Doctor insights on:
What Is Normal Creatinine Post Nephrectomy
I had a partial nephrectomy in 2008. My lab results were normal for bun and creatinine however bun/creatinine ratio was high (25). Should I be concern?
No: Many times the ratio is high but relative to the individual values a low normal creatinine and a high normal BUN will show an abnormal ration but would be normal individual numbers. The benefit ais thta it makes one look at the numbers more carefully but is not used for a diagnosis. ...Read more
My father had a radical nephrectomy 3 years back. He lost one kidney. Recently tests shown his creatinine level 2.0. Not diabetic. How to lower down?
Follow-up: If dad is a well-muscled man (which raises creatinine well above "normal range" for today's couch potatoes) and we already know why he lost half his nephrons, this may not be an issue. I trust he is being followed up and that folks are watching for focal-segmental glomerulosclerosis / hyperfiltration lesion that's fairly common in kidneys that lose their partner. Don't try to treat a lab value. ...Read more
Creatinine between 1.57 & 1.42 over past 6 weeks. Had nephrectomy many yrs. Ago. Egfr today 50. Any dietary adjustments? On lisinopril, toprol (metoprolol).Age 69.
Ask your: Doctor if any other antihypertensive med might be more appropriate, given your slightly depressed kidney function. I don't think any dietary adjustments will make any difference, but you should be careful with medications, including otc meds. ...Read more
I have had a nephrectomy due to renal cell carcinoma in 2011. My CMP= creatinine 1.72, GFR 31, ALT 68, AST 45. are ^ numbers due to diabetes/kidneys?
Nephrectomy: ...will reduce kidney function in half resulting in increased serum creatinine (Cr) and reduced (GFR). With time the kidney compensates through hypertrophy, and these numbers partially normalize. Your numbers are not normal suggesting another cause of kidney dysfunction, possibly from diabetes, if there is a longstanding history of this. The increased AST and ALT suggest mild liver dysfunction. ...Read more
I'am a 27 yrs old married woman. Had a nephractomy at a age of 19 days. And suffering for adpkd for last 15 yrs. What should be my normal creatinine?
It depends: Creatinine level depends on your kidney function as well as your muscle mass. For people not in the extremes of age/muscle mass, a normal creatinine could be anywhere from 0.6 to 1.2. However, it has to be interpreted in the light of a person's muscle mass and age. A cr of 1.2 could be "high" suggesting significant kidney dysfunction in a 90 yr old woman; but could be "normal" for a 30 yr old. ...Read more
I take it you are a recepient of a kidney transplant and your kidneys were causing harm to you so they were removed at the same time.
The new kidney will do the work of 2 as long as there is no rejection or infection. ...Read more
Had nephrectomy 15 years ago. I only have one normal funtioning kidney now, can I donate blood? Help
Probably: As long as your normal blood count is normal, you should be able to donate blood without affecting your kidney. But you should check with your nephrologist to be on the safe side. ...Read more
Had nephrectomy 15yrs ago. I only have one normal functioning kidney now. Can I donate blood? Why yes and why not? Help
Here are some. ..: Living with an acquired solitary kidney like you is not a contraindication to donate blood as long as you're healthy with no blood-borne transmitted diseases like HIV, hepatitis - B & C, syphilis, etc. But some restrictions for such may exist among different countries. So, ask your local institutions for details. ...Read more
Normal recovery time for partial open nephrectomy? Experiencing bulging and numness. Surgeon was able to save the nerve that is frequently severed.
Left kidney nephrectomy. After 3 months, pain in the place of operation at night and sudden jerk in left leg (like current shock).Is it normal?
My father had Open radical nephrectomy 3 weeks ago and now he complains of abdominal pain and distention. It's normal??
No: By using the word "now" you imply that he was not having (much) recovery pain but now has developed some along with distention. This is urgent. Call his doctor immediately and see whether they want him to come in NOW or meet at the ER! Go now! ...Read more
Can iron deficiency anemia consider normal response to post- nephrectomy for clear cell renal cancer without metastasis?
No.: I would be looking for another cause if you have iron deficiency anemia. If you have one functioning kidney, you are probably making enough erythropoietin (which is important in regulating red cell production) but a low EPO level would give you a different kind of anemia. Usually iron deficiency anemia in a 60 year old male is due to some sort of blood loss, assuming a normal diet. ...Read more
Only part removed: A partial nephrectomy is when only part of one kidney is removed. A while ago it was standard to simply remove the entire kidney. Medical knowledge and surgical techniques now allow us to remove only the area of concern. This leaves you with more total kidney tissue and thereby more kidney function (cleaning capability) after the procedure. Good luck. ...Read more
Small scar: Laparoscopic nephrectomy will result in small scar, minimum pain, early discharge from the hospital, just as safe as open nephrectomy. ...Read more
Depends: A partial nephrectomy is becoming the new standard of care for tumors that can be manage this way. Patients on the long run do better and minimize their risk of developing kidney disease as they age. Partial nephrectomy is challenging & has the potential for more complications than a nephrectomy. Risks include bleeding, urine leaks, loss of function on that kidney, tumor recurrence to name few. ...Read more
Alot: Minimum $15-20k. Look into a patient assistance fund at your hospital. ...Read more
DARK urine=blood: Cola colored urine is a sign of blood. This certainly needs to be checked out soon. Be prepared to give a 'clean catch urine' in the doctors office for analysis. You may need a cat (ct) scan for further evaluation of your urinary tract as well as follow up with your urologist. ...Read more
An upper respiratory: Infection should be cleared up prior to elective and semi-elective surgery. Having a URI during anesthesia can lead to intra-op complications like bronchospasm and respiratory collapse and post-op complications like pneumonia and prolonged intubation. Consider a preop course of antibiotics if appropriate. ...Read more
Urologist: In a large city or academic medical center, most nephrectomies are performed by urologists. Within urology, there are particular sub specialists who focus on kidney surgery including minimally invasive options. Transplant surgeons and vascular surgeons can also occasionally remove kidneys. In a more rural setting, a general surgeon may be the one performing this procedure in the absence of urology. ...Read more
After bilateral nephrectomy, you would need some form of dialysis or transplant, as lack of kidney function leads called CKD leads to higher blood pressure
besides salt excess, increase hormonal influences like increase angiotension and catecholamines also cause hypertension. ...Read more
Kidney surgery: Partial nephrectomy refers to surgical removal of part of the kidney, usually because of a small tumor/abnormal growth of the kidney. A radical nephrectomy (total kidney removal) is done for larger tumors, or if the partial nephrectomy is not technically possible. ...Read more
Yes: Depending on the size and location of the kidney mass, a partial removal of the kidney cancer is a very good option to help preserve the remaining good kidney tissue. This has in fact become the mainstay of treatment for many tumors and the long-term data shows good cancer control with partial removal versus removing the entire kidney, which was the traditional type of surgery in the past. ...Read more
Nephrectomy: " open" means a procedure performed through a relative large incision. Radical means they will remove not only the target organ ie kidney but also some surrounding tissue such as the fatty tissue surrounding the kidney along w lymph nodes. Radical surgery is recommended when there is a cancer concern. ...Read more
2-3 hours: In experienced hands.Get a more detailed answer ›
Removal of kidney: Surgical removal of kidney for any number of causes. ...Read more
Lap nephrectomy: Contrary to popular belief, laparoscopic organ removal has about the same complication risk as open surgery. Internal bleeding, infection, pneumonia, blood clots and incisional hernias can occur in both surgeries. Most young/healthy patients do well after either surgical approach. ...Read more
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