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question:Hello Doctor, I am Vinod from UAE. I am having kidney stone from the last two months with a size of 2mm. Presently am taking plenty of water and also taking systone tablets. It seems that the stone is still remaining as it is and I am facing severe pain time to time. I would like to hear your advise in this regard. Kindly expedite.
answer:Hello Vinod and welcome to HCM. As an Urologist,i can understand your anxiety.You should've written your age and if you've done ultrasound or CT.Ideally,with recurrent pain,you should have a CT-IVU or a plain CT-KUB.A 2mm stone alone can't usually cause severe pain,as you've written.Drink about 12 to 15 glasses fluids daily.You should do the following tests :1. blood routine,creatinine,RBS,uric acid,LFT,and platelets.2. plain CT-abdomen. Take potassium magnessium citrate MB6 tablets daily.If you've any doubt,send all the reports to me,as a direct question.Dr.Matthew J. Mangat.
question:hello DR my father is a diabetic patient for the last 30 years right now he has some problem with his kidneys in test result we could see that CREATININE is 5.5 and the blood urea has gone over 200 docters sugest the next stage of treatment is only dialysis his age is 60 is there any side effects in doing dialysis what tretment can be done to avoid dialysis
answer:Hello and welcome to HCM. As an Urologist,i can understand your anxiety.Your father has CKD (chronic kidney failure),due to diabetic nephropathy.You should've written his present medication,for expert opinion.Anyway he has two options : 1. Hemodialysis or 2. kidney transplantation.Kidney transplantation is the better option,with better quality of life.Dialysis is done in two ways : hemodialysis or PD (peritoneal dialysis).There's no side effects routinely. In the long run,some side effects are seen.If you've any doubts,send all reports,as a direct question to me.Dr.Matthew J. Mangat.
question:HiMy father has been diagnosed with Chronic Kidney Disease, due to multiple cysts in both his kidneys. we started the treatment around 6 months back when the blood creatinine 3.2, inspite of the the medication and diet control, his creatinine level constantly increased and now the in the latest report taken yesterday it stands at 12.1. The blood urea is 138. Doctors have recommended dialysis and ultimately transplant. Is it the only way out? I have heard of newer techniques of transplant involving removal of spleen in the process also i have heard of use of embryonic stem cells. I came across an article on steroid free kidney transplant. Please guide me on the course of action to be followed.
answer:Hello and welcome to HCM. As an Urologist and kidney transplant surgeon,i can understand your anxiety. You've not written his age,which's important.In CKD,there are only two options: 1.Transplant or 2.Dialysis: hemo or PD.With the level of kidney function your father has,he will need hemodialysis.Then consider a transplant. Steroids are given routinely, initially.Recently,certain centers are trying to stop the steroids early,as it has side-effects. Other anti-rejection drugs are given for a lifetime,without steroids.If you've any doubts,send all reports, as a direct question to me.Dr.Matthew J. Mangat.
question:My father has been taking chemotherapy for cancer. He has cancer in his thyroid. Two weeks ago he was hospitalized for congestive heart failure. He is still in the hospital. Problem is he is retaining mass amounts of water. He has only one kidney. They have been restricting his water intake and administering lasiks to remove the water. But it isn't working. Any ideas as to what may be wrong?
answer:Hello and welcome to HCM. As an Urologist, i can understand your anxiety.Lasix is given to flush out excess fluids from the body.But if the kidney function is less,it can't be given,due to side-effects.As you've not written the kidney function reports,it's difficult to comment.If he's retaining fluids,he should get the following tests done :1. urine routine,culture and ACR.2. blood routine,creatinine,RBS, LFT,proteins and platelets.3. ultrasound scan of abdomen.He should restrict fluids,salt and protein intake.Dr.Matthew J. Mangat.
question:My daughter had kidney transplantation at the age of 4. She has been taking (sandimmun neoral solution) cyclosporin and azoran for the past 9 years. Initially doctors told us she would need to take the medication for at least 4 years, but now they say it is life long. How long does she need to take?
answer:Hello and welcome to HCM. As an Urologist and kidney transplant surgeon,i understand your anxiety.The drugs you've written are both anti-rejection medication.There're others like steroids,Mycofenolate mofetil,Tacrolimus,etc.These are given to prevent the organ from getting rejected by the body.Thus,it needs to be given lifetime,though the dosage may vary.Repeated monitoring of the kidney and LFT,with platelets and Hb is done.If you've any doubts,send them with reports to me,as a direct question.Dr.Matthew J. Mangat.
question:I found out about a week ago that I have a kidney infection and was put on antibotics. Since then I have had sex twice and both times have bleed during sex. I had an ablation about a year ago and dont have periods anymore so I know its not my period.
answer:Hello and welcome to HCM. As an Urologist,i can understand your anxiety.To confirm kidney infection,after examination by Urologist,do these tests :1. urine routine and culture.2. blood routine,RBS, creatinine,LFT,uric acid and platelets.3. Ultrasound -KUB or CT-IVU.According to reports,treatment is advised.Drink about 2 liters fluids daily.If you've any doubts,send the reports to me,as a direct question.Dr.Matthew J. Mangat.