Category Archives: Urological Issues

After ordering a CT scan for another issue, my dad was given the CT radiology report, as well as, paperwork that was a health history with the urologist he’s seen for years. I’m always the person who is “primary care giver” within family. As I was reading the reports, I was shocked to see they had dx’d him with stage 3 CKD (no differentiation for stage 3 a or b). There is also a surprisingly large cyst on one of his kidneys. In speaking with him, he’d never been told of these two things. Granted he has little to no symptoms. Yet it still triggered my protective button & led me to diving head first into research, learning all I can, etc. There’s one issue that worries me more than anything. It was the description of how someone who’s ckd worsens, they can begin to have mental health symptoms. My family has a long past of issues with mental health issues, so I’m familiar with how those symptoms can go from very tame to crisis and everything in between.This puts 2 things in my sights… him still being able to drive and then the fact that he owns multiple handguns, long guns and shotgun. His personality is one where he wouldn’t give up either unless he felt 1,000% he was a danger. Can you describe any of the symptoms to use as a flag that issues are beginning from CKD, within the mind? The urologist is not treating him in any aspect for the CKD. He is being treated for high blood pressure, diabetes mellitus, & high cholesterol. And in case it matters, he’s a 69 year old white male, low activity, drinks alcohol, no smoking, no illegal substances, 5’10” to 5’11” @ 275-325 pounds. Any info/suggestions would be greatly appreciated.

Patients who have chronic kidney disease (CKD), do not typically exhibit symptoms of aggression or hostility. The mental status symptoms most commonly associated with CKD are loss of focus, fatigue, lassitude, and lethargy. Confusion and delirium are very late findings … Continue reading

Posted in Ask the Doctor, Kidney Cysts, Kidney-Related Health Questions, Nephrologist, Symptoms and Side Effects, Urological Issues

I have just posted my question yesterday and you told me that all the sympstoms I stated seems to be not related with CKD as CKD Stage 3 usually doesn’t have any symptoms yet. He has undergone kidney biopsy last December and we are told by the doctors that he has CKD Stage 3 and only 48% of his kidneys is working. As you have said that it may imply other severe kidney diseases, why is it that the biopsy detected that he has CKD? Thank you.

The kidney biopsy is the definitive way to diagnose chronic kidney disease (CKD) and tells you what disease process is causing the kidney damage.  The Stage of CKD is determined by measurement of a glomerular filtration rate (eGFR) and performance … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, GFR, Kidney Biopsy, Kidney-Related Health Questions, Nephrotic Syndrome, Symptoms and Side Effects, Urinary Tract Infection/Pyelonephritis, Urological Issues

I have just recovered (I think ) from my 4th Kidney infection . I do not know why I keep getting these. My doctor mentioned that he was going to flush and clean out my bladder but during the follow up he never mentioned it. He said that I had bladder cancer however I read three bladder cancer tests that I took. One was negative but 2 were positive so he said I do not have bladder cancer. My CT exam noted that there is a 3 mm calculus in the right distal ureter just proximal to the ureterovesical junction (5:85). There is a punctate non obstructing right lower pole renal calculus. There is no hydronephrosis. However, I have not passed the stone as far as I can tell. And my doctors office during one visit he said I had two small stones one in each kidney but then the follow up he said he just couldn’t see anything. Could I pass a stone and not realize it? Should I get a second opinion regarding the cancer diagnosis and the reason why I keep getting kidney infections? My urologist has told me at one appointment that I do not empty my bladder. Is there a way to do this or do I need a procedure? Thank you I really appreciate your help this is an excellent resource.

I am a nephrologist and I do not have any surgical expertise.  I do not have any expertise in dealing with the surgical management of kidney stones or bladder disease.  Hence, you will need to consult with a urologist, who … Continue reading

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

Dr. found a size 7mm stone. I don’t know what kind yet. I have to get x-ray. I have a lot of pain in my lower back by my pelvic bone. Is this normal? They also found blood in my urine. Is this a serious problem?

If you have an obstructing stone, you will need to consult with a urologist.  Severe back pain is commonly associated with kidney stone disease.   I am a nephrologist and do not deal with acute stone disease.  A urologist is … Continue reading

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

Trying to find specialist in MSK in Maine. One who understands the pain that kidney stones cause. Both kidneys are affected and have continual back/kidney pain as result. Oral pain medication do little, lidocaine patch helps occasionally. Feeling unheard and frustrated. Any help would be appreciated.

Medullary sponge kidney (MSK) is a relatively rare kidney disease that typically results from small defects in the kidney tubules that cause calcium to be deposited in the kidney and the potential for kidney stones.  The defect is often a lack … Continue reading

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

For a person who has kidney cancer, what would be the best option or choice to undergo?

I am a nephrologist and have no surgical expertise.  A urologist is a surgeon who deals with kidney cancers and treatment recommendations.  I suggest you consult with a urologist.

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

My father has Stage 4 kidney disease as a result of all the NSAID’s taken prior to hip replacement surgery. Currently his BPH is acting up and he is unable to empty his bladder. A catheter has finally been inserted. We cannot get an appointment with a Urologist until 3 weeks from now. His legs are swollen. How concerned should we be about his kidneys?

Blockage of the bladder can cause worsening of his underlying chronic kidney disease (CKD).  His physician should be monitoring your father’s kidney function with blood testing.

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

Hello, I have CKD stage 3, microscopic blood in urine. My urologist ordered CT scan w/o contrast and then mentioned maybe a cytology in which contrast would be used. He did not seem concerned about using contrast. Just a bit concerned myself. What are your thoughts please?

If contrast is to be used for a computerized tomogram (CT) scan, the risks and benefits of the contrast should be discussed with you. I do not know anything about the use of contrast for “cytology”.  This does not make … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Kidney Stones, Kidney-Related Health Questions, Laboratory Testing, Urological Issues

I have a question on all my urine results which has been about 6 urine tests. All show blood in urine. Mostly says small, one shows large. Also on my urine tests, my gravity is all at 1.010 consistency. Is this normal? I have this for 7 months now.

It is never normal to find blood in the urine.  Your urine should be examined under a microscope to determine is red blood cells are actually present.  If you have red blood cells in your urine, then you require further … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Urological Issues

Dear Sir, I am from Bangladesh. Female 30 years old. I do have a para-pelvic right kidney cyst measuring 5.2 cm*2.8 cm after contrast according to the CT scan report. May I know, do I need to do surgery for it or let it like this? I’d be glad if you give me a suggestion. Regards.

A parapelvic cyst on a kidney is generally a benign condition.  However, I am a nephrologist and have no surgical expertise.  The cyst needs to be evaluated by a urologist.  A urologist is a surgeon who deals with surgery of … Continue reading

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