Category Archives: Hydronephrosis and Hydroureter

Good afternoon Doctor. Sir, I am 33 year male. I have done my rt. nephrectomy in 2010 due to PUJO and Grade III hydronephrosis. Since then, I am doing well with my left kidney. Now I want know from you, sir. My blood pressure remains always in the following range (120 to 130 Systolic and 80 to 90 Diastolic) is this good for my kidney or not? If not, then what can I do for it. Second, I often feel slight urine burning. Is this related to kidney or not?

The goal for your blood pressure control should be less than 130/80.  If your blood pressure is at goal, then you are preventing damage to your remaining kidney.  I am unable to make any other specific diagnosis regarding your burning … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Hydronephrosis and Hydroureter, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Treatments

I am a male of 55 yr. I am a diabetic and high BP patient too. Diabetes was seen 12 yr earlier and high BP was seen from last year. Currently hydronephrosis was detected in ultrasound with 10mm loss of parenchyma with left kidney swollen. X ray also shows the swollen kidney. So what do you suggest? Should I remove the left kidney or leave it as it is? Note* no kidney stone was detected in my whole life and my RFT test is normal.

I am a nephrologist and I have no surgical expertise.  A urologist is a surgeon and deals with surgical treatment of the kidney and lower urinary tract.  I suggest that you consult with a urologist about your situation.  

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

I just got my lab results from blood and urine test that I had to take for life insurance. The only thing that that they marked as “high” was my GFR (MAYO). It says expected range is 68.00 to 117.00 mL/min and mine came back 121.21. I have always had a kidney condition called hydronephrosis. I had it in my mother’s womb, then it mysteriously went away and came back when I was around 12. It started only with one kidney then I was told it’s Bilateral. More recently, a sonogram showed a very small kidney stone (I just gave birth which is why I was getting sonograms). I am 23 years old. Should I be worried or do any further testing?

I would recommend that you have urine testing for blood, protein and infection in order to complete the screening for kidney disease. An increase glomerular filtration rate (GFR) does not indicate any problem. Hence, your hydronephrosis does not seem to … Continue reading

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

I am 23 years old. Two months ago I had severe pain in the left side of my abdomen. According to the ultrasound report, I have mild left hydronephrosis but blood and urine tests are all normal. I don’t take any medication. Please advise of further suggestions for my check up.

I am unable to make a specific diagnosis based on the information that you present. If there is a hydronephrosis present, then further evaluation by a urologist may be necessary.

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

Hi Doctor, I am a 56 year old female. I’m 5’7” & 165. I have chronic UTI’s and have a urethral stent in my left kidney that is replaced by my urologist every 10 weeks. I must go under general anesthesia for this procedure. I take a daily long term antibiotic and several other medications. Before my last procedure I had a blood test that showed my creatinine level at 1.34 and my EGFR of 45. I cannot have surgery for my urethra because of complications from a sickness in 2013. My body won’t withstand a surgery, from what I’ve been told. My question is, do I have Stage 3 kidney disease and should I be seeing someone other than my urologist with these test results?

Stage 3 chronic kidney disease (CKD) is diagnosed when your estimated glomerular filtration rate (eGFR) is between 30 and 59 milliliters per minute per 1.73 meters squared and has been so for at least three months. The likely cause of … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Hydronephrosis and Hydroureter, Kidney-Related Health Questions, Nephrologist, Urinary Tract Infection/Pyelonephritis

Hi. I am a 58 yr old female that has low kidney function. I don’t smoke or drink alcohol or soda of any kind; only water, tea and milk all my life. I’ve never had a kidney or bladder infection ever. I do not have high blood pressure or diabetes but my scan of my kidneys found the left one a bit swollen and holding some fluid. What could be the cause of this? Also not overweight. How worried should I be?

I am unable to make a specific diagnosis based on the information that you present. If there is swelling in one kidney and fluid retention, further testing will be required to make a specific diagnosis. You may need consultation with … Continue reading

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

Can a right hydronephrosis with grade 4 be treated without surgery for 1 year old ? If yes , I would like to know how ? Is there any natural remedies ?

I am a nephrologist.  I have no surgical experience or expertise.  The question that you ask is a urological question and must be addressed to a urologist.  A urologist is a surgeon who deals with surgical treatment of the kidney … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Hydronephrosis and Hydroureter, Kidney-Related Health Questions, Laboratory Testing, Pediatric Issues, Symptoms and Side Effects, Treatments, Urological Issues

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