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Suggest Treatment For Medullary Sponge Which Is Causing Kidney Stones
My daughter is 32 and she has medullary sponge so of course her body produces a lot of kidney stones. She has had 3 stones for the past three weeks that she has not been able to pass. Her current doctor told her to wait and that he could not blast them. He gave her an antibiotic to take for a month. This was last week. She now has an infection and a fever and the ER doctor gave her a different antibiotic. Her urologist told her to take the antibiotic and to come in when she is almost done and have more blood work done to see if the infection is gone. I would like some advice and I am looking for a new urologist for her- however I am not paying for and answer. I hope you can give me some help or a different direction we can go in. She has been suffering with this condition for several years. Thank-you a mom who only wants the best for her daughter.
Wed, 3 May 2023
Hi,
Medullary sponge kidney (MSK) is a congenital disorder that causes cysts or cavities to form in the inner part of the kidneys. These cysts make the kidneys more prone to forming kidney stones, which can lead to recurrent kidney stone episodes, pain, and kidney damage if not treated.
The current treatment for MSK is mainly focused on preventing and managing kidney stone formation. The treatment may include:
* Medications: The use of medications can help prevent the formation of kidney stones or dissolve them before they get too large to pass. Some commonly used medications for kidney stones include thiazide diuretics, citrate solutions, and allopurinol.
* Extracorporeal shock wave lithotripsy (ESWL): This is a non-invasive treatment that uses shock waves to break up kidney stones into smaller pieces that can be passed more easily.
* Ureteroscopy: This is a minimally invasive procedure in which a small telescope is inserted through the urethra to remove stones from the ureter or kidney.
* Percutaneous nephrolithotomy: This is a minimally invasive surgery in which a small incision is made in the back to remove large kidney stones.
* Diet modifications: Drinking plenty of fluids, reducing sodium intake, and limiting animal protein intake can help prevent the formation of kidney stones.
In addition to the above treatment options, it is important to follow up regularly with a urologist to monitor kidney function and prevent further stone formation. If your daughter is not satisfied with her current urologist, it may be helpful to seek a second opinion or find a new urologist who specializes in MSK. It is important to note that the cost of medical care varies depending on the location, healthcare provider, and insurance coverage.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Priyanka, General & Family Physician
Medullary sponge kidney (MSK) is a congenital disorder that causes cysts or cavities to form in the inner part of the kidneys. These cysts make the kidneys more prone to forming kidney stones, which can lead to recurrent kidney stone episodes, pain, and kidney damage if not treated.
The current treatment for MSK is mainly focused on preventing and managing kidney stone formation. The treatment may include:
* Medications: The use of medications can help prevent the formation of kidney stones or dissolve them before they get too large to pass. Some commonly used medications for kidney stones include thiazide diuretics, citrate solutions, and allopurinol.
* Extracorporeal shock wave lithotripsy (ESWL): This is a non-invasive treatment that uses shock waves to break up kidney stones into smaller pieces that can be passed more easily.
* Ureteroscopy: This is a minimally invasive procedure in which a small telescope is inserted through the urethra to remove stones from the ureter or kidney.
* Percutaneous nephrolithotomy: This is a minimally invasive surgery in which a small incision is made in the back to remove large kidney stones.
* Diet modifications: Drinking plenty of fluids, reducing sodium intake, and limiting animal protein intake can help prevent the formation of kidney stones.
In addition to the above treatment options, it is important to follow up regularly with a urologist to monitor kidney function and prevent further stone formation. If your daughter is not satisfied with her current urologist, it may be helpful to seek a second opinion or find a new urologist who specializes in MSK. It is important to note that the cost of medical care varies depending on the location, healthcare provider, and insurance coverage.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Priyanka, General & Family Physician
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