Category Archives: Birth Defects/Urinary Tract Abnormalities

My GFR in Oct. 2018 was 68 in Oct 2019 it was 59. My primary never said anything about it but I did question it recently. She went ahead an ordered a Microalbumin/Creat ratio Urine Random test. My Microalbumin came back 0.60 Creatinine Urine came back 23.7 (low) Alb/Creat ratio was <30 Should I be concerned and consult with a nephrologist? I am 47 year old female and not sure why my GFR is low.

In order to qualify as chronic kidney disease (CKD), it will be necessary to repeat the serum creatinine and the calculated estimated glomerular filtration rate (eGFR) within three months to make sure of an accurate result.  In some cases, there … Continue reading

Posted in Ask the Doctor, Birth Defects/Urinary Tract Abnormalities, Blood/Urine Testing For Kidney Disease, GFR, Kidney-Related Health Questions, Laboratory Testing, Serum Creatinine

Hi Doctor. I wish you are doing well. I have a brother who has been living at Greece camp as a refugee center complaining that while he has urinate after few seconds his sperm or a small liquid come out. He is unmarried and he about 35 year old. What is your advice and I would be very to reply me and have the chance to to help him. Thanks a lot for your values and humanity.

I am unable to make a specific diagnosis based on the information that you present.  This sounds very unusual and would require your brother to be examined. Since this involves the urinary tract, a urologist may need to examine your … Continue reading

Posted in Ask the Doctor, Birth Defects/Urinary Tract Abnormalities, Blood/Urine Testing For Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Urinary Tract Infection/Pyelonephritis, Urological Issues

Hello. My now, 5 year old son, when I was pregnant, he had fluid on his kidneys and was born with hydronephrosis. He had his checkups every 6 months up until we moved to another country in 2016. He was doing OK. No problems up until 2 months ago, he had been complaining of back pain, so I took him to get a sonogram to check fluid and he had little, not as much as he had before, and he had blood and urine tests done. The tests came back that he had a kidney infection. He was put on antibiotics. After he finished his medicine, the pain continued so I took him to a kidney specialist and all he did was tell me to go get him a US renal sonogram and get his urine and blood work. So I took him to get the sonogram. Doctor said he had no fluid on either kidney. The right kidney was 86x33x37mm and 10.6mm, his left was 82x33x39mm and 13mm. Doctor said no fluid on his kidneys, which was a relief but she said his spleen was swollen. She told me a child his age should be 105mm but my son was 116mm and she told me to wait for his blood and urine test results to come back to see if it’s from an infection or if not, then it’s normal. I am still waiting on his results but my question is what should I do next? Who should I take him to next? Should I worry with us being in another country? The health care is not anywhere close to the United States and that has me worried. Do I take the results and sonogram information back to the kidney specialist or should I see someone else? Any and all help and information would be very much appreciated. If you need more information or any questions, please contact me.

I am an adult nephrologist and I have no expertise with children. I would offer two recommendations. In most cases, I would have your son evaluated first by a pediatrician, rather than going directly to a kidney specialist. A pediatrician … Continue reading

Posted in Ask the Doctor, Birth Defects/Urinary Tract Abnormalities, Blood/Urine Testing For Kidney Disease, Hydronephrosis and Hydroureter, Kidney-Related Health Questions, Nephrologist, Pediatric Issues, Urological Issues

I am having a problem with contracted left kidney; if any solution was there? Any prevention and suggestion and avoidable habits?

In most cases, a contracted or shrunken kidney is related to a birth defect. This is not something that can be treated or corrected. You are born with a small or contracted kidney. The main advice I would give is … Continue reading

Posted in Ask the Doctor, Birth Defects/Urinary Tract Abnormalities, Blood/Urine Testing For Kidney Disease, Kidney-Related Health Questions

Hello Doctor! A friend of mine was born with only one functioning kidney and had to undergo several medical tests and screening. He was born prematurely but I do not know what the doctors diagnosed him with. He took care not to drink any alcohol or take any other substances and when he was about 18, he went to the doctor’s for a screening and they told him that his other kidney had started working again. I’m not sure of the official diagnosis but why do you think this happened and do you think there is a possibility that his kidney might stop working again in the near future? Thank you!

