Category Archives: Nephrologist

Have had annual MRI’s of abdomen. Have found kidney cysts that have been stable. However, this time it shows, kidneys: Interval increase in size and complexity of the left lower pole cyst with new, thin septations and persistent, layering T1 hyperintense, T2 hypointense debris, measuring 3.8 x 3.3 cm. What does this mean?

The question that you ask is a urological problem. I am a nephrologist and have no surgical expertise. A urologist is a surgeon and deals with complex cysts of the kidney. You will need to consult with your physician about … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney Cysts, Kidney-Related Health Questions, Nephrologist, Urological Issues

Dear sir, my father is suffering from kidney disease. Kidney transplantation was done in 2007. Now we have some serious complications. Though creatinine level is fine, but the urea level is quite high. The tacrolimus level was high, so our nephrologist lowered the dose to 1mg per day. Still the urea level is not coming down. Several edema occurs at hand, chest and face. Now the only nephrologist in our hometown has left. Kindly suggest what we should do. Kindly help sir.

I am unable to recommend medical treatment without performing a complete history and physical examination. I would suggest that you review your father’s status with his primary care physician (PCP) and see what other options are available for your father … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney-Related Health Questions, Nephrologist, Transplantation

I am 75 years old, 20 lbs over weight for being 6 ft. tall. Ten days ago I passed a LOT of blood, with some large blood clots. Blood passing stopped in about six hours, and I had no pain at all. I have the mega good fortune to be in Reno, and the VA hospital here is wonderful. Had a cat scan a few days ago, and doctor’s review says: “Bilateral kidney subcentimeter low-attenuation foci are to small to diagnosis, but statistically represent cysts. Right kidney larger fluid attenuation non enhancing simple cysts. Right kidney upper pole non obstructing nephrolithiasis.” Cysts are reported in several places on the net as not a huge deal, unless they get huge? I go back to see the urologist in a couple weeks. Will put a camera up the tube to look around; worthwhile, or not?? THANKS MUCH MUCH FOR YOUR service to us all!!!!!

The problem that you describe is a urological problem. I am a nephrologist and have no surgical expertise. A urologist is a surgeon and deals with bleeding of the lower urinary tract. I suggest that you continue to consult with … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney Cysts, Kidney-Related Health Questions, Nephrologist, Urological Issues

Is kidney biopsy needed if the creatinine levels didn’t go above 1.5x? Normal urine test, normal ultrasound, no symptoms?

A kidney biopsy is indicated when there is kidney disease present that cannot be explained by the usual diagnostic criteria. A kidney biopsy provides a specific diagnosis of kidney disease so the specific treatment can be recommended. I suggest that … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney Biopsy, Kidney-Related Health Questions, Nephrologist

My father in law is 79 years old. He has CHF, kidney failure, he is a diabetic and now we find he has bladder cancer. What is the risk factors for him? With his health being so bad, I do not think the outcome is so good. I do not think he would make it through the treatment. Whats your advice?

I am a nephrologist and do not treat bladder cancer. Bladder cancer is usually treated by a urologist. A urologist is a surgeon and deals with the urinary tract. Bladder cancer treatment is not particularly stressful. I suggest you consult … Continue reading

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

I have acute kidney injury and I am on dialysis. What blood test can show my kidneys can work without dialysis?

The nephrologist who is prescribing your dialysis should be monitoring your serum creatinine, hemoglobin, potassium, bicarbonate level and your daily urine output. Decisions about stopping dialysis often involve reviewing all of this information and sometimes performing a 24 hour urine … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Dialysis, Diet/Nutrition, Kidney-Related Health Questions, Nephrologist, Serum Creatinine

My father’s blood creatinine level increased gradually. Now 2.40 mg/dl. 15 days ago the level was 1.70mg/dl. He is now 75 years old. He is diabetic and has a pacemaker, he also has high blood pressure. Please suggest to me what I should do? He is already under treatment with a nephrology doctor. Please help me.

I am unable to make any specific diagnosis based on the information that you present. I am unable to recommend medical treatment without performing a complete history and physical examination. Your father should stay with the care of his nephrologist. … Continue reading

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

My 20 year old son went for a CT scan due to left quadrant pain. The Dr thought he was constipated. Barium and IV injection done during CT. Came back not constipated but incidentally the CT found enlarged bilateral kidneys and a 15 mm “cyst” on the left kidney. My mom, about 5 years ago, had her left kidney removed due to a tumor (and I am not sure of the pathology of that right now.) Since there is history and my son is only 20, should we consult with a urologist as the Dr doesn’t appear concerned but I am. The other concern I have is he has been having pain and upper back pain but did not put 2 and 2 together until after these results came back today. He works a very strenuous job and thought he had just pulled some muscles but with the pain, is this more concerning? Thank you for your time.

The problem that you identify is a urological problem. I am a nephrologist and do not have any surgical expertise. Cysts should be evaluated by ultrasound and computerized tomography (CT) scanning. Many times these can be determined to be benign … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney Cysts, Kidney-Related Health Questions, Nephrologist, Urological Issues

I’m a 33yo white female. A few months ago I had a kidney stone removed (tried for weeks to pass it normally). During the removal, my urologist found a potential UPJ obstruction and definitely saw the vein lying in the improper spot. I’ve had a nuclear renal scan which came back within normal limits. My urologist is unconcerned about any potential issues. However, I’ve continued to have pronounced flank and lower back pain, darker urine, more frequent voiding, and feeling as though I didn’t void my bladder completely. Upon reviewing my own medical tests, it looks like my eGFR has been between 52-60 for years. Is this really nothing I should be worried about, or should I be seeking another opinion? Thank you for your time.

The problem that you describe is a urological problem. I am a nephrologist and I have no surgical expertise. The surgical management of a ureteropelvic junction obstruction (UPJ obstruction) is within the expertise of a nephrologist. I would say that … Continue reading

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

My 2 yr old son had 2 renal function tests with a 6 week interval in between tests. First test UREA was 5.2 (0.3-5.7) and his Creatinine 37 ( 13-34 ). The second test UREA 5.7 and creatinine 42. His pediatrician stated that she does not associate the results with kidney problem(s). The reason for the testing were due to numerous mild issues relating to sleep behavior, mild apnea, twitching sleep myoclonus and acid reflux. It is due to myself having horseshoe kidney. My father and another with pelvic kidneys. What do these test results tell you as a professional about my son’s kidney function? What other causes and the range readings be if its not kidney associated? Thank you.

I am an adult nephrologist and I have no experience with children and laboratory values. These mildly abnormal values should best be interpreted by a pediatrician who is used to looking at such values. I suggest that you express your … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney-Related Health Questions, Nephrologist, Pediatric Issues