Many people have 3 misconceptions about chronic nephritis. It is these misconceptions that sometimes make people let down their guard. The first misconception: “Chronic nephritis as a disease should have obvious signs and symptoms” Indeed, any disease has signs and symptoms, for example, hepatitis has nausea, yellowing of skin and sclera; pneumonia has cough and pus sputum. And what are the manifestations of chronic nephritis? The four common manifestations are edema, hypertension, proteinuria, and hematuria. But in fact, sometimes these signs and symptoms are very mild, or people do not easily find and associate themselves with the disease of nephritis. First of all, the edema of nephritis is usually eyelid edema, which is most common in the early morning after waking up. However, in normal people who do not get enough sleep, eyelid edema can also occur early in the morning after waking up and will subside after getting up and moving around. Such daily life experiences can easily make patients and their families less alert. Another symptom is hypertension. It is true that some patients with chronic nephritis are manifested by high blood pressure, but because the age of onset is concentrated in young adults, the heart and blood vessels are in good condition and have a strong compensatory capacity, many people find themselves with high blood pressure by chance, while more people, especially young people, do not feel dizzy or palpitating, they do not purposely go to measure their blood pressure, so they do not know that their blood pressure is high. In addition, there are some patients who show high blood pressure only in the late stage of the disease due to renal failure to compensate. For the other two signs, hematuria and proteinuria, these terms are more likely to be misunderstood. Does hematuria mean blood in the urine? Does proteinuria mean protein in the urine? This is both correct and incorrect. It’s right because it actually is, but it’s wrong because in reality people have very little understanding of these two abnormalities, and people generally think that hematuria is blood in the urine, and proteinuria is even more vague. In fact, people usually think that hematuria is carnal hematuria, and generally most cases of carnal hematuria are not caused by chronic nephritis, but other diseases of the urinary system, and most of the hematuria in chronic nephritis is microscopic hematuria, which requires laboratory tests to be able to know. Proteinuria is all too familiar to those of us who have experienced the disease, which generally means that the urine is very cloudy, there will be some larger bubbles, and it will not go away for a longer period of time. But in reality, few people pay special attention to their urine, especially for many people who have very good habits, a small solution after the urine flushed away, will not stay to observe whether cloudy or whether there is foam. There are some chronic nephritis patients whose signs and symptoms are very mild and insidious, they hardly affect the daily life and work of patients, but in fact, the disease is developing. The second misconception: “‘Chronic’ are transformed from ‘acute'” This view is wrong. Chronic glomerulonephritis is a group of multi-causal, glomerular diseases caused by various bacterial, viral or protozoal infections, through immune mechanisms, inflammatory mediators and non-immune mechanisms, etc. Most patients do not have a clear relationship with streptococcal infection, and according to statistics only 15-20% of patients are transformed from acute glomerulonephritis (hereinafter referred to as acute nephritis). Therefore, people are confused when they find out this disease, when did they get this disease ah? Never had acute nephritis? Here, many people confuse acute nephritis with chronic nephritis. Simply put, there is a connection between them, but not a one-to-one connection, that is, not every patient with acute nephritis will turn into chronic nephritis, and not every patient with chronic nephritis has the process of acute nephritis. It should be noted that the etiology of chronic nephritis is very complex, and many patients have an insidious onset and can have no acute process. The third misconception: “young people do not suffer from chronic nephritis” In the process of treating the disease, many people say, how so young will get this disease? In fact, the onset of the disease of uremia is concentrated in young adults, if you review the medical history, it is possible that many people are very young at the beginning of the chronic nephritis, because many people have reached the stage of uremia as soon as the examination, it is impossible to clearly know exactly when the disease of chronic nephritis, so there are no very accurate statistics to suggest us the specific age group of the onset of chronic nephritis. However, it is important to note that chronic nephritis can occur at any age, and most patients have a very young age of onset, from the onset to the development of uremia, which may take only a few years to a dozen years if left untreated. Chronic nephritis is insidious, along with many people’s misconceptions, although this “invisible killer” is gradually eroding the patient’s kidneys, but the kidneys have a strong compensatory function, even if the patient has been seriously ill, there can be no symptoms, superficially the same as normal people. In fact, the compensated and uncompensated are like a dam about to break and a dam about to break, the former seems to be normal, but a disaster is coming. If the remedial work is done well before the “dam breaks”, uremia can be avoided or at least delayed.