I am unable to understand the events that you describe. I do not know of any way that a second kidney could suddenly start working if someone had only one kidney at birth. I suspect that an error in diagnosis … Continue reading

Posted in Ask the Doctor, Birth Defects/Urinary Tract Abnormalities, Blood/Urine Testing For Kidney Disease, Kidney-Related Health Questions, Nephrectomy / One kidney

Greetings, My eldest daughter was born on 12th November, 2017. She was healthy and developmentally normal till 7 months of age when she developed diarrhea that rapidly progressed to acute kidney failure. Ultrasound at this stage showed nephrocalcinosis, and so her condition progressed to chronic kidney disease. She passed away on 10th November, 2018, before we could get her genetic testing done to find out the underlying metabolic cause of nephrocalcinosis. I’m pregnant again, and we want to know which blood, urine and radiological tests need to be done for this baby in order to find out the metabolic disorder (if any, God forbid) that can later on cause nephrocalcinosis? And how soon should these tests be carried out after birth? Looking forward to your response.

I am an adult nephrologist and do not see infants or children. I am unaware of any blood or urine tests that can diagnose Nephrocalcinosis in an infant or fetus. I would suggest that you consult with a geneticist or … Continue reading

Posted in Ask the Doctor, Birth Defects/Urinary Tract Abnormalities, Blood/Urine Testing For Kidney Disease, Kidney-Related Health Questions, Nephrologist, Pregnancy / Kids

My 8 year old daughter has a simple cyst on her right kidney pole 4.7cm ×3.9cm. Size of right kidney 8.9cm ×3.6cm ×3.6cm. What are our options? Can it be desolved or will it have to be surgical? Or will it go as she grows?

The problem that you describe is a urological problem.  I am an adult nephrologist and do not see children.  I also do not have any expertise in the surgical management of cysts in children. I suggest that you consult with … Continue reading

Posted in Ask the Doctor, Birth Defects/Urinary Tract Abnormalities, Chronic Kidney Disease, Kidney-Related Health Questions, Nephrologist, Symptoms and Side Effects, Treatments, Urological Issues

My daughter is 7. While I was pregnant with her I was told that she had hydronephrosis in both kidneys. I was closely monitored for the remainder of my pregnancy until they decided to induce labor early because her kidneys were becoming to swollen. When she was born she was immediately taken for an ultrasound testing. They said her kidneys were normal and functioning at 100%. Her pediatrician told me that the hydronephrosis had taken care of itself. 5 years later she had severe pain one day and I rushed her to the ER where I learned that my daughter now only has one kidney. Which was severely infected I also learned that she has severe hydronephrosis in her remaining solitary left kidney. She has had numerous UTI since that day. Also, 2 seperate episodes where she could not urinate for some 12+ hours. With the last episode being the worst in July. She has been tested for stones and they cannot find anything. The doctor just yesterday told me he didn’t believe based on all of her tests that she’s ever had a stone. But he also had no further insight as to what could be going on. I don’t understand why she’s had hydronephrosis or how it came back after being cleared as an infant. We have been seeing a urologist for 2 years now and still do not have much to go on for answers. So I guess I’m asking you if you have any advice or opinions in what direction we should be looking? Is there a way to fix this or is it just sit and wait until her kidney can’t withstand much more, start dialysis and go on the transplant

I am an adult nephrologist and do not see children.  The problem that you describe is a urological problem and I have no expertise in this area.  Your daughter may need to see a pediatric urologist, if she has not … Continue reading

Posted in Ask the Doctor, Birth Defects/Urinary Tract Abnormalities, Hydronephrosis and Hydroureter, Kidney-Related Health Questions, Nephrectomy / One kidney, Pediatric Issues, Pregnancy / Kids, Symptoms and Side Effects, Treatments, Urological Issues

Dear doctor my child is 6 months old. He is forcing to pee, and has swelling some mornings. Is he having disease?

I am unable to make a specific diagnosis based on the information that you present.  I am an adult nephrologist and do not see children.  I suggest that you review these symptoms with your pediatrician and see if there is … Continue reading

Posted in Ask the Doctor, Birth Defects/Urinary Tract Abnormalities, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Pregnancy / Kids

I am currently 24 weeks pregnant. My baby has been diagnosed with BMCDK. I am looking for a doctor who is willing to offer amnioinfusions and provide care with a result not ending in death of the fetus. If you can provide recommendations that would be amazing.

I will assume that the acronym BMCDK stands for Bilateral Medullary Cystic Dysplastic Kidneys.  This is a congenital disorder where both kidney are usually small, full of cysts and generally are not functional.  I am unaware of anyone performing such … Continue reading

Posted in Ask the Doctor, Birth Defects/Urinary Tract Abnormalities, Chronic Kidney Disease, Kidney Cysts, Kidney-Related Health Questions, Laboratory Testing, Nephrologist, Pediatric Issues, Pregnancy / Kids, Treatments