The common causes of anuria in uremia include prostatic hyperplasia, interstitial nephritis, chronic glomerulonephritis and so on. According to the different causes of selection of related drugs, such as, α-blockers (tamsulosin), immunosuppressants (prednisone acetate, cyclophosphamide), etc., but also can be applied to the treatment of diuretics, commonly used drugs are furosemide, etc.; in severe cases, dialysis (hemodialysis or peritoneal dialysis) should be carried out treatment.
1. α-blocker: such as tamsulosin, has the effect of relaxing the smooth muscle of the urethra, thus relieving bladder outlet obstruction. The drug carries a risk of upright hypotension and is recommended to be taken orally at bedtime. Surgery may be an option if the drug is not effective.
2. Immunosuppressant: For primary diseases such as acute glomerulonephritis, hormone (prednisone acetate), immunosuppressant (cyclophosphamide) and other immunosuppressive treatments can be given, and if the primary disease is effectively treated, the urine output may be rapidly restored.
3. Diuretics: such as furosemide, torasemide, bumetanide, spironolactone, etc., which have certain diuretic effects, and there may be risks of nausea, vomiting, fatigue, hypokalemia, etc., when using the above drugs.
4. Dialysis: When the effect of active treatment of primary disease combined with diuretics is not satisfactory or when uncomfortable symptoms appear, it is recommended to use dialysis treatment to relieve the condition.
Patients with uremia should pay attention to the monitoring indicators, and should pay more attention to hyperkalemia and other complications in the absence of urine, which can be life-threatening in serious cases, and should consult regular hospitals in a timely manner, and follow the doctor’s instructions for symptomatic treatment. Drugs should be used in accordance with medical advice, do not self-medication.