Patient's question:
My friend is 26 years old this year. He suddenly had a fever and swollen legs. He went to the hospital and was diagnosed with nephritis and hematuria. He has been on dialysis five times already, but the cause has not been identified. He used to be very healthy. It was said that he has congenital kidney disease.Doctor's answer:
Medical Analysis: Hello, for your friend, it is first necessary to determine whether it is chronic kidney disease or acute kidney failure. If it is acute, it can gradually recover and potentially discontinue dialysis. However, if it is chronic, dialysis will be required indefinitely.Recommendations: Sudden fever and leg swelling are unlikely to be congenital conditions. It is recommended to undergo relevant tests such as estimated glomerular filtration rate (eGFR), 24-hour urine protein quantification, kidney ultrasound, and renal artery ultrasound. If possible, fractional renal function tests can also be performed.