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Doctor insights on: Alternatives To Kidney Biopsy

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How painful is a kidney biopsy?

How painful is a kidney biopsy?

Depends: Kidney biopsies are done under local anesthesia (unless you are a pediatric patient) and either an ultrasound or CT scan is used to select a good location. Many physicians will inject 5-15ml of 1% lidocaine into the skin/muscle/soft tissues. You will still feel some pressure but should not have sharp pain during the biopsy. ...Read more

Dr. Michael Kleerekoper
2 doctors shared insights

Biopsy (Definition)

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


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What is the definition or description of: kidney biopsy?

What is the definition or description of: kidney biopsy?

Kidney needle: A kidney biopsy is performed to determine the cause of kidney disease. It is performed by inserting a biopsy needle, usually with ultrasound guidance, into the lower pole of one kidney, pencil lead wide pieces about one inch long are submitted for pathologic reivew. ...Read more

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What's restrictions on a kidney biopsy?

What's restrictions on a kidney biopsy?

Limit bleeding: To hold blood thinners like aspirin, Plavix Coumadin (warfarin) before the procedure, close vital sign monitoring and strict bed rest for few hours after the procedure. Always strictly follow the instructions from the doctor performing procedure. ...Read more

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I have questions about kidney biopsy procedure... how does it work and what will it tell the doctors? I'm having one tomorrow and I have questions.

I have questions about kidney biopsy procedure... how does it work and what will it tell the doctors? I'm having one tomorrow and I have questions.

Complex issue: It is difficult to address the issue in the limited space available for answers. You may consult the site listed below for basic information and if you still have questions, it is appropriate to ask your doctor.

http://www.nlm.nih.gov/medlineplus/ency/article/003907.htm ...Read more

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How long will a hematoma from a kidney biopsy take to resolve? Two weeks and still in some pain.

Kidney Biopsy: I've seen this kind of pain last up to 6 weeks but that was in someone who had some really bad bleeding afterwards. I would say the normal amount of time to have some pain is 2 weeks. What is critical is this — is the pain slowly resolving? If so, you are recovering. The actual blood that has been lost will reabsorb over about a 2-3 weeks. ...Read more

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I had kidney biopsy in 2006. Barely saw results. Final diag says: "inadequate (very limited amount of cortex & glomeruli). What does this mean? Help?

I had kidney biopsy in 2006. Barely saw results. Final diag says: "inadequate (very limited amount of cortex & glomeruli). What does this mean? Help?

Not enough tissue: It means there wasn't enough tissue for the pathologist to make any reasonable diagnosis. Unfortunately, also means that if you really need some answers, they would have to repeat the biopsy. ...Read more

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What are the dangers of spleen removal and kidney biopsy?

Splenectomy: Can predispose you to future infections with encapsulated organisms and elevated platelet count that can lead to blood clots. Kidney biopsy if done by and interventional radiologist is generally very safe, if coagulation parameters are normal. Both answers are general answers and it may not apply to your specific situation, so ask your doctor for detailed answer. ...Read more

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What are the dangers of a spleen removal and kidney biopsy?

What are the dangers of a spleen removal and kidney biopsy?

Bleeding, infections: Splenectomy associated with more common infections (although still not considered immunocompromised)

Biopsy can cause bleeding and sometimes significant enough to need nephrectomy. ...Read more

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Body profile: creatinine found 2 with uric acid 6. Is kidney biopsy necessary?

Body profile: creatinine found 2 with uric acid 6. Is kidney biopsy necessary?

Kidney biopsy?: I would go to a nephrologist for an evaluation of why your creatinine (c) is 2. . You should have a 24-hour urine collection for c clearance and protein. If you have more than 500 mg of protein/24 hours in your collection, more blood work will be needed to see what the problem is. If it does not, a kidney biopsy will be needed to get a diagnosis and prognosis. Your uric acid level is normal. ...Read more

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I had a kidney biopsy 4 days ago. The area is red and itchy. Is that normal? How soon can I start cycling and paddle boarding?

I had a kidney biopsy 4 days ago. The area is red and itchy. Is that normal? How soon can I start cycling and paddle boarding?

SOmetimes: The area of redness could be from the dressing, or it could be normal. You can go paddle boarding as soon as you feel up to it. But check with your doctor. ...Read more

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I've been diagnosed with FSGS, per kidney biopsy in 2006. My Albumin & A/G ratio are low. I'm only on Losartin. Creatinine 1.3 Should I be concerned??

I've been diagnosed with FSGS, per kidney biopsy in 2006. My Albumin & A/G ratio are low. I'm only on Losartin. Creatinine 1.3 Should I be concerned??

Talk to your doctor: Losartan is one class of meds used in this condition. There are other meds your nephrologists has probably considered based on your kidney function including prednisone, statins, and aldosterone antagonists. Talk to your doctor. ...Read more

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My husband had a kidney biopsy on Monday and he is still sore and tired at night. Is this normal after this type of procedure?

