Blood Urea Nitrogen (BUN) is the final metabolic product of protein in the
body. It is mainly excreted through glomerular filtration. The value of BUN can
reflect the condition of kidney function.
For the normal people, the fasting BUN is 3.2-7.1 mmol/L (9-20mg/dL). If
people have kidney lesion, such as Glomerulonephritis, Interstitial Nephritis,
Acute and Chronic Kidney Failure, kidney destructive lesion, all these diseases
can lead to BUN increasing. There are also many other factors except for kidney
factors leading to BUN increasing. If it can exclude other factors, the BUN 21.4
mmol/L (60mg/dL) will be one of the indicators for Uremia.
For patients, there are two conditions of high BUN level. The most common is
kidney insufficiency, including Acute Kidney Insufficiency and Chronic Kidney
Insufficiency. The first reason is because of kidney damage, BUN can’t be
eliminated with Urine, and a part of patients with Acute Nephritis, Nephrotic
Syndrome can also appear transient BUN increasing, mainly in serious swelling.
Because little urination lead to no discharge of BUN with urine, and these BUN
will accumulate in the blood.
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