Category Archives: Kidney Stones

Hi! My mother is undergoing dialysis since last year, however instead of getting better after the dialysis, she’s more often got exhausted. Her current ultrasound has a remark of nephrolithiasis right – small stone measuring 4.19mm and mild hydronephrosis grade 2 left. These are medical terms which I want to understand more. Can you please simplify and explain her condition in English or common languages that we could easily understand? Further, is dialysis only remedy for her or other means of medication will do? Your reply would be highly appreciated. Thank you.

The ultrasound report that you mention suggests that there is a kidney stone in your mother’s right kidney that measures 4.19 millimeters in diameter. There is also changes in the left kidney that suggest a mild obstruction. This does not … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney Failure, Kidney Stones, Kidney-Related Health Questions, Nephrologist, Transplantation

What significance does right kidney pelviectasis found on sonogram have for an adult? Would this cause pain?

The sonogram (ultrasound) interpretation means that there is some space in the substance of the kidney (pelviectasis) that is usually not seen. There are many causes including blockage, stone disease, and in some cases this may be a normal variant … Continue reading

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

Hello. For the past two weeks I’ve been having moderate to severe pain in my back on the left side only below my ribs. The first time this pain appeared was on a Saturday and lasted for 4 to 5 hours. The pain was very intense to the point where I was in tears but I was unable to leave work to go to an ER and the pain had decreased to a moderate pain by the time I left work. The next day the pain intensified again lasting 3 hours before going to the ER. While in the ER the doctor had not taken any imagining only a urine sample, blood draws and provided Torodol via IV. After the UA was complete I was told it appears to be a UTI; was giving a prescription for antibiotics and sent home. I followed up two days later with a family care PCP [not my primary as she is not available right now] who did not do a physical exam and said he did not believe my issue to be a UTI. That doctor did x-ray imaging of my back to rule out any skeletal issues. The x-ray came back to show only minor degenerative disc disease. Another blood draw and UA was done at the appointment. A few days later the doctor called and informed me that my creatinine levels had risen and would like to follow up a week from the previous appointment. At that follow up he expressed concern about kidney function but brushed it off due to my age. My mother-in-law is a RN and has also expressed concern for my kidneys. To date no imaging of my kidneys have been done. Also, the day before my follow up the intense pain had returned but was not only in my back/flank but in my upper abdomen. It felt like a tearing pain under both ribs and there was a throbbing under my ribs in the center of my upper abdomen, you could both feel and see the physical throbbing. This pain again was sudden but was also episodic, coming in waves, lasting between 2 and 10 minutes at a time for 3 hours. I did not go to ER at that time due to having an appointment the next day. Though I admit now I should have gone as the pain was also in my chest and it was difficult to breath during the points of intense pain. I am 31 years old, transgender (FTM), with high blood pressure; I’ve been on BP medication for less than 1 year even though my blood pressure has been elevated for years, and overweight (5’1, 220lbs). In this time three blood draws have been done in order or draw my creatinine has been 1.36, 1.39 and 1.26; BUN has been 10, 10, 11 making BUN/Creatinine Ratio 7.4, 7.2, 8.7. My question is, if this is anything to have concern over and to seek out a nephrologist’s assistance. I have not been confident in the doctor’s actions the two times I have seen him but do not know what to do next. Thank you for any guidance you are able to provide.

I am not able to make a specific diagnosis based on the information that you present. I also think you need further testing that might include a helical computerized axial tomogram (CAT) scan and looking for kidney stones. An ultrasound … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney Stones, Kidney-Related Health Questions, Nephrologist, Urinary Tract Infection/Pyelonephritis, Urological Issues

Hi sir! My problem is about kidneys. My body, back side on kidney area, left side, small swelling is here. But no pain. One matter, before kidney stone occurred and passing by urine. My question, is this type of swelling a problem, sir?

I am unable to provide a specific diagnosis based on the information that you present. I would need to perform a complete history and physical examination. I suggest that you see your physician and have an examination of this area … Continue reading

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

I am 6 months pregnant with severe hydronephrosis in right kidney, and mild in the left, bladder is emptying good, but the PAIN from the right side resembles a kidney stone. ( I’ve had one before). I’ve noticed with working (landscaping, hard manual labor) it seems to hurt worse. My legs and feet have begun to swell, which is causing my severe bunions to become excruciating. I have presented to the OB triage twice and both doctors that were on call have completely dismissed my pain. I want to request to be taken out of work due to this, but how, when I’m being brushed off as a whiny patient?

I have no expertise in obstetrics but the hydronephrosis can be seen in a normal pregnancy but it also could mean obstruction from kidney stones. Kidney stones are more common during pregnancy. I suggest that you consult with your obstetrician … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Hydronephrosis and Hydroureter, Kidney Stones, Kidney-Related Health Questions, Pregnancy / Kids

66 year old male who had nephrectomy in May 2018. Papillary carcinoma. Since been diagnosis with autoimmune IGG4 elevations effecting my lungs, sinus, and pseudotumor left eye. Treated with Steroids. Adult onset asthma since 2015. No smoking hx. Most likely related to IGG4. Exercise was running 2 miles. Limited now but continue to eat healthy and exercise. Questions? It has been suggested I take supplement of Calcium 500mg D3 twice day. What ramifications with my one kidney? Fear of kidney damage and stones.

If you have a history of kidney stones, I generally do not recommend calcium supplementation. However, if you have no history of stones or gravel in the urine, calcium with vitamin D supplementation can be appropriate. I generally recommend between … Continue reading

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

My ultrasound showed “probable right kidney Nephrocalcinosis. Sponge kidney. Simple cyst noted. Is this a concern?

Yes. A sponge kidney with Nephrocalcinosis is prone to form kidney stones and can cause progressive kidney disease with time. You can learn more about sponge kidney at our web site: https://www.kidney.org/atoz/content/medullary-sponge-kidney The most comprehensive review of medullary sponge kidney … Continue reading

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

I have medullary sponge kidneys. Two big surgeries, cystoscopes, lithotripsies. I have pain when the stones are in the kidneys, none in ureter or urethras. Thanks.

Medullary Sponge Kidney can be associated with a deficiency of citrate production by the kidney. You should be evaluated by a nephrologist and have 24 hour urine testing to see if there are possible treatments for your kidney stone disease. … Continue reading

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

I have had 2 kidney stones, one that passed by itself and the other that had the shockwave treatment. I feel like I may have another one but I have noticed that when I urinated, the pain in my lower left side of my back came back. My question is when your bladder is full does the stone stop moving and causing pain?

I am a nephrologist and do not deal with active kidney stone disease. The question that you ask is a urological question and should be addressed to a urologist. I suggest that you consult with a urologist.

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

I am 70 yo and have lost one kidney to cancer in 2012. My doctor orders lab every 90 days and tells me I am considered stage 3 disease because of this. My creatinine fluctuates between 1.4 and 1.6. My blood sugar readings are slightly elevated at 112 to 125. The other blood sugar reading is 6.0 which I understand is pre-diabetic. I have severe arthritis throughout my body which is very painful since I am unable to take pain relievers. Large doses of Vitamin C makes a great difference in reducing my pain level from a 6 or 7 to about a 2 level. My doctor does not believe me but it works for me. I sometimes start with 4,000 my for three days then reduce it to 3,000 my for a week or longer but I worry that this dosage will damage my remaining kidney. What is your opinion please? Thanks.

The use of high dose Vitamin C can be associated with kidney stones. Vitamin C is metabolized to oxalate in the body and use of high dose Vitamin C has been associated with calcium oxalate kidney stones. I suggest that … Continue reading

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