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Slightly increased echogenicity of the medullary pyramids, suspect medullary nephrocalcinosis. What does that mean?
Medullary: nephrocalcinosis refers to deposition of calcium salts in the medulla of the kidney. They are like tiny stones. There are many causes, including medullary sponge kidney, hyperparathyroidism, hypervitaminosis D, milk alkali syndrome, renal tubular acidosis, Cushings, hyperuricemia, and more. So you need to discuss the results with your doctor to determine what it might mean in your case. ...Read more
No evidence for this: In nephrocalcinosis, measures may be taken to reduce urinary concentration and increase the solubility of the substances (calcium, phosphate, or oxalate) contributing to the disease. However, restricting dietary calcium intake is not recommended unless it is excessive (>2000 mg/day). More important is liberal fluid intake, modest restriction of animal protein, and restriction of dietary sodium. ...Read more
Stone formers: Nephrolithiasis means kidney stones.Nephrocalcinosis is a condition of depositing calcium into the tissue/collecting systems/tubules of either the cortex (outer portion) or medulla (inner portion) of the kidney - this can lead to stone formation. Corticol and medullary nephrocalcinosis have different mechanisms/causes and are associated with different physiologic/anatomic conditions (eg msk). ...Read more
My dad's gfr is 60 & he's taking in ketoanalogues. Is his slightly increase renal parenchymal echogenicity & tiny nephrocalcinosis the cause?
My 16 year old daughter was recently diagnosed with ooomedullary nephrocalcinosis she has continued pain and hematuria. what test should I request. ?
Nephrologist: Trust the doctor who diagnosed to select appropriate tests or referrals to a specialist. It would be a mistake for a non-trained person to do that. But you certainly can ask for a clear explanation of the condition and step-by-step process of Dx and Tx - what to expect and watch for, etc., etc. Best wishes for a good outcome! ...Read more
What to do if I'm wondering if nephrocalcinosis can have any impact on your breast milk supply, or cause any complications in your pregnancy?
Should not: Nephrocalcinosis can be caused by a variety of things and is usually asymptomatic, chronic and slowly progressive. It is usually an incidental finding. There should be no impact on your breast milk supply. I would coordinate with your physician if you anticipate becoming pregnant. ...Read more
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