Category Archives: Urinary Tract Infection/Pyelonephritis

Hello, I want to ask about my mother’s problem from last year. She was suffering from a urinary tract infection. It was treated at the local hospital with antibiotic; she got better but one month later the infection came back. At that time her Creatinine was 1.9 and Albumin 1+. This number is not coming down, we went to the hospital and the doctor prescribed antibiotics. This repeated and lasted one year. I don’t know why the Doctor did not treat her Kidney, only the urinary infection? I read an article online, when the Creatinine is 1.9, and the eGFR is 28 it’s actually 4th stage of kidney damage. But when we go and meet the doctor, he does not take this seriously; very careless and simply writes prescriptions for antibiotics again and again. So my question, is there any treatment for kidneys? To help bring down the Creatinine level? Why has the doctor not taken any action? Treat the kidneys? Does the Urinary tract infection not effect the kidneys?  

I am unable to make a specific diagnosis based on the information that you present. Repeated urinary tract infections (UTI’s) can certainly cause chronic kidney disease (CKD). This can be the case with chronic pyelonephritis, reflux nephropathy and chronic staghorn … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Kidney-Related Health Questions, Nephrologist, Urinary Tract Infection/Pyelonephritis, Urological Issues | Comments Off on Hello, I want to ask about my mother’s problem from last year. She was suffering from a urinary tract infection. It was treated at the local hospital with antibiotic; she got better but one month later the infection came back. At that time her Creatinine was 1.9 and Albumin 1+. This number is not coming down, we went to the hospital and the doctor prescribed antibiotics. This repeated and lasted one year. I don’t know why the Doctor did not treat her Kidney, only the urinary infection? I read an article online, when the Creatinine is 1.9, and the eGFR is 28 it’s actually 4th stage of kidney damage. But when we go and meet the doctor, he does not take this seriously; very careless and simply writes prescriptions for antibiotics again and again. So my question, is there any treatment for kidneys? To help bring down the Creatinine level? Why has the doctor not taken any action? Treat the kidneys? Does the Urinary tract infection not effect the kidneys?  

Hi there, my question is how can someone take care of their kidneys and prevent a UTI at the same time? How can someone with a UTI and acid reflux issues take care of the kidneys and get rid of a UTI at the same time?

A urinary tract infection (UTI) is generally treated with appropriate antibiotic therapy. Acid reflux disease of the stomach and esophagus (also known as gastroesophageal reflux disease or GERD) is treated with acid blocking agents such as H2 blockers or Proton … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function, Urinary Tract Infection/Pyelonephritis | Comments Off on Hi there, my question is how can someone take care of their kidneys and prevent a UTI at the same time? How can someone with a UTI and acid reflux issues take care of the kidneys and get rid of a UTI at the same time?

My wife has a kidney stone in the right side. Size is 15.3 mm. She has been suffering for a long time. Yesterday her doctor only put a stent inside; didn’t crush the stone.

Treating kidney stones is within the scope of practice for a urologist. I am a nephrologist and have no surgical expertise. A urologist is a surgeon who performs surgical procedures on the kidney and urinary tract. It is common that … Continue reading

Posted in Ask the Doctor, Kidney Stones, Kidney-Related Health Questions, Nephrologist, Urinary Tract Infection/Pyelonephritis, Urological Issues | Comments Off on My wife has a kidney stone in the right side. Size is 15.3 mm. She has been suffering for a long time. Yesterday her doctor only put a stent inside; didn’t crush the stone.

My 17 year old daughter started having severe kidney pain a few months ago. After a CT scan and ultrasound, they found she had hydronephrosis of her left kidney, but they didn’t see any stones. Last week she had a follow up ultrasound, and now there is hydronephrosis in both kidneys. They said there was Pelviectasis and slight central caliectasis in her left kidney. She is an active teenager, watches her diet closely, doesn’t eat sugar or anything unhealthy. Her kidney and liver function tests came back normal. We have a family history of Diabetes, but I haven’t found any other family history of kidney disease. What do I do from here? Is there anything I should have them test for? I’m really worried about her, and don’t want her to have permanent kidney damage.

