What should I do if I have uremia and no urine?

Patient's question:

Recently, my appetite has been poor, and I've also noticed some swelling in my body. I feel completely weak. When I went to the hospital for a check-up, they said it's kidney disease. How can uremia cause no urine output?

Doctor's answer:

Uremia is generally caused by the recurrence of kidney function problems, where the kidneys cannot normally excrete toxins through urine, resulting in a significant reduction in urine output. Uremia is the end-stage of kidney failure caused by various different kidney diseases, typically requiring renal replacement therapy to sustain life, such as through hemodialysis, peritoneal dialysis, or kidney transplantation. Uremia often presents with symptoms such as poor appetite, nausea, edema, confusion, anemia, hypertension, electrolyte imbalances, mineral metabolic disorders, renal osteopathy, and metabolic acidosis. Treatment for uremia can only be administered in a hospital's nephrology department and should not involve self-medication.

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