Doctor insights on:
Alternatives To Kidney Biopsy
Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more
Longer life: If a patient is in kidney failure they have few options. One is dialysis and the other is transplant. If you compare longterm outcomes of both options, on average people with transplants live longer. Also most patients state their quality of life is better after transplant than while on dialysis. Transplant does have it's own set of problems that patients must deal with however. ...Read moreSee 3 more doctor answers
What criteria is used to determine if someone needs kidney dialysis? Mom is stage 4 kidney failure, diabetic, has extra ureters/prone to infection.
When dialysis: Daughter asks what criteria are used to start diaysis for her mother. A complex question that can only b answered by your mother and her Nephrologist. But absolute indications to begin tonight: uremic pericarditis, pluritis or encephalitis, unresponsive high K or fluid Fluid excess. If eGFR <5 most need dialysis depending on other symptoms and signs of renal failure. some may need at higher eGFR. ...Read more
Kidney biopsy shows the reason for kidney failure is multiple myeloma. No bone damage, hemo. More than 12. Will kimo therapy help to recover fully?
Seek opinion from a: This is unusual way to make a diagnosis of multiple myeloma(mm). Typically we need to do a bone marrow biopsy and look for cancer cells in the marrow. These cells produce abnormal proteins(m protein) which will show up either in the blood(commonly) or in the urine. We use a test called protein electrophoresis. If these tests have not been done, seek a second opinion. Chemo will help to control mm. ...Read more
Prevent/delay it!: If the kidneys have actually failed, you will need "renal replacement therapy:" hemodialysis (the kidney machine), peritoneal dialysis, or a kidney transplant. But if they are still working, ask your doctor about how you can maximize their function for as long as possible. Caring for diabetes and high blood pressure will help. Certain blood pressure meds may help more than others. Lgromkomd. ...Read more
First treatments: Stage iii prostate cancer, when tumor is out side capsule, no noticeable lymph nodes, still amenable to treatments and must under go, then is supplements, healthy living fresh fruits, vegetables, antioxidants, vitamins etc must not neglect proven methods, surgery, or radiation, hormonal treatment, elderly just observation. ...Read moreSee 1 more doctor answer
Very, very rarely.: In patients with renal failure caused by some large kidney stone a transplant may be performed. During my fellowship, i saw a patient who had a large staghorn calculus (stone) in his solitary kidney that eventually led to renal failure. He eventually received a transplant. ...Read more
Is there any alternative to dilate the bkadder urilogist cannot perform cystology need procedure to dilate is it difficult procedure please explain ?
Here are some ...: First, establish Dx; for an 80-yr man, most common problems for urination still result from bladder outlet obstruction from poor relaxation of bladder neck/prostate urethra/prostate enlargement or urethral stricture, which are not difficult to figure out with good history, physicals, testing UA, residual urine, & possible cystourethroscopy, etc. Then the Rx follows suit accordingly. So, see Doc... ...Read more
Are there methods of kidney stone removal, other than eswl, that do not require stents? I don't want eswl due to risks for diabetes, htn, renal harm.
No,...: If clinical necessity to remove kidney is justified, eswl without stent can be tried, but one has to be willing and ready to cope if stent after eswl is needed. If ureteroscopic route with laser lithotripsy is taken, the likelihood to use stent is very high. So, there is no easy out to manage kidney stone. Besides, stone size, load, ; density may affect the decision on how to handle it.... ...Read moreSee 1 more doctor answer
Can there be better and low-cost alternatives to peritoneal dialysis in the treatment of end-stage renal disease?
Grandpa's kidney fxn down to 14 percent. He also has chf. Any options to increase kidney fxn? Thank you for any ideas.
No: The adrenal gland is a small but very important organ that sits on top of each kidney. During kidney cancer surgery, it has been traditionally removed as part of the surgery to remove the kidney cancer. However, there is a lot of recent data to show that it does not need to be removed with the kidney as long as certain criteria are met such as size of the kidney tumor, location of tumor, etc. ...Read moreSee 1 more doctor answer
No: Dialysis does not cure kidney disease. It replaces enough kidney function to allow support and survival while the kidneys get better or, if kidney failure is permanent, until transplant can be considered. Some permanent kidney failure patients remain on dialysis for the rest of their lives. ...Read moreSee 1 more doctor answer
Is it reasonable for a doctor to do stem cell transplant be done on someone with stage IV cancer?
Only when needed: You should only have a ct scan when the benefit to you at that moment is greater than the risk from the radiation. Hard to measure, but, you should not get one "just to see where the stones are". You should try to always use techniques to limit radiation dose, dual energy ct can provide insight as to what kind of kidney stones there are to maximize treatment, and consider MRI (no radiation). ...Read more
Nephractomy done for sacromatoid type renel cell ca.Secondaries in scalp and removed completely . Need any further treatment? Advice please
The kidneys are paired organs that lie on either side of the vertebral column. Part of their critical functions include the excretion of urine and removal of nitrogenous wastes products from the blood. They regulate acid-base, electrolyte, fluid balance and blood pressure. Through hormonal signals, the kidneys control the ...Read more
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