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Doctor insights on: Hydronephrosis

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Dr. John Landi
146 doctors shared insights

Hydronephrosis (Overview)

A condition characterized by excess fluid in a kidney due to a backup of urine.


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How serious is developing hydronephrosis?

How serious is developing hydronephrosis?

It depends...: Hydronephrosis, typically diagnosed by a ct scan or an ultrasound, is distension of the portion of the kidney that collects the urine. There are many causes, but the most common in adults is obstruction to the flow of urine. Left untreated, this can lead to permanent kidney damage. You should see your urologist for further information. ...Read more

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Dr. John Landi
146 doctors shared insights

Hydronephrosis (Overview)

A condition characterized by excess fluid in a kidney due to a backup of urine.


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What are the symptoms of hydronephrosis?

What are the symptoms of hydronephrosis?

Hydronephrosis: Swelling of the kidney due to backing up of urine caused by obstruction to its outflow can cause infection with shaking chills and fever and can cause back/flank pain. Sometimes it's silent,however. ...Read more

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A new born baby with parrot beak nose, bilateral hydronephrosis, and amphigous genitalia... Wat may b the diagnosis?

A new born baby with parrot beak nose, bilateral hydronephrosis, and amphigous genitalia... Wat may b the diagnosis?

Too complex to answe: This cannot be answered in this setting. Your baby needs multi-disciplinary care with a geneticist/urologist/endocrinologist and otolaryngologist at a minimum. Good luck. ...Read more

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What is best medicine to be taken when it was diagnose with moderate hydronephrosis secondary to proximal ureterolithiases?

Urologist to advise: Most obsttructing stones in proximal ureter are too large to pass spontaneously, especially if >5mm diameter. Tamsulosin can help to dilate ureter to facilitate passage of kidney stones & drink lots of water. Severe pain would indicate need for intervention with jj stent followed by shockwave or ureteroscopic lithotripsy. ...Read more

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Male/42/w/30yrs multiple renal stones(calcium oxalate)why do my recent nonobstructing stones cause hydronephrosis/10outof10 pain/hematuria& no uti?

Male/42/w/30yrs multiple renal  stones(calcium oxalate)why do my recent nonobstructing stones cause hydronephrosis/10outof10 pain/hematuria& no uti?

Oxalate stones: Are often the result of crohn's disease related to the lack of absorption of bile salts in the diseased ileum. You shouldn't have hydronephrosis if there is no obstruction but certainly they can cause lots of pain and hematuria. Hope you are improving. ...Read more

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Enlarged left kidney. Ectopic cross fused kidneys. What does the enlarged left kidney mean? No hydronephrosis or calcium build up and no stones.

Enlarged left kidney. Ectopic cross fused kidneys. What does the enlarged left kidney mean? No hydronephrosis or calcium build up and no stones.

Expected: This means that both of your kidneys are on the same side of your body. This would make a large kidney on one side. With no hydronephrosis or stones, you should be ok. ...Read more

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How would you treat a pregnant woman of 18 weeks with sever painless hydronephrosis on her left kidney? Would you let it go untreated being watched? Or would you perform a percutaneous nephrostomy? Or what else? Thanks!

How would you treat a pregnant woman of 18 weeks with sever painless hydronephrosis on her left kidney? Would you let it go untreated being watched? Or would you perform a percutaneous nephrostomy? Or what else? Thanks!

Not from pregnancy: U r probably seeing an OB dr.. Best consult with experienced urologist. Management depends upon presence and thickness of kidney cortex (functional part of kidney), may require a temporary percutaneous jj tube between bladder & kidney or nephrostomy tube (placed thru posterior abdominal wall, best by interventional radiologist) for duration of pregnancy. Need BUN & creatinine checked now. ...Read more

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What is hydronephrosis? How it is treated?

What is hydronephrosis? How it is treated?

Obstructed urine flo: Hydronephrosis is kidney damage due to blockage of ureters preventing urine from flowing properly. Specifically, it refers to enlargement of kidney from pressure. Check out http://www.Medicinenet.Com/hydronephrosis/article.Htm. Solution is to fix cause of obstruction. ...Read more

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What's the treatment for a child who has hydronephrosis?

What's the treatment for a child who has hydronephrosis?

Observe vs repair: Most cases of hydronephrosis in children do not require treatment. In general, it is caused by either partial obstruction of the ureter or bladder, by reflux up the ureter from the bladder, or by large urine production. In many cases, it is none of the above. It is important to have an evaluation to understand its cause and to determine the best means of observing it for deterioration. ...Read more

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What are treatments for hydronephrosis?

