Anuria

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Anuria
Other namesAnuresis
SpecialtyNephrology

Anuria is nonpassage of

tumours. It may occur with end stage kidney disease. It is a more extreme reduction than oliguria
(hypouresis), with 100 mL/day being the conventional (albeit slightly arbitrary) cutoff point between the two.

Signs and symptoms

Anuria itself is a symptom, not a disease. It is often associated with other symptoms of kidney failure, such as lack of appetite, weakness, nausea and vomiting. These are mostly the result of buildup of toxins in the blood which would normally be removed by healthy kidneys.

Causes

Failure of kidney function, which can have multiple causes including medications or toxins (e.g., antifreeze, cephalosporins, ACEIs);

prostate gland
is a common cause of obstructive anuria.

Acute anuria, where the decline in urine production occurs quickly, is usually a sign of obstruction or

acute kidney failure. Acute kidney failure can be caused by factors not related to the kidney, such as heart failure, mercury poisoning
, infection, and other conditions that cause the kidney to be deprived of blood flow.

Treatment

Treatment is dependent on the underlying cause of this symptom. The most easily treatable cause is obstruction of urine flow, which is often solved by insertion of a

urinary bladder
.

Mannitol is a medicine that is used to increase the amount of water removed from the blood and thus improve the blood flow to the kidneys. However, mannitol is contraindicated in anuria secondary to renal disease, severe dehydration, intracranial bleeding (except during craniotomy), severe pulmonary congestion, or pulmonary edema.

Dextrose and dobutamine
are both used to increase blood flow to the kidney and act within 30 to 60 minutes.

References

  1. ^ "anuria" at Dorland's Medical Dictionary
  2. ^ Harrison's Principles of Internal Medicine, 19E PAGE 292
  3. ^ "SUNY Stony Brook Pathology Department HBP310 Inflammation". Archived from the original on 2009-04-27. Retrieved 2009-06-15.

External links

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