Top
20
Doctor insights on: Complication With Internal Bleeding After Kidney Transplant

Share
1

1
Acute renal failure after hysterectomy becuase of uterine cancer. Is this normal after a hysterectomy? Problems after surgery, dec 2011, mother 62, now renal failure. Kidney doctor found blockage causing the kidneys to fail.

Acute renal failure after hysterectomy becuase of uterine cancer. Is this normal after a hysterectomy? Problems after surgery, dec 2011, mother 62, now renal failure. Kidney doctor found blockage causing the kidneys to fail.

Assuming : Assuming that your mother did not have chronic renal disease going into surgery, then the prognosis for recovery of kidney function will depend on the reason for the acute injury. Most often acute renal failure is due to a period of low blood pressure, where there is not enough blood pressure to perfuse the kidney which results in something called acute tubular necrosis. There are varying degrees of this, which should improve once the blood pressure stabilizes, in some cases, hemodialysis may be necessary to support the kidney until this recovers. Another potential cause though, particularly in uterine surgery, is injury to the ureters, sometimes due to the extent of the tumor or difficulty in removing the uterus. As you mention that the kidney doctor said a blockage was found, this may be a contributing factor, but usually is known prior to surgery. Other causes (unlikely here) may relate to drug toxicities, for example antibiotics or chemotherapy related. In general, if the patient goes into surgery with good kidney function, the prognosis for recovery is good once all the inciting factors are removed. ...Read more

See 1 more doctor answer
Dr. Marvin Ott
3 doctors shared insights

Transplant (Definition)

In medicine: a transfer from one body or body part to another of an organ (liver, heart, lung, kidney, pancreas bowel) or tissue (hand, face, hair). The immune system fights foreign invaders (like infections) so it will reject transplants from other people (allotransplants) because they look like infections. So transplants usually require drugs to ...Read more


2

2
Can i restart peritoneal dialysis after having removed the catheter due to peritonitis, as i've blood clotting, deep vein issues with heamodialysis ?

Can i restart peritoneal dialysis after having removed the catheter due to peritonitis, as i've blood clotting, deep vein issues with heamodialysis ?

Difficult: After peritonitis, cavity will be obliterated, forms adhesions, loculations, will not allow free inflow and out flow, all the fluid will not return, also have to wait wks or months for pd , renal transplantation is best alternative, . ...Read more

See 1 more doctor answer
3

3
Colectomy for cancer postponed due to likely severe cad, cath tomorrow. Is it risky for cath/stent/bypass with blood thinners for colon hemorrhage?

Colectomy for cancer postponed due to likely severe cad, cath tomorrow. Is it risky for cath/stent/bypass with blood thinners for colon hemorrhage?

Risks increased: Those are both serious medical problems. Most patients with cardiac disease can undergo noncardiac surgery safely provided their cardiac issues are stable and their functional status is good (able to achieve >4 mets without symptoms--the equivalent of carrying 2 bags of grocery briskly and climbing stairs). If having cv symptoms, should expedite a cardiac workup w tests/possible cath first. ...Read more

6

6
Can septicemia be an expected consequence after urethral operation on a kidney patient stage 5?

Can septicemia be an expected consequence after urethral operation on a kidney patient stage 5?

No: One should use prophylatic antibiotics to cover for possible urinary pathogens by screenig for urine infection before an invasive procedure. Stage 5 ckd is dialysis level and it is associated with reduced ability to fight infections so one more reason to be pro active in treating infections. ...Read more

7

7
What are the dangers if the wound healing from kidney transplant bleeds due to overwork? (patient had 2nd operation after transplant due to infection)

What are the dangers if the wound healing from kidney transplant bleeds due to overwork?
(patient had 2nd operation after transplant due to infection)

See your coordinator: The wound or incision is probably not well healed yet and you might have disrupted some of the layers. Prior infection and the immunosuppresive drugs (especailly sirolimus) slow healing. Bloody fluid could be a serious sign or just release of a collection of liquid under the skin. Your transplant center needs to see the incision to tell, and the sooner the better. ...Read more

See 1 more doctor answer
8

8
Does methotrexate cause renal issues or other complications after a molar pregnancy?

Does methotrexate cause renal issues or other complications after a molar pregnancy?

Not commonly: This is a drug used to slow down cell division acting to control excessive immunity or malignancies. The major toxicity is direceted at the liver, skin, GI tract and bone marrow cells. Kidneys are usually spared. ...Read more

See 1 more doctor answer
9

9
Possible causes for sudden , volcano like intermittent bleeding at the surgical drain site in weeks after kidney transplant ?