What are treatments for hydronephrosis?

It depends on cause: Hydronephrosis is a descriptive term for "a lot of fluid in the kidney". It can have multiple causes: from congenital obstruction to stones to reflux of urine from the bladder. Sometimes hydronephrosis is the end result of one of the above conditions and does not require any treatment. By analogy it is like a headache which can be caused by several conditions: treat the cause of the headache. ...Read more

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Are there any natural cure for hydronephrosis(distented bladder) without surgery?

Are there any natural cure for hydronephrosis(distented bladder) without surgery?

Natural cure?: The aim of treatment of hydronephrosis (h) is to: remove the build-up of urine and relieve the pressure on one's kidney(s), prevent permanent kidney damage and to treat the underlying cause of h. Most cases of h will need to be treated surgically. There are no reported "natural" cures for h in the literature i reviewed. ...Read more

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Can i get some advice for mild hydronephrosis in 2 month male child. What is best treatment?

Can i get some advice for mild hydronephrosis in 2 month male child. What is best  treatment?

No treatment: Will likely be required. Hydronephrosis is usually discovered at prenatal obstetric ultrasound. Vast majority do not progress or remain stable ; thus require no treatment. Most mild hydronephrosis cases can be monitored by pediatricians who can order follow-up ultrasounds without need to refer to pediatric urologist. Suggest follow-up ultrasound examination in 6 months if only mild at 2 months. ...Read more

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What genetic syndromes associated with congenital hydronephrosis ?

What genetic syndromes associated with congenital hydronephrosis ?

Genetics : There are many causes of hydronephrosis. Often hydronephrosis is found on prenatal ultrasounds but is not seen on postnatal ultrasounds. Any kidney or bladder malformation can cause hydronephrosis. In infants, posterior urethral valves, kidney stones, cystic kidneys, abdminal masses or any stenosis of the urethra or ureters may cause hydronephrosis. ...Read more

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My dr told me that the hydronephrosis puts me at a high risk for developing kidney infections. How high is this risk and is there anything i can do do reduce tbe risk?

My dr told me that the hydronephrosis puts me at a high risk for developing kidney infections. How high is this risk and is there anything i can do do reduce tbe risk?

Depends upon cause: Risk of UTI with hyronephrosis(hn) is only significant if hn is associated with bladder reflux or u have past history of utis. Otherwise not. Risk of developing UTI low if cause is congenital blockage. Ur already 30 years-old & obstruction has been present a long time. U may need antibiotics if hn was found after uti.Shower & don't bathe, avoid constipation, cotton & no thong underwear, pee often. ...Read more

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Does someone who has hidronephrosis can take pills to prevent pregnancy?

Does someone who has hidronephrosis can take pills to prevent pregnancy?

See below: Hydronephrosis may have left you with a reduced kidney function, which may affect your pregnancy. The doctor can help you understand the risks of taking contraceptive pills vs the hazards if any of a pregnancy with reduced kidney function. It all depends on the extent of loss of kidney function. ...Read more

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Causes of hydronephrosis?

Causes of hydronephrosis?

Several: Blockage in the ureter, bladder neck or urethra. This can be internal, external or within the walls of these organs.There are several causes. ...Read more

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Mild hydronephrosis cause pain?

Mild hydronephrosis cause pain?

Stone obstruction: Which causes mild hydronephrosis can cause pain. U might have flank or abdominal pain following high fluid consuption from intrinsic obstruction due to stretching of kidney pelvis. Pain would lessen or go away with time ; only mild hydronephrosis would be seen on us. Repeat us after fluid load or during pain episode might give more information. Pain may well be due to other causes. ...Read more

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What is unilateral hydronephrosis?

What is unilateral hydronephrosis?

Hydronephrosis: Refers to fluid inside the kidney. This fluid is urine which is able to remain in the kidney because of a larger size of the renal pelvis. The renal pelvis is the part of the kidney where the urine collects prior to descending into the bladder. The size of the pelvis should not exceed 7 mm on ultrasound. Small increases have no clinical significance and may represent variants of normal. ...Read more

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What's some medicine for hydronephrosis?

What's some medicine for hydronephrosis?

Usually intervention: Hyrdonephrosis is an anatomic diagnosis, usually caused by obstruction, less common by reflux of urine from bladder & occasionally by infection. Thus intervention, to relieve blockage, usually required to correct cause, unless mild. Obstruction from narrow or kinked kidney outflow needs pyeloplasty surgery, stones passed or removed + meds if metabolic cause, tumor removed, antibiotics 4 infection. ...Read more

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