Can polycystic kidney cysts shrink?

Patient's question:

I recently visited my younger brother at the hospital and found out he has polycystic kidney cysts. The family is raising money everywhere because he's the only child at home. I'd like to ask the doctor if polycystic kidney cysts can grow on their own?

Doctor's answer:

Polycystic kidney disease in adults is typically accompanied by cysts, which are small and difficult to detect. Before the age of 20, it is generally not easily identified. However, if there is a history of polycystic kidney disease in the family, early and thorough examinations should be conducted, along with regular follow-up.
Between the ages of 30 and 40, cysts grow more rapidly. It can be observed that the kidneys are covered with cysts of varying sizes, ranging from several millimeters to several centimeters in diameter, containing urine-like fluid. At this stage, patients may exhibit various clinical manifestations. Common symptoms include: persistent or intermittent lower back and abdominal pain that worsens after physical exertion; intermittent gross hematuria; abdominal masses of varying sizes; hypertension accompanied by headaches and dizziness; frequent urination, urgency, and urinary pain; loss of appetite, nausea, vomiting, and other signs of kidney dysfunction.

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