Category Archives: Urological Issues

Dear Sir, Take my cordial respect. I am from Bangladesh. My mother is suffering acute kidney problems. She is 54 years old. She is also a patient of diabetic for 24 years above and taking insulin two times daily. Urine infection was occurred past days and water comes in her body, especially in her belly now. She has also high blood pressure. Now she is taking drugs as doctor’s suggestion but improvement is not showing. If you want, I can send her drug list. In this situation, I need your suggestion. With best regards.

I am not able to recommend medical treatment without performing a complete history and physical examination. Treatment of the urine infection and monitoring of her kidney function should be performed by the physicians caring for your mother. Further treatment will … Continue reading

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

This is being written just having been diagnosed with Chronic Kidney Disease Stage 3 Glomerular Filtration Rate. I have gas coming from my vagina for several months. At the time I first noticed it, I just discounted it. I have just gotten Internet this past month and started to look up ’gas in urine’ and was surprised to learn this is for real. I also have yeast infection. On that note, I had been well since before July 2018. Unusual amounts of rain flooded my basement this past year. Mold/fungi developed and air quality tests showed aspergillus and basidispores very prevalent in my house. I needed to move out but five months too late. Remediation has taken place where I lived before. Health issues developed skin, rash, watery eyes, and much more. This was the time when urinating bubbles/foam appeared in the toilet. This recent diagnosis CKD Stage 3 needs health care. I need advise as to who knows how to treat this and also the provider be aware of the fungi that I breathed for 5 months. Thank you for this opportunity to express myself on this matter.

Your primary care physician (PCP) should be the first person to review your history and provide a complete examination. You should also have a urinalysis performed to confirm if this is air coming out in the urine or are the … Continue reading

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

Father is 92. Home bound. Has had a catheter for over 5 years. Limited kidney function but urine output is good and shows no sign of infection. But he is experiencing bladder spasms. He is on the correct diet; using cranberry juice, no caffeine, no salt, no sugar etc. Believe spasms from catheter irritation and maybe from a low dose of furosemide 10 mg/daily. Has constipation on and off and have tried and are using Miralax, Mylanta and gas and bloating pills over the counter as doctor suggested. Has slight reddish color to urine/blood, but not bad, it has been worst in the past. No smell or signs of urinary infection. Drinking plenty of cranberry juice and water. How can we reduce the spasms more? They are worst right after a catheter change (but doesn’t start till about 10 hours later) and are reduced over time. Yesterday, we almost had to go to the ER because he couldn’t deal with the pain. He had a surgical procedure while in the hospital 2 months ago due to blood clots/and full blockage after a change where they cleaned out the bladder. Had residual clots for about 3 weeks after that. He feels good about a week before the cath change is due and then has to go through all this again once the cath change is done. We’ve tried different nurses, different urinary doctors, ER and etc. Is there any other things that we can try? I read that maybe Detrol/Norpamin, or maybe Buscupan may help. What do you think?

Bladder spasms in men are very common with long term indwelling bladder catheters. There are no good medications for this. In some cases, bladder suppositories containing narcotics have been used, but narcotics in the elderly commonly induce confusion and sedation. … Continue reading

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

I am contacting you on behalf of my daughter. She is 23 and has had chronic kidney infections since 6 Mos old. We have done vcug’s which initially showed reflux, but when the last one was done at 9 showed little to no reflux. She even tried prophalytic antibiotic treatment. That worked for a while. Finally at 17 she begged to stop looking for an answer. I relented but now she’s 23 and just let me know the problems are starting again. In November she was put on an antibiotic and it initially worked but as soon as she stopped taking them she had symptoms again. She was in the ER 2 weeks ago and was given an antibiotic infusion. She was then put on po antibiotics and finished those 7 days ago. Today she sent me this: “So about a week off of antibiotics and suddenly have some of the worst flank pain I’ve had. The adventure continues. I started hurting at like 2. When I’m laying down it’s minor pain, but when standing up it’s completely overwhelming.” Do you have any ideas? Anyone you can suggest she see? Any ideas would be greatly appreciated. Thank you for your time and consideration.

