Generally, there is no fever before uremia, as uremia does not cause an inflammatory response in the body, thus resulting in no fever. Uremia is the end stage of acute and chronic renal failure, and patients may experience water-electrolyte imbalance, acid-base imbalance, and gastrointestinal bleeding, but usually without an increase in body temperature.
1. Water-electrolyte imbalance: As the kidney function is lost in patients with uremia, urine output will decrease sharply, and the reduction in urine can lead to a decrease in water and electrolyte excretion. Therefore, during water-electrolyte imbalance, it can manifest as symptoms such as high chloride, low sodium, and high potassium.
2. Acid-base imbalance: Uremia patients may experience metabolic acidosis, respiratory acidosis, metabolic alkalosis, etc. In acidosis, patients may manifest as fatigue, indifferent facial expressions, cherry-red lips and tongue, nausea, vomiting, anorexia, and other symptoms. In metabolic alkalosis, patients may manifest as cramps in hands and feet, muscle weakness, syncope, and other symptoms.
3. Gastrointestinal bleeding: Bleeding can occur in any part of the gastrointestinal tract in uremia patients. If it is esophageal-gastric variceal bleeding, symptoms such as hematemesis and melena may occur. If the amount of bleeding is large, shock may occur, but usually without an increase in body temperature.
4. Others: Generally, there is no fever before uremia, but if there is an infection, fever symptoms may occur. For example, if there is a lung infection, patients may manifest as coughing, sputum, and other symptoms. Uremia patients can undergo hemodialysis treatment or treatment through kidney transplantation. It is recommended that patients pay attention to dietary hygiene, strictly control their diet, and rest adequately to avoid excessive fatigue in daily life. At the same time, they should follow the doctor's advice for hospital visits to understand the progress of the disease and their physical condition.
