If the onset was sudden, then it could be a case of acute renal failure, and this will often resolve, at least to a degree.
The causes are varied, but often are simple things: dehydration, over-use of over the counter pain relievers, overloading of dietary protein.Any of these three might be common with an athlete who is not under careful medical supervision. Physical trauma could also be a cause, but the degree of recovery would depend on the degree of tissue damage.
It would be good to know when his last blood work wasa (before this recent incident), and what the numbers were at that time.
The high blood pressure is a different matter: if the hypertension is a result of a temporary renal decline, then it is less worrisome than if the renal decline is a result of long standing hypertension. It can work both ways. I*f the hypertension cause teh renal dysfunction, then this is a case of chronic, not acute, renal disease, and the chances of reversal are not as good.View Thread
I can't give you a direct answer regarding the pain, other than to say that renal function and pain are very rarely connected, at least not directly connected. Most cases of renal failure, whether chronic or acute, are painless and are only found via lab tests or other symptoms like nausea.
So you need to ask the doctors what might be a cause of pain OTHER than the decreased GFR level.View Thread
Sorry, I just can't guess. The nephrectomy could be a partial, or a total removal. Docs often don't want to do a needle biopsy on a kidney, since the procedure could potentially spread a stray cancer cell to adjoining tissue.
They might want to do a PET scan, just to get more info, but they might decide that excision now is the way to go. Obviously it's up to you whether or not to do more tests.
Even if the recommendation is to remove the entire organ, as long as the other kidney is healthu, there may be no long term problem.View Thread
The trouble with "renal diets" is that there is no single food plan that suits every patient.
Some lose a lot of protrein, others don't. Some have chronically high potassium, some don't. The same for sodium. Calcium and phosphorus are a general problem, but not everyone responds to the same therapy in the same way.
When I was on dialysis, my diet changed a little nearly every week, depending on what the blood draws showed.
In general, pre-dialysis patients are advised to eat a low-protein, low-fat. low-potassium, low-phosphate diet. But this is really severe. Potassium is everywhere, so is phosphate.
All I can suggest is to slowly learn about where blood test numbers should be, and spend some time looking at lists of foods that are high (and low) in different nutrients.You'll eventually figure out if it's OK to eat spinach today, or if you have to stick with iceberg lettuce. A tomato, or celery. An orange or a tangerine. It's complex but it gets automatic with time.View Thread
Is her doc a board-certified nephrologist? If not, then get a referral to one.
Age is always a factor in considering transplant, but you didn't mention her age. But in general, I agree with you: I'd at least talk about the pros and cons, then maybe start working toward a complete workup.View Thread
Probably not, at least if your concern is cancer. A collection of complex cysts may need to be removed, especially if it's causing pain that can't be managed. But often they are left alone unless they are changing rapidly.
There are various renal cystic diseases that are more difficult to manage, but this doesn't sound like one of them, right now.
Some complex cysts are judged to be "pre-cancerous" and demand surgery, but this is a minority of cases.
Just follow up to get more detailed information.View Thread