As a result of slow or chronic involvement of both the kidneys, the size of the kidneys reduces, i.e. they become small in size. As the disease progresses, they become more and more small. An ultrasonographic examination of the kidneys can give a fair idea of the progress of the disease, by measuring the size of the kidneys. However, in acute renal failure (ARF), discussed in the earlier topic, the size of the kidneys remains almost their normal size, since the condition has developed suddenly.
Besides the size of the kidneys, an ultrasonographic examination of the concerned organs may also indicate the underlying pathology causing CRF, e.g. BEP, or urinary stones, or any congenital abnormality of the kidneys, responsible for obstruction in the urinary tract, leading to chronic UTI. As detailed in the topic of UTI, whenever there is an obstruction in the urinary tract, chances of infection in the urinary tract increase considerably.
As a result of small/ shrinking kidneys, their functioning becomes markedly deranged and blood urea, serum creatinine start increasing, leading to various signs and symptoms of CRF. This happens when the disease manifests itself in clinical form, after its hidden phase.
As time passes, due to the constant adverse […]

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