Category Archives: Urinary Tract Infection/Pyelonephritis

Dr. Spry, My father suffered a kidney failure, apparently resulting from a UTI this past March. Though he is a long-term diabetic (over 27 years), his medical records state his condition as AKI rather than CKD. He is now dialysis-dependent, but his doctor seems to believe his kidneys could recover sufficient functionality for him to go off dialysis, though it’s been nearly 8 months since the diagnosis. What indicators would a doctor use to identify AKI vs CKD in a less obvious scenario where the UTI or the Diabetes could be the root cause, unlike an actual physical injury or nephropathy in the absence of a pathogen beyond diabetes, where I presume it would be easier to classify as AKI or CKD, respectively. How would the doctor determine if there is a possibility for some kidney function to return? From what I can tell of his creatinine, potassium, urea, albumin levels, there doesn’t appear to be a consistent improvement in any metric that would allow a quantitative assessment of kidney recovery. Is there a qualitative method to assess the viability of a kidney? Short of a biopsy is there another quantitative method outside the typical blood work to judge how much kidney function is just dormant vs. how much has been lost permanently? Apologies for the multiple questions! My father is being treated at the top hospital in his city, one well-known for international medical tourism (though he’s a local). His doctor appears to be a very competent and straightforward professional. Unfortunately, doctors in India are extremely reluctant to share technical patient information and I’m relegated to scouring the internet to help my dad navigate his condition. Thank you for any information you can share on the subject!

Acute kidney injury (AKI) means that the tubules of the kidney have been injured but the filters of the kidney (glomeruli) remain intact. If there is tubular injury, then the kidney is capable of repairing this injury and then the … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Chronic Kidney Disease, Diabetes, Dialysis, Kidney Failure, Kidney-Related Health Questions, Urinary Tract Infection/Pyelonephritis

Hello Dr. Spry. Is UTI more likely in a male if the pH of urine is greater than 7?

A very high pH in the urine can be a sign of bladder or kidney infection with certain types of bacteria. You will have to have the urine tested for infection in order to determine if a urinary tract infection … Continue reading

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

I have been fighting some kind of kidney or bladder infection for over a month which I have been tested for and we are waiting for the lab and the further lab results. My question is I don’t have the normal burning when I go to the restroom however, I do have the urgent feeling I have to urinate when I go at the end I have pain in my shoulders down my arms and into my hands and fingers. My PA, I was going to a couple of years ago said her sister had the same symptoms but, we never went any further. My mother had this when she was ill also. Have you ever heard of this and where can I find more information?

The problem that you relate needs further testing by your PA or physician. I am unable to make a specific diagnosis based on the information that you present. This sounds more like a urological problem than a kidney problem. You … Continue reading

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

Hello doc. Have a good day ahead. I just want to ask how can I cure my kidney failure? I got urine blood last August and late at night when I woke up to urinate until now I feel that pain on my right side. I have UTI before and spotted blood. I feel weak, can’t move and painful when I urinate. Please, need some advice what herbal medicine I will take? What to do? Food, diet? What to eat and what not to eat?

I am unable to make a specific diagnosis based on the information that you present. I recommend that you see your physician for a complete history and physical examination. I believe that you need further testing in order to establish … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Herbal Supplements in Kidney Disease/Failure, Kidney Failure, Kidney-Related Health Questions, Treatments, Urinary Tract Infection/Pyelonephritis

My kidneys have a tumor on them. The left kidney bleeds out sometimes. The Doctor said it’s cancer. They will remove it but I will not have to much time left. The operation will carry me away a few years from now.

The problem that you pose is a urological problem. I suggest that you consult with a urologist. A urologist is a surgeon and deals with the urinary tract.  I am a nephrologist and I have no surgical expertise.

Posted in Ask the Doctor, Kidney Cancer, Kidney-Related Health Questions, Urinary Tract Infection/Pyelonephritis

I have a ten month old daughter. She had UTI for several times. After VCUG, we realized that she has VUR grade 2 in both kidneys. The DMSA scans interpretation was that low lying small sized right kidney with cortical defect in inferior half. Mild reduced cortical function in inferior pole of left kidney with prominent PSC. The renal function of right kidney is 30% and left kidney is 70%. What can we do now ?

