Question
Dr. Shah,
Thank you for your time. I am a 40yr.f. *I take coumadin. About 10 days ago I fell very hard onto the corner of my dresser. It hit my kidney area. I developed a very lg. bruise almost immediately. By the next morning I was in agony and went to urgent care. I did have blood in my urine, no broken bones. I did not have any blood work, BUT was sent for a ct scan. The ct scan showed no bleeding or lacerations. Just a bruise. Now 10 days later I am still literally falling to my knees in pain. Everytime I move that area goes into spasm. I can't even lightly touch the area over my kidney without pain, it is so tender. I am currently taking oxycodone for the pain, but not sure it is doing much.
Here are my questions:
Should I have had blood tests to ck. my kidney function?
Should I go back and see my own doctor?
Is it normal to still be in so much pain?
Could it be more than a bruise?
Thank you so much for your time and expertise.
Answer
Hi Christine,
Thanks for asking my help on "Allexperts".
1. Yes, you should have blood tests for kidney function
2. Please go back to see your doctor. It is not OK to be still in so much pain. You probably have bruising of the internal back muscles.
Sincerely,
Dr. Shah
Tuesday, March 16, 2010
kidney pain
Question
dear sir!
my name is mir saadat ali ,iam 31 years old. iam in state of TN, I Just move here , sir i have kidney pain 3 or 4 years before in state of maryland very strong pain at night time ,go to hospital doctors say after the check up they said you have kidney stone but its remove already to your urine.
today AUGUST 17,2009 LAST THREE days again start kidney pain in my left side pain is low but when i breath its heart and still pain i took mortrin tablets but still pain i drink alot of water .
And when i sleep left side no pain ,but i try to sleep stright it pain and if i try to sleep right side its start pain,
iam also dibatic.please help me i dont have any insurance ,cant afford it please help me
my phone number is : if you want to call me
thank you very much if you give me some medicin or you time
Answer
Hi Mir,
Thanks for asking my help on "Allexperts".
This forum is not a substitute for medical care provided by a doctor. A careful history, physical examination, lab tests and imaging of the urinary tract are required to diagnose your condition. Unfortunately, I cannot do that over the internet.
Please get yourself evaluated by a medical doctor at a nearby university hospital. Some university hospitals may be able to help uninsured patients in an emergency.
Sincerely,
Dr. Shah
dear sir!
my name is mir saadat ali ,iam 31 years old. iam in state of TN, I Just move here , sir i have kidney pain 3 or 4 years before in state of maryland very strong pain at night time ,go to hospital doctors say after the check up they said you have kidney stone but its remove already to your urine.
today AUGUST 17,2009 LAST THREE days again start kidney pain in my left side pain is low but when i breath its heart and still pain i took mortrin tablets but still pain i drink alot of water .
And when i sleep left side no pain ,but i try to sleep stright it pain and if i try to sleep right side its start pain,
iam also dibatic.please help me i dont have any insurance ,cant afford it please help me
my phone number is : if you want to call me
thank you very much if you give me some medicin or you time
Answer
Hi Mir,
Thanks for asking my help on "Allexperts".
This forum is not a substitute for medical care provided by a doctor. A careful history, physical examination, lab tests and imaging of the urinary tract are required to diagnose your condition. Unfortunately, I cannot do that over the internet.
Please get yourself evaluated by a medical doctor at a nearby university hospital. Some university hospitals may be able to help uninsured patients in an emergency.
Sincerely,
Dr. Shah
Low GFR
Question
Dr Shah,
My low GFR was discovered while going in to get a neck MRI two months ago. It was 40. I am a 55 year old white female, about 30 pounds overweight. I've been having low abdominal and left side back pain for about a month and was told I had a rectocele that was causing my pain. All my lab work has come back normal. My creatinine is 1.03. No protein and nothing else abnormal. My doctor did put me on Hydrochlorothyazide for a year due to slightly elevated blood pressure (I am also on lopressor 50mg) but my blood pressure is under control. She took me off of the HCTZ last month and she said that the low GFR is a result of being on the HCTZ. Should I be concerned and request an appointment with a nephrologist?
