Hello! I have been a doctor for 21 years. My name is Georgy Olegovich Sapego. In this article I will talk about osmotic diuresis.
Everyone knows that due to diuretics, we can quickly lose a lot of water. It's boring. It is much more interesting to read about simple chemistry, which can also draw a bucket of water out of us.
This thing is called osmotic diuresis. Osmotic - because water is drawn out by chemistry. And diuresis is the amount of urine.
First, let's agree that a lot of urine is more than three liters per day for an adult.
Volume has to be literally measured. Take a three-liter jar and measure it on any weekend or holiday. It seems to many that there is a lot of urine, but then it turns out that they just often get up at night, and the total volume per day is not that great.
Glucose
This is the most common cause of high urine volume. Glucose can be excreted through the kidneys in diabetic patients. There is also a rare hereditary disease in which urine will also be sweet. But this is really rare.
More common is diabetes mellitus. The more glucose in the blood, the more it will be in the urine, the more it will pull water with it. It's simple. One measuring jar may not be enough.
Sodium
This is common salt. Sodium is always excreted in the urine. But there is such a retention of urine that absolutely nothing comes out of a person. Outlet blockage.
The sodium starts banging on the locked doors and demands to be released. If the obstacle to the outflow of urine is removed, then a sea of water will pour out along with the crowd of disgruntled sodium. There will be a lot of urine.
Urea
It comes from protein breakdown. Well, that is, in the dry residue, each of us is 20% protein. This protein is not only synthesized, but also destroyed. As a result of destruction, urea is obtained. Normal chemical compound. It's even added to chewing gum. Remember the urea chewing gum? Urea is urea.
A lot of urine from urea occurs after severe kidney damage. That is, if the kidneys were on sick leave for some time and did nothing, then then they have to catch up and excrete a lot of accumulated urea.
Urea cannot just spill out like sand. She pulls water with her. This makes a lot of urine.
In addition to recovering from severe kidney damage, there are other causes of high urea levels.
Protein
If you literally gorge yourself on protein food, then part of this protein will fall apart and climb through the kidneys in the form of urea. Water will also flow there.
Every time I write about protein (especially among older people), I say that it is difficult to eat up. Even 0.8 - 1.2 grams per kilogram of weight is a lot of products.
Some people try to cheat nature and consume special sports nutrition instead of regular food. So easily you can overeat with protein and even damage your kidneys. Be careful with this case!
Hormones
Protein is also destroyed in people on hormones like prednisone. These hormones not only have anti-inflammatory effects, but also inhibit everything you can. They also inhibit protein synthesis.
I always say that it is better not to inject hormones into the joints once again, because the damage will not heal well.
That is, if building materials for protein are available, and hormones do not allow construction to begin, then this protein will go into the furnace. Or rather, to the kidneys.
Have you dabbled in protein shakes?
