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Oliguria is a medical condition characterized by a significant reduction in urine output, typically defined as less than 400 milliliters per day in adults. This condition indicates that the kidneys are producing insufficient urine to remove waste products and excess fluids from the body. Oliguria can be a sign of underlying kidney dysfunction or systemic issues and is often detected through changes in urinary patterns or a decrease in urine volume. The causes of oliguria are diverse and can range from acute kidney injury (AKI) to chronic kidney disease. Common causes include dehydration, where inadequate fluid intake leads to reduced urine production. Other causes are obstruction of the urinary tract, such as from kidney stones or tumors, which can impede urine flow. Severe infections, such as sepsis, can also impair kidney function and reduce urine output. Additionally, conditions that affect blood flow to the kidneys, such as heart failure or severe blood loss, can result in oliguria. Certain medications or toxins may also contribute to decreased urine production by damaging kidney tissues.
Treatment for oliguria focuses on addressing the underlying cause and restoring normal kidney function. For dehydration-related oliguria, increasing fluid intake and rehydration through intravenous fluids can help normalize urine output. In cases of urinary tract obstruction, procedures to remove or bypass the blockage, such as catheterization or surgery, may be required. For kidney injury or disease, management may include medications to control blood pressure, diuretics to promote urine production, or dialysis if kidney function is severely impaired. Monitoring and treating the underlying condition, along with supportive care, are essential to improving urine output and overall kidney health. Regular follow-up with healthcare providers is crucial for managing oliguria effectively and preventing potential complications.
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