Category Archives: Kidney Stones

My daughter has had re occurring kidney stones. The last time she had to get a catheter on 10/24. It was removed on 11/2 and her side pain has not gone away. Last Wednesday she couldn’t urinate and was put back on a catheter and every time we ask why we are told we don’t know. She has had ultra sounds done. What other testing should be done? Could this be a issue from the last kidney stone? She has also had blood in the collection bag. Is this a concern?

The problems that you describe are urological problems. I am a nephrologist and do not have any expertise in the lower urinary tract. Urologists are surgeons and deal with problems of the urinary tract, bladder and stone disease. Your daughter … Continue reading

Posted in Ask the Doctor, Kidney Stones, Kidney-Related Health Questions, Nephrologist, Urological Issues

I’ve suffered from calcium oxalate kidney stones since 1982 and have had 6 ESWL procedures in both kidneys. Sometimes the ESWLs were performed on both kidneys together. Various efforts for controlling the stones have not helped over the years (e.g., HCTZ, reduced proteins, and hydration). In my last sonogram there were more than 20 stones in each kidney (small ones) and I’m now feeling pain from an obstruction. Last procedure was about 4 years ago and caused a lot of renal colic, spasms, and nausea. Questions: How many ESWLs can a human have before it is contraindicated? What are some of the risks I’m facing as I probably will need another procedure soon?

I am a nephrologist and I have no expertise in lithotripsy. Lithotripsy is performed by a urologist, who is a surgeon. A urologist treats kidney stones. I have no surgical expertise and hence cannot give advice on when and when … Continue reading

Posted in Ask the Doctor, Kidney Stones, Kidney-Related Health Questions, Nephrologist, Urological Issues

I’ve had kidney stones since 2011. The hospital told me that both kidneys are full with little stones and I only passed 2 since then.

The problem that you identify is a urological problem. It deals with stones in the kidney as well as passage of stones into the urinary tract and bladder. You will need to contact a urologist about this particular problem. I … Continue reading

Posted in Ask the Doctor, Kidney Stones, Kidney-Related Health Questions, Nephrologist, Urological Issues

Is enlarged kidneys a symptom of CKD? I have a history of frequent UTIs, kidney stones and MSK. My last follow up ultrasound noted enlarged kidneys. Young female 4”11 115lbs and they measured 12.2 cm and 12.4 cm.

The ultrasound measurements that you mention may be normal depending on your body size. Your description of your weight and height suggests that you are a relatively small person and 12 centimeter (cm) kidneys could be modestly enlarged. Medullary sponge … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney Stones, Kidney-Related Health Questions, Medullary Sponge Kidney

Dear Doctor, USG of my daughter aged 23 says, ” One calculus 4.8 mm at the left proximal most ureter”. Please advise about treatment and diet.

There appears to be a very small stone in the tube that connects the left kidney to the bladder (the ureter). It appears to be high up in the ureter. If it is not causing pain, the treatment consists of … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Kidney Stones, Kidney-Related Health Questions, Urological Issues

I am a 65 year old female with one kidney. The second kidney was removed due to a car accident when I was 16. Prior to 2016, my GFR has been stable and in stage 4. From January 2016 through July 2017, the GFR on my remaining kidney dropped 6 points from 63 to 56. In July, after getting this information, I went on a low sodium, low potassium, low protein diet. In October 2017 my blood work was re-checked and my cholesterol jumped from 206 to 284 my BUN was 25, Creatinine was 1.1 and my GFR had dropped another 6 points to 50 which is stage 3. I am stunned at my readings and at a loss as to why my GFR has dropped 13 points in less than a year when they have been stable. My doctor is an internist and I wonder if these kind of changes would warrant a visit to a specialist or a renal dietitian. Thank you.

I am unable to suggest a reason why your kidney function would decline. I do not recommend a low potassium diet or a low protein diet. I recommend the DASH diet. The DASH diet is a high potassium and low … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, Kidney Stones, Kidney-Related Health Questions

Our daughter has kidney stones, and the Dr. says, both kidneys are full of stones. For a period of time she was able to pass the stones, but now she is not passing them. The Dr. is doing another 24 hr urinalysis study, and the same test that any urologist would perform. He is stumped. Would it be to our advantage to seek further treatment from a Doctor that specializes in kidney disease? Her father is a pharmacist, and has suggested for some time our need for someone that can help her. Our fear is that her kidneys will fail and she will go on dialysis. She is 41.

I am not able to make a specific diagnosis based on the information that you present. There are many causes of recurrent and chronic kidney stones. The urologist is the person who is most likely to make a proper diagnosis … Continue reading

Posted in Ask the Doctor, Kidney Stones, Kidney-Related Health Questions, Laboratory Testing, Nephrologist, Urological Issues

Hello doctor, I have a kidney stone 9mm, is it better to take operation or not? Does it go by taking tablet and syrup?

The question that you ask is a urological question. I am a nephrologist and do not have any surgical expertise. A urologist is a surgeon who deals with kidney stones and performs surgery and lithotripsy.  I suggest that you consult … Continue reading

Posted in Ask the Doctor, Kidney Stones, Kidney-Related Health Questions, Nephrologist, Urological Issues

Cause for concern? I’ve had bouts of intense kidney pain/spasms that last from 5-20 minutes for 21 years. (First time was during first pregnancy.) A CT scan a few years ago showed nothing. I am 48, female, and in great physical shape. I do take ibuprofen sometimes for a few days for eczema relief or joint pain. The pain grabs hold of that specific space in my lower back and makes me feel unable to move, function or do anything to help recover faster. I have spoken to my healthcare provider about this. He is puzzled; says it could be muscle spasms. Any ideas? Causes? Kidney/not kidney-related? Thank you!

Pain is not a common symptom of kidney disease. Pain can be found in kidney stone disease, infections and blockage of the kidneys. You have been evaluated for such issues and they do not seem to be present. The use … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney Stones, Kidney-Related Health Questions

Hello, I had a kidney stint removed today. This is the 3rd very large stone I have had to have surgery for since 2013. I had a 1cm calcium oxalate monodeydrate stone. Urology doctor does not understand why I keep making stones. I had gastric bypass in 2013. I lost 125 pounds. I have gained back about 30 pounds due to having total knee replacement. I have done a great deal of research on what to eat and what not to eat. The information is very conflicting. I eat pretty good and take vitamins. I do not drink milk and small amounts of cheese. I do eat chicken 4 times a week and maybe hamburger meet once or twice a week. Do you have suggestions? I do get a great deal of liquid intake each day and also eat a lot of ice. I have a full time job and consider myself healthy and active. Well other than the stones. I need a reliable place for information on how to eat without creating more stones.

The DASH diet has been shown to decrease the tendency to form kidney stones.  It is very important that this diet be combined with a very low salt intake. I recommend that you keep drinking water, limit your sodium intake … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Kidney Stones, Kidney-Related Health Questions, Nephrologist