Question 1

I have an 8mm stone in the upper pole of my kidney and a 9mm stone at the vesicoureteric junction. Can these stones be treated without surgery?

Accepted Answer

The 8mm stone in the upper pole kidney and the 9mm stone at the vesicoureteric junction (VUJ) may be treatable without surgery, depending on symptoms and stone composition; options include Extracorporeal Shock Wave Lithotripsy (ESWL) to break down the stones, or medical expulsive therapy (MET) with medications like alpha-blockers to help pass the stones naturally; however, consult a urologist to determine the best course of treatment based on your specific situation.

Question 2

Hi Doctor, Ive been noticing albumin in my urine for about a month now, with levels ranging between 1+ to 2+. Recently, the albumin level dropped to less than 1++. Sometimes, it still shows 1+ or 2+. Could this indicate a problem with my kidneys or u...

Accepted Answer

This can be a sign of kidney damage or dysfunction. To help reduce the albumin in your urine and protect your kidneys, you can take medications such as ACE inhibitors like Enalapril 10mg once daily or ARBs like Losartan. It is important to also follow a low-salt diet and stay hydrated. Regular follow-up with your healthcare provider is recommended to monitor your kidney function.

Question 3

Hello, I have a 17 mm gallstone in my gallbladder, but I'm not experiencing any pain right now. I'm 42 years old, and I know surgery is likely necessary at some point, but Im wondering if I should go ahead and have the operation now or if its okay to...

Accepted Answer

Given your situation, it's essential to consider the risks and benefits of immediate versus delayed surgery.Risks of Delayed Surgery1. Increased risk of complications: A 17 mm stone is considered large, and delaying surgery may lead to complications, such as:- Gallstone pancreatitis- Cholecystitis (inflammation of the gallbladder)- Jaundice2. Potential for stone growth: The stone may continue to grow, making it more challenging to remove and increasing the risk of complications.3. Risk of gallbladder cancer: Although rare, a large stone like yours may increase the risk of gallbladder cancer.Benefits of Immediate Surgery1. Reduced risk of complications: Removing the stone and gallbladder now can prevent potential complications.2. Less risk of stone growth: Removing the stone now will prevent it from growing larger and causing more problems.3. Improved quality of life: Surgery can alleviate anxiety and concerns about potential complications.RecommendationConsidering your age and the size of the stone, it's recommended to undergo surgery as soon as possible. The risks of delayed surgery outweigh the benefits of waiting.

Question 4

I have an 11mm kidney stone on the left side, and my doctors have suggested Laser Surgery (RIRS). I want to know if lithotripsy can be done instead of RIRS for my kidney stone.

Accepted Answer

Lithotripsy can be a suitable option for treating kidney stones, including stones of 11mm size. Extracorporeal Shock Wave Lithotripsy (ESWL) is a non-invasive procedure that uses shock waves to break down the kidney stones into smaller pieces that can be passed out in the urine. However, the effectiveness of lithotripsy depends on the composition and location of the stone. It is best to consult with your doctor to determine the most appropriate treatment option for your specific case.

Question 5

Can a urine dysmorphic RBC test confirm if the blood in the urine is coming from the renal or urethral region? I had 10-12 cells per hpf in my urine initially, but when I gave a sample for this test 4 days later, it showed only 1-2 cells per hpf, so ...

Accepted Answer

Yes ideally Dysmorphic RBCs indicate renal problem,but in your case as it is an incidental finding for once and is not continuing you can ignore it,if you are woried visit Nephrologist for evaluation and appropriate management

Question 6

I've been dealing with high blood pressure for the past couple of weeks, and I've been measuring it every day. It's around 190/110, even though I'm taking Telmisartan 40mg. My blood pressure hasn't really improved. I also had some tests done, and my ...

Accepted Answer

Uncontrolled High Blood Pressure and Laboratory Results_Concerns and Recommendations_1. _Uncontrolled hypertension_: Despite taking Telmisartan 40mg, your blood pressure remains elevated (190/110). This requires immediate attention to prevent cardiovascular complications.2. _Kidney function_: Your creatinine level (1.8) is slightly elevated, indicating potential kidney impairment. The high potassium level in your urine and proteinuria (2484) also suggest kidney damage.3. _Albumin levels_: Your albumin level (3.3) is within the normal range, which is a positive sign.4. _Vitamin B12 deficiency_: Your vitamin B12 level (82) is below the normal range (200-900 pg/mL), which may contribute to fatigue, weakness, and neurological symptoms._Recommendations_1. _Consult a cardiologist or nephrologist_: Schedule an appointment with a specialist to reassess your hypertension management and kidney function.2. _Adjust medication regimen_: Your doctor may consider adding or adjusting medications to better control your blood pressure and protect your kidneys.3. _Lifestyle modifications_: Implement lifestyle changes, such as:- Reducing sodium intake- Increasing potassium-rich foods- Engaging in regular physical activity- Maintaining a healthy weight- Getting adequate sleep4. _Vitamin B12 supplementation_: Discuss vitamin B12 supplementation with your doctor to address the deficiency.

I have an 8mm stone in the upper pole of my kidney and a 9mm stone at the vesicoureteric junction. Can these stones be treated without surgery?

I have an 8mm stone in the upper pole of my kidney and a 9mm stone at the vesicoureteric junction. Can these stones be treated without surgery?

Consult Top Nephrologists

Dr. Hareesha Babu K

Dr. Pardha Saradhi

Dr. Aswini Kumar Panigrahi

D. Akshay Zalavadiya

Related Questions

Hi Doctor, Ive been noticing albumin in my urine for about a month now, with levels ranging between 1+ to 2+. Recently, the albumin level dropped to less than 1++. Sometimes, it still shows 1+ or 2+. Could this indicate a problem with my kidneys or u...

Hello, I have a 17 mm gallstone in my gallbladder, but I'm not experiencing any pain right now. I'm 42 years old, and I know surgery is likely necessary at some point, but Im wondering if I should go ahead and have the operation now or if its okay to...

I have an 11mm kidney stone on the left side, and my doctors have suggested Laser Surgery (RIRS). I want to know if lithotripsy can be done instead of RIRS for my kidney stone.

Can a urine dysmorphic RBC test confirm if the blood in the urine is coming from the renal or urethral region? I had 10-12 cells per hpf in my urine initially, but when I gave a sample for this test 4 days later, it showed only 1-2 cells per hpf, so ...

I've been dealing with high blood pressure for the past couple of weeks, and I've been measuring it every day. It's around 190/110, even though I'm taking Telmisartan 40mg. My blood pressure hasn't really improved. I also had some tests done, and my ...

Nephrology

Get medicines delivered in 2 hrs