Parents often pay not enough attention to physical abnormality in children,
especially face edema. Unobvious eye edema can be mistaken for the influence of
poor night’s sleep or crying, however, face edema may be a sign of kidney
disease.
Kidney is the main organ to expel water from human body. Renal edema means
that when kidney suffer from disease, water can not expel out but be retention
in the body. Edema is the most common symptom of kidney disease, in mild cases
edema will appear in eyelids and face, in severe cases anasarca, hydrothorax and
ascites. The degree of edema is diverse, some patients don’t have visible edema,
while some patients get anasarca, hydrothorax and ascites, which can increase
the 10 kg of weight. Pitting edema is a common edema, which means you can see
concave when use finger press the edema.
The causes of renal edema can be divided into two types: one is when
glomerular filtration rate decline while renal tubular water-sodium retention is
available, leading to water-sodium retention, at the moment, the capillary
permeability of the whole body can be increased, leading to water retention in
tissue space, which can be seen in nephritis. The other is low plasma protein
due to proteinuria.
The characteristics of children's kidney disease are slow onset, languid,
low spirits and anorexia. In general, the onset age of simple nephrotic syndrome
tends to be younger, more in 2~7 years old, the onset age of nephritis is more
than 7 years old, the rate of male and female getting nephritis is 4:1.
Edema is the most visible symptom in children's kidney disease, which
originally appeared in face and eyelid, extending to whole body gradually, can
lead to dyspnea, diarrhea and emesis.
Edema can be repeatedly attacked, may resolve spontaneously. The edema of
nephritis is less obvious than simple nephrotic syndrome, even can not be
perceived.
When parents suspect that their children have kidney disease, the
examinations include blood routine, urine routine, renal B-ultrasonic, kidney
function test should be taken for patient child, more details please refer to
“Treatment for Kidney Disease Related Edema”