Complications Of Diabetes For Decades That Have Gone To The Kidneys?
Greetings, I want to ask.rnrnA person has been diagnosed with diabetes for a dozen years.rnA 50-year-old womanrnA few months ago it was discovered that it spread/complications of one of them to the kidneys, on the doctor’s advice, she was asked for dialysis. before dialysis the patient is advised to abstain from food (already done) including reducing drinks (maximum 2 glasses in 1 day)rnThere was a diagnosis that there was a heart disorder (not sure what the problem was)rnDuring the schedule for dialysis for the first time the first time the patient entered the hospital on Tuesday and waited for several days (can’t remember) the dialysis process went smoothly, but for about 2 days to a week after dialysis the patient had a fairly high fever, (some said it was just a normal fever but some said it was a side effect but explanation on internet2, there may be an error in handling when dialysis is done) with this uncertainty the patient remains positive thinking and is approaching the 2nd dialysis schedule the time the patient was brought back for the 2nd week of dialysis, the patient was required to come and be treated until the appointment (room was available) because the patient did not have a fixed schedule so he was required to wait in the hospital, the patient entered on Friday still having a fever, a few days later the condition while waiting for the dialysis schedule, the patient experienced symptoms of cough, and difficulty breathing (previously there was no diagnosis of cough and shortness of breath) every time he waited and was admitted to the hospital for the dialysis schedule the patient was given intravenous drip.rnSeveral days of waiting in the hospital with Infusion, the patient asked for cough medicine but was not given by the nurse or doctor, until finally, the patient complained of coughing and shortness of breath and died Tuesday morning at 5, from the X-ray the day before he died, there was fluid in the lungs that hindered breathing. nA big question mark for the patient’s familyrnHaving diabetes for a dozen years, and attacking the kidneys (diagnosed with diabetes) from a few months ago) with heart complaints, but the cause of death was due to fluid in the lungs that obstructed breathing.rnrnAre there any professional doctors at HealthReplies.com who can explain how this could happen?r nrnThank you, greetings.
Good afternoon, thanks for asking at HealthReplies.com. If you are a family member of this patient, then we are sorry for what happened to you and your family. Before we continue, what you need to know is that there are many complications of diabetes, especially those that have been going on for decades. Among them are complications to the eyes, nerves, heart and blood vessels, and one of them is to the kidneys. If you want to see a brief explanation, you can visit the following page by clicking on this link which leads to the World Health Organization (WHO) article on Diabetes Complications. Or of course, you can also search for other sources on the internet with the keywords "Diabetes complications" or "diabetes complications".
After understanding that diabetes that lasts for decades can cause complications in the heart and kidneys, the next thing you need to know is what functions are disrupted by these complications.
The heart, as you probably already know, is the organ responsible for pumping blood throughout the body. Heart failure occurs when the heart is unable to do its job, and the impact on blood circulation throughout the body is not smooth, and one of them is in the lungs. Blocked blood flow, can seep out of the vessels and cause a buildup of fluid, especially in the lungs. Diabetes can also cause blockage of blood vessels and when blood flow to the heart muscle is reduced, a heart attack can occur.
Then for the kidneys, the kidneys are one of the most powerful organs in the body. Called the strongest because the diseased kidney will not show signs that he is sick until the damage exceeds 50%. So in the case of the patient you described, he may have just been diagnosed with kidney disorders a few months ago, but in fact the damage has started several years ago.
In addition, the kidneys are organs that are responsible for filtering the blood. Materials in the body that are not useful and toxins or poisons will be excreted through urine / pee. Some drugs are also metabolized in the urine. The kidneys also function to regulate blood pressure. That's why there are blood pressure-lowering drugs that have the effect of passing urine more often. The kidneys also function to regulate how much urine is excreted. When the kidneys detect that there is too much fluid in the body, it will be excreted in the form of urine. And when a person is in a state of lack of fluids, the kidneys will reduce urine output.
In the condition of damaged kidneys, which in your story is caused by complications of diabetes, patients are usually asked to limit drinking (ie a maximum of 2 glasses in 1 day) because the kidneys are no longer able to handle it. Excessive water consumption will make kidney failure patients experience fluid buildup because the kidneys can't get rid of these fluids through urine. If there is a buildup of fluid in the legs, then what arises is swelling. And if the accumulation of fluid occurs in the lungs, then the term is pulmonary edema and can inhibit lung expansion because the lungs, which should be able to expand, are filled with fluid, causing symptoms that are often shortness of breath.
Not only fluid buildup, kidney failure can cause symptoms of sleep disturbances, toxin buildup, chest pain, high blood pressure, lack of appetite, nausea and vomiting, and even decreased consciousness.
The cough condition experienced by the patient you describe is not specifically caused by fluid in the lungs, and because coughing itself is actually a normal body mechanism to expel foreign objects from the respiratory tract, it rarely requires special treatment. Even given cough medicine, cough medicine can not remove fluid from the lungs.
So in conclusion, even though we understand that the family may still be curious and may not even accept the condition of the deceased patient, the process of the patient's illness can still be explained medically and logically and nothing strange has happened. We believe that the hospital has also tried the best for the patient.
So, we hope that our answers can answer the question marks of the patient's family members.
dr. Amadeo D Basfiansa