He's only 23 but his future in bodybuilding is severely compromised.
IgA nephropathy :
https://en.wikipedia.org/wiki/IgA_nephropathy"Signs and symptoms :
The classic presentation for the nonaggressive form (in 40–50% of the cases) is episodic hematuria, which usually starts within a day or two of a non-specific upper respiratory tract infection (hence synpharyngitic), as opposed to post-streptococcal glomerulonephritis, which occurs some time (weeks) after initial infection. With both Aggressive and non-aggressive Berger's disease Loin pain can also occur. The gross hematuria may resolve after a few days, though microscopic hematuria will persist, it is however more common with Aggressive Berger's disease for gross hematuria to persist rather than microscopic hematuria. Renal function usually remains normal with non-aggressive Berger's disease, though rarely acute kidney failure may occur (see below). This presentation is more common in younger adults.
The following is a basic list of symptoms taken primarily from Mayo clinic;
-Severe abdominal / loin pain
-High blood pressure
-Hematuria (gross,frank,microscopic)
-Compromised immune system
-Edema in hands and feet
-Cola or tea colored urine
A smaller proportion (20-30%), usually the older population, have microscopic hematuria and proteinuria (less than 2 gram/day). These patients may be asymptomatic and only picked up due to urinalysis. Hence, the disease is more commonly diagnosed in situations where screening of urine is compulsory (e.g., schoolchildren in Japan).
Very rarely (5% each), the presenting history is:
Nephrotic syndrome (3-3.5 grams of protein loss in the urine, associated with a poorer prognosis)
Acute kidney failure (either as a complication of the frank hematuria, when it usually recovers, or due to rapidly progressive glomerulonephritis which often leads to chronic kidney failure)
Chronic kidney failure (no previous symptoms, presents with anemia, hypertension and other symptoms of kidney failure, in people who probably had longstanding undetected microscopic hematuria and/or proteinuria)
A variety of systemic diseases are associated with aggressive IgA nephropathy ( Berger's disease) such as liver failure, cancer, celiac disease, systemic lupus erythematosus, rheumatoid arthritis, heart failure, reactive arthritis, ankylosing spondylitis and HIV. Diagnosis of Berger's disease and a search for any associated disease occasionally reveals such an underlying serious systemic disease. Occasionally, there are simultaneous symptoms of Henoch–Schönlein purpura; see below for more details on the association. Some HLA alleles have been suspected along with complement phenotypes as being genetic factors. Non-aggressive Berger's disease may also be associated with any of the above systemic diseases, however this is rare. "
