Category Archives: Urological Issues

Our daughter has kidney stones, and the Dr. says, both kidneys are full of stones. For a period of time she was able to pass the stones, but now she is not passing them. The Dr. is doing another 24 hr urinalysis study, and the same test that any urologist would perform. He is stumped. Would it be to our advantage to seek further treatment from a Doctor that specializes in kidney disease? Her father is a pharmacist, and has suggested for some time our need for someone that can help her. Our fear is that her kidneys will fail and she will go on dialysis. She is 41.

I am not able to make a specific diagnosis based on the information that you present. There are many causes of recurrent and chronic kidney stones. The urologist is the person who is most likely to make a proper diagnosis … Continue reading

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

I am from Ecuador and also primary care physician. My father has hypertension, gout, aortic stenosis and benign prostatic hyperplasia (50 gr) and 36% of urinary retention. His creatinine is 2 mg/dl and his urea is 84 mg/dl. For many years he didn’t control his diseases. He has the next exams: Ecography: no hydronephrosis, calculi or renal size alteration. Bladder: no signs of chronic urine retention and prostate: hyperplasia grade II. Also he was with pruritus and hyporexia. An Internal Medicine physician is treating him with allopurinol, colchicine, furosemide, valsartan, tamsulosin and pregabalin. Also an Urologist recommendation was suprapubic prostatectomy. Since his clinical treatment my father is a lot better. I wanna know your opinion and the possible prognostic of his renal disease. I appreciate your time. Thanks.

I am unable to make a specific kidney diagnosis based on the information that you present. Your father has a number of diagnoses that make him at risk for chronic kidney disease (CKD) including heart disease, high blood pressure and … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Urological Issues

Hello doctor, I have a kidney stone 9mm, is it better to take operation or not? Does it go by taking tablet and syrup?

The question that you ask is a urological question. I am a nephrologist and do not have any surgical expertise. A urologist is a surgeon who deals with kidney stones and performs surgery and lithotripsy.  I suggest that you consult … Continue reading

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

I am 64. Eight years ago I fell off a ladder and landed on my left side. Weeks later, after exercise, I had gross hematuria. I had complete work up and imaging showed the the upper pole of the left kidney “smashed” in. On the films, it looks like a “bite” out of the kidney. Previous imaging, before the fall, shows normal left kidney. Everything resolved until recently. This week, after a 5 mile walk, I had gross hematuria again. It stopped after 48 hrs. Could the injury cause occasional bouts of hematuria? Like exercise hematuria?

I suppose it could be possible that you now have some type of vascular malformation of the kidney after the kidney fracture related to your fall, but I would think this a little unusual after not having any blood in … Continue reading

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

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 doctor. I am from Pakistan. I had stones in my right kidney and was discharged before 2 weeks, but I still feel pain in my kidney. My uric acid is 6.2. My blood urea is 43 and creatinine is 2.1. Please suggest what I should do.

I am unable to make a specific diagnosis based on the information that you present. You should consult with your physician and your urologist about your pain. I am a nephrologist and not a surgeon. I do not have any … Continue reading

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

Just a few days ago I had a yearly follow up sonogram on my kidneys. I am highly curious, to the report that was given on the left kidney. I have an appointment with my urologist in two weeks to review this, but was wondering if there is anything in this language that I should be concerned about moving the appointment date up. Length: 12.4 cm. Cortical thickness: 1.0 cm (Normal greater than or equal to: 0.8 cm). Resistive Index: 0.56 (Normal less than or equal to: 0.8). Inferior left kidney demonstrates high amplitude echo possible calcification. Adjacent to this is an area that is anechoic and may represent calcification in the wall of the cyst this was not appreciated on the previous exam this area measures 0.9 x 0.9 x 1.1 cm. Could represent a septation in the cyst. Possible calcification in the septation. No hydronephrosis seen.

The report is self explaining and suggests that there may be a bit of calcification in a cyst.  About 40% of adults, as they age, will develop a cyst in their kidneys and some of them can be calcified.  I … Continue reading

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

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 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

This is the result of a CT UROGRAM done in 10/2012. There are bilateral renal calculi. Specifically, there is an approximately 9 x 5 mm right upper pole calculus with focal prominent thinning overlying cortex consistent with sequelae of prior infection. There is an approximately 3 mm calculus centrally mid to upper pole left kidney. IMPRESSION: BILATERAL RENAL CALCULI, LARGER ON THE RIGHT WITH THINNING OVERLYING CORTEX CONSISTENT WITH SEQUELAE OF PRIOR INFECTION. NO RENAL MASS OR OBSTRUCTIVE UROPATHY. I’ve had shockwave done twice, once on the right in 2012 and once on the left last year. Recently I have been seeing my primary because of a UTI. I had an urinalysis done in office with the following results; Component Your Value Glucose neg mg/dL Bilirubin moderate Ketones trace mg/dL Spec Gravity 1.025 Blood large pH 5.5 Protein >=300 mg/dl mg/dL Urobilinogen 2.0 E. u> /dl EU/dL Nitrite positive Leuk. Esterase large Color red Pale yellow Appearance other, on period All of my pain is on the right side. I am nauseous, occasional vomiting, loss of appetite, and difficulty urinating. At times it is difficult to start a stream and at times only a drizzle comes out. The CT scan I had on 07/07/2017 did not show a stone on the right side. I have scarring in my right kidney due to a prior infection. So I am wondering is the stone that was originally there, able to hide behind the scarring and not be seen on CT? How does a 9 mm stone just disappear yet the 3mm one in the other kidney still be there? and if there is no stone, then why the crazy numbers on the urinalysis? Any thoughts would be helpful.

The problem that you present is a urological problem.  I am a nephrologist and have no expertise in the surgical management of kidney stone disease.  You need to consult with a urologist.  A urologist is a surgeon who deals with … Continue reading

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