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Suggest Treatment For Kidney Problems

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Posted on Sat, 20 Sep 2014
Question: hi i had twice sonography in 2 months time.in first time my right kedney measures 10.0 *4.2.there it was observed mild fullness of left pelvicalyceal system.few echogenic specs in renal sinus.No renass mass noted.

in second sonography my right kidney is 9.9*4.5 and left kidney is 7.4*3.5 smaller in size with mild prominence of pelvicalcyeal system.
impression- small left kidney with prominent pelvicalceal system
cystitis with significant PVRU S/O chronic retention

is it something very serious.can it be cured my medicines?
doctor
Answered by Dr. Sree Bhushan Raju (19 minutes later)
Brief Answer:
yes. You need to get investigated further

Detailed Answer:
Hi,
left small kidney was not healthy since a long time. Not every one will be symptomatic or manifest with some complaint when one kidney is affected. Unless the injury to left kidney is of such a long time, it is unlikely that it can produce "scarring" and damage the kidney so that it becomes small. It happens over a period of several years.
The mmost probable cause of small kidney one side in your case may be " VUR , means vesico-ureteric reflux, where in the urine goes up with force from the bladder the moment some one starts passing urine. It will injure the kidney and produces scar. The fullness of pelvi calyceal sysytem also suggests the same. You need to get further investigated especially MCUG test, which can demonstrate VUR, but only after few basic investigations. YOu can meet a local nephrologist and urologist
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
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Dr. Sree Bhushan Raju

Nephrologist

Practicing since :1994

Answered : 92 Questions

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Suggest Treatment For Kidney Problems

Brief Answer: yes. You need to get investigated further Detailed Answer: Hi, left small kidney was not healthy since a long time. Not every one will be symptomatic or manifest with some complaint when one kidney is affected. Unless the injury to left kidney is of such a long time, it is unlikely that it can produce "scarring" and damage the kidney so that it becomes small. It happens over a period of several years. The mmost probable cause of small kidney one side in your case may be " VUR , means vesico-ureteric reflux, where in the urine goes up with force from the bladder the moment some one starts passing urine. It will injure the kidney and produces scar. The fullness of pelvi calyceal sysytem also suggests the same. You need to get further investigated especially MCUG test, which can demonstrate VUR, but only after few basic investigations. YOu can meet a local nephrologist and urologist