Category Archives: Urological Issues

Sir, I am feeling pain in one of my testicles for a long time. Urine discharge with burning. The pain has gone up side. A vein is little much swelled. What medicine do I have to take for it?

The problem that you describe needs to be evaluated by your physician. I am a nephrologist and I have no expertise with diseases of the testicle. You should consult with your primary care physician (PCP) or a urologist for examination … Continue reading

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

My dad is 82 years old with bph, has a indwelling foley catheter. Over a few weeks his catheter has been leaking and had saturated his diaper. Nurses have changed out the catheter. Only for it to start leaking again. This has happened a lot. He has a history of UTI’s. He ended up in the ER with septic shock secondary to UTI and pneumonia. Renal failure and respiratory failure. He also had a clogged catheter. My question is at what point do you call for a urology consult? And how do you prevent septic shock?

Problems with the lower urinary tract are within the expertise of a urologist. I am a nephrologist and do not deal with Foley catheters and complications. If there are problems related to infection and a bladder catheter, then urologic consultation … Continue reading

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

Dear Doctor, I am a 51 year old male. At 28 I had a spinal cord surgery done to remove a tumor. Post operation I became paraplegic with complete loss of bladder and bowel functions. I have neurogenic bladder and am required to do 4 hourly self-catheterization for urine drainage. My present medical problem is that both of my kidneys have been affected with hydronephrosis. The right kidney being moderate while the left is moderate to severe. My urologist says the condition is untreatable. When I suggested surgery to correct the problem, he said it wouldn’t help much because the root problem for this is the neurogenic bladder itself and that cannot be treated owing to the damage to the spinal cord. Meanwhile he has put me on a drug called Spasmolyt Trospium Chloride by taking 40 grams a day until my next appointment. Doctor, I would greatly appreciate if you could give me a second opinion on the possibility of an alternative treatment to resolving this problem, if possible. Thank you.

The problem that you describe is a urological problem. I am a nephrologist and I have no urological or surgical expertise. You should seek a second opinion from a urologist.

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

I developed a sharp abdominal pain below the right ribs and sometimes at the back. I sweat a lot. Creatinine is 1.5. Blood test as follows: Sodium 138, potassium 4.0, chloride 102, urea 24 and bicarbonate 22. Urine test as follows… WBC 0-2 RBC… NILL CAST…NILL CRYSTAL..NILL SCHISTOSOMIASIS… NILL T. VAGIN… NILL CULTURE…. YIELD NO GROWTH. C.T SCAN REVEALED (GRADE 3 HYDRONEPHROSIS). Differential includes, blood clot, stricture and calculus. No difficulties in passing urine, yellow urine not blood urine. Please, what’s the possible cause of the pain, and hope nothing is gone wrong with the kidney? In contrary, can everything still be okay including the kidney? Can it still function very well and effective? Thanks as I anticipate your swift responses.

I am unable to make a specific diagnosis based on the information that you present. The problem that you describe is a urological problem. You should be consulting with a urologist for appropriate diagnosis and treatment. Further examination by the … Continue reading

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

My friend was diagnosed with collecting duct carcinoma and recently had her kidney and a nearby lymph node removed. Her Doctor hasn’t seen a case of CDC in 20 years. She will get a 2nd opinion at the Mayo soon. Do you have any recent information or know any doctors in our Minneapolis area who has experience with this condition? She is waiting for results of her PET scan from Tuesday, which seems like it is taking too long considering her condition. Any help you could provide would be appreciated. She is 65 and is strong. Thanks.

I am a nephrologist and do not deal with cancers of the kidney. I have never seen a collecting duct carcinoma. The collecting duct is one of the unique cell types of non-clear cell carcinomas of the kidney but I … Continue reading

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

MRI of lubar spine without contrast revealed T2 hyperintense right renal lesions (perhaps renal cysts?), and right hydronephrosis measuring 1.9 cm. Is this significant enough to see a nephrologist? Thank you.

