Category Archives: Urological Issues

My MRI results are paraspial soft tissues demonstrate partial hemorrhage left renal cyst measuring at least 7 cm. What does this mean and could it be something bad?

I am unable to make a specific diagnosis without knowing your complete history, performing a complete examination and reviewing the magnetic resonance imaging (MRI) results.  I suggest that you review the results with your physician or perhaps consult with a … Continue reading

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

Dr. Spry, if a CKD patient’s Urologist and Nephrologist are both negative towards making improvement with their disease does the CKD patient have the right to replace them with new doctors?

You can always seek a second opinion in regards to treatment.  That is every patients right.  

Posted in Chronic Kidney Disease, Kidney-Related Health Questions, Nephrologist, Symptoms and Side Effects, Treatments, Urological Issues

My doctor just prescribed trimethoprim 100mg for 3 months with follow up in 9 months. The reason why I went to doctor, blood in urine, fever (high many times) lower back pain. I am a non smoker & non drinker – 48 years old – female – diabetes & high blood pressure. Kidneys MRI t1 hyperintense t2 hypointense no definite enhancement is seen – most consistent with a complex hemorrhagic cyst 8mm to 9mm mid kidney well circumcised mass in the left mid kidney suggesting small hemorrhagic lesion. CT 1.1cm hyper-dense focus at mid left kidney with mild enhancement. Liver MRI mild signal loss in the liver consistent with fatty infiltration and mild sparing in the medial segment of the left lobe.

I am unable to make a specific diagnosis based on the information that you present.  The studies that you mention suggest a problem in your left kidney, but I cannot make a definitive diagnosis.  I suggest that you consult with … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Treatments, Urological Issues

My son is suffering with vomiting after taking food. He suffering with stomach pain sometimes. Now he is 3years old. I contacted with children doctor. He told to take scan. After I take scan reports, he told me stone is found in RT KIDNEY. That report showing 2.9 cm calculus. Doctor told to give him plenty of water and fluid give good result for my son. Please kindly give me your valuable result to cure soon for best results.

The question that you ask is about kidney stone disease and this is usually addressed to a urologist.  I am a nephrologist and do not care for kidney stone disease.  Your son should be seen by a urologist and evaluated. … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, Kidney Stones, Kidney-Related Health Questions, Laboratory Testing, Treatments, Urological Issues

Had a CT Urogram which showed both ureters are dilated to the bladder which may relate to distal urethral stricture formation. Then had a Mag3 with Lasix Nuclear scan with no evidence of obstruction. My urologist wants to do a uroscopy to check for stones or tumor. Why would I need this procedure when the Nuclear scan shows nothing?

The question that you ask is a urological question.  I am a nephrologist and do not perform surgery or cystoscopy.  You should ask your urologist about this problem.  A urologist is a surgeon and deals with obstruction of the kidney … Continue reading

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

After removal of stone from my left kidney naturally, I observed frequent drops of pus. I consulted with kidney specialists at SIUT Karachi Pakistan. They, after a series of tests declared that my left kidney has got infection, according to report, Daie Cell observed 0.3%, Tissues 0.2%, Creatinine 2.9, Pus18%, Platelets in blood reduced to 2200, Ultrasound revealed that left kidney collapsed by 0.3 cm. I am feeling pain and pus+ blood mixed drops are continuously discharging. The tests also revealed the presence of infection in cum-discharge. Doctors suggests two options to me. One to immediately remove this infected kidney, the body will be maintained on one kidney which is healthy. Second to undergo Laser Cystoscopic Surgery, in which infected part of your kidney will be cut-cleaned and cured for infection, the option being not available in Pakistan. I was advised to go UAE for this operation. My question to this worthy forum is to suggest me if the treatment of infected kidney is better option or the simply removal of kidney is good one. I am in doubt if this infection may re-occur even after having Laser Surgery..? An early reply is appreciated, please.

The question that you ask is a urological question.  I am a nephrologist and have no expertise in surgery or surgical treatment of kidney disease.  I suggest that you consult with your urologist, who is a kidney surgeon. If you … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Nephrologist, Symptoms and Side Effects, Treatments, Urological Issues

I have a friend with severe pain in her back, left side. A CT scan showed a 2 cm cyst. She had an ultrasound and they diagnosed it as Indeterminant left renal lesion. She has had pain off an on for a few years. 2 years ago, this cyst was 1 mm. Her pain is very real and severe. At this time, they do not intend to do anything. Is there any other reason she would have this pain? She does have blood in her urine but according to the doctors, no infection. I am very worried about her and think there should be a next step.

