Important clinical associations

The possibility of CRF should be monitored in patients with:

• diabetes mellitus

• hypertension

• a history of urinary tract abnormality o vesico-ureteric reflux bladder outflow obstruction

The possibility of CRF should be considered and investigated in patients presenting with:

• unexplained poor health

• hypertension

• hyperparathyroidism

• pericarditis

• urinary tract symptoms or signs o proteinuria haematuria oedema nocturia loin pain prostatic obstruction

• neurological disturbances o confusion coma peripheral neuropathy seizures

Patients with CRF may present with features of acute renal failure with the intervention of complicating factors such as:

• drug toxicity

• fluid imbalance

Urgent treatment of the following conditions, which can lead to rapid renal failure, is essential:

• progressive nephritis

• systemic lupus erythematosus

• vasculitides o polyarteritis nodosa Wegener's granulomatosis

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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