Relief methods for patients with renal insufficiency and lower extremity edema include sodium and water restriction, application of diuretics, and severe feasible renal replacement therapy.
All patients with renal insufficiency edema should restrict water and salt, based on which other therapeutic options can be combined according to patient-specific conditions. Patients with mild edema can reduce the swelling by restricting water and salt, and if the effect is not good, oral diuretics can be considered.
Patients with severe edema can be treated with oral or intravenous hydrochlorothiazide, furosemide, or spironolactone for diuresis. These drugs may lead to electrolyte disorders and other complications, which may lead to acute kidney injury, so they need to be used under the supervision of a physician and electrolytes should be closely monitored.
If the edema is severe, especially with oliguria and anuria, the application of diuretics is less effective, and the patient may need to use hemodialysis, peritoneal dialysis and other forms of renal replacement therapy to excrete excess water in the body.
Attention to patients with nephrogenic edema should be clear about the cause of the disease, otherwise the edema symptoms will easily recur. A small number of patients with renal insufficiency may have edema in the lower limbs in combination with other diseases, such as lower limb vascular reflux disorder, endocrine disease, etc. Therefore, it is necessary to consult the hospital to improve the relevant examinations. Therefore, it is necessary to improve the relevant examinations in the hospital, such as thyroid function, lower limb vascular ultrasound, etc., to clarify the cause of the disease and then carry out the appropriate treatment.
It is recommended that patients with renal insufficiency and lower limb edema should go to the hospital in time to find out the cause of the problem and follow the doctor’s instructions to standardize the treatment, and do not use medication on their own.