Category Archives: Urological Issues

Good day. I have a kidney stone, very large in my left kidney. It’s only functioning 5 % and right kidney 95%. One doctor says to remove left kidney totally to save me trouble down the line. Next doctor says no I can live with the stone cause of it being large. I must have had it over 15 years. Not suffering until last year. I will be 60 yrs old in 3 months and suffer from high blood pressure / ptsd / hep C / medication taking is Prozac, Trazadone, Amlodipine/Ben 10/20. As of May 2 the urologist who wants to remove kidney treated me for infection and placed a stent in urethra. Please help me to do right choice. I had 5 surgery’s in past for child birth reasons. I don’t want to go under the knife again. Thank You

I am a nephrologist and as such I have no expertise in surgery. A urologist is a surgeon. The question that you ask is a urological question and I have no expertise in this area. Since you have two different … Continue reading

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

Is it really possible to use shock wave treatment when 8 cm stone were in the ureter? Is it not too risky for a patient who has a heart problem and is a senior citizen?

The question that you ask is a urological question. I am a nephrologist and have no surgical experience. An 8 centimeter stone is a very large stone to have in the ureter.  I recommend that you consult with a urologist … Continue reading

Posted in Ask the Doctor, Urological Issues

I have mild fullness of right pelvicalyceal system and left renal calculus.

I am unable to provide a specific diagnosis based on the information that you present. The problem that you describe may be a kidney blockage with a kidney stone. This is a urological problem. I suggest you consult with a … Continue reading

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

Hello doctor. I want to ask about my mom. She has a stone in the left kidney which has been removed but after some tests it has been configured that her left kidney is working only 20%. So doctors are advising to remove the left kidney because they consider 20% working as 0%. She also has diabetes & blood pressure problems. So please give some advise on what should we do? Should we operate or is there any other options like medications so that kidney can be healthy again and work properly.

The problem that you pose is a urological problem and a surgical problem. I am a nephrologist and do not perform any surgery. A urologist is a surgeon and advises about indications for surgery and kidney stone disease. In most … Continue reading

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

A recent abdominal ultrasound revealed that I have a “small 3mm cortical echogenic nodule in the mid right kidney laterally”. What is this and does it need further evaluation?

I am not able to make a specific diagnosis based on the information that you present. This is a very small nodule and should be evaluated by a radiologist or a urologist to see if further testing is indicated.

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

Dear Doctor, I am 36, height 5.4 feet, weight 154.324 lbs. I am worried because of my kidney related issues. Recently, I went for whole abdomen USG and the report I received there shows everything normal except Right Kidney with ” Multiple medullary cyst noted. Up to 17 mm, with thin fibrous septa within. One cyst noted at midpole.” Please suggest treatment and remedy for this problem.

I am unable to make a specific diagnosis without performing a complete history and physical examination. There is a condition known as medullary cystic disease which can be condition that you were born with. This can also be called unilateral … Continue reading

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

I have slight hyperparathyroidism but it is having an insignificant affect. I did a bone mass scan years ago that showed low density so I have been taking Calcium Supplements 810mg per day for a very long time. Could this have caused the two kidney stones I have now? I felt one of the stones travel from my kidney to my bladder. Is there a way to dissolve them a little so they are more smooth? Does Olive Oil lubricate the passage and make getting rid of the stone easier? On average how long will the stone bounce around in my bladder before it decides to exit? One stone is .6 x .8 cm and the other is .7 x .5 cm. How much trouble am I in? Will I need medical assistance to pass these stones? All my doctors will say is water and Tylenol.

In patients with hyperparathyroidism, kidney stones can be a result. Hence, the hyperparathyroidism plus your intake of calcium tablets could be responsible for your kidney stones. There are no medication that “partially dissolve” kidney stones. There are treatments that can … Continue reading

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

During the night I get up to urinate about 3-4 times, but towards the morning, my left side of the kidney hurts (like throbbing pain). It’s telling me to go to the bathroom. Not much urine is released but it feels a bit better (the pressure). That happens every 1/2 hour about 2-3 times then I need to get out of bed. What could it be?

I am unable to provide a specific diagnosis based on the information that you present. From the description, it sounds more like a bladder than a kidney issue. I suggest that you consult with your primary care physician (PCP). Bladder … Continue reading

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

Good Afternoon Doctor Spry! I was prescribed to take 100 mg of Fluvoxamine per day for two years and then shifted to 75 mg of Chlormipramine for 5 years. Later 40 mg of Fluoxetine per day for 13 years. For the last 14 months, it has been very difficult for me to feel when my bladder is full. Actually, when I am asleep, I cannot feel the need of urinating at all. Still, when I wake up in the morning, my kidney area hurts a bit. I am quite worried.

I am unable to make a specific diagnosis based on the information that you provide. I suspect you could have a problem with your bladder, but this must be evaluated by your physician. I am a nephrologist and have no … Continue reading

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

Hi. My 6 year old son has had a ultrasound on his kidney and they have found something. I’ve been told it’s not a cyst or stones and that it needs investigating. He will have another scan in 4 weeks time. He also has blood in his urine. Could it possibly be a tumor?

Masses and tumors of the kidney are within the scope of practice for urologists. I am a nephrologist and do not have any surgical expertise. A urologist is a surgeon and has expertise in regards to growths and tumors of … Continue reading

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