apollo
  1. Home
  2. Speciality specific Q&A
  3. Nephrology
  4. Kidney Problems

Kidney Problems and related queries

Banner

Frequently Asked Questions

I'm a 21-year-old male, and Ive noticed that whenever I drink a lot of water, within 15 to 30 minutes, I feel desperate to pee and cant hold it for long. I end up peeing 2 to 3 times in an hour. Also, if I eat more than usual, I immediately feel the need to go to the bathroom. I have a 7mm kidney stone, and my doctor suggested drinking more water. But this frequent urination happens when I drink or eat more. Could this be a sign of diabetes, or is it related to the kidney stone?

Possible Causes_1. _Kidney stone_: The 7mm stone in your kidney might be causing irritation, leading to frequent urination.2. _Overhydration_: Drinking excessive water can put pressure on your kidneys, leading to frequent urination.3. _Gastrointestinal issues_: Eating more food than usual can put pressure on your digestive system, leading to frequent bowel movements and urination.4. _Other medical conditions_: Certain conditions like diabetes insipidus, overactive bladder, or urinary tract infections (UTIs) might also cause similar symptoms._Diabetes Symptoms_While your symptoms don't directly point to diabetes, it's essential to be aware of common diabetes symptoms:Increased thirst and hungerFatigueBlurred visionSlow healing of cuts and woundsTingling or numbness in hands and feet_Next Steps_1. _Consult your doctor_: Discuss your symptoms with your doctor, especially the kidney stone and frequent urination.2. _Get a urine test_: A urine test can help identify any underlying infections or conditions.3. _Monitor your symptoms_: Keep track of your symptoms, including when they occur and any potential triggers.

Last updated on 18 Dec 2024

Share

Hi doctor, Ive been experiencing frequent urination, usually about 15 to 20 minutes after drinking water. At the end, I have to forcefully pass the remaining urine. I also have a dull pain in my lower right abdomen that sometimes extends to my penis, but it eases after a while. It feels like theres some swelling inside the lower right side of my stomach. What could be causing this?

Urinary Tract Infection (UTI)_: Frequent urination, dull pain in the lower abdomen, and pain radiating to the penis are common UTI symptoms.2. _Kidney Stone_: The pain in your lower right abdomen and feeling of swelling could indicate a kidney stone.3. _Prostatitis_: Inflammation of the prostate gland can cause frequent urination, pain in the lower abdomen, and pain radiating to the penis.4. _Intermittent Bladder Obstruction_: Forcibly urinating to pass urine completely might indicate a blockage in the bladder._What to Do_1. _Consult a urologist_: Schedule an appointment with a urologist to discuss your symptoms and determine the underlying cause.2. _Urinalysis and imaging tests_: Your doctor may order a urinalysis, ultrasound, or CT scan to diagnose the issue.3. _Stay hydrated_: Continue drinking plenty of water to help flush out your system._When to Seek Immediate Attention_1. _Severe pain_: If your pain worsens or becomes unbearable.2. _Blood in urine_: If you notice blood in your urine or semen.3. _Fever or chills_: If you develop a fever or chills, which could indicate an infection

Last updated on 18 Dec 2024

Share

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 wait for some time, maybe even up to a year. The stone is quite large, but since Im not in pain, Im unsure what the best course of action is. Should I get it done now or can I delay it without any major risks?

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.

Last updated on 18 Dec 2024

Share

Ive been having severe pain in my lower left abdomen that radiates towards the groin. After a USG, it was found that I have a 5.9 mm calculus in the left mid ureter (around the L5-S1 level), along with mild hydronephrosis and dilatation of the left upper ureter. The urologist advised urgent ureteroscopy, but I decided to try some home remedies. I had another USG done after 10 days, and the report still shows the same size stone in the left lower ureter, causing mild hydronephrosis and proximal hydroureter. Id prefer to try medication if possible instead of proceeding with ureteroscopy. Any suggestions on how to manage this with medication?