Thank you!!
cyn
Answer
Hi Cynthia,
Thanks for asking my help on "Allexperts".
I have not heard of HCTZ causing a fall in GFR. However, an eGFR must always be seen in light of a suggestive history and physical examination findings. If you do not have symptoms of kidney disease, I'd not be worried too much.
Just make sure you are in regular follow up with your primary care physician.
Sincerely,
Dr. Shah
Dr Shah,
My low GFR was discovered while going in to get a neck MRI two months ago. It was 40. I am a 55 year old white female, about 30 pounds overweight. I've been having low abdominal and left side back pain for about a month and was told I had a rectocele that was causing my pain. All my lab work has come back normal. My creatinine is 1.03. No protein and nothing else abnormal. My doctor did put me on Hydrochlorothyazide for a year due to slightly elevated blood pressure (I am also on lopressor 50mg) but my blood pressure is under control. She took me off of the HCTZ last month and she said that the low GFR is a result of being on the HCTZ. Should I be concerned and request an appointment with a nephrologist?
Thank you!!
cyn
Answer
Hi Cynthia,
Thanks for asking my help on "Allexperts".
I have not heard of HCTZ causing a fall in GFR. However, an eGFR must always be seen in light of a suggestive history and physical examination findings. If you do not have symptoms of kidney disease, I'd not be worried too much.
Just make sure you are in regular follow up with your primary care physician.
Sincerely,
Dr. Shah
Variation in Serum Creatinine
Question
Hi,
My wife had a renal transplant about 2.5 months ago. Her creatinine was varying between 1.1 to 1.3 but after adjustments of immuno-suppressants, it was stable at 1.18-1.2. Now recently her white blood cells count has decreased and the creatinine level has gone up to 1.36. As per recent investigations, her c0 and c1 levels have also decreased a lot. Please advice as to what may be the cause for it and how can it be treated.
Thank you.
Answer
Hi James,
Thanks for your question on "Allexperts".
Low levels of immunosuppressants can trigger a rejection, resulting in an elevated serum creatinine. On the other hand, too high immunosuppression or very severe infection can result in low white cell count.
If blood levels of cyclosporine/tacrolimus are not helpful in diagnosing the condition, a biopsy of the transplanted kidney may be required.
Please discuss the situation with your wife's transplant nephrologist.
Sincerely,
Dr. Shah
Hi,
My wife had a renal transplant about 2.5 months ago. Her creatinine was varying between 1.1 to 1.3 but after adjustments of immuno-suppressants, it was stable at 1.18-1.2. Now recently her white blood cells count has decreased and the creatinine level has gone up to 1.36. As per recent investigations, her c0 and c1 levels have also decreased a lot. Please advice as to what may be the cause for it and how can it be treated.
Thank you.
Answer
Hi James,
Thanks for your question on "Allexperts".
Low levels of immunosuppressants can trigger a rejection, resulting in an elevated serum creatinine. On the other hand, too high immunosuppression or very severe infection can result in low white cell count.
If blood levels of cyclosporine/tacrolimus are not helpful in diagnosing the condition, a biopsy of the transplanted kidney may be required.
Please discuss the situation with your wife's transplant nephrologist.
Sincerely,
Dr. Shah
protein in urine
Question
I am a 60 year old female with lupus. Received results of various test and the Doctor said everything was fine. At home I saw that my total protein was 20.0 mg/dl range of 0.0-15.0 and creatinine was 345.6 mg/dl range 15.0-278. The protein/creat ratio was 58 mg/g range 0-200. Should I be concerned, how can the Doctor say everything is fine when I am excreting protein?
Answer
Hi Patti,
Thanks for your question on "Allexperts".
Protein/creatinine ratios for follow up must always be viewed in light of earlier results. What were your earlier values?
Your results show that you are excreting about 58 mg of albumin in your urine in 24 hours. This value, although higher than 20, still falls in the microalbuminuria range.
If you are on medication for lupus, I do not see a need to be alarmed.
Sincerely,
Dr. Shah
I am a 60 year old female with lupus. Received results of various test and the Doctor said everything was fine. At home I saw that my total protein was 20.0 mg/dl range of 0.0-15.0 and creatinine was 345.6 mg/dl range 15.0-278. The protein/creat ratio was 58 mg/g range 0-200. Should I be concerned, how can the Doctor say everything is fine when I am excreting protein?