The problem that you describe is a urological problem. This should be evaluated by a urologist. A urologist is a surgeon and deals with surgical evaluation and treatment of the urinary tract. I am a nephrologist and have no surgical … Continue reading

Posted in Ask the Doctor, Hydronephrosis and Hydroureter, Kidney-Related Health Questions, Nephrologist, Pediatric Issues, Urinary Tract Infection/Pyelonephritis, Urological Issues | Comments Off on My 17 year old daughter started having severe kidney pain a few months ago. After a CT scan and ultrasound, they found she had hydronephrosis of her left kidney, but they didn’t see any stones. Last week she had a follow up ultrasound, and now there is hydronephrosis in both kidneys. They said there was Pelviectasis and slight central caliectasis in her left kidney. She is an active teenager, watches her diet closely, doesn’t eat sugar or anything unhealthy. Her kidney and liver function tests came back normal. We have a family history of Diabetes, but I haven’t found any other family history of kidney disease. What do I do from here? Is there anything I should have them test for? I’m really worried about her, and don’t want her to have permanent kidney damage.

I’m confused, lab work shows high creatinine and kidney ultrasound states I have one cyst on each kidney and that I have critical kidney disease level 3. My doctor doesn’t seem worried, but wants me to go to a Urolgist and won’t authorize me to see a dietician, which is what I want. I wonder how sick am I? Should I simply fast on water and water crackers until the next blood test? I need someone to be honest with me and tell me what to do and eat. I don’t want to need dialysis! Please help. Thank you.

I am unable to make a specific diagnosis of kidney disease based on the information that you present. It is most important that you have urine testing for blood, protein and infection in order to complete the screening for chronic … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diet/Nutrition, Kidney Cysts, Kidney-Related Health Questions, Urinary Tract Infection/Pyelonephritis, Urological Issues | Comments Off on I’m confused, lab work shows high creatinine and kidney ultrasound states I have one cyst on each kidney and that I have critical kidney disease level 3. My doctor doesn’t seem worried, but wants me to go to a Urolgist and won’t authorize me to see a dietician, which is what I want. I wonder how sick am I? Should I simply fast on water and water crackers until the next blood test? I need someone to be honest with me and tell me what to do and eat. I don’t want to need dialysis! Please help. Thank you.

Hi Dr Spry, thank you for this platform to ask questions. It is of great value to me since my grandmother is in a public hospital and doctors are not so available (limited contact and communication) to answer questions fully in this time of covid and hospital restrictions. My gran has been diagnosed with CKD and a chronic heart disease. She also injects insulin, has high blood pressure and doctors often mistake her lungs as of smokers. She was admitted in the hospital 11 days ago because she had difficulty in her breathing. I suspect that this was caused from an aloe vera tea that she was drinking which I assume flushed out all her medication during that week of drinking it. This happened about 5/6 days after drinking the tea daily and then she requested to be admitted to the hospital. She was still quite fine and able to speak and function as her usual self. She just had difficulty in breathing at that time. After her admission process, she was given drips for her heart and a few days later she was taken for a scan and was found that her kidneys are 100% depleted and that is what affected her heart condition. Her catheter was then removed and replaced with diapers because she could no longer walk to the toilet on her own. Her face is swollen too; especially under her eyes. She is now worse than the time she walked into hospital. My question is, was she supposed to be put on mutliple drips, day after day having checked and seen that she has kidney failure and worse, under fatal conditions? Is it normal to put a CKD patient on a drip considering the hard work that her damaged kidneys are supposed to do in removing toxins off her body? Comparing to a patient being put on pills because with pills there’s not much excess water for her heart to pump and her damaged kidneys to work. My mother just got off the phone with her doctor and she says that she has now been put under an antibiotic drip which will help with UTI. The doctor also wanted to discharge her a few days ago, but my gran refused because she could feel she is not ready to be discharged. She was a nurse before and she can often tell whether or not she should receive what treatment and how long. But now, she’s not able to speak well or concentrate, due to the high doses of medication that keeps making her sleepy. So she cannot monitor herself as much as she usually did whenever she got into hospital. I’d highly appreciate your speedy response Doctor. Kind regards.

