Category Archives: Kidney Mass

Hello, Doctor. My 86 year old mother is in chronic kidney failure and has advanced dementia. She has never been on dialysis. Hospice visits are twice a week in our home and we are providing comfort care only at this point. She is in bed up to 20 hours a day, in and out of sleep. She has extreme weakness and fatigue, can no longer walk and has increased bouts of vomiting/dry heaves. She is still eating and drinking in very small amounts, and producing urine and having bowel movements. The nurse said that the vomiting/dry heaves could be due to the toxin buildup from decreased kidney function, or stomach acid buildup or sinus drainage due to not having food in her stomach and lying down most of the day, or because her GI tract is moving slowly that the food she does eat remains in her stomach for too long. I would like to minimize the vomiting if that’s even possible at this point. I know low-fiber foods are easier to digest, but I also don’t want to cause constipation by cutting fiber from her diet, particularly since she’s eating so little and her bowel movements are several days apart already. Do you have dietary suggestions for someone at end-of-life due to renal failure? I’m inclined to let her eat whatever she wants from now on, even if it’s ice cream for every meal. Thank you.

I would agree with your thought about letting her eat whatever she wants. Nausea and vomiting are very common with advanced kidney disease and also related to pain medication that is sometimes used in Hospice treatments. Anything that appeals to … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, Kidney Mass, Kidney-Related Health Questions

I am 78 years old and had a total nephrectomy due to large benign Oncocytoma tumor. No test for oncocytomas, and all tests suggested tumor was a malignant cytoma. Should I dump my urologist or in addition, find a nephrologist to give me a total check up to determine staging of my remaining right side kidney?

As you have had removal of one of your kidneys, it is likely that you have chronic kidney disease (CKD).  Your primary care physician (PCP) is well aware of the followup of patients who have a single kidney.  You should … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, GFR, Kidney Cancer, Kidney Mass, Kidney-Related Health Questions, Nephrologist

My mother is 50 years old and suffering from some kind of kidney tumor and has increased creatinine level. I am really upset. Local Doctor suggested us removal of left kidney.

The problem that you describe is a urological problem.  I am a nephrologist and do not deal with kidney tumors.  I suggest that you consult with a urologist.

Posted in Ask the Doctor, Kidney Mass, Kidney-Related Health Questions, Urological Issues

I have CKD stage 3 (diagnosed in America 9 years ago). A few weeks ago, I went to the GP feeling dizzy and light headed, slightly disoriented. Tests were carried out that showed I had iron-deficiency anemia, which I also had 9 years ago. I had colonoscopy and gastroscopy, also CT scan. The CT scan shows a cyst on right kidney and left kidney is “duplex.” MY GFR is 59, which has gone up from 49 nine years ago. They want to do “partial kidney removal,” but the hospital doctor, when asked, says they don’t know if it’s cancer. The doctor at last meeting used the word tumour, not cyst, and indicated it was 1inch big. Is there any chance at all, it could still be benign ? Will the kidney function decrease dramatically after the operation ? I am extremely tired afternoons and need 90-minute nap, also cannot sleep at night . Am taking ferrous sulphate tablets, losartan potassium and amlodipine, listoretic (diuretic) for high blood pressure.

The problem that you describe is a urological problem.  I am a nephrologist and do not perform surgery.  I recommend that you consult with a urologist.

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

Is it wise to do a biopsy of a mass in your kidneys? It is unclear whether it is cancerous or not. What are the chances of spreading the cancer if a biopsy is done? Also, if the gold size mass is contained, is it necessary to remove the kidney. Or can you just take out the mass from the kidney?

The questions that you ask are urological questions and should be answered by a surgeon.  A urologist is a surgeon.  I am a nephrologist and do not perform surgery.  You should address this question to a urologist. For general information … Continue reading

Posted in Ask the Doctor, Kidney Biopsy, Kidney Mass, Kidney-Related Health Questions, Urological Issues

A mass formed at my right lower back within a few days after open heart surgery 9/2015. An “acute kidney injury” prompted return to ICU and nephrologist visits, but no clear diagnosis or remedy provided. There is no pain and my kidney numbers are “normal”. A leg infection from vein harvest required massive antibiotics. I still take 160 mg of Lasix diuretic daily to moderate fluid retention, reduce leg swelling, frequent urination. The mass near my kidney fluctuates very little, but seems somewhat smaller on days when I have a 2-3 lb weight loss. Can you offer insights, and advice on how best to secure clear diagnosis and remedy?

I cannot provide a specific diagnosis based on the information that you present.  I would have to perform a complete history and physical examination in order to suggest further testing and offer a diagnosis.  I suggest that you continue to … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Kidney Mass, Kidney-Related Health Questions

If my right kidney is 14.8 x 7.8 x 6.4 cm in size, what does a mass of 5.7 x 5.7 x 6.9 cm look like? I’m going for a CT on Wed. the 27th of May

A mass of that size on a kidney would be very worrisome.  You should wait for the result of the computerized tomogram (CT) and then see a urologist for an opinion as to what should be done about it.

Posted in Kidney Mass