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Should Patients with Chronic Nephritis Have Renal Biopsy

Regarding renal biopsy, here are different voices. Some patients are advised to do it, after all, the test is accurate. But more patients are reluctant to do it because “I heard that kidney puncture is bad for the body.” Then today we just have a talk in terms of how to determine if you need a kidney puncture.

Renal puncture is also known as renal biopsy. Department of Nephrology, in HHHTCM, Director Yang said that there is no immediate ‘miracle medicine’ for the treatment of chronic kidney disease, and even some medicines bring side effects and harmfulness.

After all, just like a proverb ‘A drowning man will clutch at a straw’, patients would seek doctor or treatment blindly. Here I want to tell patient with kidney disease: Don’t believe in the so-called ‘miracle medicine’, to treat kidney disease, reduce protein and creatinine for kidney disease, or to receive comprehensive treatment of traditional Chinese and Western medicine in regular hospitals.

Examination is a traumatic examination that clarifies the etiology and pathology of kidney disease and further confirms the specific disease of the patient. It has clinical significance for clarifying diagnosis, guiding treatment and estimating prognosis.

Because the clinical manifestations of many kidney diseases are very similar, such as hematuria and proteinuria. But the pathology, prognosis, and treatment of the disease are all different. In order to determine the type of disease and to allow the clinician to take targeted treatment measures in time, it is necessary to have a renal puncture test. Therefore, renal puncture has become one of the “gold standards” for the diagnosis of kidney disease.

Although it is the gold standard, still not all cases require a renal puncture diagnosis.

Renal biopsy is only required in cases like unexplained acute renal failure; 24hrs proteinuria still more than 1 gram after treatment, and in patients with proteinuria, hematuria, and decreased renal function after renal transplantation.

Many people worry that kidney puncture can cause damage to the body and leave sequelae. But in fact, this incidence rate is very low. For example, common side effects after renal biopsy, hematuria, proteinuria, and low back pain mostly disappear within one week after surgery.

Other side effects such as infections and damage to other organs, the probability of appearing in standard hospitals is extremely low. Because the aseptic measures of regular hospitals and doctors’ qualifications for surgery are very secure. So don’t worry too much.

Renal puncture is not suitable for the following conditions:

For example: those who have obvious bleeding tendency, severe renal insufficiency or congenital solitary kidney on one side, renal hematoma, tumor, cyst, abscess or infection, hydronephrosis, mental patient or those who cannot cooperate and with hardly-controlled hypertension. These types of people are not suitable for renal biopsy.

Any test is to serve the patient, to detect the disease and lay the foundation for treatments. So there is no need to be hostile to the test. Please listening to the attending doctor, the doctor should be clearer than the patient to the situation.

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