As a well-established sport, basketball has always been loved by teachers, students, especially young people. However, for some people, the exercise may cause blood in the urine. A few days ago, Quanzhou Maternal and Child Health Hospital and Children's Hospital received such a case.
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The 13-year-old boy usually likes to play basketball, and recently, he has had repeated symptoms of low back pain, abdominal pain, and what is even more shocking is that after playing basketball, he has repeatedly had dark red blood in the urine. His family quickly took him to the nephrology department, and the doctor found that his urine contained blood streaks and blood clots.
Pan Yuanqing, attending physician of the Department of Nephrology, Quanzhou Maternal and Child Health Hospital and Children's Hospital
"I gave him a red blood cell morphology of urine sediment, indicating a non-glomerular inflammatory hematuria, and then gave him a complete color ultrasound, which showed that it was an obvious compression of the left renal vein, and then he contacted the surgery department at that time to do a cystoscopy, cystoscopy showed that there was continuous spurting of blood from the opening of the left ureter, and the urine on the right side was clear. So at that time, I thought about saying that this was a nutcracker syndrome. ”
The left renal vein is pinched, causing poor blood flow to the kidneys, which is the culprit of nutcracker syndrome. According to doctors, nutcracker syndrome is a common disease in life, which tends to occur in adolescents during the development period, because adolescents grow fast during the development period, are thin, and the angle between the two arteries is smaller. Adult patients tend to be more likely to be taller and taller men and younger, frail women.
Hong Jiandong, Chief Physician of the Department of Nephrology, Quanzhou Maternal and Child Health Hospital and Children's Hospital
"Strenuous exercise is what it will cause, the angle between the abdominal aorta and the superior mesenteric artery may become smaller, then his left renal vein is compressed, and after the compression, these series (symptoms) will be produced, he will have hematuria, the common one is microscopic hematuria, if it is severe, it will have intermittent gross hematuria, and if it is severe, there will be blood clots and cause anemia, and the third symptom is mainly low back pain, as well as abdominal pain. ”
In addition, pain in the left side of the lower back and abdomen may radiate to the buttocks and back of the thighs and may be worse when squatting, standing upright, walking, or cycling. When you wake up in the morning or when you stand, you will feel dizzy, palpitations, shortness of breath, nausea, fatigue or fatigue. Patients with unsevere symptoms are candidates for conservative management. Children and adolescents, as they grow older and have perfect physical development, need to be observed regularly and avoid strenuous exercise. After treatment, at present, Xiaogang's blood and urine have disappeared, and the low back pain has also been relieved.
Hong Jiandong, Chief Physician of the Department of Nephrology, Quanzhou Maternal and Child Health Hospital and Children's Hospital
"In fact, normal children are generally more than 10% of the current statistics, but they may not have symptoms. If we talk about nephrology, that is, when we have hematuria, about 40% of them will have a seizure, that is, there is a nutcracker phenomenon, and under normal circumstances, the symptoms are relatively mild, so no special treatment is required. What is the main way to deal with conservative treatment at present, maintain a balanced diet, and gain weight, not too thin. ”