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What is Renal Failure?

Renal failure, also known as kidney failure, occurs when the kidneys lose their ability to effectively filter waste products from the blood. This can lead to a buildup of toxins and fluids in the body, disrupting normal bodily functions. There are two main types of renal failure: acute and chronic.

Acute Renal Failure: This develops suddenly, often as a result of injury, infection, or certain medications. It can be reversible with prompt medical treatment.

Chronic Renal Failure: This progresses over time, usually as a result of conditions like diabetes, hypertension, or glomerulonephritis.

Chronic renal failure may require long-term management and can lead to end-stage renal disease (ESRD), where dialysis or kidney transplantation becomes necessary.

Side Effects of Renal Failure

The effects of renal failure can vary depending on its severity and the underlying cause. Common symptoms and complications include:

  • Fatigue and weakness
  • Swelling (edema) in the legs, ankles, or feet
  • Shortness of breath
  • Nausea and vomiting
  • Confusion or difficulty concentrating
  • Decreased urine output
  • High blood pressure
  • Bone pain and fractures (due to mineral imbalance)

How is Renal Failure Diagnosed?

Diagnosis of renal failure involves several steps to determine the extent of kidney damage and its underlying cause:

  • Blood Tests: Measure levels of creatinine and urea nitrogen to assess kidney function.
  • Urinalysis: Check for abnormalities such as protein or blood in the urine.
  • Imaging Tests: CT scan, ultrasound, or MRI to visualize the kidneys and urinary tract for structural abnormalities.
  • Kidney Biopsy: In some cases, a small sample of kidney tissue is examined under a microscope to identify the cause of kidney disease.

Potential Treatment of Renal Failure

Treatment options for renal failure aim to slow the progression of kidney damage, manage symptoms, and prevent complications. In Germany, healthcare providers offer comprehensive care including:

  • Medications: To control blood pressure, manage diabetes, reduce cholesterol levels, and treat underlying causes of kidney disease.
  • Dietary Changes: A specialized diet low in protein, sodium, and potassium may be prescribed to reduce the workload on the kidneys and manage fluid balance.
  • Dialysis: In cases of ESRD, dialysis (hemodialysis or peritoneal dialysis) is used to filter waste products and excess fluids from the blood.
  • Kidney Transplant: For eligible patients, kidney transplantation offers the best long-term outcome. Germany has specialized transplant centers where patients can receive state-of-the-art care and access to donor organs.


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