I am not able to provide medical advice without performing a complete history and physical examination. In the case of your grandmother, she sounds very ill with diabetes, high blood pressure, infection, lung disease, heart disease and kidney disease. In … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diabetes, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Urinary Tract Infection/Pyelonephritis | Comments Off on Hi Dr Spry, thank you for this platform to ask questions. It is of great value to me since my grandmother is in a public hospital and doctors are not so available (limited contact and communication) to answer questions fully in this time of covid and hospital restrictions. My gran has been diagnosed with CKD and a chronic heart disease. She also injects insulin, has high blood pressure and doctors often mistake her lungs as of smokers. She was admitted in the hospital 11 days ago because she had difficulty in her breathing. I suspect that this was caused from an aloe vera tea that she was drinking which I assume flushed out all her medication during that week of drinking it. This happened about 5/6 days after drinking the tea daily and then she requested to be admitted to the hospital. She was still quite fine and able to speak and function as her usual self. She just had difficulty in breathing at that time. After her admission process, she was given drips for her heart and a few days later she was taken for a scan and was found that her kidneys are 100% depleted and that is what affected her heart condition. Her catheter was then removed and replaced with diapers because she could no longer walk to the toilet on her own. Her face is swollen too; especially under her eyes. She is now worse than the time she walked into hospital. My question is, was she supposed to be put on mutliple drips, day after day having checked and seen that she has kidney failure and worse, under fatal conditions? Is it normal to put a CKD patient on a drip considering the hard work that her damaged kidneys are supposed to do in removing toxins off her body? Comparing to a patient being put on pills because with pills there’s not much excess water for her heart to pump and her damaged kidneys to work. My mother just got off the phone with her doctor and she says that she has now been put under an antibiotic drip which will help with UTI. The doctor also wanted to discharge her a few days ago, but my gran refused because she could feel she is not ready to be discharged. She was a nurse before and she can often tell whether or not she should receive what treatment and how long. But now, she’s not able to speak well or concentrate, due to the high doses of medication that keeps making her sleepy. So she cannot monitor herself as much as she usually did whenever she got into hospital. I’d highly appreciate your speedy response Doctor. Kind regards.

I am concerned about both possible kidney damage from long term persistent E. coli UTI and possible kidney damage from its treatment with multiple antibiotics. I do not know if the treatment is worse than the disease. My husband is a stable diabetic with now stage 3B CKD post three endoscopies for very large ureteral stone. On first surgical attempt after an hour the laser broke and his ureter was damaged but partial stone removal opened a path to slow the hydronephrosis. Urine C&S before every endoscopy was clean and he took Cipro for a full day before; had IV antibiotic at start of surgery and took more Cipro 5 days after. Each time a stent was placed. He was given one dose of Cipro just before in office removal of 3rd stent and given 2 days of Cipro but was febrile with high WBC in ER before the 2 days were up. Urine C&S showed E.coli and due to PCN allergy he was given Cleocin for a week till it was noticed that the E. coli was not sensitive to it. Then he was treated with a round of Cefuroximine but do not have another C&S till 4 months later and this time he was given Bactrim but repeat C&S at two different labs still showed E. coli. He had a rest off meds to attend to other medical issues and then less than 2 days after routine WBC WNL he was in ER again with fever and high WBC. He had IV Cefuroxamine and then took it twice a day for a month and once a day for another month but UA after a week off meds shows trace protein, high leukocytes, moderate bacteria, occult blood and turbidty. We are awaiting the C&S results and he has remained afebrile. He has a nephrologist, urologist and infectious disease specialist. Other than Monural, can you make any other treatment suggestions and can you tell me how dangerous it would be to consider E. coli normal flora after the third stent removal and stop meds? I do not know what is worse, E.coli or tons of ineffective antibiotics. Thank you.

