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Akasaka Hitotsugidori Clinic is a primary care clinic located in central Tokyo. They were established last year and recently joined the HealthyTokyo Medical Partner Network. In this article, they’ll briefly touch on the subject of nephrology while highlighting several key dangers that we should all be aware of.

What is nephrology?
Nephrology is a specialty of medicine regarding the study of kidney function and kidney problems, as well as systemic conditions (such as diabetes) and system problems (such as hypertension). Below, we will look at four major conditions we deal with most in nephrology.

High blood pressure
There are many people who don’t take high blood pressure seriously, and just as many people who, even after being told they have symptoms during an examination, don’t seek the proper treatment at hospital. High blood pressure can lead to several life-threatening diseases, so please seek immediate treatment if you suffer from it.

Urine abnormality
During urinalysis, urine is classified as abnormal if unusually high levels of blood, protein, or sugar are detected. Positive detection of the below-listed items can lead or be symptomatic of the following diseases.

Protein in the urine: chronic nephritis, nephrotic syndrome, etc.
Blood in the urine: chronic nephritis, urinary tract stones, urinary tract system tumors, urinary system infections, etc.
Sugar in the urine: diabetes*
*In cases where sugar is positively tested in the urine, because diabetes is suspected, we recommend the patient consult an internal medicine physician.

Chronic kidney disease (CKD)
Kidneys are vital organs needed to remove excess molecules from the blood and waste products from metabolism. It is possible that persons with urine abnormalities may have other serious issues with their kidneys, urinary tract, or urinary bladder.

Hyperuricemia and gout
Hyperuricemia is defined as an abnormally high level (more than 7.0mg/dl) of uric acid in the blood, while gout in cases involving recurrent attacks of acute inflammatory arthritis caused by the crystallization of uric acid, which can occur for several reasons, including an underexcretion of urate, the salts of uric acid. Gout attacks usually manifest as a redness, swelling, pain, etc. in either the big toe or base of the ankle joint on one side of the foot. Persons who are tested for uric acid levels greater than 7.0mg.dl should be examined by an internal medicine physician.

Akasaka Hitotsugidori Clinic offers services for general internal medicine as well as provides doctors from a number of prestigious hospitals who specialize in a variety of areas including those mentioned above. 

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