Is abdominal distension a sign of uremia?

Abdominal distension is not necessarily caused by uremia, and there are many reasons for abdominal distension, including indigestion, chronic nephritis, hydronephrosis, kidney stones, etc. Therefore, abdominal distension alone cannot be used to diagnose uremia.

Due to gastrointestinal motility disorders, patients may experience a slowdown in gastrointestinal motility, which can lead to food accumulation in the gastrointestinal tract, preventing timely digestion and absorption, resulting in abdominal distension. This is not caused by uremia. Patients can use domperidone tablets and mosapride citrate tablets under the doctor's guidance to help promote gastrointestinal motility.

Stimulated by inflammatory factors, kidney mucosa can become edematous and congested, causing the kidney to enlarge in size. This is not caused by uremia. Patients can use furosemide tablets and torasemide tablets under the doctor's guidance for treatment.

Due to various reasons, urine cannot be expelled, leading to urine retention in the kidneys and causing hydronephrosis. This may result in abdominal distension, but it is not caused by uremia. Patients can alleviate ureteral stenosis by placing a ureteral stent, thereby promoting urine excretion.

If a patient has kidney stones, the stones may block the ureter, causing ureteral dilation and subsequent abdominal distension. This is also not caused by uremia. Patients can undergo extracorporeal shock wave lithotripsy or percutaneous nephrolithotomy for treatment.

In addition to the above reasons, abdominal distension may also be caused by cirrhosis, tumors, and other diseases. If the patient's abdominal distension persists for a long time, it is recommended to consult a nephrologist promptly and undergo blood routine and urine routine tests for accurate diagnosis.