A simple cyst on a kidney does not ordinarily cause pain.  I suggest that you consult with a urologist about further studies to be done on the lesion that has been identified on the left kidney.  I am a nephrologist … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney Cysts, Kidney-Related Health Questions, Nephrologist, Symptoms and Side Effects, Treatments, Urological Issues

My Grandfather has CKD. Usually his baseline creatinine is 2.7. Sometimes his creatinine goes as high as 3.5. Sometimes it goes back to 2.7. He has ureteral stents inside to protect his kidneys from a blockage and hydronephrosis. He’s had his latest stents in since Dec 2016. Scheduled to have them replaced this month. Latest labs shows creatinine gone up again to 3.4. Could this be from the stents being in too long this time? They’ve been in this time about five months. Or is it something else? What can my Grandfather do to get his creatinine back to baseline? Can a fresh stent replacement this month cause the creatinine to go down again? Or will creatinine rise higher?

Long term ureteral stents are commonly changed every 3 to 6 months.  This is a procedure performed by a urologist.  This is done to prevent the build up of scale and calcium on the stents that may cause further blockage … Continue reading

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

My 91 year old mother had 2 UTIs in January. She saw a urologist in late February. He referred her to a nephrologist who diagnosed her with stage 3 kidney disease in March. We have seen a rapid decline in her cognitive function since the first UTI (3 month time period). Is there a correlation between kidney disease and cognitive function? We keep asking about dementia and additional tests that should be run. We are told by the SN facility that there is nothing more they can do and they have no explanation for her sudden onset dementia.

Dementia is common in the elderly and may be worsened by infections of any kind, including urinary tract infections (UTI’s).  Early stage chronic kidney disease (CKD Stage 3) should not be a cause of dementia.  I can only suggest that … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, GFR, Kidney-Related Health Questions, Laboratory Testing, Nephrologist, Symptoms and Side Effects, Urinary Tract Infection/Pyelonephritis, Urological Issues

My 95 year old mother had a CT scan last August, then an ultrasound in Jan of this year. Her symptoms were daily mild nausea, lack of appetite, hard little stomach (but she also has extreme kyphosis due to multiple compression fractures over the last 5 or 6 years). The report showed an 8.4cm cyst on her uterus, which she doesn’t have, so PA nurse explained it must be on her bladder. The ultrasound in Jan. showed it had grown to 9.6cm and that report called it a mass. She has started getting a pain in her groin from time to time that is relieved when she urinates. Both reports showed hydronephrosis of one kidney. Her blood work is good but about 9 months ago her potassium was up slightly and they had monitored that. In the past 3 or 4 months she has developed really bad edema in her legs and feet; she had always had some, mostly her ankles and feet but now its that way well above her knees. She has gone from hovering at about 98 -100 lbs to 115 at an appointment earlier this week. That appointment was with her Primary doctor. I hand delivered the reports (which had been done by a gastro doctor) and called many times to ask if she was going to refer my mom to a urologist. I kept getting the answer that they were waiting for more information from the gastro doctor. I finally got her an earlier than usual appointment to come in to see the Primary doctor and she said very little about the reports of the cyst/mass and concentrated on the fact that her blood work and recent urinalysis was all good. My mother has atrial fibrillation and sees a cardiologist also. I asked did she also need to see her cardiologist sooner than her regular appointment, 2 months away. She said no, that she would prescribe a stronger diuretic, and suggested another ultrasound in about 6 weeks to monitor the cyst/mass (almost 10 cm!) Should I just make an appointment for her with a urologist myself? Am I overreacting? I know my mother would not put herself through surgery, she has said so, so is it reasonable for her doctor to feel like there is nothing to do for her so why send her and increase her anxiety about it all. I almost get the feeling that the doctor, who both my mother and me have always liked, thinks she is at the end so just let it all be. What should I do?

The question that you ask is a urological question.  I am a nephrologist and have no experience with surgical evaluation and treatment of kidney tumors.  This should be directed to a urologist who is a surgeon.  Evaluation of masses and … Continue reading

Posted in Ask the Doctor, Symptoms and Side Effects, Urological Issues