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"Because of the variability of symptoms and absence of consensus on diagnostic criteria, the exact prevalence of NCP is unknown but may be slightly higher in females.1 ,29 -31 Patients' age can range from childhood to the seventh decade of life, but most symptomatic patients are in their second or third decade of life; there may be a second peak of NCS in middle-aged women.3 Nutcracker phenomenon is not a hereditary phenomenon, although coincidental cases in siblings have been described." -- Kurlinski and Rooke, Mayo Clin Proc. 2010 June; 85(6): 552—559.
Takeyama, Bhatt, and Dogra said more or less the same thing in Appied Radiology, 2012;41(11):36a-36c.View Thread
The fact that it seems to be stable is a very good sign, but it is significantly lower than would be 'ideal' for an otherwise healthy person. And so it needs close monitoring, preferably by a board certified nephrologist.View Thread
Ask a physician who has read the radiology report and can actually look at the images.View Thread
The reason that percutaneous needle biopsy is often not used for kidneys is this: because of the texture of renal tissue and the location of the organs, there is a risk that---should the mass be malignant---there is a chance of spreading a few random cells around in the abdomen, and that poses a chance of creating metastatic problems where there was none before.
It's a case by case judgement for the urologist and the oncologist.View Thread
Procedures vary with the individual patient's anatomy.
IVP is intravenous pyelogram, an imaging procedure that outlines the urinary structures with dye so they show up better on an xray. Not usually a big deal.View Thread
So rather than working from one symptom backward, we need to get some solid lab test numbers to begin narrowing down the real cause.View Thread
It's probably a strained muscle. It might be a renal stone that is moving down the urinary tract, but those pains tend to be really sharp and spasmodic, not continually achy.
You'll probably need to ask a doctor if it does not subside in another day or two. You might try tylnol/acetaminophen for a day to see if it helps the pain (I cannot suggest advil/ibuprofen or aleve/naproxen because these are potentially more dangerous for some patients.)View Thread
Personally I try to limit all 'fake' or processed foods, most of them are just awful for your health. And I eat a LOT of fresh fruits and vegetables, and limit all meat sources.
But don't do anything drastic without the advice of your physician: it is easy to create electrolyte imbalances, and even minor malnutrition by trying fad or some wild special purpose diet.View Thread
Pains in the abdomen on their own are just not good indicators of the real source of a problem. The herniated are could be the cause, and could eventually (and suddenly) become quite dangerous, but so are other muscle tears, and I suppose that a recurrence of a mass might have happened (though with the CT done and no sign of it, that seems less probable).
But I wouldn't ignore it or just try to get by with pain killers. Whatever is the cause, you need some medical help to trackit down. And that probably isn't going to come from the ER; they just don't have the time or the staff to do detailed and thoughtful diagnostic work.View Thread
My son's story is similar. He is 8 now but I can offer what I know as of now. He had a robotic assisted laparoscopic pyeloplasty in May 2011. Since then, he has played tackle football and runs track. He has seen his specialist and had an ultrasound every 6 months because the hydro has still been there. This past week, he started having pain and nausea. After an ER trip, it looks like his hydronephrosis on the left has not changed at all since surgery. At this point, I am waiting forhis Dr from Children's Hospital to review the ER results. Next step will probably be another renal scan to determine if there is an obstruction new or the same. From my understanding and the reason we had the surgery is because once the symtpoms start, they only get worse. You already have one kidney that shows is working harder and will continue to do so as the function in the left decreases. Good luck to you. I hope I didn't freak you out completely.View Thread
It could come from the slow biuldup or urea and other waste products in the blood, or it could come from elevate phosphate levels, or both.
The doctor (nephrologist) should be discussing dialysis and/or transplant with her, and should consider a low phosphorus diet and oral phosphate binders to take.
Antihistamines will help for a while, but sooner or later even they will not work. The doc needs to be treating the root cause, not covering up the symptom of itching with antihistamines.View Thread
We have to assume that your serum creatinine would jump after the nephrectomy: your working with 30-50% less tissue very suddenly, overnight really.
Compensatory hypertrophy, increased size and nephron number in the remaining kidney, can take far longer than 3 or 4 months. Sometimes it continues slowly for a year or more.
So I wouldn't panic unless the serum creatinine is climbing steadily over the next 4 to 6 months. And it never gets back to 100% of what it was before; 65-75% of the previous level is often cited as the best you can get.
So give it time, and ask your doctor for more details (maybe a nephrologist not the oncologist),View Thread
Some renal patients lose more protein to urine than others; if your serum albumin and total protein is already low, then it is easy to bring on fairly serious malnutrition by restricting dietary protein. And that just makes everything worse.
Some patients are advised to try a lowered protein diet, but for others it is really dangerous. Get your doctor's advice.View Thread
I appreciate your help... thanks again... bob...View Thread
As for her health history, she had a mesh "hammock" placed in about a couple of years ago for her bladder, had a stint placed in one of her arteries in her neck and has had constant back issues, it's obvious that her back issues are from 30 plus years of factory work, and doctors keep sending her back to work but she always ends up getting sent home because she cannot lift anything. Recently they diagnosed her with Pleurisy and so far that seems to be gone but a lot of the pain that came with it is still there. So it's hard to find out where the source is coming from. The doctors thought that her issues were not severe enough to operate though we know they are. She has had blood in her urine as well. She's to the point of giving up, but I can't stand to see her in constant pain, any insight would be helpful!View Thread
There are some newer findings about specific autoantibodies that are connected to MGN, but I'm not up to date on all of that. Maybe ask your nephrologist about it.View Thread
It also could be totally coincidental.
The fainting/blackouts on standing sounds more like a blood pressure problem (orthostatic hypotension). Without knowing his entire medical history and current medications, I can't guess how likely that might be. But definitely report it to the doctor.
In the meantime, to avoid falls and injury, don't get up too fast: move from lying down, to a sitting position and let the blood pressure adjust. Then slowly try to stand up. If he feels dizzy or faint, sit back down and get some help to get to your feet.View Thread
. I ALWAYS hurt and ALWAYS are tired. Hopefully, you will reply back. By the way,yes I did finish school,worked for 10 yrs & then had to retire.View Thread
Her doctor is giving us two options for corrective surgery. 1)Deflux gel 2.) or corrective surgery. Deflux gel is obvioulsy less invasive, but am worried that since she has a double ureter problem it will not be as successful as just having one because even though the Stage 4 might be reduced to a Stage 2, it would still really be a Stage 4 assumung both tubes reduce to a stage 2. So really it doesn't help with her situation. Can anyone help with what option is best recommened? I'm not just worried about her now, but also for future problems as an adult. Im trying to research options but not really getting anywhere.
Any advice is appreciated. Thanks.View Thread
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