Are you worried sick about your recent ultrasound report that found kidney echogenicity? Your healthcare provider may have told you they need to investigate it further, and now you want to know more about how to treat it.
With the advancement of medical sciences, the treatment for increased echogenicity of the kidneys has been revolutionized.
So, heave a sigh of relief, as we will handhold you and tell you what exactly increased kidney echogenicity, why it happens, and all treatment options for it.
Hop in to know more!
What is the echogenicity of the kidneys?
The echogenicity of the kidneys means how bright or dark the kidney parenchyma ( the functional part of the kidney that includes the renal cortex (the outermost part of the kidney) and the renal medulla) appears in comparison to other organs, typically the liver.
Normally, the brightness or echogenicity of the kidneys is equal to that of the liver. However, if you have increased renal echogenicity, it can be a non-specific finding that may indicate underlying renal abnormalities.
It is important to note that increased echogenicity of the kidneys is a common imaging finding on kidney ultrasound, but it may not always indicate kidney disease
Factors affecting echogenicity of the kidneys
Several factors can affect the echogenicity of the kidneys. Here are some of the factors that can influence the brightness or darkness of the kidney parenchyma.
1. Histopathological Lesions
Different types of kidney problems can affect how the kidneys appear on ultrasound scans. These issues, known as histopathological lesions, include conditions like scarring, inflammation, and structural changes.
For instance, scarring of the kidney’s filtering part (glomerulosclerosis) or fibrosis in the surrounding tissue can change how the kidneys look on the ultrasound.
Research has found that these types of kidney problems can alter the echogenicity, or brightness, of the kidneys in both humans and animals.
2. Specific Conditions and Diseases
Some health problems can change how the kidneys look on ultrasound. For instance, HIV-related kidney disease and conditions like polycystic kidney disease or urinary tract blockages can make the kidneys appear brighter on the scan.
Other issues, such as certain genetic conditions or infections like cytomegalovirus, may also affect your kidney’s appearance in this way.
3. Renal Artery Blockage
When the arteries that supply blood to your kidneys get blocked, it reduces blood flow and oxygen to the kidneys. This lack of oxygen can lead to kidney damage, making them appear brighter or denser on ultrasound scans.
4. Metabolic Acidosis
Metabolic acidosis happens when too much acid builds up in the body, since the kidneys aren’t working well. It’s a common issue in chronic kidney disease (CKD) and can affect how the kidneys look on ultrasound scans.
5. Chronic Kidney Disease (CKD)
In Chronic kidney disease (CKD), your kidneys gradually lose their function. The outer part of the kidneys, called the cortex, may appear brighter on ultrasound scans. This change in brightness is called increased cortical echogenicity, and it’s a sign that your kidneys may not be working as well as they should.
6. Diabetic Kidney Disease
Diabetic kidney disease, a complication of diabetes, can affect kidney function and structure. However, it should be noted that diabetic kidney disease may be associated with normal kidney echogenicity.
7. Glomerulocystic Kidney Disease
If you’re dealing with Glomerulocystic kidney disease, a rare genetic issue where cysts form in your kidneys, it can lead to higher echogenicity.
8. Dehydration and Acute Kidney Injury
When you’re dehydrated or experiencing acute kidney injury, your kidney’s outer layer might temporarily appear brighter on ultrasound scans. This can make the kidneys seem denser or more reflective, showing increased echogenicity.
Are kidney echogenicity abnormalities hereditary?
Yes, kidney echogenicity abnormalities can be hereditary. There are several genetic kidney diseases and conditions that can affect the echogenicity of the kidneys. Here are some examples.
Hereditary Cystic Kidney Diseases
Various hereditary cystic kidney diseases can affect kidney echogenicity. These include conditions like medullary cystic kidney disease and nephronophthisis. Nephronophthisis is a type of end-stage renal disease that is caused by mutated genes.
Genetic Renal and Urinary Tract Malformations
Some genetic issues can cause problems in how your kidneys and urinary tract develop. If you have any abnormalities or structural problems in your urinary tract, it might cause your kidneys to appear brighter on ultrasound scans.
Treatment for increased echogenicity of the kidneys
The treatment for kidney echogenicity abnormalities depends on the underlying cause and specific condition. Here are some general considerations.
Underlying Condition Management
Treating the underlying condition causing the abnormal kidney echogenicity is often the primary approach. This may involve medications and lifestyle modifications. For example, in cases of chronic kidney disease (CKD), treatment may focus on managing blood pressure and controlling blood sugar levels.
Dialysis and Transplantation
In cases of advanced kidney disease or kidney failure, dialysis or kidney transplantation may be necessary. Dialysis helps filter waste products and excess fluid from the blood when the kidneys are unable to perform this function adequately. Kidney transplantation involves surgically replacing a diseased kidney with a healthy kidney from a donor.
Stem Cell Therapy
Stem cell therapy has shown promise as a potential treatment option for chronic kidney disease (CKD). Stem cells can differentiate into various cell types, including kidney cells, and can potentially regenerate damaged kidney tissue.
Researchers at the Harvard Stem Cell Institute have found certain mesenchymal cells, a type of stem cell, that are important for kidney repair. These cells can be put into the body to help damaged kidney tissue heal and lessen inflammation.
This breakthrough could pave the way for new treatments to improve kidney health and function in patients with CKD and help treat increased echogenicity of the kidneys.
Conclusion :
You should not jump to any conclusion before your doctor points out some cause for concern. Knowledge is power and you have that now. In case of any complications, you can discuss with your doctor to find out a solution.
We can be your partner in your quest for better health. So if you have further questions regarding treatment for echogenicity of the kidney contact us. we are here to help you every step of the way.
FAQ :
Q1. Are echogenicity kidneys normal?
Increased echogenicity of kidneys indicates underlying health problems and kidney abnormalities.
Q2. Can an echogenic kidney go away?
Hyperechogenic Kidney should be treated with appropriate therapies.
Q3. Should I worry about echogenic focus in the kidney?
Echogenic foci are defined as unidentified bright objects and maybe the cause of tiny stones in the kidney.
