Category Archives: Urological Issues

Have had annual MRI’s of abdomen. Have found kidney cysts that have been stable. However, this time it shows, kidneys: Interval increase in size and complexity of the left lower pole cyst with new, thin septations and persistent, layering T1 hyperintense, T2 hypointense debris, measuring 3.8 x 3.3 cm. What does this mean?

The question that you ask is a urological problem. I am a nephrologist and have no surgical expertise. A urologist is a surgeon and deals with complex cysts of the kidney. You will need to consult with your physician about … Continue reading

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

I am 75 years old, 20 lbs over weight for being 6 ft. tall. Ten days ago I passed a LOT of blood, with some large blood clots. Blood passing stopped in about six hours, and I had no pain at all. I have the mega good fortune to be in Reno, and the VA hospital here is wonderful. Had a cat scan a few days ago, and doctor’s review says: “Bilateral kidney subcentimeter low-attenuation foci are to small to diagnosis, but statistically represent cysts. Right kidney larger fluid attenuation non enhancing simple cysts. Right kidney upper pole non obstructing nephrolithiasis.” Cysts are reported in several places on the net as not a huge deal, unless they get huge? I go back to see the urologist in a couple weeks. Will put a camera up the tube to look around; worthwhile, or not?? THANKS MUCH MUCH FOR YOUR service to us all!!!!!

The problem that you describe is a urological problem. I am a nephrologist and have no surgical expertise. A urologist is a surgeon and deals with bleeding of the lower urinary tract. I suggest that you continue to consult with … Continue reading

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

My father in law is 79 years old. He has CHF, kidney failure, he is a diabetic and now we find he has bladder cancer. What is the risk factors for him? With his health being so bad, I do not think the outcome is so good. I do not think he would make it through the treatment. Whats your advice?

I am a nephrologist and do not treat bladder cancer. Bladder cancer is usually treated by a urologist. A urologist is a surgeon and deals with the urinary tract. Bladder cancer treatment is not particularly stressful. I suggest you consult … Continue reading

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

My 20 year old son went for a CT scan due to left quadrant pain. The Dr thought he was constipated. Barium and IV injection done during CT. Came back not constipated but incidentally the CT found enlarged bilateral kidneys and a 15 mm “cyst” on the left kidney. My mom, about 5 years ago, had her left kidney removed due to a tumor (and I am not sure of the pathology of that right now.) Since there is history and my son is only 20, should we consult with a urologist as the Dr doesn’t appear concerned but I am. The other concern I have is he has been having pain and upper back pain but did not put 2 and 2 together until after these results came back today. He works a very strenuous job and thought he had just pulled some muscles but with the pain, is this more concerning? Thank you for your time.

The problem that you identify is a urological problem. I am a nephrologist and do not have any surgical expertise. Cysts should be evaluated by ultrasound and computerized tomography (CT) scanning. Many times these can be determined to be benign … Continue reading

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

When they did an ultrasound, they found urine and gas is all built back up into my kidneys. How long should one wait to address the issue and take care of it? It’s been three days.

Gas should never be present in the kidney or urinary system and should be addressed immediately. I suggest that you consult with your physician as soon as possible.

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

I recently had several blood tests done and I found out that my albumin number was 116. My triglycerides were high too (300 I think). I am going to be referred to a nephrologist. What questions should I ask my nephrologist upon my first visit? I was told that my albumin should be less than 16; is this correct? Also, cancer (various types) run in my family and that we have a predisposed gene that makes us susceptible to cancer. (Kidney cancer is 1 of those.) Should I be concerned about this?

I am not sure what number you are referring to as your “albumin number”. Hence, I do not know what reference value to use. I am not sure whether this is albumin in the blood or albumin in the urine. … Continue reading

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

Age more than 50. Left kidney nonfunctional in medical report. Left renal pelvic calculus causing severe hydronephrosis with thinning cortex. Tell me treatment please?

The problem that you describe is a urological problem and should be evaluated by a urologist. I am a nephrologist and do not perform surgery. A urologist is a surgeon and deals with blockages of the kidneys. The description suggests … Continue reading

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

Two years ago I had a kidney stone that seemed to get lodged in the ureter, as that’s where my pain was, (front lower left) not back. Passed successfully at home. Now, I’ve had some dull flank/back pain on the same side for a couple of months now. (Intermittently, I have short pain in same spot as before, ureter) I went to the Doctor and had a urinalysis, showed some very light blood, not visible; but it was just a day or so before my period was to start, but I’ve had white flakey floaties in my urine, then and now still 6-8 weeks later. The back/flank pain is still dull, and intermittent, but present more than not. I’ve looked up causes of white flakey floaters, and I’m thinking more kidney as I’ve had kidney stones twice, once when I was pregnant in 2001, then in winter of 2016. I don’t take any meds or have any other health problems besides being slightly overweight. I do have low vitamin D, and tested depleted just before having stones in 2016 and was put on high dose of D supplements. (I quit taking after stones thinking there might be a connection) 48 year old female non-smoker. My Doctor thought with my history I might just be getting ready to pass a stone but it’s been 6-8 weeks; same symptoms. Is it worth going for another urinalysis? Her next thought was imaging which is expensive; CT. Any thoughts on the particles in urine and the length of symptoms? Appreciated!

I am unable to provide a specific diagnosis based on the information that you present. In order to provide a diagnosis, I would need to perform a complete history and physical examination as well as perform a urinalysis by personally … Continue reading

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

My kidney failed during pyeloplasty surgery. I found the surgery report and it mentions that my artery was severed twice and my renal veins were cut twice. I was given 3.7 units of blood during the surgery. This was done using robotic surgery and none of this was ever told to me. My gfr prior the surgery was 54 it is now 28. Can you help me with what might have caused this failure? Thank you,

I am a nephrologist and I have no surgical expertise.  In this situation, the only one who can answer your question is the urologist who performed your surgery.  A urologist is a surgeon.  You will need to discuss your surgery … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Symptoms and Side Effects, Urological Issues

Hello Dr, I am a 53 year old woman with years of neurological issues on my right side. I also have a right ectopic kidney which I wasn’t aware of until my thirties. I am currently experiencing deep right abdominal pain in the area where the kidney is located. I have had fibroids removed and my GYN doesn’t feel that my pain is GYN related, and my pain doctor isn’t sure my pain is neurological. My next step is to see a urologist. I feel the pain daily, especially if I exert myself, walk around in a store, drive, try to exercise, go up stairs, anything physical. Or live. I just want relief. Any thoughts? Also I am a fraternal twin.

Pain is a very unusual symptom for kidney disease. It can be seen with kidney stones, kidney infections and blockage of the kidney. This will require further testing to see what might be causing the pain. I suggest consultation with … Continue reading

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