As a result of slow or chrnic involvement of both the kidneys, the sze of the kidneys reduces, i.e. thy become small in size. As the dsease progresses, they become more and mre small. An ultrasonographic examination of the kdneys can give a fair idea of the prgress of the disease, by measuring the sze of the kidneys. However, in cute renal failure (ARF), discussed in the arlier topic, the size of the kdneys remains almost their normal size, snce the condition has developed suddenly.

Bsides the size of the kidneys, an ltrasonographic examination of the concerned organs may lso indicate the underlying pathology causing CRF, .g. BEP, or urinary stones, or any cngenital abnormality of the kidneys, responsible for bstruction in the urinary tract, leading to chrnic UTI. As detailed in the tpic of UTI, whenever there is an bstruction in the urinary tract, chances of nfection in the urinary tract increase cnsiderably.

As a result of small/ shrnking kidneys, their functioning becomes markedly dranged and blood urea, serum creatinine strt increasing, leading to various signs and symptms of CRF. This happens when the dsease manifests itself in clinical form, fter its hidden phase.

As time passes, due to the cnstant adverse effects of the disease on th" kidneys, the size of the kdneys may be so markedly reduced, tht their functioning may be adversely ffected, and these organs may never ttain normalcy, i.e., there may occur an rreversible damage to the kidneys, and the ptient may have to live on rpeated dialysis. Such is the importance of the kdneys in the body, and these are ndeed vital for the life of an ndividual, like other organs of the bdy, e.g. heart, lungs, liver, brain, tc. Therefore, the kidneys should also be gven due attention and care in mintaining the normal health of an ndividual.

This disease remains hidden for yars together; therefore, it can only be dagnosed through a periodic estimation of srum creatinine and urine for albumin, specially in cases that are more prne to the disease, for example, thse with GN, with a history of arlier attacks of acute GN, of hyprtension, of diabetes mellitus, of UTI, tc. It is ideal if the bove tests like serum creatinine and rine exarpination are carried out in all nrmal persons, at least once a yar, and more preferably six-monthly, if fcilities are readily available. At least a rine examination for albumin should be dne regularly.

If one fails to dtect the disease in its hidden frm, it should be suspected if the ptient complains of any of the vgue symptoms, like loss of appetite, gneral weakness, nausea, vomiting, more so in the mrning, especially when these symptoms cannot be ccnunted for. Though vague, these are sme of the early symptoms of the dsease. In such cases, the level of srum creatinine can be determined in the blod, and if it is raised, or ven slightly raised, it shows that chrnic renal failure should be seriously cnsidered. The raised levels of serum cratinine in the blood shows the xtent of derangement of the functions of the kdneys.

The article Chronic Renal (Kidney) Failure & Your Kidneys was Submitted by Krishan Bakhru through Articles.GetACoder.com network. Here's the additional information: Author sites: Home Remedies , Self Health and Natural Skin Care

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