Given your situation, medication can be explored as an alternative to ureteroscopy, but it's essential to consult your urologist for personalized guidance.Medication Options1. Alpha-blockers: Medications like Tamsulosin (Flomax) can help relax the muscles in the ureter, allowing the stone to pass more easily.2. Pain management: Your doctor may prescribe pain medication to manage discomfort and pain associated with the stone.3. Muscle relaxants: Medications like Diazepam (Valium) can help relax the muscles in the ureter and reduce spasms.Monitoring and Follow-up1. Regular ultrasound: Schedule regular ultrasound check-ups to monitor the stone's movement and kidney function.2. Blood tests: Regular blood tests can help monitor kidney function and detect any potential complications.3. Symptom monitoring: Keep track of your symptoms, including pain, nausea, and vomiting, and report any changes to your doctor.When to Consider Ureteroscopy1. Severe pain: If your pain becomes unbearable or persists despite medication.2. Infection: If you develop signs of infection, such as fever, chills, or burning during urination.3. Kidney damage: If your kidney function deteriorates or you experience severe hydronephrosis.

Last updated on 18 Dec 2024

Share

Hi, my father has chronic kidney disease and is on alternate day dialysis. He eats 8-10 raw almonds every day. Is it okay for him to continue eating almonds, or is it harmful for CKD patients? Also, is eating black grapes safe for him?

As a CKD patient on dialysis, it's essential to monitor your father's diet to ensure it's not exacerbating his condition._Almonds for CKD Patients_Eating almonds can be beneficial for CKD patients in moderation. Almonds are a good source of:1. _Protein_: Can help maintain muscle mass.2. _Healthy fats_: May help reduce inflammation.3. _Fiber_: Can aid in digestion and blood sugar control.4. _Antioxidants_: May help reduce oxidative stress.However, it's crucial to consider the following:1. _Phosphorus content_: Almonds are relatively high in phosphorus, which can be problematic for CKD patients. Excessive phosphorus consumption can lead to hyperphosphatemia, which can worsen kidney function.2. _Potassium content_: Almonds are also a good source of potassium. While potassium is essential, excessive intake can be harmful for CKD patients, potentially leading to hyperkalemia.Given your father's dialysis schedule, it's recommended to limit his almond intake to 1-2 ounces (28-57g) per day, approximately 1-2 almonds._Black Grapes for CKD Patients_Black grapes can be a healthy addition to your father's diet in moderation. They are rich in:1. _Antioxidants_: May help reduce oxidative stress and inflammation.2. _Fiber_: Can aid in digestion and blood sugar control.3. _Potassium_: While potassium is essential, CKD patients should monitor their intake to avoid hyperkalemia.However, it's essential to consider the following:1. _Resveratrol content_: Black grapes contain resveratrol, a polyphenol that may interact with certain medications, including blood thinners.2. _Sugar content_: Grapes are relatively high in natural sugars, which can impact blood sugar control.In moderation, 1/2 cup of black grapes (about 80g) per day is a reasonable serving size for your father.

Last updated on 18 Dec 2024

Share

Ive been diagnosed with a urinary tract infection, and my test results show many pus cells, occasional epithelial cells, and a few gram-negative bacilli, with E. coli being isolated and a colony count of over 100,000/ml. Whats the best way to treat this, and how serious is it? Should I be worried about the high colony count?

Urinary tract infections (UTIs) can be uncomfortable and painful. Based on your test results:_Gram Stain Results_1. _Pus cells_: Indicates a significant infection.2. _Occasional epithelial cells_: Normal finding.3. _Few gram-negative bacilli_: Suggests a bacterial infection._Culture Results_1. _E. coli_: A common cause of UTIs.2. _Colony count > 100,000/mL_: Indicates a significant bacterial load._Treatment Recommendations_1. _Antibiotics_: Your doctor will likely prescribe antibiotics to treat the E. coli infection. Common options include:- Nitrofurantoin- Trimethoprim-sulfamethoxazole- Ciprofloxacin2. _Duration of treatment_: Typically 7-14 days, depending on the severity of the infection and your overall health.3. _Pain management_: Your doctor may recommend pain relievers, such as acetaminophen or ibuprofen, to help manage discomfort.4. _Hydration_: Drink plenty of water to help flush out the bacteria.5. _Urinary analgesics_: Medications like phenazopyridine can help relieve burning sensations during urination._Follow-up_1. _Complete the antibiotic course_: Finish the full treatment course, even if symptoms improve before completing the medication.2. _Follow-up urine culture_: Schedule a follow-up urine culture to ensure the infection has cleared.

