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Analgesic nephropathy

What is Analgesic Nephropathy? 

Analgesic nephropathy is one of the most common categories of chronic nephritis. This disorder occurs with a long-term injection of various combinations of caffeine, aspirin, or other chemicals. This is associated with papillary necrosis. In initial stages, it is associated with a certain combination including aspirin acetaminophen, caffeine, and can cause analgesic induced chronic nephritis. 

In early 1950, analgesic nephropathy was considered as one of the most significant causes of chronic kidney disease particularly for those individuals who require them long term rather than brief periods. This disease involves damage to one or both kidneys caused by overexposure to various combinations of medicines, especially of over-the-counter pills medicines of allopathic that are called analgesics. 

Causes of analgesic nephropathy-

This analgesic nephropathy involves damage within the internal structures of either one or both Kidney and is caused by a long term use of pain killer medicine or drugs that contain acetaminophen or phenacetin and non-steroidal anti-inflammatory drugs such as caffeine, or aspirin. Station occurs as a result of self-medicating because of some type of chronic pain.

Risk factors of analgesic nephropathy-

  • Excessive use of over the counter analgesics containing many active ingredients 
  • Taking more than five pills per day for three years continually
  • Painful menstrual periods, back pain, musculoskeletal pain, or chronic headaches, etc.
  • Behavioral or emotional changes
  • History of dependent behavior including alcohol use, excessive use of tranquilizers, and smoking, etc.
Symptoms of analgesic nephropathy-

Patients already suffering from kidney injury or usually non-nephropathy proteinuria with a bland urinary segment, then anemia, impaired concentration, and hypertension are the common symptoms once renal insufficiency developed. There are some other signs and symptoms that occur late in the course of this disease are passes of a renal papilla causing upper urinary tract obstruction and flank pain or hematuria, etc. Chronic complaints of musculoskeletal pain, extreme headache, malaise, dyspepsia are some of the related long-term analgesic nephropathy symptoms.

Diagnosis of analgesic nephropathy-

Diagnosis of analgesic nephropathy can be done based on the history of chronic analgesic use and non-contrast CT scan. The CT scan of analgesic nephropathy is- decrease the size of renal, bumpy contours, and papillary calcification.  combination of these will find in getting the sensitivity of early diagnosis but these specificity and sensitivity numbers are based on the various research work done when the use of phenacetin containing analgesics was widespread.

For the treatment of this condition, you can consult BK Arogyam. It is a healthcare center where they have Ayurvedic treatment of all kinds of kidney diseases.



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