Category Archives: Hydronephrosis and Hydroureter

Hello Dr. Spry, my 5 yo daughter has mild hydronephrosis (right kidney) and vomiting episodes where she quickly becomes acidotic. Her urologist ordered a Mag3 test to be completed soon to find out more. The urologist as well as the hematologist weren’t sure if the hydronephrosis could be contributing to my daughter’s unexplained ongoing normochromic/normocytic anemia, so I wanted to reach out to get your thoughts to see if the two could be possibly connected. Her erythropoietin level was at 8 which was lower than expected for a hemoglobin of 9. Thanks.

I do not know of any association between blockage of the kidney (hydronephrosis) and anemia. If the kidney damage was present in both kidneys and there was associated kidney failure, then anemia related to kidney failure could be present. The … Continue reading

Posted in Anemia, Ask the Doctor, Chronic Kidney Disease, Hydronephrosis and Hydroureter, Kidney Failure, Kidney-Related Health Questions, Pediatric Issues

I was recently diagnosed with Stage 2 CKD and mild hydronephrosis of the right kidney, my only kidney. Urologist can’t see me for 30 days. I was rather surprised at the delay. I have no symptoms except poor labs. Creatinine is 1.10, eGFR 56, BUN/CREATININE RAIO 11.

The normal estimated glomerular filtration rate (eGFR) for a single kidney is usually between 45 and 60 milliliters per minute per 1.73 meters squared.  Hence, for a single kidney, your eGFR appears to be normal.  The hydronephrosis must be evaluated … Continue reading

Posted in Ask the Doctor, GFR, Hydronephrosis and Hydroureter, Kidney-Related Health Questions, Nephrectomy / One kidney, Urological Issues

Sir, I have pain at lower back side. So ultrasound scan was done and I have a small (3mm) left renal calculi and bilateral mild hydronephrosis. Now doctor prescribed some medicines for left renal calculi. Kindly tell me if one side stone causes to bilateral hydronephrosis? Is hydronephrosis cured by medicines? I’m a poor woman so I cannot spend much money. Please suggest me.

The problem that you pose is a urological problem. I am a nephrologist and I do not have any surgical expertise. Kidney stones in one kidney should not cause blockage (hydronephrosis) on both kidneys. I suggest that you consult with … Continue reading

Posted in Ask the Doctor, Hydronephrosis and Hydroureter, Kidney Stones, Kidney-Related Health Questions, Nephrectomy / One kidney, Nephrologist, 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

I found out my son had hydronephrosis when I was 20 weeks pregnant. He is currently 2 years old and on the lower side of the growth chart. My husband wants to start him on a dietary supplement so that hopefully he will gain more weight (he is currently 23 lbs.). Is there any research to support a connection to his low growth and the hydronephrosis? Should we just continue to let him grow and develop on his own and not put him on a dietary supplement? He has the eating habits of a 2 year old, he is picky and sometimes he does not eat at all. Any advice or reading material you can provide would be greatly appreciated.

I am an adult nephrologist and I have no experience with children and congenital hydronephrosis. I suggest that you consult with your pediatrician about your concerns.

Posted in Ask the Doctor, Hydronephrosis and Hydroureter, Kidney-Related Health Questions, Pediatric Issues

. My age is 45. My left kidney is not working from childhood. Serum Creatinine is 1.1. I take Azilsartan 80 as hypertensive drug and Onderomet 2.5/500 for blood sugar. I am having grade 3 Hydronephrosis in left kidney.

I am not able to recommend medical therapy without performing a complete history and physical examination.  In regards to your left kidney, this is a urological problem and must be discussed with a urologist.  I am a nephrologist and have … Continue reading

Posted in Ask the Doctor, Diabetes, Hydronephrosis and Hydroureter, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Urological Issues

Sir, I am 23 years old. I have mild Hydronephrosis disease on both kidneys. Is it a critical illness or minor illness and what should I do for treatment?

Hydronephrosis of the kidney means there is a possibility of blockage of the kidney. A urologist is best suited to evaluate this blockage and see if further testing or treatment is needed. I suggest that you consult with a urologist. … Continue reading

Posted in Ask the Doctor, Hydronephrosis and Hydroureter, Kidney-Related Health Questions, Urological Issues

My 13.5 year old son with single kidney status has serum creatinine of 1.0 mg/dl. All electrolytes, urea and uric acid values are within the normal range. There is no blood or protein in the urine. Can you give your opinion on this? PUV done on 3rd day of birth. Born with hydronephrosis.

The problem that you pose is a urological problem.  I am a nephrologist and do not see children.  I suggest that you consult with a urologist.  

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Hydronephrosis and Hydroureter, Kidney-Related Health Questions, Laboratory Testing, Nephrologist, Urological Issues

I have a double ureter in the left kidney. My mother had her left kidney removed when I was approximately 7yrs old. When I was 13 or 14 a doctor told us I had three kidneys also (same doctor). Now I believe mother only had two and the left one also had two ureters but the top ureter did not function properly.

It is certainly possible that you are correct.  These abnormalities are likely problems that you are born with and are known as “Congenital Abnormalities of the Kidney and Urinary Tract” also known as CAKUT.  These problems are usually addressed by … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Hydronephrosis and Hydroureter, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Urological Issues

I am male, 30 years old and I have Proteinuria. Doctors suspect some kind of Glomerulonephritis. One doctor thinks is IgA Nephropathy. And I am really confused and worried. I decided to do a biopsy to find out in about a month from now. The laboratory results are confusing me a bit as they use different measurements. All are urine test results here. January 2017: Urinary Micro Albumin: 1132 mg/L Urinary Creatinine: 1.25 gm/L Albumin Creatinine Ratio (ACR) 905.0 mg/gm February 2017: Urinary Micro Albumin: 590 mg/L Urinary Creatinine: 0.60 gm/L Albumin Creatinine Ratio (ACR) 983.0 mg/gm May 2017: Urinary Albumin: 109.2 mg/dL Urinary Creatinine: 0.08 g/dL Albumin Creatinine Ratio (ACR) 1365 mg/g (Different laboratoy than the 2 previous) I will appreciate a lot if you kindly would give me your feedback.

The only result that you quote consistently is the urinary albumin to creatinine ratios.  The other results reflect the concentration of the urine and are not significant.  The urinary albumin to creatinine ratios are between 905 and 1365.  These numbers … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Hydronephrosis and Hydroureter, IgA Nephropathy/IgA Dominant Glomerulonephritis, Kidney Biopsy, Kidney-Related Health Questions, Laboratory Testing, Nephrologist