Last updated on 18 Dec 2024

Share

My father has 2+ albumin in his urine, and hes also diabetic and has high blood pressure. Can you suggest precautions or lifestyle changes to help control this and prevent further complications?

With 2+ albumin in urine, your father's kidneys are leaking protein, which can be a concern for diabetic and BP patients. Here are some precautions to help control albuminuria:Lifestyle Changes1. Blood Pressure Control: Ensure your father's BP is well-controlled (target <130/80 mmHg) through medication and lifestyle changes.2. Blood Sugar Control: Maintain good blood sugar control (HbA1c <7%) through diet, exercise, and medication.3. Dietary Changes: Encourage a kidney-friendly diet:- Reduce protein intake (0.8-1 gram/kg body weight/day)- Limit sodium intake (<2 grams/day)- Increase potassium-rich foods (fruits, vegetables)4. Stay Hydrated: Encourage your father to drink plenty of water throughout the day.5. Regular Exercise: Encourage regular physical activity, like walking, to help control BP and blood sugar.Medication Adherence1. ACE Inhibitors or ARBs: Ensure your father is taking an ACE inhibitor or ARB medication, which can help reduce proteinuria.2. Diuretics: If prescribed, ensure your father takes diuretics as directed to help control BP.Monitoring1. Regular Urine Tests: Schedule regular urine tests (every 3-6 months) to monitor albumin levels.2. Blood Tests: Regularly check blood sugar, BP, and kidney function (eGFR) to ensure they're within target ranges.3. Kidney Function Tests: Schedule regular kidney function tests (every 6-12 months) to monitor kidney health.

Last updated on 18 Dec 2024

Share

I recently had a urine culture done at a local lab, and it showed 80,000 E. coli count. Ive had this issue before, and a few months ago, the same lab gave the same result. I was prescribed antibiotics for two weeks, and after a short break, I did another urine culture test, but it still showed E. coli. The urologist changed my medication, but now its back again.I also had an ultrasound KUB, and it came out normal. I did a semen culture, which showed another infection, and after more antibiotics, it still showed an infection. The urologist here is unable to figure out whats going on.Ive been having sharp pains in my abdomen and rectum sometimes, and my urine has a bad smell. Im really worried about this recurring infection. Can you suggest any further tests or possible reasons why the E. coli keeps coming back, and why the semen culture keeps showing infections? What should I do next?

It sounds like you're dealing with a persistent E. coli infection that may not have fully cleared despite antibiotics. Chronic or recurrent infections can be due to incomplete treatment, an underlying issue like a urinary tract abnormality, or antibiotic resistance. It's important to consider a urine culture with antibiotic sensitivity testing, possibly imaging studies beyond ultrasound (like CT or MRI), and reviewing the semen culture results to address any underlying causes. A urologist or infectious disease specialist could help explore further options.

Last updated on 18 Dec 2024

Share

My daughter has high blood pressure, and we recently found out she was born with only one kidney. Despite following strict food and lifestyle restrictions, her creatinine levels keep increasing. Right now, her creatinine is at 2.3. She is taking Olmezest 40, Moxovas 0.3, and Folvite. What can be done to slow down the rise in her creatinine levels and manage her high BP better?

Based on your daughter's condition:Key Concerns1. High creatinine levels: 2.3 is elevated, indicating impaired kidney function.2. High blood pressure (BP): Uncontrolled BP can further damage the single kidney.3. Single kidney by birth: Increased risk of kidney damage and disease progression.Medication Review1. Olmezest 40: Olmesartan, an angiotensin receptor blocker (ARB), helps control BP.2. Moxovas 0.3: Moxonidine, a central alpha-2 adrenergic agonist, helps lower BP.3. Folvite: Folic acid supplement, often prescribed for patients with kidney disease.Recommendations1. Consult a nephrologist: A kidney specialist can provide personalized guidance and adjust medications as needed.2. BP monitoring and control: Regularly monitor BP and adjust medications to achieve optimal control (<130/80 mmHg).3. Dietary modifications: Follow a kidney-friendly diet, including:- Low protein intake- Low sodium intake- Increased omega-3 fatty acids- Adequate hydration4. Lifestyle changes: Encourage your daughter to:- Maintain a healthy weight- Exercise regularly (consult with a nephrologist)- Avoid smoking and secondhand smoke5. Regular kidney function tests: Monitor creatinine levels, electrolytes, and urine protein regularly to assess kidney function.6. Consider additional medications: A nephrologist may recommend medications like ACE inhibitors or beta-blockers to further control BP and slow kidney disease progression.Next Steps1. Schedule an appointment with a nephrologist.2. Discuss medication adjustments and additional treatment options.3. Implement dietary and lifestyle changes to support kidney health.