In most situations where bladder or kidney infections fail to clear, there is an anatomical problem with the urinary tracts. This comes under the expertise of a urologist. I am a nephrologist and I have no surgical expertise related to … Continue reading

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

My 3 year old daughter was diagnosed with extrarenal pelvis. She was seen in the ER in October for a severe UTI, since then she got UTI three more times! She had an ultrasound last week & that was how they discovered it. Her pediatrician said this isn’t a problem & won’t cause her to have more UTI’s? Should I take her to see a specialist? And will this affect her later on in life?

I am an adult nephrologist and do not see children. In this case, I suggest that your daughter see a pediatric urologist. It is true that an extra-renal pelvis does not typically cause any problems, however, if she is young … Continue reading

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

On 11-27-18 I had an MRI done to check the soft tissue damage in my lower back. Partially visualized on scout imaging is a T2 hyperintense lesion in upper pole of the left kidney measuring 2cm. Also partially visualized on scouting imaging is a T2 hyperintense lesion in the lower pole of the left kidney measuring 2.3cm. How critical are these? Will they continue to grow and how fast. Will they harm the kidney? If they need to be removed, is it risky operation? I have yet to talk to a surgeon about, I am looking for information before I do.

I am a nephrologist and have no surgical expertise. I have no expertise in the surgical evaluation of tumors of the kidney. I suggest you consult with a urologist. A urologist is a surgeon who deals with tumors of the … Continue reading

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

I have mild hydronephrosis with proximal hydroureter in left kidney and size is 12.7×4.9 cm.While I feel pain in lower abdomen as well in both kidneys. I took medicines but problem is still present. What should I do to determine the disease and treatment?

The problem that you describe is a urological problem. I am a nephrologist and have no surgical expertise. I suggest that you consult with a urologist, who is a surgeon and deals with blockages of the kidney. For general information … Continue reading

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

Hi my daughter is 3 she has had kidney hydrophonosis in her left kidney since I was 24 weeks pregnant. It was diagnosed as a common problem and she was put on trimethoprim from the day of birth. I was told every appointment it would go away; as she grew it never did. 4 weeks ago the consultant said to take her off her long term medication because the kidney swelling has been static for most of the 3 years and she has never had a urinary issue ever. When she came off she developed her first kidney infection 2 weeks after being taken off the antibiotics, this was her first ever urinary issue. She was put on co-amoxiclov for 3 days which clears it up within 3 days. She had another infection. She was then put on trimethoprim a higher dose for 3 days which hasn’t cleared the infection. She is in pain and has the doctors again tomorrow. Her urine has been consistently full of blood, protein, nitrates and leukocytes. I have been updating the consultant on how she is doing and that she is now suffering from repeated infections to which he states she needs consecutive infection to move onto any other plan of action. He will give me no answer as to when I have to let this continue to, she is ill and they won’t listen to me. Could you please give me an idea of what to do from here? And what might need to be done now? I’m so, so sorry this is so long but it’s so hard to watch her like this and have no help. Thank you.

I am an adult nephrologist and I have no expertise in the treatment of childhood urological illnesses. The problem that you describe is a urological disease and must be evaluated and treated by a urologist. I recommend that you consult … Continue reading

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

I have had 2 kidney stones, one that passed by itself and the other that had the shockwave treatment. I feel like I may have another one but I have noticed that when I urinated, the pain in my lower left side of my back came back. My question is when your bladder is full does the stone stop moving and causing pain?

I am a nephrologist and do not deal with active kidney stone disease. The question that you ask is a urological question and should be addressed to a urologist. I suggest that you consult with a urologist.

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

I recently had an ER visit and they did an ultrasound to check my gallbladder and such. They found a “complicated cyst 1.4cm” on my right kidney. In 2012 I had a CT done and the cysts at that time were “simple” and 9mm. The ER doctor recommends a CT scan to follow up but I have no health insurance. So it really isn’t an option at the moment. Should I be worried or will it be fine without having a CT?

I am unable to make a specific diagnosis based on the information that you present. The problem that you pose is a urological problem. Cysts of the kidney are usually evaluated by a urologist to see what kind of follow … Continue reading

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