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While a fibrotic matrix initially contributes to tissue repair, after injury, chronic and persistent kidney damage in the development of CKD leads to uncontrolled fibrotic matrix deposition, resulting in reduced blood supply, destruction of normal organ structure, and eventual glomerulosclerosis, renal tubular atrophy, and interstitial fibrosis [9, 10]

Seek emergency care or same-day evaluation if any of the following occur: Sudden or severe difficulty breathing Rapid onset, inability to swallow saliva or liquids Signs of severe infection (high fever, neck swelling with redness and pain) Large, rapidly growing neck mass When symptoms are less acute but persistent or worsening over weeks, schedule a timely evaluation with a clinician who can arrange appropriate imaging or referral to an otolaryngologist (ENT) or gastroenterologist

A reduced figure can render social situations less stressful, and basic living activities such as bending or squeezing into chairs become more manageable