You might want to ask a board certified urologist. I'm wondering if this might not be 'referred' or 'transferred' pain.
There are a LOT of structures in the abdomen, and some are on top of, or overlapping other structures. In some cases, a pain can arise from a source that is some distance from where it seems to be, due to the complicated way that the nervous system wraps around things. (For example, a slight upward pressure on the diaphragm, say, from an air bubble, can cause pain that seems to be in the upper chest, neck, or upper arm. I know that it seems weird but it is quite possible.)View Thread
I'm a bit baffled by the whole concept of buying reverse osmosis water that has calcium chloride and sodium bicarb added. The whole idea of reverse osmosis is to filter out a lot of solutes that would normally be present in water (elements like sodium, calcium, bicarbonate, and chloride, as well as many others like potassium, magnesium, zinc, just a whole list of stuff).
The short answer is that your bloodstream (and therefore the kidneys, as well as the other organs) depend on a proper balance of all of these elements. So unless a physician specifically instructed you to use reverse osmosis water, I think it is a huge waste of money and a potential health hazard.
The only way to be sure about the stuff added back into the R/O water (after being removed by the R/O) would be to consult a physician who has a current set of blood work on you. If reduced renal function is causing excess retention of or excretion of certain elements, that doc could advise you how best to treat any metabolic/chemical imbalances.View Thread
Unfortunately, "shock" is a fairly broad term: it could indicate loss of blood, it could indicate some type of generalized infection that affects organs and/or bloodstream, it could mean several things. Since the docs did not mention any reason to suspect blood loss, and we have only the antibiotic dose to suggest infection, it's just very hard to be specific without a lot of lab numbers and other data. We can't even say which is a bigger threat: the acute renal failure or the liver condition.
I'd suggest that you might want to be in the room the next time that she talks to a physician, ask questions, and take notes.View Thread
I think that drawing a direct link between physical activity and stone formation is not quite accurate.
But an indirect link is very possible: a lot of muscle movement could easily cause a previously unnoticed stone to shift position and suddenly become very painful. It may have been there for a long long time and was just hanging out in a place where it wasn't pressing on tissue or wasn't blocking urine outflow.
A second thing that you mention may also have had an effect: dehydration. Kidneys are the happiest when there is a LOT of fluid for them to work with. The sudden severe dehydration may not have been a cause, but even slight dehydration over the long term can often lead to stone formation. Several studies have shown that modern diets and lifestyles create slight to moderate dehydration in the vast majority of modern humans.View Thread
I have not had this type of growth, but in most cases they are considered benign, self-limiting, and seldom recur after excision.
I think that your urologist is wise to try to save the kidney via frequent monitoring to watch for any unusual changes.
I'd hope that soon doctors will quit "averaging" all diabetic patients into one big--and very inaccurate--group: all patients do not get the same complications at the same age, at the same rate, or at the same time. My retinas were getting bad by the time I was 18, and my kidneys failed at 39; I have no neuropathy at all. But I have a close friend of my age who has had terrible peripheral neuropathy for a more than decade, has had hips replaced due to avascular necrosis, but his eyes and kidneys are fine. No two people are the same.
So the only safe way to go about treating diabetic complications is to hope for the best outcome, but at the same time, plan for the worst. You really don't want to give up any functioning kidney tissue "just in case" something unexpected shows up later.
Watch and wait would be my advice.
(BTW: Something that I learned the hard way. Don't rely too much on the A1C by itself. If you have very high and very low blood glucose that fluctuates all over the place, then the A1C is not accurate. If your hemoglobin is at all suppressed, then the A1C will be falsely reduced. I spent years with a doc looking ONLY at A1C, without paying any attention to the concurrent level of HgB. The A1C measures glycosylated hemoglobin--glucose that bonds to hemoglobin--so if the HgB is low, then the A1C levels need closer scrutiny.)View Thread
Certain urinary infections can also cause blood and protein in urine. One might expect to also see leukocytes (actually leukocyte esterase) and elevated nitrates during a urinary tract infection, but the dipstick tests that this doc apparently used are really hypersensitive to certain things (like protein) and very frequently show false positive results.
Strenuous exercise can also cause traces of blood and protein to show up in a urine test. So can certain medications, including over the counter meds.
The only 100% sure test for infection is a urine culture, but it takes a few days and costs more for the doc to run, so very few of them take the trouble to use the best test available.
I wouldn't panic over this right now. follow up with the ultrasound, and if that looks clear, just keep an eye on future tests for anything suspicious.View Thread
This is a question for your doctor. It depends on several factors, especially on your blood pressure.
Most over the counter meds that have a 'decongestant' function tend to raise blood pressure, and that is something that you definitely do not want to risk with one kidney. (High blood pressure is the #2 cause of chronic renal failure in the US, diabetes is #1.)
There are other options for congestion, for example nasal saline sprays, or humidifiers. Less convenient maybe, but a lot safer.
I have one transplanted kidney, and my docs refuse to risk anything other than an occasional tylenol for colds/pain/etc.
While the one remaining kidney may look 'fine' right now, remember that you have given up a large part of the excess function, the margin of safety, the margin for carelessness, that most folks with two kidneys retain.View Thread
I've been dealing with doctors for one long term condition or another since I was 9; after 45 years of listening to docs, I have figured out that it is best to do as much reading and to learn as much as you can so that things seem to fit together into a more or less coherent whole.
I'm basically a science geek anyway, always have been. (I was the weird kid who just HAD to take the thermostat apart to figure out how it worked. LOL.) Chemistry, biology, anatomy and physiology just seem to sort of naturally make sense to me.View Thread
I'd start by asking the doc what the other lab numbers seemed to indicate, especially as the others relate to the 44 ml/min eGFR calculation. And if these tests were drawn fasting, nothing by mouth after midnight, how big an effect that slight dehydration might have had on the numbers.
Ask what, if anything, you can do to stabilize renal function: avoiding over the counter pain killers, lowering cholesterol and other dietary fats, improving cardiovascular condition, anything in your overall health that might have a long term effect on renal function.
Remember that the "44" is not really on a 0-100 scale. It may be slightly reduced from the ideal numbers, it isn't anything to panic over (anything over 60 is basically ignored because it is so 'normal' that it isn't worth mentioning). Just keep an eye on it as the years go by.View Thread
A definite yes. In fact the only way to diagnose kidney disease early is with lab tests. Humans are born with an excess of renal function, so by the time that physical symptoms show up, renal disease is farily advanced.
That said, basic lab tests generally use an eGFR (ESTIMAATED glomerular filtration rate). This test is a mathematical calculation based on other blood test numbers, so it is highly variable and less than perfectly accurate. In addition, and most docs won't bother to explain this, the number is NOT based on a 0 to 100% scale. The real GFR range is more like 15% to 60%. Anything higher than 60% isn't really worth measuring. (Note that on most tests, the highest number is not 100, it is "greater than 60 ml/min".)
The test can also be thrown off by slight dehydration, medications, low blood pressure, a whole lot of things.
Still, I would ask a lot of questions about a 44 ml/min score. Chronic renal disease has no 'fix'. Kidneys cannot repair themselves. So if there is some genuine concern, then the only way to go is to figure out what is the cause, treat that, and try to stabilize funtion where it is now.View Thread