Kidneys and Urinary Tract



Our bodies produce several kinds of wastes, including sweat, carbon dioxide gas, feces (also known as stool), and urine. These wastes exit the body in different ways. Sweat is released through pores (tiny holes) in the skin. Water vapor and carbon dioxide are exhaled (breathed out) from the lungs. And undigested food materials are formed into feces in the intestines and excreted from the body as solid waste in bowel movements.

Urine, which is produced by the kidneys, contains the by-products of our body’s metabolism - salts, toxins, and water - that end up in our blood. The kidneys and urinary tract (which includes the ureters, bladder, urethra, and the kidneys) filter and eliminate these waste substances from our blood. Without the kidneys, waste products and toxins would soon build up in the blood to dangerous levels.

In addition to eliminating wastes, the kidneys and urinary tract also regulate many important body functions. For example, the kidneys monitor and maintain the body’s balance of water, ensuring that our tissues receive enough water to function properly and be healthy.

When you’re asked to give a urine sample during a doctor’s visit, the results reveal how well your two kidneys are working. For example, blood, protein, or white blood cells in the urine may indicate injury, infection, or inflammation of the kidneys, and glucose in the urine may be an indication of diabetes.

What Do the Kidneys and Urinary Tract Do?
Although the two kidneys work together to perform many vital functions, people can live a normal, healthy life with just one kidney. In fact, some people are born with just one of these bean-shaped organs. If one kidney is removed, the remaining one will enlarge within a few months to take over the role of filtering blood on its own.

Every minute, more than 1 quart (about 1 liter) of blood passes through the kidneys, adding up to about 425 gallons (1,609 liters) of blood each day. About a quarter of our blood is in our kidneys at any one time, and the kidneys cleanse all of the blood in the body about every 50 minutes.

In addition to filtering blood, producing urine, and ensuring that body tissues receive enough water, the kidneys also regulate blood pressure and the level of vital salts in the blood. By regulating salt levels through production of an enzyme called renin (as well as other substances), the kidneys ensure that blood pressure is regulated.

The kidneys also secrete a hormone called erythropoietin (pronounced: eh-rith-row-poy-uh-ten), which stimulates and controls the body’s red blood cell production (red blood cells carry oxygen throughout the body). In addition, the kidneys help regulate the acid-base balance (or the pH) of the blood and body fluids, which is necessary for the body to function normally.

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