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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Small Left Kidney, No Problem In Left Side Body Part. Recommendations?

HI Im Roberto Dela Pena of Philippines,My problem is i have a small left kidney,it was found during my first medical test which KUB is mandatory,the doctor found out that my left kidney is small it was 2007 ago,can you explain me about this situation because everytime when i conduct a medical exam for work abroad they always found thesame result small left kidney,but i did not experience any trouble in my left side body part,can you explain me about this one,here is my e-mail add: robertodela YYYY@YYYY , Thank very much,more power to all of you..
Mon, 6 May 2013
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General & Family Physician 's  Response
Hi

Thanks for your query.

Uni-lateral small kidney is usually acquired after a disease affecting it. In your case, you may correlate with your past medical history. In such a case the other kidney enlarges to compensate for the function. Thus the person has no problems from it.

Sometimes it is present since birth. Then it is called as congenital hypoplasia. The pelvocalyceal system is small and usually opacified in intravenous urography. Again compensatory hypertrophy of the contralateral kidney happens. Associated anomalies of kidney are present.

You may watch for symptoms of urinary tract infection and other kidney disorders as it may affect the function of the other kidney.

Take care.

Dr Vaishalee
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General & Family Physician Dr. S. Jegadeesan's  Response
Hi,
You say that you have a small kidney on the left compared to the right sided kidney. You say that it was found by KUB area by - X-Ray, USG or CT. Don't worry. Do a Intravenous pyelogram, which will reveal the % of the function of the left kidney. If that kidney functions 100% don't bother, leave it. If the function is impaired, assess the cause and treat accordingly. Periodical assessment of your hematological value of urea and creatinine (kidney function) is a must. You know very well for an individual one kidney is enough to fulfill the excretory function. The causes of small kidney may be congenital (dysplastic Kidney or followup of inflammatory condition like pyelonephritis.
So leave your worries, find out the cause if it is normally/poor not functioning and take treatment accordingly.
Best wishes.
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Small Left Kidney, No Problem In Left Side Body Part. Recommendations?

Hi Thanks for your query. Uni-lateral small kidney is usually acquired after a disease affecting it. In your case, you may correlate with your past medical history. In such a case the other kidney enlarges to compensate for the function. Thus the person has no problems from it. Sometimes it is present since birth. Then it is called as congenital hypoplasia. The pelvocalyceal system is small and usually opacified in intravenous urography. Again compensatory hypertrophy of the contralateral kidney happens. Associated anomalies of kidney are present. You may watch for symptoms of urinary tract infection and other kidney disorders as it may affect the function of the other kidney. Take care. Dr Vaishalee