Most patients with Kidney Cysts have no symptoms and the physical examination
also reveals normal. Occasionally a mass can be touched by percussion. If the
cyst happened infection, the patients may have the pressing pain in rib and
abdomen. Some patients may occur the following symptoms due to the pressure
increasing or the infection in the cyst.
1. Discomfort or pain in the abdomen: the reason is because of kidney
enlargement or dilation,which made the Kidney capsular tension increasing and
kidney pedicle pulling or press the near organs. In addition, more cysts in
kidney lead to kidney heavier due to the water contented in the kidney may also
lead to waist pain. The feature of the pain is latent and dull in one side or
both sides, radiating to lower part and back. If there is bleeding or secondary
infection in the cysts may worsen the waist. The patients may occur renal colic
If it is accompanying with stone or urinary obstruction by the blood clot after
bleeding.
2. Hematuria: it can be manifested gross hematuria and microscopic hematuria
with a periodic onset. The patient may have the serious pain when the disease is
onset, and vigorous exercise, trauma and infection can induce hematuria or
deteriorate it . The bleeding cause is because there are many arteries under the
cyst wall and the pressure increasing or accompanying with infection made the
blood vessels in the cyst wall broken resulted bleeding due to excessive
pulling.
3. Mass in the abdomen: sometimes, it is the main reason for patients to see
doctor. 60%-80% of the patients may touch enlarging kidneys. Commonly, the
bigger the kidneys are, the worse the kidney function will be.
4. Proteinuria: commonly, the proteinuria volume is less than 2g per 24
hours, the patients may not occur Nephrotic Syndrome.
5. High blood pressure: due to cysts pressing kidney, it may lead to renal
ischemia and renin secretion increasing, resulting in high blood pressure. When
the kidney function is in normal, there are more than 50% of patients may have
high blood pressure. When the kidney function is decreasing, the occurrence rate
of high blood pressure will be much more
6. Kidney function decrease: the kidney function may have progressively
decrease due to the cysts occupation, pressing, which makes the normal renal
tissue reducing significantly.
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