Category Archives: Kidney Stones

I found out this fall that I had a lodged kidney stone in my right urethra tube that cut off all blood supply. That kidney is now non-functioning but my left is functioning at 100%. The last few days I have been experiencing some dull pain in my right non-functioning kidney and slight pain in my left. Is this normal?

I do not think it is normal to have pain.  Kidney stones typically cause intense pain.  The pain you describe sounds atypical for kidney stone pain. I suggest you consult with a urologist or your primary care physician (PCP) about … Continue reading

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

I had a PCNL procedure a month ago for my stone,measuring 24mm. I had a history of two stone removal in 2005 and 2013. The chemical analysis of stone shows 40% calcium oxalate monohydrate, calcium oxalate dihydrate 30% and struvite 30%. Now I had an ultrasound which shows stone about 4mm. What should I do sir? Please answer me.

I am a nephrologist and do not have any surgical expertise.  Stone disease, such as you describe is treated surgically, such as with percutaneous nephrolitotomy (PNCL).  A urologist is a surgeon and treats kidney stones with surgical methods.  I suggest … Continue reading

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

Hi Doctor, uric acid in my urine 2-3. What problem with me and how it treated????

I am unable to make a specific diagnosis based on the information that you present.  Uric acid is cause of gout and gout kidney stones. You may need treatment for gout.  I suggest you consult with your primary care physician … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Gout, Kidney Stones, Kidney-Related Health Questions

Good evening doc, I am 28yrs female old from India. I had a brain tumor surgery in May 2019 and during all tests, I got to know about my atrophic kidney with a stone too. After getting all my tests done, the results say that Gates GFR for right and left kidney is 14.44 and 57.06 ml/min respectively. Differential function is 20.2% and 79.8%. Kindly guide if this is serious. I am currently on anti-epileptic medication. Many thanks in advance for your consideration.

The results that you present suggest that your atrophic right kidney has very little function. Your left kidney appears to be more normal. I am unable to provide any other specific diagnosis based on the information that you present. You … Continue reading

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

Hello. I have been battling kidney stones for some time now. I was admitted in the hospital June of 2018 multiple kidney stones. And I just saw on my medical records, I have cyst on both kidneys. My problem is my kidney stays swollen up and hurts even more with any activity and it’s getting worse. What could this be and what should I do? I only make $10 per hr and no insurance. So I can not go to a urologist. I haven’t been back to hospital. I don’t know what to do on this. I just want to know kinda what I’m facing if you could help me here. I would greatly appreciate it. Thank You.

Recurring kidney stones are painful. The best treatment for kidney stones is to adopt a very low salt diet.  I am a strong proponent of the DASH diet. You should not use any salt at the table and no salt … Continue reading

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

My father has known he has a kidney stone for sometime.Recently it has seemed to get much worse. After visiting the ER last night, he was told that it is 12 cm in size.Centimeters not millimeters. This is very large.What may be his options as far as types of surgeries. He is also a heart attack survivor with several stints in place along with numerous heart and blood thinners. He is a veteran and is trying to find somewhere the VA will take care of it for him, but we only just today realized the true size and danger of this stone.

I am a nephrologist and I have no surgical expertise. Your father has a very large kidney stone and he should be consulting with a urologist. A urologist is a surgeon and deals with surgery of the kidneys and urinary … Continue reading

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

Hi, I have a question regarding a family member. She is 77, currently weighs 135 lbs as of November 25th, 2019. She has had a previous successful gastric bypass in ‘08, many hernia repairs and gall bladder removal. Has AFib, 2 heart stents, good BP and pulse. On blood thinners, fluid pill for pericardial effusion, Prilosec, and other vitamins. She has recently lost a lot of weight, she has struggled with losing weight all her life. Eats regularly no special diet. But her eGFR in Sept 2019 was 54, and in Nov 2019 is now 48. All other blood work is good, except her ALT/SGPT is 33 and AST/SGOT is 38. Should I be concerned about her eGFR number and be referred to a kidney doctor? Her primary doctor says all of her bloodwork is good, but I’m questioning it because he always says it’s good. Thank you.

Your family member has a very complicated medical history and I am not able to make a specific diagnosis based on the information that you present.  It is important that your family member have monitoring of her kidney function over … Continue reading

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

Hello, thank you for this valuable service. I am concerned about a family member. He is 51, Caucasian, and physically fit. Currently taking 20 mg Lisinopril and 81 mg aspirin daily for hypertension which is under control. Approximately 10 years ago, he had an 11 mm kidney stone. It blocked a ureter, caused infection, required a stent & several rounds of lithotripsy. He followed up with nephrologist for several years and has not had other issues since then. Stopped visits after several years of clear X-ray’s. This past September he was in a MVA. ER visit was for broken bones, but tests also found multiple bilateral kidney cysts. ER doc’s report indicated that he should follow up with his Nephrologist. The earliest available appointment with the Nephrologist is at the end of January. My research on the subject of kidney cysts has suggested some alarming possible causes. My question is: How urgent a problem is this? It’s the end of November. Should he find an appointment elsewhere sooner? I’m not asking for a dx, just not sure how concerned to be about this symptom. Again, thanks so much for your time.

If your family member is not having any symptoms and his blood pressure is well controlled, I don’t think there is any urgency to seeing the nephrologist.  Most of the patients with cysts of the kidney find that these are … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Hypertension/High Blood Pressure, Kidney Cysts, Kidney Stones, Kidney-Related Health Questions, Nephrologist, Symptoms and Side Effects, 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

Hey, on October 14th I had a cystoscopy procedure to remove a kidney stone, and a stent was placed. The doctor prescribed antibiotics and told me to take some pain killer. Five days after the procedure I went back to get the stent removed out from my body. It went smoothly and took less than 10 minutes. An hour later I had severe pain (almost as bad as when the stone was causing a blockage), I took a strong pain killer tablet and the pain went away in 20 minutes or so. However, a month after the procedure I started to have a mild pain in my flank (in the affected kidney) and general fatigue. Then the pain moved to my other kidney for less than two hours, then back to the affected one. The pain is still there although it has been five weeks since I had the procedure. Is it normal? Should I return to the hospital or at least call the doctor? I am worried for UTI, another stone, etc that might lead to a CKD. p.s. I’ve been drinking at least 3.5 liters of water daily and eating healthily.

I am a nephrologist and do not have any surgical expertise. I do not perform cystoscopy or stent placement. I recommend that you consult with the urologist who did your cystoscopy and stent placement.  A urologist is a surgeon and … Continue reading

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