Possible causes for sudden , volcano like intermittent bleeding at the surgical drain site in weeks after kidney transplant ?

Old fluid collection: Drains placed in the or are usually placed through safe pathways from inside to the outside of the abdomen - rarely this may not be so. The drain was probably left in a space that was expected to collect fluid or blood and the plastic itself may have become blocked. It is possible that an internal collection of old blood +/or fluid decompresses intermittently through the pathway, see your doctor. ...Read more

See 1 more doctor answer
10

10
Will tiny anastomosis leak after a colon resection heal after two or more weeks of Invanz & TPN, along with colon resting?

Will tiny anastomosis leak after a colon resection heal after two or more weeks of Invanz & TPN, along with colon resting?

Complex : If it is tiny, it should most likely resolve as the omentum seals it. Usually with a leak, bowel rest with TPN, antibiotics for a short period (not established) 2-4 weeks and +\- percutaneous drainage have obviates the need for further surgery if the leak is tiny. Usually this requires a follow up CT study with oral contrast. This depends on many factors. (ID prespective) - may need surgery p ...Read more

11

11
Diagnosed with acute alcohol induced hepatitis and early cirrhosis denied a liver transplant bleeding and infection are risks. On dialysis--prognosis?

Diagnosed with acute alcohol induced hepatitis and early cirrhosis denied a liver transplant bleeding and infection are risks. On dialysis--prognosis?

Still drinking?: Acute liver injury due to alcohol use is unlikely to have a good outcome unless abstinence occurs. That is the only chance of surviving. The kidney injury may improve - insufficient info to respond. Top priority now is alcohol abuse treatment. - for long term prognosis. ...Read more

See 1 more doctor answer
12

12
Diagonised with rectal cancer, after ileostomy reversal, frequent bm's, abcess withleakage at the surgery site. alternatives tocolostomy ?bowel trnspl

Diagonised with rectal cancer, after ileostomy reversal, frequent bm's, abcess withleakage at the surgery site. alternatives tocolostomy ?bowel trnspl

Insert drain: Ileostomy after rectal cancer is used to protect the rectal resuturing to establish continuity in the bowel. II there is some kind of abscess and leakage it can occur where the ileostomy has been reversed or at the site of the rectal suture line which may not have been ready for closure. Interventional radiology can place a suction drain to the site and left there until everything has healed. ...Read more

14

14
Am i at increased risk of post-operative bleeding after surgery if pre-surgery biopsy cause uncontrolled artery bleeding? Find the cause or early surg

Am i at increased risk of post-operative bleeding after surgery if pre-surgery biopsy cause uncontrolled artery bleeding? Find the cause or early surg

Seek information: You need to discuss this with your physician and surgeon. This may have just been an unfortunate occurrence which is always a risk with needle or incisional biopsy , albeit slight. Alternatively , there could be an underlying platelet or blood disorder which contributed to your bleeding. Your doctors can help you sort this out. Communicate your concerns to them. ...Read more

16

16
What are the restrictions after a kidney transplant surgery.

What are the restrictions after a kidney transplant surgery.

Stay on medication: There will be multiple restrictions. The big concept is to stay on your medications. Immunosuppression medications are key to transplant success. Your transplant team will work with you throughout the process. ...Read more

17

17
Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?

Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?

Depends : Very low blood pressure sometimes hurts kidney function. The need for dialysis in the acute hospital setting is determined by complications of poor kidney function. Your physician can help explain this in the context of the specific patient. ...Read more

19

19
I'm bleeding with clots after IVF transfer, is the embryo still safe?

I'm bleeding with clots after IVF transfer, is the embryo still safe?

Hard to tell: Bleeding after the transfer or blood on the transfer catheter are not considered good signs. Still, many people will be pregnant even when blood is present. ...Read more

Dr. Stephen Scholand
14 doctors shared insights

Kidney Transplant (Definition)

Kidneys anatomically require connection to an artery for blood supply, a vein for blood drainage and the bladder for urine outflow. In a transplant a healthy kidney is disconnected from its usual attachments and moved to a new location with those 3 requirements (artery, vein, bladder). This may be an auto-txp - somewhere else in your own body; or an allo-txp -from ...Read more


Internal Bleeding (Definition)

Also known as an internal hemorrhage, internal bleeding refers to bleeding that occurs inside the body that is not seen from the outside. This happens when there is damage to an artery or vein from trauma, an injury to the spleen, a ruptured aneurysm, or erosion into an artery or vein from cancer or gastric ulcer. Internal bleeding is a medical emergency ...Read more