Category Archives: Hydronephrosis and Hydroureter

Hello Dr. My father in law is aged 77 years, has diabetes and blood pressure. His creatinine level is between 3.6 and 3.8. Has high levels of urea (129). There is high levels of albumin in the urine, too. He was admitted to the hospital following no urine output. The doctors have placed a catheter and observing the output. The output is still low. However, we are not getting further updates on what needs to be done. Does he need dialysis? Is this an indication of CKD? What could be the stage if it is CKD? Please help us understand. Thank you very much.

I am not able to make a specific diagnosis based on the information that you present. I cannot tell if this is acute kidney injury or chronic kidney disease (CKD) based on the information that you provide. CKD requires that … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Chronic Kidney Disease, Hydronephrosis and Hydroureter, Kidney-Related Health Questions

Age more than 50. Left kidney nonfunctional in medical report. Left renal pelvic calculus causing severe hydronephrosis with thinning cortex. Tell me treatment please?

The problem that you describe is a urological problem and should be evaluated by a urologist. I am a nephrologist and do not perform surgery. A urologist is a surgeon and deals with blockages of the kidneys. The description suggests … Continue reading

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

Hello doctor. I am submitting a query for my mother who is 83 years of age. She has been suffering from complicated UTI with E. Coli infection, pus cells 25 pfu, no protein in urine. Other parameters are okay. She is hypertensive but non-diabetic. My physician earlier prescribed Nitrofurantoin 100 mg twice a day for 20 days. But after 20 days, infection was there. Pus cells decreases slightly to 15 hfu. But creatinine level increased to 1.63. eGFR 30. Kindly suggest.

I suggest that further testing be done. The urine should be sent for a culture to determine the sensitivity of the E. Coli to antibiotics. This testing will tell you what antibiotics should be used to treat the infection. The … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Hydronephrosis and Hydroureter, Kidney Stones, Kidney-Related Health Questions, Serum Creatinine

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

Sir, I have pain in my right side. I go to my nearest hospital and the doctor gives me a test and I perform that test. That test result says that right renal mild hydronephrosis is seen. What does that mean and what can I do, sir?

I will assume that the test that was done was an ultrasound test of your kidneys. The result suggests that you may have a mild blockage in your right kidney. You will need further testing and may need to consult … Continue reading

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

I had surgery to remove five large kidney stones three months ago. All my symptoms have subsided except for the hydronephrosis. Sometimes my back under my ribs appears to be swollen. The urologist said it may take some time for it to be resolved. Should I be concerned and should I get an ultrasound?

I am a nephrologist and do not have any surgical expertise. Hence, you will need to consult with a urologist, who is a surgeon, about recovery after surgery. I have no expertise in the post operative recovery after stone removal … Continue reading

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

Hello doctor, I had an abdominal and pelvic CT scan with contrast a couple of months ago and I would like know the meaning of these findings in more layman’s terms. Thank you. “Kidneys: bilateral renal hypodensities, too small to characterized. No hydronephrosis or nephrolithiasis. Symmetric bilateral nephrograms. No enhancing renal masses.”

I am unable to make a specific diagnosis based on the information that you present. The minimum level of resolution for a contrasted Computerized Tomographic (CT) examination is about 1 centimeter depending on the power of the CT scanner. Hence, … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Hydronephrosis and Hydroureter, Kidney Cysts, Kidney Stones, Kidney-Related Health Questions

If I have been in Stage 3 kidney failure with hydronephrosis off and on for five years and have one kidney that is duplicated and have lost 10ml function in October last year and now in February another 10ML of function putting me at 26 GFR and 1.75 Creatinine. I am now in Stage 4a, is there any hope of recovering the function I have lost because of infection the last 6 months that was only discovered/treated this last month with five days Omnicef?

I am unable to make a specific diagnosis based on the information that you present.  If you are losing function, you need to have a specific diagnosis to determine if your obstruction is getting worse or if this is the … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, GFR, Hydronephrosis and Hydroureter, Kidney-Related Health Questions, Nephrologist, Serum Creatinine

I am a 24 year old female. I had preeclampsia with both of my pregnancies, and have had multiple kidney infections where my creatinine was elevated to 1.67. In July I had a hysterectomy where my ureter was cut and they didn’t notice and I was closed back up. I went back to the ER 6 days later with hydrophrenosis and had to go into emergency surgery to place a stent, which I had for 6 weeks. My creatinine was 1.7. I have had ongoing kidney pain since my surgeries and my blood pressure has been elevated since November. In September by creatinine was back down to .9. In December I had a renal scan that came back normal. I was recently put on blood pressure medication to lower my high blood pressure because it has been around 145/115 consistently and my creatinine is back up to 1.2. I have an IVP tomorrow. Is it possible that I have CKD and kidney damage that did not come up on a renal scan done the first week of December? How quickly can CKD progress? Do I need to get more blood-work done?

The renal scan is a nuclear scan and is unable to differentiate normal from chronic kidney disease (CKD). The renal scan looks at blood flow to both kidneys and the amount of contrast that is passed from both kidneys. It … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Hydronephrosis and Hydroureter, Hypertension/High Blood Pressure, Kidney-Related Health Questions

I am 6 months pregnant with severe hydronephrosis in right kidney, and mild in the left, bladder is emptying good, but the PAIN from the right side resembles a kidney stone. ( I’ve had one before). I’ve noticed with working (landscaping, hard manual labor) it seems to hurt worse. My legs and feet have begun to swell, which is causing my severe bunions to become excruciating. I have presented to the OB triage twice and both doctors that were on call have completely dismissed my pain. I want to request to be taken out of work due to this, but how, when I’m being brushed off as a whiny patient?

I have no expertise in obstetrics but the hydronephrosis can be seen in a normal pregnancy but it also could mean obstruction from kidney stones. Kidney stones are more common during pregnancy. I suggest that you consult with your obstetrician … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Hydronephrosis and Hydroureter, Kidney Stones, Kidney-Related Health Questions, Pregnancy / Kids