Category Archives: Hydronephrosis and Hydroureter

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

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