We often have backache, back pain symptoms. For non-diabetic people, everyone first reaction is: kidney problem? And if the back pain occurs in people with diabetes, we may start to worry about it, whether it is a complication of diabetes - diabetic nephropathy?
The relationship between back pain and kidney disease
Whether back pain is a sign of diabetic nephropathy? What is the relationship between them?
First, let's look at what is diabetic nephropathy.
Diabetic patients with microvascular complications, causing kidney damage, we call diabetic nephropathy. The clinical diabetic nephropathy is pided into five phases:
The first stage is increased kidney hyperfiltration and kidney volume; the second is normal albuminuria; the third is a sustained trace of albuminuria; the fourth is the clinical stage of diabetic nephropathy; The fifth is called kidney failure stage.
In the early stages of nephropathy, which is the first three stages, the patient has no symptoms and manifestations and often have missed diagnosis without examination. By the fourth stage, patients have edema and fatigue such as edema of the eyelids and feet. And the fifth stage, the patient's edema will be more serious, not only eyelid, lower extremity edema, chest cavity will also have edema, accompanied by increased creatinine, start dialysis treatment if necessary. In clinical diagnosis and treatment, no clinical manifestations of low back pain appear in either of the first two stages of clinical manifestations.
Second, we analyze from the location of the pain to understand.
Our kidney is located on both sides of the spine, close to the posterior wall of the ventral, retroperitoneal. The upper left of the left kidney flat thoracic 11 lower edge of the lower edge of flat 2 lumbar. Because of the liver, the right kidney is lower than the left kidney by half a vertebral body. In short, the 12th rib on our left bends through the middle of the back of the left kidney, and the 12th rib on the right leans over the back of the right kidney.
Often, when the kidney capsule is full it often causes pain at the angle between the lower edge of the spine and the back of the ribs.
Where is the so-called back pain?
Low back pain often occurs in the lower lumbosacral region, in the second to the fourth lumbar region, the pain of this site is often also called low back pain. Low back pain, mostly bone, muscle and fascia lesions, are bone and joint diseases or senile degenerative changes, such as osteoporosis, lumbar muscle strain, sciatica, lumbar disc herniation.
From the above analysis, the pain caused by low back pain and kidney damage occurred in two different parts, and diabetic nephropathy and lumbago did not have any relationship.