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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Renal Scan Showing Perfusion In Kidney, Mild Cortical Thinning. Waiting To Get Cystogram Done. Suffering From Pain, Short Of Breath And Elevated Blood Pressure. Treatment?

I had a Renal Scan done which said that on my right kidney I have 35% Perfusion and 44% perfusion. mild Cortical thinning or scaring in the mid lateral kidney. Now I am just waiting to get another test done, a cystogram. I have been having pain for some time now. I also have stones that are hight up in my kidneys. But I know Im not passing them. I have passed stones before and this pain is different. This pain makes me feel week, it is more dull but at the same time it sometimes takes my breathe away. I have been a little short on breathe and my blood pressure use to be 115/77, last few months it has been 130 to 150 over 79 to 90, my heart rate has been from 110-143. I dont know if these symptoms are related to one problem. and how serious is the condition with my kidneys, what kind of treatment
Mon, 5 Aug 2013
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Nephrologist 's  Response
You have not mentioned if you have an obstruction due to the stones.
Most likely you are having it along with infection.
What are the findings of urine routine and culture tests.
The cortical thinning and scarring you mentioned is due to Chronic Pyelonephritis which is a result of persistant or recurrent infection of urinary tract and results in gradual damage to kidneys function.
Along with the cystogram get a urine culture done and decide further treatment accordingly.
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Renal Scan Showing Perfusion In Kidney, Mild Cortical Thinning. Waiting To Get Cystogram Done. Suffering From Pain, Short Of Breath And Elevated Blood Pressure. Treatment?

You have not mentioned if you have an obstruction due to the stones. Most likely you are having it along with infection. What are the findings of urine routine and culture tests. The cortical thinning and scarring you mentioned is due to Chronic Pyelonephritis which is a result of persistant or recurrent infection of urinary tract and results in gradual damage to kidneys function. Along with the cystogram get a urine culture done and decide further treatment accordingly.