Category Archives: Kidney Stones

Hi Dr. Spry, I have PKD and have lots of calcifications in both kidneys. Frequently they break off and pass, and this seems to cause bladder and kidney infections. Is lithotripsy recommended for PKD patients? I do have a very good doctor. Thank you!

I am a nephrologist and I do not have any expertise in lithotripsy. A urologist is a surgeon has expertise in lithotripsy and kidney stone disease. I do not believe that lithotripsy is advised in polycystic kidney disease but I … Continue reading

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

Hello Doctor. I am a chronic kidney disease patient. 40 days ago I have performed my ultrasound test for KUB and there is renal parenchyma echo-genesis (something like that) and showing renal calculi 2 mm in both the kidneys. My creatinine is 2.0 urea is 68 and presently I am feeling tightness in my back upon right side kidney whenever I am standing up from my sitting position. I am worried about it what is happening to me? Is there any blockage in the tightened kidney? Please give me advice what to do?

Stone disease of the kidney must be evaluated by a urologist to see if this is something that could be causing your symptoms. I am a nephrologist and do not make recommendations about treating stone disease of the kidney. I … Continue reading

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

Dear Dr. Spry, Having just found out I have third-stage kidney disease, I see I’m a real rookie. Some of your questioners sound like doctors themselves. As a 70-year-old guy, I’ve been very lucky to be healthy and fit for many years, especially since I had a heart transplant in 2000. The hammering done to my kidneys over 18 years from my anti-rejection meds, I’m thinking, probably led to my kidney problems. Four (sorry) quick questions: (1) Is there any vitamin-mineral supplement you would recommend that is specifically formulated for people with kidney disease? (2) Given that protein is among the amazing numbers and varieties of foods and drinks I should now shy away from, if I have been trying to fight age-related muscle-mass loss, is there any alternative to protein? I feel many doctors right now would launch into the importance of exercise. True, but doesn’t that lead right back to the protein question, since when a person exercises to increase or maintain muscle mass, isn’t it mostly protein that is necessary to rebuild those muscles? So, again, is there any substitute for protein, which is said to be bad for my failing kidneys, in combating age-related muscle-mass loss? (3) Does anyone anywhere on the Internet have a list of, say, a dozen each of specific fruits and vegetables that are healthy for someone who has chronic kidney disease but is not on dialysis? (4) I’ve heard authority figures say that cranberry juice may help cause kidney stones, while other experts say cranberry juice may help prevent kidney stones. I suppose the third alternative would be that no one knows. If you would be kind enough to answer, I will consider yours the final word. Thank you very much for your time!

I do not typically recommend any vitamin supplement for patients with chronic kidney disease (CKD). I believe that you should follow a healthy balanced diet. I am a strong advocate for the DASH diet. I suggest that you review the … Continue reading

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

Hello, recently I did a WA USG, and the following results were given, * Mild Hepatomegaly with early fatty infiltration. * Left sided small distal ureteric calculus (5.2 mm) with mild hydronephrosis. So please can you explain the condition and what measures can I take to keep me safe? And how serious condition I am in? Thanks.

The report indicates that you may have a kidney stone in the ureter of your left kidney. This should be evaluated by a urologist to see if any intervention is needed.

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

Good Day. Recently I have found out that my left kidney function is 24% and the right is 76%. I have a staghorn stone in the left kidney. The stone is 8 cm wide. I need to know if it would be advisable to have the PCNL procedure or have the kidney removed.

The question that you ask is a urological question. I am a nephrologist and do not have any surgical expertise. You should address this question to a urologist, who is a surgeon. For general information on Kidney Stones, please visit … Continue reading

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

Dear Doctor, I have done (ureterscopy+ djstenting) for 9mm stone in upper ureter on 28 Feb 2018 in India. After 20 days, the stent became infected and I used antibiotics for 20 days. The stent removed 2 months after operation. Now after three months, there is still minimal to moderate hydronephrosis on my right kidney. One month ago, some pains comes and goes and I used pain killers sometimes, but it is about three weeks that the pain is reducing day by day. Here in Afghanistan, the doctors say that this is a complication from the operation. It will become normal after a few months. Now sometimes I have pain. Thank you!

The problem that you describe is a urological problem and must be addressed to a urologist. I am a nephrologist and I have no surgical expertise. A urologist is a surgeon and deals with surgery of the urological tract including … Continue reading

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

I have had a urinary tract infection for most of the last 1 1/2 years. I have been doctoring with a urologist and he has given me various antibiotics but it keeps coming back very often which is most of the time. He says the only reason he can think of for the infection is that I have an almost two mm kidney stone. His next step is to crush the stone and remove it by going up through the urethra with a laser. Is it possible that the kidney stone is the cause of the infection? Are there any other possible causes? Are there any other cures? My family doctor suggests that I follow the urologist’s advice. Thank you for your help.

The problem that you pose is a urological problem. I am a nephrologist and do not perform any surgery. I suggest that you follow your family physician’s advice.  A urologist is a surgeon and performs procedures related to lower urinary … Continue reading

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

Sir, I have pain at lower back side. So ultrasound scan was done and I have a small (3mm) left renal calculi and bilateral mild hydronephrosis. Now doctor prescribed some medicines for left renal calculi. Kindly tell me if one side stone causes to bilateral hydronephrosis? Is hydronephrosis cured by medicines? I’m a poor woman so I cannot spend much money. Please suggest me.

The problem that you pose is a urological problem. I am a nephrologist and I do not have any surgical expertise. Kidney stones in one kidney should not cause blockage (hydronephrosis) on both kidneys. I suggest that you consult with … Continue reading

Posted in Ask the Doctor, Hydronephrosis and Hydroureter, Kidney Stones, Kidney-Related Health Questions, Nephrectomy / One kidney, Nephrologist, Urological Issues

Dear sir, right kidney function is 12. I have stone 28. Are there any options to save kidney or function more.

The problem you describe is a urological problem. I am a nephrologist and do not perform any surgery. A urologist is a surgeon and deals with kidney stones and blocked kidneys. I suggest you consult with a urologist.

Posted in Chronic Kidney Disease, Kidney Stones, Nephrologist, Urological Issues

Can I eat a ketogenic diet with distal renal tubular acidosis? I want to do 70% fat 25% protein and 5% carbs with intermittent fasting and a higher amount of veggies. Right now I mostly eat carbs potatoes in some form are probably 90% of my food intake. I need to lose 40 lbs of excess weight.

A ketogenic diet is likely to cause more acidosis that will be difficult for you to compensate if you have a distal renal tubular acidosis. I recommend that you discuss this with your nephrologist. Ketogenic diets may also increase the … Continue reading

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