Hepatorenal Syndrome

Hepatorenal syndrome is a deterioration of kidney function that appears in people with advanced liver disease. The kidneys, without evident structural damage, stop filtering properly as a result of the circulatory changes tied to the liver condition.

Why it happens: It usually appears in the setting of cirrhosis or other severe liver diseases, when the blood flow and pressure reaching the kidney are altered.

Signs that may accompany it: A decrease in the amount of urine, fluid retention, and signs related to the liver disease.

Which specialist treats it? The nephrologist evaluates kidney function and, in children, the pediatric nephrologist, usually in coordination with the team following the liver disease. If you have a liver condition and notice changes in urine or swelling, having it assessed by these specialists is the most prudent thing to do.