I am an adult nephrologist and I have no expertise in children.  The question that you ask is a urological question and should be addressed to a urologist and preferably a pediatric urologist.  I suggest you consult with a urologist. … Continue reading

Posted in Ask the Doctor, GFR, Kidney-Related Health Questions, Nephrologist, Symptoms and Side Effects, Treatments, Urinary Tract Infection/Pyelonephritis, Urological Issues

I’ve just been diagnosed with MSK. I had a lithotripsy about 20 years ago for multiple kidney stones but was asymptomatic until about 90 days ago when I developed chronic UTI. Ultrasound revealed a new large non-obstructive stone and I was dx’d with the MSK. No family history but my BMI is 37. I’ve rapidly gained weight over the last 6 months even though I’ve been exercising more. I would like some tips on managing this disease and staying healthy.

Medullary Sponge Kidney Disease (MSK) is a relatively rare disease that you are born with.  The National Institutes of Health has an excellent site to learn about this disease at:  https://www.niddk.nih.gov/health-information/kidney-disease/children/medullary-sponge-kidney You can also learn about this disease on our … Continue reading

Posted in Ask the Doctor, Kidney Stones, Kidney-Related Health Questions, Laboratory Testing, Medullary Sponge Kidney, Symptoms and Side Effects, Treatments, Urinary Tract Infection/Pyelonephritis

I have stage 3 kidney disease and have been a patient of the same nephrologist for three years. My nephrologist orders urine and blood tests, including a urine test four times a year. Today, an employee of the nephrologist’s practice called to tell me that my recent urine test showed signs of a urinary tract infection. When I asked the employee what treatment I should have for the infection, the employee asked the nephrologist, who sent me the message that she did not want to treat it. Am I right in having assumed that the nephrologist should have been willing to treat a condition for which she had me tested? Since the nephrologist refused to treat me for the infection, I made an appointment with my primary care doctor for treatment.

I cannot speak for your nephrologist.  I would suggest that you have the results of your urine test transmitted to your primary care physician (PCP) and receive treatment that may be indicated.

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Nephrologist, Urinary Tract Infection/Pyelonephritis

I am 32 year old female that had recurrent UTI for about a year that caused fever, pain, and bilateral flank pain. It was then discovered I had a 10x7mm right kidney stone in the lower pole. Lithotripsy was performed with stent and the UTI stopped. Six months later I have a left 3mm stone and 1mm and 2mm stone in the right kidney. I constantly have flank pain- intensifying on days I don’t have high liquid intake. I have urgency and frequency. I am up in the middle of the night to urinate. I do have symptoms of kidney disease that have been long term but never correlated with kidney issues- swelling of ankles, puffiness under eyes at times. I have had a rash on the side of my face since the first stone. I’m noticing my skin is itchy without new cause. I have seen the urologist – which only told me the stones are passable to drink a lot of fluids and checked urine for infection. My primary doctor did run routine blood work and kidney function- and said everything was okay. Are these symptoms only related to the stones or do I need to proceed with further testing?

The symptoms that you describe are likely related to the stone disease and you will need to first consult with a urologist in order to resolve all of the stone issues.  If you continue to form stones, you may need … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Kidney Stones, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Urinary Tract Infection/Pyelonephritis, Urological Issues

Hello, I had a CT scan 5 years ago before I had my gallbladder removed. I was told I have a ‘horse shoe’ shaped kidney, that they are fused together making it a ‘super kidney’. They told me I was born this way and I have lived my life not knowing. I haven’t had issues that I know of but is their any advice you can give me? Any knowledge about this as they just told me ‘drink lots of water’. I did have a UTI with low back pain one but antibiotics cleared it.

A horseshoe kidney is a congenital (you were born with it) abnormality which results in the bottom of each of your kidneys joined together and lying over your spinal column.  It is normally a totally asymptomatic condition.  The only problems … Continue reading

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