Category Archives: Kidney Cysts

After ordering a CT scan for another issue, my dad was given the CT radiology report, as well as, paperwork that was a health history with the urologist he’s seen for years. I’m always the person who is “primary care giver” within family. As I was reading the reports, I was shocked to see they had dx’d him with stage 3 CKD (no differentiation for stage 3 a or b). There is also a surprisingly large cyst on one of his kidneys. In speaking with him, he’d never been told of these two things. Granted he has little to no symptoms. Yet it still triggered my protective button & led me to diving head first into research, learning all I can, etc. There’s one issue that worries me more than anything. It was the description of how someone who’s ckd worsens, they can begin to have mental health symptoms. My family has a long past of issues with mental health issues, so I’m familiar with how those symptoms can go from very tame to crisis and everything in between.This puts 2 things in my sights… him still being able to drive and then the fact that he owns multiple handguns, long guns and shotgun. His personality is one where he wouldn’t give up either unless he felt 1,000% he was a danger. Can you describe any of the symptoms to use as a flag that issues are beginning from CKD, within the mind? The urologist is not treating him in any aspect for the CKD. He is being treated for high blood pressure, diabetes mellitus, & high cholesterol. And in case it matters, he’s a 69 year old white male, low activity, drinks alcohol, no smoking, no illegal substances, 5’10” to 5’11” @ 275-325 pounds. Any info/suggestions would be greatly appreciated.

Patients who have chronic kidney disease (CKD), do not typically exhibit symptoms of aggression or hostility. The mental status symptoms most commonly associated with CKD are loss of focus, fatigue, lassitude, and lethargy. Confusion and delirium are very late findings … Continue reading

Posted in Ask the Doctor, Kidney Cysts, Kidney-Related Health Questions, Nephrologist, Symptoms and Side Effects, Urological Issues

I have Polycystic Kidney Disease, and I have multiple cysts on each kidney that range from 3cm to 5.5cm in size. To what point or size do my kidneys/cysts have to get to before I can have them surgically treated? I want to be proactive in preventing damage done to my kidneys, and the cysts that are on them are large. Hope all is well,

In general, it is recommended that surgical procedures be avoided in all patients with polycystic kidney disease (PCKD). There are some exceptions for severe painful disease and in some cases prior to transplantation.  Otherwise, you should generally avoid any injury … Continue reading

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

Left kidney has angiomyolipoma near urinary tract. Creatinine level 1.10, GFR Non African level 52 ml. Multi benign cysts as well. Next step?

There is no treatment for an angiomyolipoma and all that can be done is to observe for any bleeding.  Benign cysts also do not require any treatment.  Your estimated glomerular filtration rate (eGFR) may indicate early Stage 3a chronic kidney … Continue reading

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

I had ADPKD with lots of back and pain issues. I have 2 questions 1. Is there any reason to avoid using an epsom salt float tank? My neph says it will be fine but I don’t think he really thought about it and dismissed it as a silly question. I am stable at stage 3 CKD, 62 yrs old. 2. I have a baseball cyst in each kidney that are very painful. I also deal with abdominal crowding from PKD and a short stature. There is a good surgeon w a great outcome rate who wants to laparoscopy reroof both large cysts as well as 50 smaller cysts in each kidney. Another nephrologist is suggesting needle aspiration followed by alcohol to scar the interior of the cyst. I do not have any objective physician who can discuss the pros and cons of each option. What is your opinion.

I do not know of any benefits of using an Epsom Salt float tank but I also do not think there would be any ill effects in regards to kidney function.  I have been in practice for almost 40 years … Continue reading

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

Have had annual MRI’s of abdomen. Have found kidney cysts that have been stable. However, this time it shows, kidneys: Interval increase in size and complexity of the left lower pole cyst with new, thin septations and persistent, layering T1 hyperintense, T2 hypointense debris, measuring 3.8 x 3.3 cm. What does this mean?

