Category Archives: Kidney Mass

My best friend is in the hospital and they have found a mass on her kidney. She is worried about costs for diagnosis because she has no health insurance and does not qualify for Medicare or Medicaid. Is she better off staying in the hospital, or leaving and having tests done as outpatient procedures? Will specialists see her outside of a hospital, if she has no insurance?

I do not know the answer to your question.  You will need to discuss this with the physicians who are caring for your friend.  This is dependent on the hospital and the physicians who are caring for your friend.

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

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 an anorexic who has a history of acute renal failure and reoccurring pyelonephritis. My GFR has been 45,60, and 54 since April 2019 and my most recent creatinine 1.18 (which has lowered). Is it more challenging to diagnose CKD in Anorexia Nervosa patients? I currently am experiencing fatigue and frequent urination at night. My US/ CT revealed stones, cysts, and an enlarged lymph node in the left renal hilum with renal scarring. My Urologist at the time seemed unimpressed and treated me for a stone and infection at the time and dismissed me. I’m afraid kidney disease is being overlooked.

Patients with Anorexia Nervosa can still get chronic kidney disease (CKD) but the diagnostic criteria remain unchanged. Recurring episodes of acute kidney injury and infection may cause CKD. The treatment should be to avoid episodes of acute kidney injury and … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Chronic Kidney Disease, GFR, Kidney Cysts, Kidney Mass, Kidney Stones, Kidney-Related Health Questions, Serum Creatinine, Urinary Tract Infection/Pyelonephritis, Urological Issues

Hello Doctor. Due to chemo from childhood that affected his kidneys, my 27 year old stepson has recently started dialysis and is doing it at home. Lately he started vomiting at night (which is when he does his dialysis) and is losing weight. He has been very careful with his diet and taking precautions. He does not know why he’s vomiting and is feeling very discouraged (we all are). Would appreciate any enlightenment on why this is happening and how to stop it. This is all new to us and I just want to help him with this difficult time. Thanks.

Vomiting and nausea are frequent symptoms of kidney failure, however, these symptoms should get better with appropriate dialysis. I would check with the nephrologist caring for your step son and see if the dialysis that is prescribed is adequate for … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney Mass, Kidney-Related Health Questions, Nephrologist

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