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Category Archives: Kidney Cysts
I’m confused, lab work shows high creatinine and kidney ultrasound states I have one cyst on each kidney and that I have critical kidney disease level 3. My doctor doesn’t seem worried, but wants me to go to a Urolgist and won’t authorize me to see a dietician, which is what I want. I wonder how sick am I? Should I simply fast on water and water crackers until the next blood test? I need someone to be honest with me and tell me what to do and eat. I don’t want to need dialysis! Please help. Thank you.
I am unable to make a specific diagnosis of kidney disease based on the information that you present. It is most important that you have urine testing for blood, protein and infection in order to complete the screening for chronic … Continue reading →
I recently had a MRI for back pain and I have osteoporosis. In the report I noticed a note that I have a septated cyst at the right kidney upper pole measuring 1.5 cm. What is it and does it need to be further addressed?
A septated cyst is not a simple cyst and usually needs further evaluation, such as with an ultrasound examination. Many of these cysts are still benign but should be evaluated further. A urologist is the expert on cysts of the … Continue reading →
Hi there, I have a 3-month-old daughter. When I was pregnant with her, we found out at her 20 week ultrasound that she had something called MCDK. It affects her right kidney. When she was born, they did an ultrasound and saw that the kidney measured 6.9 cm. They told us they wanted to keep an eye on it, and the best outcome would be that the kidney shrinks and handles itself. Unfortunately after today’s appointment, we found that it now measures 9.3 cm. Because of how large it has gotten, they are recommending surgery to remove it, or test to see if there is a blockage and repair the kidney (if possible). My husband and I are upset by the news and we are worried about her undergoing surgery at such a young age. I wanted to reach out to see if this information sounds right to you. I know you do not have all of her medical history, but I was hoping that maybe someone could tell me whether this is way off, or if it seems like the right course of action. Thank you.
Multicystic Dysplatic Kidney Disease (MCDK) is a congenital disease (someone is born with a genetic defect). There are many different presentations of cysts and abnormal appearance of the kidney in this disease. This disease is usually within the scope of … Continue reading →
Dear Dr. Spry, the CT scan for my son’s biopsy showed that his cyst was 2f Bosniank cyst. The urologist recommended that, though the chance of it being malignant is small, it’s better to remove the kidney prior to transplant as the transplant team would require that in any case to clear him. This would require an additional surgery prior to the transplant. I was wondering if this can be avoided given the low risk? Would appreciate your views regarding this. Many thanks.
I am a nephrologist and have no surgical expertise. A urologist is a surgeon and has surgical expertise that should allow him or her to provide a risk versus benefit discussion with you regarding your son. It is best to seek … Continue reading →
Dear Dr. Spry, my son has an approved living donor and was getting ready for the transplant when the ultrasound and then CT scan showed that he has Bosniac Cyst. He is being referred to the urologist for an assessment. Will this impact his ability to get the transplant?
Bosniak is a grading system for cysts of the kidney that ranges from Category I through Category IV (four separate classifications). The urologist has experience and training regarding the risks for each type of cyst and will give an opinion … Continue reading →
I had a tumor in my left kidney and had it removed 10 years ago. My father also had a cancerous kidney removed. My last ultrasound showed a 5mm hypoechoic nodule in my kidney. That’s what was described in the narrative of my report. In the impression notes it was noted as a tiny cyst in lower pole. No hydronephrosis. Should I be concerned and ask for another ultrasound in 2/3 years to monitor if it is growing? Thanks for your time.
If the lesion is truly a simple cyst and very small, it is unlikely to be malignant. However, this should be examined by your urologist that removed your first kidney to see if this is of concern. Concerning lesions are … Continue reading →
I was told that I have cysts on my kidneys. I’m very concerned and wondering what I could do to get rid of them?
Simple cysts on kidneys can be normal. About 4 out of 10 people, as they age, develop simple cysts on their kidneys. You will need to check with your physician to see if these are simple cysts (which require no … Continue reading →
Hello, I have a history of polycystic kidneys in my family. I found out I have 3 benign cysts on my kidneys. I was wondering if it automatically means I have polycystic kidneys? Or could they just stay benign?
If you have a confirmed family history of autosomal dominant adult type polycystic kidney disease (ADATPCKD), and you have three confirmed cysts on an ultrasound examination of your kidneys, it is very likely that you also have ADATPCKD. You would need … Continue reading →
What tests should I do to check for CKD? Also what is the difference between MRI and CT scan of kidneys?
The tests for chronic kidney disease (CKD) should be a serum creatinine with a calculated glomerular filtration rate (eGFR) and a urine test for blood, protein and infection. These two tests will screen for CKD. A magnetic resonance imaging … Continue reading →
In January of this year (2020) I went into the ER, had a CT scan of my abdomen due to the pain I had been having along with other symptoms of concern. They found a 3mm non obstructing left upper pole renal calculus & a 1cm right mid pole posterior renal cyst with no hydronephrosis but with small free pelvic fluid. I was told it was a small stone that would pass on its own and nothing to be concerned about. However, I am concerned due to having abdominal pain almost daily at some point during the day; almost always after I wake up in the morning and before bed. I also feel bloated more than I normally have, thinking I was gaining a lot of weight since my lower belly just at/below the belly button (the area where women usually have excess fat in order to carry a baby) but it’s quite firm and that’s where the pain is. I’ve also noticed more lower and side back pain, typical area of a kidney infection, which I have had a few of over the years. I’m 37, very aware of my body and quite knowledgeable with medical terminology but I’m not sure about what this means and what it could possible lead to 10 months later. On top of the things I’ve mentioned above, I’ve been extremely fatigued and tired almost all day to the point I’m nodding off not long after I’ve woken up and then again in the afternoon for a couple hours or sometimes just 30 mins. My entire body, bones and muscles have been hurting and sore like but I’m not doing anything other than my normal routine of walking my dog up and down the stairs and gardening. I’m 37 years old and weigh 98 pounds so it’s not necessarily a weight issue. The biggest and out of the ordinary symptom I’ve had for about the last month or so I would say, is my right armpit has been itching almost always and I’ve not changed detergent, deodorant, perfume, or been around anything that would have triggered a reaction. The fact that it’s only in my arm pit and I’ve noticed a possible lump really is starting to make me more concerned that these things could be related to something outside the kidneys but maybe not. I’m just hoping to receive some more info on what could come out of the original findings in January with the obstruction and cyst as that’s a new area for me other than kidney infections, and my current symptoms that have gradually become worse in the last 10 months. I’d appreciate any info you may be able to provide that could give me some peace of mind in order for me to move forward in making a decision of what doctor to see and if I can afford it. Thank you.
I am unable to provide a specific diagnosis based on the information that you present. The kidney stone of 3 millimeters and the kidney cyst should not cause any symptoms at all. The other symptoms that you describe do not … Continue reading →