Category Archives: Hydronephrosis and Hydroureter

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

Hi. I’m a 31 year old female. Was diagnosed with congenital hydronephrosis and blockage of PUJ in 2015, with scarring to the right side only. I had a pyeloplasty in Jan 2016 successfully. However, still have chronic loin pain and recently just had another UTI. I was pregnant during April 2017 – Jan 2018 with no infections but a lot of pain and further dilatation of the AP diameter. Do you have any suggestions to lessen the loin pain? And whether this will be a chronic issue now? I’m based in London, UK. Thanks so much.

Chronic loin pain from hydronephrosis is a very difficult problem to treat. If the blockage has been relieved by the urologist, then there is no medical treatment for Congenital Pelvic Ureteral Junction (PUJ) obstruction. There are no treatments other than … Continue reading

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

I have mild hydronephrosis with proximal hydroureter in left kidney and size is 12.7×4.9 cm.While I feel pain in lower abdomen as well in both kidneys. I took medicines but problem is still present. What should I do to determine the disease and treatment?

The problem that you describe is a urological problem. I am a nephrologist and have no surgical expertise. I suggest that you consult with a urologist, who is a surgeon and deals with blockages of the kidney. For general information … Continue reading

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

Hi my daughter is 3 she has had kidney hydrophonosis in her left kidney since I was 24 weeks pregnant. It was diagnosed as a common problem and she was put on trimethoprim from the day of birth. I was told every appointment it would go away; as she grew it never did. 4 weeks ago the consultant said to take her off her long term medication because the kidney swelling has been static for most of the 3 years and she has never had a urinary issue ever. When she came off she developed her first kidney infection 2 weeks after being taken off the antibiotics, this was her first ever urinary issue. She was put on co-amoxiclov for 3 days which clears it up within 3 days. She had another infection. She was then put on trimethoprim a higher dose for 3 days which hasn’t cleared the infection. She is in pain and has the doctors again tomorrow. Her urine has been consistently full of blood, protein, nitrates and leukocytes. I have been updating the consultant on how she is doing and that she is now suffering from repeated infections to which he states she needs consecutive infection to move onto any other plan of action. He will give me no answer as to when I have to let this continue to, she is ill and they won’t listen to me. Could you please give me an idea of what to do from here? And what might need to be done now? I’m so, so sorry this is so long but it’s so hard to watch her like this and have no help. Thank you.

I am an adult nephrologist and I have no expertise in the treatment of childhood urological illnesses. The problem that you describe is a urological disease and must be evaluated and treated by a urologist. I recommend that you consult … Continue reading

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

I am at stage 3 CKD and ultrasound revealed hydronephrosis and essential hypertension. DMX revealed osteopenia. What other medical professionals might I consult for health? I am seeing a nephrologist for BP management.

You should have a primary care physician (PCP) who coordinates your care and recommends consultation with other specialists in order to maintain your overall health. The hydronephrosis may require consultation with a urologist to see if a blockage of the … Continue reading

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

Hi Doctor. I wanted to ask about hydronephrosis. My son has hydronephrosis in both kidneys. Does he need surgery? One Doctor said he needs surgery because of kidneys are swelled but one Doctor said he doesn’t need surgery. He has reflux and he will be fine with time. Please help me. I’m confused.

Blockage of the kidney (hydronephrosis) is within the expertise of a urologist. A urologist is a surgeon and deals with surgical diseases of the kidney. I am a nephrologist and have no expertise in surgery. I suggest that you consult … Continue reading

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

I recently lost 20 pounds on Jenny Craig diet which is a good thing and was feeling great! Then, I caught an upper respiratory virus from the children in my classroom ( which I’m usually immune to). PD thought I might have pneumonia so I had X-ray and CT due to some elevated lab work. CT came back with normal findings with CT with contrast of the abdomen, lungs, liver, gall bladder, kidneys etc. Stated normal but it was noted that I had some peripelvic cysts – which I had been made aware of in 2007. They were determined to be simple cyst in 2007 and we’re noted again a couple of weeks ago when I had the CT with contrast. They noted peripelvic cysts without hydro something. So, my GP wanted to do an in office ultrasound on my abdomen as a follow up and his ultrasound tech said she found gallstones in the gallbladder and dilated left kidney obstruction. So now GP wants to order another CT on the left kidney even though my CT two weeks ago indicated everything looked normal including gall bladder and kidneys. Could these things have been missed on a CT with contrast? I had the CT with contrast in a hospital. I don’t really want to be exposed to CT scan with contrast so soon. Your thoughts? Could the peripelvic cysts be mistaken for the hydro. That the ultrasound tech saw on left kidney since that is where the cyst are near? Recommendations?

I am unable to comment on X-rays and Ultrasound examinations that I cannot see myself. The ultrasound could be difficult to tell the difference between peripelvic cysts and blockage of the kidney (hydronephrosis). The computerized tomogram (CT) scan with contrast … Continue reading

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

Dear Doctor, I have done (ureterscopy+ djstenting) for 9mm stone in upper ureter on 28 Feb 2018 in India. After 20 days, the stent became infected and I used antibiotics for 20 days. The stent removed 2 months after operation. Now after three months, there is still minimal to moderate hydronephrosis on my right kidney. One month ago, some pains comes and goes and I used pain killers sometimes, but it is about three weeks that the pain is reducing day by day. Here in Afghanistan, the doctors say that this is a complication from the operation. It will become normal after a few months. Now sometimes I have pain. Thank you!

The problem that you describe is a urological problem and must be addressed to a urologist. I am a nephrologist and I have no surgical expertise. A urologist is a surgeon and deals with surgery of the urological tract including … Continue reading

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