A Magnetic Resonance Imaging (MRI) scan is a very difficult scan to interpret for cysts of the kidney. I suggest consultation with a urologist. A urologist is best trained to evaluate both the obstruction and the question of a lesion … Continue reading

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

Dear Doctor, I am from Abbottabad, Pakistan. Recently, I faced some problem related to kidneys. When I go to the doctor, he recommended me a dj stenting on right side. Currently, I am having pain related to some type of tiredness in my shoulder region, front side ribs and in bicep muscles. This time I am only taking a vegetables meal containing garlic, black pepper, and ginger in it. With the kind request, I want to ask you about possible reasons behind this pain. Thanks, Regards.

I am unable to make a specific diagnosis without performing a complete history and physical examination. From your description of the procedure being offered, you would appear to have some sort of blockage or obstruction of your right kidney. You … Continue reading

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

Dr., A boy who is 12 years old has kidney issues. One kidney is removed about 2.5 years ago. Now the 2nd kidney has some blockage. The Doctor suggests that if we operate on blockage then he needs dialysis for a lifetime. We are in trouble. Can you suggest? Please, Dr. help us.

Blockage of the kidney is a urological problem and usually evaluated by a Urologist. I am a nephrologist and I have no surgical expertise. You should consult with a urologist about options that might be available for this young boy. … Continue reading

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

What significance does right kidney pelviectasis found on sonogram have for an adult? Would this cause pain?

The sonogram (ultrasound) interpretation means that there is some space in the substance of the kidney (pelviectasis) that is usually not seen. There are many causes including blockage, stone disease, and in some cases this may be a normal variant … Continue reading

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

Hello. For the past two weeks I’ve been having moderate to severe pain in my back on the left side only below my ribs. The first time this pain appeared was on a Saturday and lasted for 4 to 5 hours. The pain was very intense to the point where I was in tears but I was unable to leave work to go to an ER and the pain had decreased to a moderate pain by the time I left work. The next day the pain intensified again lasting 3 hours before going to the ER. While in the ER the doctor had not taken any imagining only a urine sample, blood draws and provided Torodol via IV. After the UA was complete I was told it appears to be a UTI; was giving a prescription for antibiotics and sent home. I followed up two days later with a family care PCP [not my primary as she is not available right now] who did not do a physical exam and said he did not believe my issue to be a UTI. That doctor did x-ray imaging of my back to rule out any skeletal issues. The x-ray came back to show only minor degenerative disc disease. Another blood draw and UA was done at the appointment. A few days later the doctor called and informed me that my creatinine levels had risen and would like to follow up a week from the previous appointment. At that follow up he expressed concern about kidney function but brushed it off due to my age. My mother-in-law is a RN and has also expressed concern for my kidneys. To date no imaging of my kidneys have been done. Also, the day before my follow up the intense pain had returned but was not only in my back/flank but in my upper abdomen. It felt like a tearing pain under both ribs and there was a throbbing under my ribs in the center of my upper abdomen, you could both feel and see the physical throbbing. This pain again was sudden but was also episodic, coming in waves, lasting between 2 and 10 minutes at a time for 3 hours. I did not go to ER at that time due to having an appointment the next day. Though I admit now I should have gone as the pain was also in my chest and it was difficult to breath during the points of intense pain. I am 31 years old, transgender (FTM), with high blood pressure; I’ve been on BP medication for less than 1 year even though my blood pressure has been elevated for years, and overweight (5’1, 220lbs). In this time three blood draws have been done in order or draw my creatinine has been 1.36, 1.39 and 1.26; BUN has been 10, 10, 11 making BUN/Creatinine Ratio 7.4, 7.2, 8.7. My question is, if this is anything to have concern over and to seek out a nephrologist’s assistance. I have not been confident in the doctor’s actions the two times I have seen him but do not know what to do next. Thank you for any guidance you are able to provide.

I am not able to make a specific diagnosis based on the information that you present. I also think you need further testing that might include a helical computerized axial tomogram (CAT) scan and looking for kidney stones. An ultrasound … Continue reading

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