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Symptoms of reflux nephropathy

 
, medical expert
Last reviewed: 04.07.2025
 
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Symptoms of reflux nephropathy depend on the infection of the reflux. In sterile vesicoureteral reflux, the formation of nephrosclerosis is asymptomatic or accompanied by signs characteristic of vesicoureteral reflux. Proteinuria and leukocyturia appear only with significant disturbances in the structure of the kidney tissue.

With infected vesicoureteral reflux, signs of urinary tract infection are observed: intoxication, pain syndrome, urinary syndrome (leukocyturia, moderate proteinuria).

Thus, the following variants of the course of reflux nephropathy are distinguished:

  • recurrent urinary tract infection characterized by frequent exacerbations, abdominal pain, severe intoxication, leukocyturia, proteinuria;
  • moderate proteinuria, hematuria, recurrent moderate leukocyturia without symptoms of intoxication.

Hypertension in children occurs only in the late stages of the disease.

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