HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

How To Cope With Side Effects Of Cystectomy?

I was suffering from Bladder Cancer, so my bladder was removed and a neo bladder has been created by doctors. I am having severe pain at the right side of my abodoman, near Kidney which is not working according to the doctors. The renal function of my right kidney is 4% and Left kidney is 87%. This pain goes to my leg also. As per yesterday s urine report : My RBC is 8-10 HPF and Pus Cells in urine are 40-75 WBC/HPF Proteins present 2+ and ESR is 105 (blood). for the last more than 10 days I have lost my appetite, I do not feel like eating. All the time i feel uncomfortable with pain in right side of my abdomen and also in my right leg.
Tue, 31 Mar 2020
Report Abuse
General Surgeon,  's  Response
Hello,

* The pain involving right flank region with urine report suggestive of severe urinary tract infection (40-75 white cells per high power field) is most likely due to possible hydronephrosis or pyelonephritis condition.

* As the right kidney function is greatly hampered, there are all high chances of getting infection in ascending way via urinary infection.

My guidelines at present

- plenty of liquids and maintenance of hydration
- control of blood sugar
- urine culture report for pathology diagnosis of micro organism responsible for the infection and accordingly decision of intravenous or oral antibiotics as per the susceptibility pattern
- avoidance of certain analgesic as diclofenac or ibuprofen which may hamper kidney function further

- additional reports of total wbc count in blood with serum creatinine
and blood urea are of paramount importance.

Kindly provide further reports available with you for better correspondence ahead in this regard.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Bhagyesh V. Patel
I find this answer helpful
Note: For further follow up on related General & Family Physician Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
How To Cope With Side Effects Of Cystectomy?

Hello, * The pain involving right flank region with urine report suggestive of severe urinary tract infection (40-75 white cells per high power field) is most likely due to possible hydronephrosis or pyelonephritis condition. * As the right kidney function is greatly hampered, there are all high chances of getting infection in ascending way via urinary infection. My guidelines at present - plenty of liquids and maintenance of hydration - control of blood sugar - urine culture report for pathology diagnosis of micro organism responsible for the infection and accordingly decision of intravenous or oral antibiotics as per the susceptibility pattern - avoidance of certain analgesic as diclofenac or ibuprofen which may hamper kidney function further - additional reports of total wbc count in blood with serum creatinine and blood urea are of paramount importance. Kindly provide further reports available with you for better correspondence ahead in this regard. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Bhagyesh V. Patel