Doctor insights on:
Treatments For Nephrocalcinosis
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
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
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
Got my CT scan results and it said 1 to 2 mm calcications of botj kidneys and may be attributed to nephrocalcinosis does that mean kidney stones?
No: Are you testing our knowledge? Lol whoever ordered the ct scan can tell you that nephrocalcinosis and nephrolithiasis are two different things! Nephrocalcinosis is deposition of calcium within the kidney tissue itself (parenchyma) and nephrolithiasis (kidney stones) are stones, not necessarily made up of calcium found in tubules, ureter and other areas where urine travels before it empties! ...Read more
Both: A cath will allow them to look inside the arteries. If there is a significant blockage they can fix it. ...Read more
Both: A cath post NSTEMI is done for "early definitive diagnosis and therapy". a non-invasive risk assessment will provide similar intermediate term mortality benefits, but may have more hospitalizations for chest pain and the patient will be on more meds for angina. in a young active person, the invasive approach is often reasonable. In an elderly sedentary person, I'm comfortable with noninvasive. ...Read more
Find cause: Hi. Wow, for a young patient, you're using an antiquated terminology! SGPT is now referred to (and for YEARS has been) as ALT. ALT is liver specific. Why it is elevated needs evaluation, but can include fatty liver, viral hepatitides, iron overload, autoimmune hepatitis, etc. Treatment very much depends on underlying etiology. Good luck! ...Read more
Many options: First, find out what's causing the cushing's syndrome. If it's due to overuse of steroids, cut down on the dose. If it's due to a tumor, surgery is the best treatment. Tumor in the pituitary can be removed by neurosurgeons, tumors in the adrenal, pancreas, lung can be removed by surgeons. Radiation therapy is used if surgery is not complete. Last but not least, medications can be used. ...Read more
Multidisciplinary: The best treatment is a combination of antipsychotic medications to treat psychotic symptoms and antidepressant medications to improve mood. Group or individual psychotherapy can be helpful in making goals, solving problems, and maintaining relationships. Support and work training may be helpful for work skills, money management, and maintaining independence. ...Read more
See a Rheumatologist: The triad of urethritis, iritis and arthritis are the hallmarks of reiter's syndrome. Each one can be treated by a specialist in that area but for the best success and prevention of symptoms a rheumatologist should direct and manage your condition. Eyemds are skilled at treating the iritis or inflammation of the iris using dilating drops and steroid eye drops the other issues must be treated too. ...Read more
Def (British) (of a place or surroundings) simple but cozy and comfortable, as in one's own home. (NorthAmerica):unattractive in appearance
eat a Mediterranean diet preponderant in plant based foods with small amounts of animal product. Get regular aerobic exercise. It won't be attractive and you might feel cozy and comfortable ...Read more
No cure: Assuming no other cause for ongoing cough: Post-viral cough can persist for many weeks. Also we are experiencing an epidemic of the '100 day cough' (Whooping Cough). Your age group is considered to be the vector for this infection and also, there is no cure. Cough syrups containing pholcodeine (available over the counter) may give you some slight symptomatic relief but are not really very effective ...Read more
Wilson's Disease: The problem is a build up of copper in the body, especially in the liver. Your doctor will prescribe a chelating agent that binds and gets rid of the copper, such as trientine. Once the levels are down, you will likely be given another medication to keep the copper levels low, such as zinc acetate. ...Read more
Depends: The treatment options depend on the cause of the cushing's syndrome. If the cause is due to overuse of steroids, then the treatment is to lower the dose. This is the best case scenario. Other treatment options involve: surgery (pros: cure possible, cons: surgery +/- complications), radiation therapy (cons: side effects), medications (cons: usually not a cure, side effects from med)... ...Read more
Wait and see: Imply means that yoru lymph nodes are enlarged due to an acute Infection or inflammation in a speciifc site of your body. Usually that would mean as the infection or inflammation resolves the lymph nodes should regress to their normal size. Usually these findings will be described on a CT scan. If they do NOT return to normal may need biopsy. ...Read more
Usually harmless: These very seldom cause disease, and normally life on our bodies as harmless little passengers. Your physician is your best guide. ...Read more