Category Archives: Urological Issues

I found out this fall that I had a lodged kidney stone in my right urethra tube that cut off all blood supply. That kidney is now non-functioning but my left is functioning at 100%. The last few days I have been experiencing some dull pain in my right non-functioning kidney and slight pain in my left. Is this normal?

I do not think it is normal to have pain.  Kidney stones typically cause intense pain.  The pain you describe sounds atypical for kidney stone pain. I suggest you consult with a urologist or your primary care physician (PCP) about … Continue reading

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

I had a PCNL procedure a month ago for my stone,measuring 24mm. I had a history of two stone removal in 2005 and 2013. The chemical analysis of stone shows 40% calcium oxalate monohydrate, calcium oxalate dihydrate 30% and struvite 30%. Now I had an ultrasound which shows stone about 4mm. What should I do sir? Please answer me.

I am a nephrologist and do not have any surgical expertise.  Stone disease, such as you describe is treated surgically, such as with percutaneous nephrolitotomy (PNCL).  A urologist is a surgeon and treats kidney stones with surgical methods.  I suggest … Continue reading

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

Hi Doctor. I wish you are doing well. I have a brother who has been living at Greece camp as a refugee center complaining that while he has urinate after few seconds his sperm or a small liquid come out. He is unmarried and he about 35 year old. What is your advice and I would be very to reply me and have the chance to to help him. Thanks a lot for your values and humanity.

I am unable to make a specific diagnosis based on the information that you present.  This sounds very unusual and would require your brother to be examined. Since this involves the urinary tract, a urologist may need to examine your … Continue reading

Posted in Ask the Doctor, Birth Defects/Urinary Tract Abnormalities, Blood/Urine Testing For Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Urinary Tract Infection/Pyelonephritis, Urological Issues

I was recently found to have severe hydronephrosis by having high creatinine levels.While I was awaiting the appointment with the urologist,I had to go to the ER with hypertension crisis (my BP was normal before this). Since then, the Dr had a nephrostomy tube inserted into my left kidney. I’ve also been sent for several scans showing no kidney function at all in the left kidney due to an obstruction but not from a stone. I’ll need a nephrectomy. I had a hysterectomy 10 months ago. He seems to think my ureter became blocked because of that surgery. I have had NO pain. Now, my chest feels full and fluttery. I’m super tired. I have a terrible taste in my mouth and over the past few days, my left kidney is sore when I move (not sharp). Is this because that kidney is dead and will get better when it is out or could these be symptoms of something else?

I am not able to make a specific diagnosis without performing a complete history and physical examination. Your situation is very complicated and will require a urologist to provide an opinion. The precise diagnosis may not be known until surgical … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Nephrectomy / One kidney, Serum Creatinine, Urological Issues

CT images show large masses on both of my kidneys (12 cm & 4 cm) and it has metastasized to the right ischium of my pelvis.But my blood creatinine is 1.1 (egfr = 72). These results seem to conflict.What stage rcc is this?

I am a nephrologist and not a surgeon.  I have no experience in the staging of renal cell carcinoma (RCC). The RCC does not have a significant effect on the serum creatinine. The serum creatinine is a reflection of kidney … Continue reading

Posted in Ask the Doctor, GFR, Kidney Cancer, Kidney Mass, Kidney-Related Health Questions, Nephrologist, Serum Creatinine, Urological Issues

My husband (78) has a 10.6 x 8.3×8.6 and 3.8x 3.1 x 4 cysts. Recently started nausea while eating, lower back pain, low tolerance of cold and dizziness.Could this be related to the cyst? He has appointment with urologist on Thursday.

Simple cysts do not cause symptoms. Hence, I am unable to explain your husband’s symptoms on the basis of simple cysts in his kidney. I suggest that further testing will be necessary.

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney Cysts, Kidney-Related Health Questions, Laboratory Testing, Urinary Tract Infection/Pyelonephritis, Urological Issues

Is the cysts inside the kidneys, can cause kidney failure? In the future, how to take care of this problem and who should I see to follow up? I mean what speciality? Thanks

Cysts on the kidneys may occur as a result of a genetic kidney disease known as autosomal dominant polycystic kidney disease (ADPCKD).  There is also a condition known as acquired cystic disease of the kidney as well as simple cysts … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney Cysts, Kidney-Related Health Questions, Nephrologist, Polycystic Kidney Disease, Urological Issues

My father has known he has a kidney stone for sometime.Recently it has seemed to get much worse. After visiting the ER last night, he was told that it is 12 cm in size.Centimeters not millimeters. This is very large.What may be his options as far as types of surgeries. He is also a heart attack survivor with several stints in place along with numerous heart and blood thinners. He is a veteran and is trying to find somewhere the VA will take care of it for him, but we only just today realized the true size and danger of this stone.

I am a nephrologist and I have no surgical expertise. Your father has a very large kidney stone and he should be consulting with a urologist. A urologist is a surgeon and deals with surgery of the kidneys and urinary … Continue reading

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

Hello, thank you for this valuable service. I am concerned about a family member. He is 51, Caucasian, and physically fit. Currently taking 20 mg Lisinopril and 81 mg aspirin daily for hypertension which is under control. Approximately 10 years ago, he had an 11 mm kidney stone. It blocked a ureter, caused infection, required a stent & several rounds of lithotripsy. He followed up with nephrologist for several years and has not had other issues since then. Stopped visits after several years of clear X-ray’s. This past September he was in a MVA. ER visit was for broken bones, but tests also found multiple bilateral kidney cysts. ER doc’s report indicated that he should follow up with his Nephrologist. The earliest available appointment with the Nephrologist is at the end of January. My research on the subject of kidney cysts has suggested some alarming possible causes. My question is: How urgent a problem is this? It’s the end of November. Should he find an appointment elsewhere sooner? I’m not asking for a dx, just not sure how concerned to be about this symptom. Again, thanks so much for your time.

If your family member is not having any symptoms and his blood pressure is well controlled, I don’t think there is any urgency to seeing the nephrologist.  Most of the patients with cysts of the kidney find that these are … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Hypertension/High Blood Pressure, Kidney Cysts, Kidney Stones, Kidney-Related Health Questions, Nephrologist, Symptoms and Side Effects, Urological Issues

I am an anorexic who has a history of acute renal failure and reoccurring pyelonephritis. My GFR has been 45,60, and 54 since April 2019 and my most recent creatinine 1.18 (which has lowered). Is it more challenging to diagnose CKD in Anorexia Nervosa patients? I currently am experiencing fatigue and frequent urination at night. My US/ CT revealed stones, cysts, and an enlarged lymph node in the left renal hilum with renal scarring. My Urologist at the time seemed unimpressed and treated me for a stone and infection at the time and dismissed me. I’m afraid kidney disease is being overlooked.

Patients with Anorexia Nervosa can still get chronic kidney disease (CKD) but the diagnostic criteria remain unchanged. Recurring episodes of acute kidney injury and infection may cause CKD. The treatment should be to avoid episodes of acute kidney injury and … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Chronic Kidney Disease, GFR, Kidney Cysts, Kidney Mass, Kidney Stones, Kidney-Related Health Questions, Serum Creatinine, Urinary Tract Infection/Pyelonephritis, Urological Issues