Category Archives: Urological Issues

Hi, I’m a 63 y/o female with no significant medical problems. On Atenolol for a supraventricular arrhythmia (many years) and Simvastatin mainly as a preventative(years). For the past 2 years, I have had a few routine urine tests (w/no particular symptoms), the initial ones showed a small amount of hemoglobin, the last 3, moderate amounts. No RBCs. My CBC is normal and do not have other issues other than age related (minor aches, skin changes) after the initial UA my GP referred me to Urology, cystoscopy was negative, in the process, a caruncle was found in the urethra, had a course of estrogen, did not reduce the size of it, not bleeding from it, occasionally feel a bit of irritation in contact with clothing. My GP and Urologist do not think I need further F/U when asked about the cause of the presence of hemoglobin. My last UA was yesterday, again with moderate hemoglobin, no RBCs, no other abnormal findings. Not sure of the significance of this persistent hemoglobin showing in the urine w/o Sx (other than the caruncle). Any feed back would be greatly appreciated.

I do not identify any kidney disease from the information that you present. I suspect that this is a urological problem and not related to the kidney. If you have been evaluated by a urologist, I’m not sure there is … Continue reading

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

I have a stone in the left lower pole measuring 3.6cm in height and 1.4cm in width it fills the entire left lower pole and extends into the lower part of the renal pelvis. I have pain in this area when I am active working and exercising. I have been told that this pain is coming from my back not likely from my kidney. I feel like its coming from my kidney, what do you think?. Should I think about having this stone removed? I am a male 60 years old good health.

I am a nephrologist and have no surgical expertise. The problem that you describe is a urological problem and should be addressed to a urologist. A urologist is a surgeon and deals with stone disease of the kidney and questions … Continue reading

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

My daughter has had re occurring kidney stones. The last time she had to get a catheter on 10/24. It was removed on 11/2 and her side pain has not gone away. Last Wednesday she couldn’t urinate and was put back on a catheter and every time we ask why we are told we don’t know. She has had ultra sounds done. What other testing should be done? Could this be a issue from the last kidney stone? She has also had blood in the collection bag. Is this a concern?

The problems that you describe are urological problems. I am a nephrologist and do not have any expertise in the lower urinary tract. Urologists are surgeons and deal with problems of the urinary tract, bladder and stone disease. Your daughter … Continue reading

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

I’ve suffered from calcium oxalate kidney stones since 1982 and have had 6 ESWL procedures in both kidneys. Sometimes the ESWLs were performed on both kidneys together. Various efforts for controlling the stones have not helped over the years (e.g., HCTZ, reduced proteins, and hydration). In my last sonogram there were more than 20 stones in each kidney (small ones) and I’m now feeling pain from an obstruction. Last procedure was about 4 years ago and caused a lot of renal colic, spasms, and nausea. Questions: How many ESWLs can a human have before it is contraindicated? What are some of the risks I’m facing as I probably will need another procedure soon?

I am a nephrologist and I have no expertise in lithotripsy. Lithotripsy is performed by a urologist, who is a surgeon. A urologist treats kidney stones. I have no surgical expertise and hence cannot give advice on when and when … Continue reading

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

I’ve had kidney stones since 2011. The hospital told me that both kidneys are full with little stones and I only passed 2 since then.

The problem that you identify is a urological problem. It deals with stones in the kidney as well as passage of stones into the urinary tract and bladder. You will need to contact a urologist about this particular problem. I … Continue reading

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

My husband has a swollen kidney for the last five years, along with blood in the urine for much longer than that. I am very worried about him as he seems to be getting worse. If he sits still, he is falling asleep. He is in constant pain and has severe pain that comes and goes. His kidney according to the CT, MRI, and Ultrasounds is enlarged every time. He is a veteran and goes through the VA. Neither one of us has faith in his Doctor anymore. He tells him he doesn’t know what is wrong. Can you recommend a kidney Dr. in central Fl that can help him.

I am not sure how specific of a diagnosis can be made about a “swollen kidney”. That is not a medical diagnosis. The fact that one kidney is swollen more than the other is unclear. There are a number of … Continue reading

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

Dear Doctor, USG of my daughter aged 23 says, ” One calculus 4.8 mm at the left proximal most ureter”. Please advise about treatment and diet.

There appears to be a very small stone in the tube that connects the left kidney to the bladder (the ureter). It appears to be high up in the ureter. If it is not causing pain, the treatment consists of … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Kidney Stones, Kidney-Related Health Questions, Urological Issues

I had colorectal cancer which was removed six months ago, but right ureter was blocked so now my right kidney totally failed. Do I have to remove it or it can stay? My GFR 66, my age 75, my weight 72 kilos, my height 170 cm? Many thanks.

This is a decision for a urologist. I am a nephrologist and have no surgical expertise. A urologist is a surgeon and makes decisions about when to remove kidneys.

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

Hi. I have had a long history of UTI’S. 2 yrs ago I had a temporary stent put in right kidney as it collapsed. In May this year, I had to have growths removed from my bladder from infection. Last Tuesday I started having pain in my right side again. I was put in hospital for tests etc. There was only signs of slight infection in urine. Nothing showed up on CT or ultrasound. So was put on antibiotics. During all this a rash popped up on right side of my chest and buttocks. Today the pain is back….badly again….. it never really went away. My body temp is usually 35 degrees and is 37 degrees since pain so it’s only slightly elevated. I just don’t know what to do. I feel like doctors are missing something. Please help.

I am not able to make a specific diagnosis without performing a complete history and physical examination. The problems that you present are usually treated by a urologist. I am a nephrologist and do not have any expertise in treatment … Continue reading

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

I’ve been dealing with an abdominal flank bulge following a radical open left nephrectomy. Based on my reading of surgical journals these abdominal flank bulges are common, one article mentions the statistic that 49% of the time this is a complication of a left nephrectomy. Regardless of the commonality, are there resources for a lay person to access in researching, measuring and/or treating this kidney surgery related complication? The surgeon who performed the surgery recognized the problem, but offered no solutions. In fact he was dismissive, quote “I don’t like to call it nerve damage.” I’m not looking for a solution from you, just direction for additional research. Thank you.

I am a nephrologist and not a urologist. I do not have any surgical expertise and do not have access to urological research. I suggest that you consult with a urologist. I recognize the problem and have seen it in … Continue reading

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