The question that you ask is a urological problem. I am a nephrologist and have no surgical expertise. A urologist is a surgeon and deals with complex cysts of the kidney. You will need to consult with your physician about … Continue reading

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

I am 75 years old, 20 lbs over weight for being 6 ft. tall. Ten days ago I passed a LOT of blood, with some large blood clots. Blood passing stopped in about six hours, and I had no pain at all. I have the mega good fortune to be in Reno, and the VA hospital here is wonderful. Had a cat scan a few days ago, and doctor’s review says: “Bilateral kidney subcentimeter low-attenuation foci are to small to diagnosis, but statistically represent cysts. Right kidney larger fluid attenuation non enhancing simple cysts. Right kidney upper pole non obstructing nephrolithiasis.” Cysts are reported in several places on the net as not a huge deal, unless they get huge? I go back to see the urologist in a couple weeks. Will put a camera up the tube to look around; worthwhile, or not?? THANKS MUCH MUCH FOR YOUR service to us all!!!!!

The problem that you describe is a urological problem. I am a nephrologist and have no surgical expertise. A urologist is a surgeon and deals with bleeding of the lower urinary tract. I suggest that you continue to consult with … Continue reading

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

My 20 year old son went for a CT scan due to left quadrant pain. The Dr thought he was constipated. Barium and IV injection done during CT. Came back not constipated but incidentally the CT found enlarged bilateral kidneys and a 15 mm “cyst” on the left kidney. My mom, about 5 years ago, had her left kidney removed due to a tumor (and I am not sure of the pathology of that right now.) Since there is history and my son is only 20, should we consult with a urologist as the Dr doesn’t appear concerned but I am. The other concern I have is he has been having pain and upper back pain but did not put 2 and 2 together until after these results came back today. He works a very strenuous job and thought he had just pulled some muscles but with the pain, is this more concerning? Thank you for your time.

The problem that you identify is a urological problem. I am a nephrologist and do not have any surgical expertise. Cysts should be evaluated by ultrasound and computerized tomography (CT) scanning. Many times these can be determined to be benign … Continue reading

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

My blood work showed eGFR >60, AGAP 15, Albumin/Globulin 2.1, Creatinine .6, BUN/Creatinine 43. A CT scan showed 3.4 x 3.5 cm cyst within the inter-polar region of right kidney. Fluid density cysts closely abutting the pelvis and infundibula likely left renal parapelvic cysts. No hydronephrosis. No one told me any follow up is needed, do you agree??

If these cysts were judged as simple cysts or Bosniak Category I cysts, then no further testing is required. Further testing is sometimes necessary in the form of an ultrasound examination of these cysts. I suggest that you discuss this … Continue reading

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

Dear Dr., My dad is 63. Here is his kidney CT Scan reports done a year ago. Both kidneys normal in size and position. RK is relatively smaller in size 7.8cm, LK measures 8.85 cm, Multiple fluid attenuation unilocular cysts seen – largest exophytic cyst at upper pole of right kidney measuring 84x75mm, another partly exophytic cyst at mid-lower pole measuring 44x29mm and 25x23mm at lower pole of left kidney. Few faint hyperdense foci at lower pole of right kidney measuring, larger upper pole radiodense calculus in left kidney measuring 21x16mm with CT density 550HU with focal upper pole caliectasis. (In Ultrasound done a few days ago now this shows as Multiple Ecogenic foci together approx 28mm in upper calys in left kidney) Multiple small upper and mid pole calyceal calculi in left kidney measuring 3-4mm with CT density 300-500HU.

I am not able to make a specific diagnosis based on the information that you present. The report describes both cysts and stones present in both kidneys. I cannot tell if this is genetic cystic disease or acquired cystic kidney … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Kidney Cysts, Kidney Stones, Kidney-Related Health Questions, Nephrologist

I had a CT scan and ultrasound when I was in the hospital for diverticulitis. The CT scan said I had a large renal cyst on my right kidney (6.6 cm by 6.5 cm). It also said I had many renal cysts on both kidneys. Should I go to a kidney doctor to get my kidneys checked? My blood lab results say my kidney function is okay.

Simple kidney cysts are very common and if these are simple cysts, they do not require any significant follow up. I suggest that you review these findings with your primary care physician (PCP). If there is any concern, then a … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney Cysts, Kidney-Related Health Questions, Nephrologist