Last updated on 18 Dec 2024

Share

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 creatinine level is 1.8, urine protein is 2484, albumin is 3.3, and my vitamin B12 level is 82. What could be causing these issues, and what should I do next?

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.

Last updated on 18 Dec 2024

Share

Hi, my blood creatinine level is 5.91 mg/dl, and both of my kidneys have shrunk in size. My blood pressure and sugar levels are normal, and I dont have any major diseases, but Ive been dealing with bone pain in my body. The doctor said my kidney function is at 5-10% and prescribed some medicine for a month. After that, well see if I need to start dialysis. Im feeling really frustrated and anxious about all this. Can you give me some advice on what I should do or what to expect?

Elevated Blood Creatinine and Reduced Kidney Function_Interpreting test results:_1. _High creatinine levels_: 5.91 mg/dL indicates impaired kidney function.2. _Shrunken kidneys_: Reduced kidney size suggests chronic kidney damage.3. _Limited kidney function_: 5-10% functioning kidneys indicate severe impairment._Advice:_1. _Follow doctor's advice_: Complete the prescribed 1-month medication course.2. _Lifestyle modifications_: Implement changes to slow disease progression:- _Dietary changes_: Limit protein, sodium, and potassium intake.- _Stay hydrated_: Drink plenty of water.- _Exercise regularly_: Engage in moderate physical activity.- _Manage bone pain_: Discuss pain management options with your doctor.3. _Prepare for potential dialysis_: Understand the dialysis process and its implications.4. _Seek emotional support_: Share your concerns with family, friends, or a counselor._Consult a nephrologist:_1. _Specialized care_: Consider consulting a nephrologist for expert guidance.2. _Treatment options_: Discuss potential treatment options, including dialysis, transplantation, or conservative management.

Last updated on 18 Dec 2024

Share

Hi doctor, Ive been having fever for the past 5 days, with temperatures ranging from 102 to 103.4, and a constant unbearable headache at the back of my head. I recently did a urine test that showed 25-30 RBC per HPF. Im wondering if the fever is caused by the RBC in my urine or if its the other way around. I consulted two doctors: one asked me to get all blood and urine tests done, and the other suggested I retake the urine test. Right now, Im taking medications like Switch 200, Aceclofenac and Paracetamol (Alock P), and Cefpodoxime Proxetil Tablets (Switch 200). However, as soon as the medicine effect wears off, the fever comes back, and Paracetamol hasnt been very helpful for my headache either. I tried Ibugesic Plus which gave me some relief for about 5 hours, but the fever and headache come back. The retest results will only come on Tuesday, but in the meantime, Im really worried and need advice on what could be going on.

Could indicate a possible urinary tract infection (UTI) or kidney infection. The fever is likely not directly caused by the RBC in your urine, but rather both symptoms may be due to an underlying infection. Since your symptoms are persisting and the fever returns when the effect of the medicine wears off, it is important to follow up with your healthcare provider for further evaluation and management. If the current treatment is not providing adequate relief, your doctor may need to reassess your condition and consider adjusting your medication regimen or ordering additional tests. It is crucial to complete the prescribed course of antibiotics and continue taking the medications as directed until you receive further guidance from your healthcare provider. In the meantime, make sure to stay well-hydrated, get plenty of rest, and monitor your symptoms closely. If your fever persists or worsens, seek medical attention promptly.

Last updated on 18 Dec 2024

Share

Nephrology

Choose the doctor

Book a slot

Make payment

Be present in the consult room on apollo247.com at the time of consult

Follow Up via text - Valid upto 7 days

Get medicines delivered in 2 hrs

Access past pharmacy bills for easy reorder.