Q: I'm really worried about this pain I've been having in my kidney area. It's been going on for the past three years, and I just don't know what to do anymore. Along with that, I've been needing to urinate a lot more frequently, and there's this severe pain in my legs, especially in my leg fingers. It's really affecting my day-to-day life. Can you suggest what might be going on or what steps I should take next?

1. *Nephrologist or Urologist*: Consult a nephrologist (kidney specialist) or urologist for a comprehensive evaluation. 2. *Imaging Tests*: Undergo imaging tests like ultrasound, CT scans, or MRI scans to assess your kidneys and urinary tract. 3. *Blood Tests*: Get blood tests to check for kidney function, electrolyte levels, and potential infections. 4. *Pain Management*: Discuss pain management options with your doctor, such as medication or alternative therapies. *Potential Causes* 1. *Kidney Stones*: Recurring kidney stones could be causing your symptoms. 2. *Urinary Tract Infections (UTIs)*: Frequent UTIs might be contributing to your issues. 3. *Kidney Disease*: Underlying kidney disease, such as polycystic kidney disease, could be the culprit. 4. *Other Medical Conditions*: Certain conditions, like multiple sclerosis or peripheral artery disease, might be causing your leg pain. *What to Do Next* 1. *Schedule an Appointment*: Book an appointment with a nephrologist or urologist as soon as possible. 2. *Keep a Symptom Journal*: Record your symptoms, including when they occur, how long they last, and any potential triggers. 3. *Stay Hydrated*: Drink plenty of water to help flush out your system.

Question 1

I'm really concerned because my loved one has been diagnosed with pyelonephritis along with bilateral pleural effusion at Wockhardt Hospital on Mira Road. I'm wondering if we should seek a second opinion before starting any treatment. Do you think it's necessary to confirm the diagnosis with another doctor, or should we trust the findings and proceed with the treatment plan they've suggested? Any advice on how to handle this situation would be appreciated.

Accepted Answer

do CT scan and consult others physicians

Question 2

I'm a bit worried about my diabetes and recent test results. My urinary microalbumin creatinine ratio test shows a microalbumin concentration of 76.43, urinary creatinine concentration of 19.31, and a microalbumin creatinine ratio of 395.80. I've been taking mucinac 600 tablets, but I haven't seen any improvement. How can I lower these levels?

Accepted Answer

Your microalbumin-to-creatinine ratio (395.80) indicates early signs of diabetic nephropathy; to reduce microalbuminuria, focus on tight blood sugar control, aiming for an HbA1c < 7%; also, consider the following: maintain optimal blood pressure control (

Question 3

I'm really worried about this pain I've been having in my kidney area. It's been going on for the past three years, and I just don't know what to do anymore. Along with that, I've been needing to urinate a lot more frequently, and there's this severe pain in my legs, especially in my leg fingers. It's really affecting my day-to-day life. Can you suggest what might be going on or what steps I should take next?

Accepted Answer

1. *Nephrologist or Urologist*: Consult a nephrologist (kidney specialist) or urologist for a comprehensive evaluation.
2. *Imaging Tests*: Undergo imaging tests like ultrasound, CT scans, or MRI scans to assess your kidneys and urinary tract.
3. *Blood Tests*: Get blood tests to check for kidney function, electrolyte levels, and potential infections.
4. *Pain Management*: Discuss pain management options with your doctor, such as medication or alternative therapies.

*Potential Causes*

1. *Kidney Stones*: Recurring kidney stones could be causing your symptoms.
2. *Urinary Tract Infections (UTIs)*: Frequent UTIs might be contributing to your issues.
3. *Kidney Disease*: Underlying kidney disease, such as polycystic kidney disease, could be the culprit.
4. *Other Medical Conditions*: Certain conditions, like multiple sclerosis or peripheral artery disease, might be causing your leg pain.

*What to Do Next*

1. *Schedule an Appointment*: Book an appointment with a nephrologist or urologist as soon as possible.
2. *Keep a Symptom Journal*: Record your symptoms, including when they occur, how long they last, and any potential triggers.
3. *Stay Hydrated*: Drink plenty of water to help flush out your system.

Does diabetes cause the loss of protein in urine?

With time, raised blood sugar can damage blood vessels in the kidneys as well as nephrons leading to kidney damage and presnce of protein in urine may be the first sign.

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