Category Archives: Kidney Cancer

August 14, 2019, my right kidney was removed papillary cancer stage 2, no spread of the cancer. Recent blood work showed eGFR of 53 and a note this was low. Is this normal for 1 kidney or an indication of a problem? Thank you.

A single kidney should have an estimated glomerular filtration rate (eGFR) between 50 and 70 milliliters per minute per 1.73 meters squared.  Hence, the value you quote appears to be within that expected range.

Posted in Ask the Doctor, GFR, Kidney Cancer, Kidney-Related Health Questions, Nephrectomy / One kidney

I had an MRI for back problems and they incidentally found enlarged kidneys. I had an ultrasound yesterday which confirmed this but nothing sinister was found in the kidneys on either test. I am still petrified I may have cancer and cannot eat or sleep. I am not sure when my next appointment is, the ultrasonographer said it would be this week but I have not had an appointment.

Enlarged kidneys can be seen in patients with diabetes, infiltrative disease of the kidneys and acute infection.  If you are not having any symptoms, this could be a normal variant. I am unable to make a specific diagnosis based on … Continue reading

Posted in Ask the Doctor, Diabetes, Kidney Cancer, Kidney-Related Health Questions, Urinary Tract Infection/Pyelonephritis

Hello sir, my name is Thuta and I’m from Myanmar, previously known as Burma. We’ve got a health issue about my father who suffered a kidney issue but there is no symptoms about disease and the CT scan result told us there’s a flesh cyst inside the kidney and the doctor suggested that it have to remove as soon as possible cause of cancer prospect. So I wanna know removing kidney is only solution or not and if there were any solution, please let me know. My father’d faced with two operations about removing kidney stones in each kidney and the last operation was 2015. If I’ll have a chance, I’m gonna share all of the medical documents about that. With so much thanks d

The question being asked is a surgical and urological question.  I am a nephrologist and I have no surgical expertise.  I cannot accept records on the blog.  You will need to consult with a urologist about whether surgery is indicated. … Continue reading

Posted in Ask the Doctor, Kidney Cancer, Kidney Stones, Kidney-Related Health Questions, Nephrologist, Urological Issues

Dear Docter, Last 5 months ago, I lost my right kidney for kidney cancer but now I have no cancer. Now my question is, how can I save my other kidney and what should be my food chart? Please help me.

With a single kidney, it is important to monitor your blood pressure and make sure your blood pressure is normal.  You should avoid non-steroidal anti-inflammatory drugs (NSAID’s) such as Motrin, Ibuprofen, Advil, Aleve and Naproxen. You should follow up with … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Diet/Nutrition, Hypertension/High Blood Pressure, Kidney Cancer, Kidney-Related Health Questions, Laboratory Testing, Nephrectomy / One kidney, Urinary Tract Infection/Pyelonephritis

I had a Nephrectomy 22 years ago and my Urologist suggest not to do CTSCAN or MRI any more, only blood test. I will like your comment. It was due to cancer. Thank you and have a blessed day.

I am a nephrologist and I have no expertise in kidney cancer, surgery or the follow up required after kidney removal for cancer.  This is a urological question.  I am not able to provide an answer to your question.  This … Continue reading

Posted in Ask the Doctor, Kidney Cancer, Kidney-Related Health Questions, Nephrectomy / One kidney, Nephrologist, Urological Issues

Only one kidney (because of cancer many years ago) High Blood Pressure. Is protein harmful? Thank you.

A high protein diet can be harmful to kidney function.  I would recommend that you keep your dietary protein under 1.5 grams of high biological protein per kilogram (kg) of body weight per day.  Ideal protein intake is probably somewhere … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Hypertension/High Blood Pressure, Kidney Cancer, Kidney-Related Health Questions, Nephrectomy / One kidney

I have stage 3 moderate kidney disease. Had an ultrasound done and it showed some cysts, one which showed something. Dr. wants to have an ultrasound of my kidneys with the dye. I am concerned because the dye is not good on the kidneys. My mother died of Amyloidosis and my brother with kidney cancer. Do I need a second opinion?

I am not familiar with any ultrasound examination of the kidneys that requires contrast or dye.  Dye or contrast is commonly used for an arteriogram or an intravenous pyelogram (IVP), or a contrasted computerized tomogram (CT) pyelogram.  This should be … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney Cancer, Kidney Cysts, Kidney-Related Health Questions

I have CKD Stage 2. Do you have any advice or recommendations for me that would help me ask my nephrologist for a kidney biopsy or examination(s) of my actual kidneys? I don’t know if 1 or both of my kidneys are affected/not working fully. Kidney cancer (as well as other cancers) run in my family.

It is important to know your specific diagnosis as far as your kidney disease is concerned.  You should also know your estimated glomerular filtration rate (eGFR) and know if there is any blood or protein in your urine.   Treatment … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, GFR, Kidney Biopsy, Kidney Cancer, Kidney-Related Health Questions, Laboratory Testing, Nephrologist, Urinary Tract Infection/Pyelonephritis

CT images show large masses on both of my kidneys (12 cm & 4 cm) and it has metastasized to the right ischium of my pelvis.But my blood creatinine is 1.1 (egfr = 72). These results seem to conflict.What stage rcc is this?

I am a nephrologist and not a surgeon.  I have no experience in the staging of renal cell carcinoma (RCC). The RCC does not have a significant effect on the serum creatinine. The serum creatinine is a reflection of kidney … Continue reading

Posted in Ask the Doctor, GFR, Kidney Cancer, Kidney Mass, Kidney-Related Health Questions, Nephrologist, Serum Creatinine, Urological Issues

I am a 69 y/o white male (retired) who was diagnosed as a CKD Stage 2 patient 3 months ago. A recent lab work showed that my Bicarbonate levels were High, as well as my Glucose and Alkaline Phosphate levels as well. There was an increase in my Bicarbonate, Sodium, Potassium, Chloride, Glucose, Alkaline Phosphate, Bilrubin Total and Total Protein levels from 3 months ago. What do the recent 3 High levels suggest/indicate in regards to my kidneys? Should my nephrologist be concerned with the increase in the 9 areas from 3 months ago? He has added 2 new blood pressure medications in addition to the one I was already taking. My blood pressure reading in his office this afternoon was 154/64. Am I correct in deducting that the blood pressure medications aren’t doing what they are supposed to do? Also, in the time that I have been seeing him, should a biopsy of my kidneys have been taken? What about Xrays or other tests? Should I be seeing another nephrologist who would take a more personal interest in my condition? Are there any advice that you would recommend? Different types of cancer-including kidney and liver- run in my family and I don’t really feel comfortable with the wait-and-see treatment I feel I am getting.

I am unable to accurately interpret laboratory testing without performing a complete history and physical examination. In addition, I would need to know about the laboratory performing the testing to know accuracy and laboratory normals. An elevation in the tests … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diabetes, Hypertension/High Blood Pressure, Kidney Biopsy, Kidney Cancer, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Medication and Kidney Function, Nephrologist