Need more info...: What are his current renal function and general health state and drug use? Was renal biopsy done under IV sedation or other anesthesia? An uneventful renal biopsy (without major bleeding which is rare) alone should not leave such lingering effect but the factors mentioned above may induce variable lingering effects. How long can it be? It widely varies. So, watch, wait, and see for now; but still. ...Read more

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9 yr old daughter had a kidney biopsy 6 days ago. No pain till today. Holding site of biopsy and in pain. Fever now 101. Dr. Said not to worry?

9 yr old daughter had a kidney biopsy 6 days ago. No pain till today. Holding site of biopsy and in pain. Fever now 101. Dr. Said not to worry?

Infection?: If pain and fever is of new onset, talk to your doctor again. If hard to get appt. With the nephrologist/ specialist, talk to her pediatrician. She needs to be seen. May be this is an infection related to biopsy itself or a viral fever. ...Read more

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Gfr dropped from 32 to as low as 16 over a six-month period; back now to 32. Kidney biopsy could not determine etiology. No known infections.?

Gfr dropped from 32 to as low as 16 over a six-month period; back now to 32.  Kidney biopsy could not determine etiology.  No known infections.?

Need to know more: In order to answer such a complex question, we would need to know more about your medical history (do you have diabetes, hypertension, have you been tested for lupus or other autoimmune disease, do you take or have you ever taken drugs including Aspirin or ibuprofen... Etc.). ...Read more

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My mother age 48 urine report: albumin +ve, epithelial cell 1-2/hpf, plus cell:1-2/hpf, rbc:10-12/hpf, ph-6........ Is condition for kidney biopsy test?

My mother age 48 urine report: albumin +ve, epithelial cell 1-2/hpf, plus cell:1-2/hpf, rbc:10-12/hpf, ph-6........ Is condition for kidney biopsy test?

Not cessarily: The urinalysis should be repeated first, if microscopic hematuria(blood in urine) persist, a sonogram or cat scan may be needed to for further evaluation, kidney stone can cause blood in urine, may need to a see a urologist for further evaluation if urinalysis remain abnormal. ...Read more

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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?

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 a 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

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Hi I had a kidney biopsy and was diagnosed with a rare kidney disease on the CT scan they found what appeared to be a non obstructive kidney stone but they are not a hundred percent sure that is what it it could this be something elsethey said that possib

2 separate problems: Your biopsy shows that the renal (kidney) tissue, that which makes urine, is itself abnormal. The kidney stone is probably unrelated to the renal disease but could cause problems in the future if it moves and blocks the kidney. Be sure to tell your doctor about this if you develop pain in the future. ...Read more

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Please help me, my heart cath, lung x-ray, thyroid, liver test & kidney biopsy are all normal but i still have severe edema in my whole body. Why? Why me?

Please help me, my heart cath, lung x-ray, thyroid, liver test & kidney biopsy are all normal but i still have severe edema in my whole body. Why? Why me?

Seek rare causes: Causes of generalized edema that may be missed on first screen include conn's (rarely causes edema), allergy to a rx (some antihypertensives, nsaids), early diabetes (leaky vessels) or scleroderma, esterase deficiency (unusual), mastocytosis, or even poorly-understood effects from diuretics. A nephrology consult in particular may help. Be brave and we'll figure this out. ...Read more

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My 9 yr old son has strep throat and a kidney disease called IgA nephropathy it's a kidney disorder started when he was 5. Kidney biopsy?

Confusing question: Although some strep strains can cause kidney problems, early treatment usually avoids them. If the kid has a pre-existing kidney problem, the need for a biopsy is best determined by the docs who know him best. A recent strep infection would not require such an invasive procedure, but a significant change in kidney function might. ...Read more

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Ok, heart cath, kidney biopsy, thyroid test, liver test, chest X-ray and hormone tests all came back normal. I still have severe pitting edema, why? Help

Try these: Venous insufficiency, lymphedema, lipedema, renal disease and calcium channel blockers (diltiazem, amlodipine, verapamil and their cousins). Those will catch most of it if all those tests are normal. And I'm assuming here it's on both sides, not just one leg. ...Read more

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How long is the pain from renal biopsy meant to last?

Hours to few days: It is the pain of the site of the needle entry through the muscles of the back. It should go away relatively fast. However, if lasts longer than this you need to check with your doctor. Unusually some people have longer term local pain attributed to a rare event of possible nerve fibre injury from the needle track. ...Read more

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Do I need to have a renal biopsy if I was diagnosed with microalbuminuria?

No: Biopsy may be needed if the protein loss is large in amount or if there are other renal issues-discuss with renal specialist ...Read more

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Is it true that microalbuminuria an indication of renal biopsy?

Is it true that microalbuminuria an indication of renal biopsy?

?indication for bx?: Microalbuminuria is common in diabetes mellitus and is not an indication to biopsy. In non diabetic patients it is not nessecarily and indication either. It is an indication to aggressively treat the underlying cause. I.E. Hypertension, diabetes. If other diseases are suspected biopsy may be indicated, other tests are required. A nephrologist is needed to sort these issues out. ...Read more

Kidney (Definition)

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


Dr. Amy Friedman
47 doctors shared insights

Kidney Biopsy (Definition)

A kidney biopsy is performed to determine the cause of kidney disease. It is performed by inserting a biopsy needle, usually with ultrasound guidance, into the lower pole of one kidney, pencil lead wide pieces about one inch long are ...Read more