eat each day by avoiding products with added salt, including many convenience foods, such as frozen dinners, canned soups and fast foods. Other foods with added salt include salty snack foods, canned vegetables, and processed meats and cheeses.
  • Limit phosphorus. Phosphorus is a mineral found in foods, such as milk, cheese, dried beans, nuts and peanut butter. Too much phosphorus in your blood can weaken your bones and cause skin itchiness. Your dietitian can give you specific recommendations on phosphorus and how to limit it in your particular situation.

As your kidneys recover, you may no longer need to eat a special diet, although healthy eating remains important.

If you have any questions, please consult with your doctor to better understand the best solution for you.

Hello Health Group does not provide medical advice, diagnosis or treatment.

Review Date: October 24, 2017 | Last Modified: October 24, 2017

Want to live your best life?
Get the Hello Doktor Daily newsletter for health tips, wellness updates and more.