The situation that you describe demonstrates the problems with kidney stones, diabetes mellitus, chronic kidney disease, instrumentation of the urinary tract and recurring infections. Once you have a foreign body within the urinary tract such as a stent, a scope … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diabetes, Kidney Stones, Kidney-Related Health Questions, Urinary Tract Infection/Pyelonephritis | Comments Off on I am concerned about both possible kidney damage from long term persistent E. coli UTI and possible kidney damage from its treatment with multiple antibiotics. I do not know if the treatment is worse than the disease. My husband is a stable diabetic with now stage 3B CKD post three endoscopies for very large ureteral stone. On first surgical attempt after an hour the laser broke and his ureter was damaged but partial stone removal opened a path to slow the hydronephrosis. Urine C&S before every endoscopy was clean and he took Cipro for a full day before; had IV antibiotic at start of surgery and took more Cipro 5 days after. Each time a stent was placed. He was given one dose of Cipro just before in office removal of 3rd stent and given 2 days of Cipro but was febrile with high WBC in ER before the 2 days were up. Urine C&S showed E.coli and due to PCN allergy he was given Cleocin for a week till it was noticed that the E. coli was not sensitive to it. Then he was treated with a round of Cefuroximine but do not have another C&S till 4 months later and this time he was given Bactrim but repeat C&S at two different labs still showed E. coli. He had a rest off meds to attend to other medical issues and then less than 2 days after routine WBC WNL he was in ER again with fever and high WBC. He had IV Cefuroxamine and then took it twice a day for a month and once a day for another month but UA after a week off meds shows trace protein, high leukocytes, moderate bacteria, occult blood and turbidty. We are awaiting the C&S results and he has remained afebrile. He has a nephrologist, urologist and infectious disease specialist. Other than Monural, can you make any other treatment suggestions and can you tell me how dangerous it would be to consider E. coli normal flora after the third stent removal and stop meds? I do not know what is worse, E.coli or tons of ineffective antibiotics. Thank you.

Good day, I am trying to assist my daughter seek help for an apparent left kidney damage due to delayed UPJ obstruction/hydronephrosis. She had a pyloplasty, ureterocalicalcostmy and removal of redundant renal pelvis (2011-2020) numerous scope/RPGs procedures. Recently passing some stones, rounds of Cipro, nausea, pain, lacking appetite, sleep since 2/2021. What type of care provider should she see? PCP and Urologists do not seem to have answers and we travel 4 hours one way to BJH now to see a new Uro/surgeon. Beyond the plumbing issue now? Concerned of HBP, fight/flight, constant state of pain and very slow progression to find appropriate type of care for her. We reached out to patient advocate, they will let us know resolution in 30 days trying to get renal scan order set up for 3 weeks now. Any suggestion would be more than welcome. Thank you for your time.

The problem that you describe is a urological problem. I am an adult nephrologist and do not have any surgical expertise. A urologist is a surgeon and deals with surgery of the kidney and urinary tract. I can only suggest that … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney-Related Health Questions, Nephrologist, Urinary Tract Infection/Pyelonephritis, Urological Issues | Comments Off on Good day, I am trying to assist my daughter seek help for an apparent left kidney damage due to delayed UPJ obstruction/hydronephrosis. She had a pyloplasty, ureterocalicalcostmy and removal of redundant renal pelvis (2011-2020) numerous scope/RPGs procedures. Recently passing some stones, rounds of Cipro, nausea, pain, lacking appetite, sleep since 2/2021. What type of care provider should she see? PCP and Urologists do not seem to have answers and we travel 4 hours one way to BJH now to see a new Uro/surgeon. Beyond the plumbing issue now? Concerned of HBP, fight/flight, constant state of pain and very slow progression to find appropriate type of care for her. We reached out to patient advocate, they will let us know resolution in 30 days trying to get renal scan order set up for 3 weeks now. Any suggestion would be more than welcome. Thank you for your time.

Greetings! I have been diagnosed with a large 28mm stag horn kidney stone that my urologist says needs to be removed surgically. He informed me that the best approach would be a percutaneous nephrostolithotomy procedure (PCNL), but said this isn’t possible due to my anaphylaxis reaction to the X-ray contrast. He said holmium laser lithotripsy (HLL) is out of the question for such a large stone, and that extracorporeal shockwave lithotripsy (ESL) is the only other option. Unfortunately he doesn’t have much confidence that the latter is going to be sufficient to remove the stone completely. I asked if there is a way to do the PCNL using some other form of imaging and he flat out said there’s no such thing. However, in my own research I’ve found multiple medical reports on an Ultrasound Guided-PCNL. While this procedure was developed with the goal of minimizing exposure to X-ray, it would also serve folks like me with contrast allergies. Unfortunately not all surgeons are trained in this newer procedure. I live in Oregon and need help locating the nearest surgeon who is trained in the UG-PCNL. I’m really hoping that with all your resources and connections you might be able to point me in the right direction. Otherwise I’m facing multiple ESL procedures that in the end may prove to be insufficient. Thank you for your time. Looking forward to hearing from you. Respectfully.