Answer
Hi Patti,
Thanks for your question on "Allexperts".
Protein/creatinine ratios for follow up must always be viewed in light of earlier results. What were your earlier values?
Your results show that you are excreting about 58 mg of albumin in your urine in 24 hours. This value, although higher than 20, still falls in the microalbuminuria range.
If you are on medication for lupus, I do not see a need to be alarmed.
Sincerely,
Dr. Shah
Kidneys GFR
Question
My kidney GFR is 30 mL/min, up from a low of 23 mL/min.
My weight, blood pressure, cholesterol, triglycerides, protein are all in normal range. I follow a kidney diet to the letter,
and in the last 3 months I have lost 25 pounds and reduced my
BUN fro 2.8 to 2.1. How do I raise my GFR.
Also I take aspirin solely as a heart disease preventative (I have no heart problems ). Is aspirin dangerous to my kidneys ?
Answer
Hi George,
Thanks for your question on "Allexperts".
What is the cause of low GFR? If you have chronic kidney disease (CKD), then I am afraid it is not possible to increase GFR. Measures to slow down the progression can certainly be tried based on the cause of CKD.
Aspirin is not dangerous for your kidneys.
Sincerely,
Dr. Shah
My kidney GFR is 30 mL/min, up from a low of 23 mL/min.
My weight, blood pressure, cholesterol, triglycerides, protein are all in normal range. I follow a kidney diet to the letter,
and in the last 3 months I have lost 25 pounds and reduced my
BUN fro 2.8 to 2.1. How do I raise my GFR.
Also I take aspirin solely as a heart disease preventative (I have no heart problems ). Is aspirin dangerous to my kidneys ?
Answer
Hi George,
Thanks for your question on "Allexperts".
What is the cause of low GFR? If you have chronic kidney disease (CKD), then I am afraid it is not possible to increase GFR. Measures to slow down the progression can certainly be tried based on the cause of CKD.
Aspirin is not dangerous for your kidneys.
Sincerely,
Dr. Shah
Creatinine
Question
Dear Sir,
My fathers right kindey was removed due to some extra mass(tumor )on the lower pole of the kidney last year in june 08.according to the doctors it was not initally affecting him but might would have grown and penetrated its root in the renal area.A week before my father took a complete health test in which his creatinine level has come to be 1.5 fasting and the refrence range of that labortary is in between 0.5 to 1.3.Also in the ultrasound test 2 minor stones have been discovered of 2mm and 3mm each.i am worried if there is any problem which has againg started.Kindly suggest what should be done.My fathers age is 52 and has a muscular body.He has sugar as well (123 fasting)the test we performed.Kindly tell me what precautions should be taken and who can be consulted for this
Answer
Hi Pushp,
Thanks for your question on "Allexperts".
A careful history, physical examination, lab tests and imaging of the urinary tract are required to diagnose your father's condition. Unfortunately, I cannot do that over the internet.
Please get your father evaluated by a Nephrologist.
Sincerely,
Dr. Shah
Dear Sir,
My fathers right kindey was removed due to some extra mass(tumor )on the lower pole of the kidney last year in june 08.according to the doctors it was not initally affecting him but might would have grown and penetrated its root in the renal area.A week before my father took a complete health test in which his creatinine level has come to be 1.5 fasting and the refrence range of that labortary is in between 0.5 to 1.3.Also in the ultrasound test 2 minor stones have been discovered of 2mm and 3mm each.i am worried if there is any problem which has againg started.Kindly suggest what should be done.My fathers age is 52 and has a muscular body.He has sugar as well (123 fasting)the test we performed.Kindly tell me what precautions should be taken and who can be consulted for this
Answer
Hi Pushp,
Thanks for your question on "Allexperts".
A careful history, physical examination, lab tests and imaging of the urinary tract are required to diagnose your father's condition. Unfortunately, I cannot do that over the internet.
Please get your father evaluated by a Nephrologist.
Sincerely,
Dr. Shah
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