Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Hydronephrosis history and symptoms
Introduction
Overview
Overview
The majority of patients with hydronephrosis are asymptomatic.The most common symptoms of hydronephrosis include alteration in urine output, flank pain, hematuria and hypertension.
History and Symptoms
History and Symptoms
- The signs and symptoms of hydronephrosis depends upon whether the obstruction is acute or chronic.
- Unilateral hydronephrosis may even occur without symptoms.[1][2]
- Symptoms that occur regardless of where the obstruction lies include loin or flank pain.
- An enlarged kidney may be palpable on examination.
- The majority of patients with hydronephrosis are asymptomatic.
History
History
Patients with hydronephrosis may have a positive history of:[3][4][5][6][7][8]
- Kidney stone
- Congenital malformation
- Tumor or cancer
- Prostate enlargement
- Pregnancy
- Idiopathic retroperitoneal fibrosis
Symptoms
Symptoms
Common Symptoms
Common symptoms of hydronephrosis include:[9]
- Urge to urinate in mild cases
- Increased serum creatinine
- Hematuria
- Abdomen pain
- Burning sensation while urinating
- Fever
- Weak urine stream
Less Common Symptoms
Less common symptoms of hydronephrosis include
- Strong-smelling urine
- Weakness
- Malaise
- Chest pain
- Shortness of breath
- Leg swelling
References
References
- ↑ Kim DW, Yoon SK, Ha DH, Kang MJ, Lee JH, Choi S (October 2015). “CT-based assessment of renal function impairment in patients with acute unilateral ureteral obstruction by urinary stones”. Abdom Imaging. 40 (7): 2446–52. doi:10.1007/s00261-015-0417-9. PMID 25852047.
- ↑ Weidmann P, Beretta-Piccoli C, Hirsch D, Reubi FC, Massry SG (October 1977). “Curable hypertension with unilateral hydronephrosis. Studies on the role of circulating renin”. Ann. Intern. Med. 87 (4): 437–40. PMID 907242.
- ↑ Clautice-Engle T, Anderson NG, Allan RB, Abbott GD (April 1995). “Diagnosis of obstructive hydronephrosis in infants: comparison sonograms performed 6 days and 6 weeks after birth”. AJR Am J Roentgenol. 164 (4): 963–7. doi:10.2214/ajr.164.4.7726057. PMID 7726057.
- ↑ Kim DW, Yoon SK, Ha DH, Kang MJ, Lee JH, Choi S (October 2015). “CT-based assessment of renal function impairment in patients with acute unilateral ureteral obstruction by urinary stones”. Abdom Imaging. 40 (7): 2446–52. doi:10.1007/s00261-015-0417-9. PMID 25852047.
- ↑ Vanderpuye V (September 2002). “Renal sonography in the diagnosis of renal obstruction or hydronephrosis in patients with cervical cancer”. J Clin Ultrasound. 30 (7): 424–7. doi:10.1002/jcu.10092. PMID 12210460.
- ↑ Toka HR, Toka O, Hariri A, Nguyen HT (July 2010). “Congenital anomalies of kidney and urinary tract”. Semin. Nephrol. 30 (4): 374–86. doi:10.1016/j.semnephrol.2010.06.004. PMID 20807610.
- ↑ dos Santos Junior AC, de Miranda DM, Simões e Silva AC (December 2014). “Congenital anomalies of the kidney and urinary tract: an embryogenetic review”. Birth Defects Res. C Embryo Today. 102 (4): 374–81. doi:10.1002/bdrc.21084. PMID 25420794.
- ↑ Koh JS, Wong MY, Li MK, Foo KT (September 1998). “Idiopathic retroperitoneal fibrosis with bilateral lower ureteric obstruction–a case report with literature review”. Singapore Med J. 39 (9): 416–7. PMID 9885722.
- ↑ Gottlieb RH, Weinberg EP, Rubens DJ, Monk RD, Grossman EB (March 1997). “Renal sonography: can it be used more selectively in the setting of an elevated serum creatinine level?”. Am. J. Kidney Dis. 29 (3): 362–7. PMID 9041211.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vindhya BellamKonda, M.B.B.S [2]