Is a large kidney a symptom of polycystic kidney disease?

Patient's question:

Doctor Wang, who is 68 years old this year, has been saying he is sick recently. After a thorough examination, it was found that he has renal cysts, with both kidneys enlarged and a cyst on the left side. Over the past year, his creatinine level has increased from over 400 to over 800, and he has been losing weight. There are no other symptoms. He wants to consult for some advice on what to pay attention to. Is kidney enlargement the same as polycystic kidney disease?

Doctor's answer:

The question you raised about whether the kidney enlargement in your department is polycystic kidney disease is answered as follows: This condition is caused by polycystic kidney disease leading to structural damage of the kidneys, which in turn results in kidney function impairment. If both kidneys are affected, kidney transplantation should be considered. If the disease occurs in only one kidney and the other kidney is healthy or has compensatory capacity, dialysis treatment can be initiated first to slow down the progression of the disease and evaluate the possibility of surgical treatment. Uremia is not a disease of reading ability, but rather a clinical syndrome that arises from a series of clinical manifestations when chronic kidney failure advances to the end stage. It is a syndrome composed of a series of clinical manifestations that occur during the terminal stage of chronic kidney failure.

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