The condition can be defined as an abnormal mobility of the kidney which renders the entire organ palpable and any experienced doctor can locate the same during physical examination, or else x-ray of the affected side will remove all the doubts. Women are affected far more than men.
Causes
1. It is generally not congenital.
2. Physical labour.
3. Marked emaciation.
4. Lifting heavy articles, stooping frequently.
5. Girdling and tight lacing, putting on fit and tight dress.
6. Traction used for hernias.
7. Pressure due to abnormally large liver.
8. General emaciation of sustaining ligament of pelvis and abdomen.
9. Persons who eat sparingly and whose diet is deficient in fats, proteins, vitamins etc.
Symptoms
– Heaviness or dragging in lower abdomen, which is aggravated by standing or walking for a long time in one position.
– Sensations are referred to in relation the loins, pelvis or abdomen.
– Irritability of the urinary bladder. Obstinate constipation.
– Nephralgia, chiliness, rise in temperature.
These are only subjective symptoms but the objective symptoms can be obtained by Palpation. Though this disorder does not impact longevity, but total relief is generally not possible.
Treatment
Though hardly any medicine is required but surgeons generally resort to ‘operate and anchor the wandering kidney’ syndrome by, of late, constant use of suitable abdominal binders and pads, has met with utmost success in most of the cases, as suitable corset,’if used, will relieve 90-95% problem of the movable kidney.
‘Nephropexy’ is an operation performed to fix a ‘floating’ or ‘movable’ kidney which is fixed to the 12th rib and adjacent posterior abdominal wall to prevent descent of the kidney on descending. Harrison explains the position like this, “Nephroptosis is an abnormal descent of a kidney into the pelvis on standing which may occur if it is excessively mobile (For example in thin women). If this is accompanied by pain and obstruction to free drainage of urine by kidney, nephropexy may be advised.”
Proper rest, use of suitable corsets, binders or pads can ensure near normalcy. Protein and fat enriched diet, extra Vitamins & Minerals, moderate activity that neither tires nor exerts pressure, gay and happy mood. In any case pressure on the stressed muscles, ligaments, nerves must be relieved. Operation should be thought of and opted for as a last resort because, if contributory causes still persist, despite an operation, recurrence of malady cannot be ruled. Thin and emaciated ladies should try to add extra weight, by rich diet and physical activity.
To relieve pain any of the analgesics, mentioned earlier, can be given. Remember, supportive measures are far more important than any other method.