I am a adult nephrologist and I do not have any surgical expertise. A urologist is a surgeon who deals with surgical disease of the kidneys and urinary tracts. Hence, I do not have any expertise in regards to your … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Nephrologist, Urinary Tract Infection/Pyelonephritis, Urological Issues | Comments Off on Greetings! I have been diagnosed with a large 28mm stag horn kidney stone that my urologist says needs to be removed surgically. He informed me that the best approach would be a percutaneous nephrostolithotomy procedure (PCNL), but said this isn’t possible due to my anaphylaxis reaction to the X-ray contrast. He said holmium laser lithotripsy (HLL) is out of the question for such a large stone, and that extracorporeal shockwave lithotripsy (ESL) is the only other option. Unfortunately he doesn’t have much confidence that the latter is going to be sufficient to remove the stone completely. I asked if there is a way to do the PCNL using some other form of imaging and he flat out said there’s no such thing. However, in my own research I’ve found multiple medical reports on an Ultrasound Guided-PCNL. While this procedure was developed with the goal of minimizing exposure to X-ray, it would also serve folks like me with contrast allergies. Unfortunately not all surgeons are trained in this newer procedure. I live in Oregon and need help locating the nearest surgeon who is trained in the UG-PCNL. I’m really hoping that with all your resources and connections you might be able to point me in the right direction. Otherwise I’m facing multiple ESL procedures that in the end may prove to be insufficient. Thank you for your time. Looking forward to hearing from you. Respectfully.

I am 30 years old and female. In May 2020, during a trip to the ER (for sudden onset of extreme pain and vomiting) my doctors discovered I had a congenital UPJ obstruction in my left kidney that caused a complete obstruction, a kidney infection, and hydronephrosis. They placed a Nephrostomy Tube and scheduled surgery for June 2020. Prior to my June surgery my doctors removed the Nephrostomy Tube but the pain came back so they placed an internal stent. I had the laparoscopic pyeloplasty and internal stent placed. Since the summer of 2020 I have had two obstructions requiring ballon dilation and recurrent kidney infections (4 since summer 2020) requiring IV antibiotics and stenting to drain my left kidney. I am allergic to most antibiotics which complicates the hard to treat/resistant kidney infections. Currently, I have persistent pain, nausea, vomiting, extreme swelling and fever (100-101 after medicine). My urologist believes that the structural defect in my kidney (from obstructions, ureter narrowing, and my kidney “drains slowly”) is starting to impact my kidney function. Our current is plan is to prophylactically take antibiotics. Are their any resources, outside my urologist, that I should research that could help us develop a treatment plan? I have noticed that there isn’t a lot of information about post-pyeloplasty complications and treatments. We are all at a bit of a loss on how to move forward/treat the recurrent infections, obstructions and pain. Thank you for your help!

The problem that you describe is a urological problem. I am a nephrologist and do not have any surgical expertise. A urologist is a surgeon and deals with blockage of the urinary tract and kidney. A urologist is the best … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Nephrectomy / One kidney, Nephrologist, Urinary Tract Infection/Pyelonephritis, Urological Issues | Comments Off on I am 30 years old and female. In May 2020, during a trip to the ER (for sudden onset of extreme pain and vomiting) my doctors discovered I had a congenital UPJ obstruction in my left kidney that caused a complete obstruction, a kidney infection, and hydronephrosis. They placed a Nephrostomy Tube and scheduled surgery for June 2020. Prior to my June surgery my doctors removed the Nephrostomy Tube but the pain came back so they placed an internal stent. I had the laparoscopic pyeloplasty and internal stent placed. Since the summer of 2020 I have had two obstructions requiring ballon dilation and recurrent kidney infections (4 since summer 2020) requiring IV antibiotics and stenting to drain my left kidney. I am allergic to most antibiotics which complicates the hard to treat/resistant kidney infections. Currently, I have persistent pain, nausea, vomiting, extreme swelling and fever (100-101 after medicine). My urologist believes that the structural defect in my kidney (from obstructions, ureter narrowing, and my kidney “drains slowly”) is starting to impact my kidney function. Our current is plan is to prophylactically take antibiotics. Are their any resources, outside my urologist, that I should research that could help us develop a treatment plan? I have noticed that there isn’t a lot of information about post-pyeloplasty complications and treatments. We are all at a bit of a loss on how to move forward/treat the recurrent infections, obstructions and pain. Thank you for your help!