Doctor insights on:
Do I Need To Have A Renal Biopsy If I Was Diagnosed With Microalbuminuria
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
If it changes rx: In general a liver biopsy is useful to "stage" liver disease. It is the best way to assess how much damage hepatitis has caused to the liver. However there are some noninvasive and clinical ways of detecting different levels of disease, especially cirrhosis. I usually recommend biopsy for my patients who are opting against current treatments to assure that we are not missing progressive disease. ...Read moreSee 1 more doctor answer
Docs can you explain what is a duplex kidney & should I still go on holiday if i still have a kidney infection?
Normal variant: Duplex kidney means your kidney drains via 2 ureters (tubes connecting kidney to bladder) but a single kidney, usually a little larger than a non-duplex kidney. Presence of kidney infection suggests possible urinary reflux from bladder to kidney. Worth checking with VCUG (bladder x-ray). No doubt on antibiotics (a) for infection & continue to take. Go & consider prophylactic as whilst on vacation. ...Read more
Need more info: Re-ask the question with more information and someone may be able to help you. What is your diagnosis, what are your symptoms, etc.? Of course, the dr. Following your case who ordered the doppler would know your situation best and be able to hopefully order the next test that you may need. God luck. ...Read moreSee 1 more doctor answer
If I had a nephrectomy due to renal dysplasia, but was told my remaining kidney was healthy, how often should I get my kidney checked?
Infrequently: Prognosis for normal health + life span is excellent. Solitary remaining kidney will provided more function than you need as has undergone so called compensatory hypertrophy. Avoui xs animal protein or added salt in diet. (good advice for everyone) annual blood pressure check and biannual blood creatinine check should more than suffice and can be performed by your primary health care physician. ...Read moreSee 2 more doctor answers
I have been told that I have moderate to severe lesions of cervical cancer I have had a puncture biopsy and a cone biopsy now my doctor wants to do another cone biopsy should I get a second opinion or stay with the doctor im at ?
Ask your Dr.: Your doctor probably has the best plan as described. But he should be glad for you to get a second opinion. After all, doctors should really want the best for you, and that includes you having access to other input/insight to get your full understanding and confidence of options. Dr. Beckman. ...Read moreSee 1 more doctor answer
I was in the ER diagnosed with hydronephrosis. What should I know? And when or if should I go to nephrologist?
See urologist: Hydronephrosis, which is dilation or swelling of the kidney, arises from obstruction in the kidney tube (ureter). Critical points to define: what is causing obstruction- narrowing or kink or junction between ureter/ kidney or lower in ureter, stone in ureter. Also need to know if involved kidney is healthy with renal scan. See urologist to define issues and possible treatments ...Read more
Medical Oncologist: She would need to see a medical oncologist or hematologist-oncologist, a doctor who specializes in the treatment of blood cancers. ...Read more
What to do if I had a pituatary tumor that currently is not active. I have recently been diagnosed with another pancreatic tumor. how do you handle all this?
Get the facts: For example, whether or not you have multiple endocrine neoplasia, what the prognosis for each of your lesions is, what to expect, what treatment options there may be, whether no treatment might be best. Approach it like an adult. Almost everyone, sooner or later, will get sick with something. Your physician is there to help you manage it; you must draw on your own inner resources & smarts. ...Read more
Depends: The only time that would be an issue is during pregnancy. During pregnancy a woman who is known to have a short cervix should be followed closely for the development of an incompetent cervix - that is usually accomplished by performing serial trans-vaginal ultrasound measurements of the cervix and allows for considering a cervical cerclage if the cervix is found to be shortening further. ...Read more
Should i worry if i can't urinate at all and have to cath myself to remove urine. Also been diagnosed with a diabetic bladder but not diabetic.
See answer: Urinary retention and incomplete bladder emptying is a common problem in both sexes, especially with aging and in males because of enlarged prostate. Any disease that affects the nerves to the bladder, with diabetes being one of the most common, can cause retention problems. However, if you don't have diabetes, then ur bladder problem has another cause, and 'diabetic bladder' would be a misnomer. ...Read more
Possibly: It depends some on your age and past history. Diverticulitis, an infection of the colon, can sometimes show a lot of thickening on ct scan. That can be hard to tell if the infection caused the swelling, or if a tumor is causing the thickening. It is common to recommend a colonoscopy several weeks after the diverticulitis had healed, if you have not already had one. ...Read moreSee 2 more doctor answers
What to do if I have been told by my urologist I need to have a suprapubic tube installed how is this done?
Suprapubic tube: A suprapubic tube is placed between the pubic bone and the belly button. It is a procedure which can be performed as an outpatient with general anesthesia and sometimes local with iv sedation. You need a suprapubic tube if you cannot urinate normally and some prefer this instead of catheter in the urethra ...Read more
Possibly: If you know you have a kidney stone, a ct scan is not necessary unless symptoms develop. If the person remians asymptomatic, periodic imaging with ultrasound or other x-rays are adequate. However, small stones may be missed on these studies and a ct scan may be required to locate the stone. ...Read moreSee 1 more doctor answer
Likely benign: Arachnoid cysts are congenital lesions and if you have made it into adulthood, it is unlikely to need any intervention . If surgery is recommended, make sure to find out why as unless there are progressive neurological deficits directly attributable to the cyst, surgery is not indicated. ...Read moreSee 2 more doctor answers
What if i got blood work done because i only have one kidney and x rays to see if cancer is present would they have notice if i had active tb?
CXR: Will show if there is concern of active pulmonary TB but it should have been correlated with symptoms. Tb in other sites would not have been known. It also does not show all cancers. Blood work will not show other cancers and you will still need the screening procedures. ...Read more
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