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Kidney problem, Cyst - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Kidney Conditions
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3557 Questions

User :   hello I have a question about kidney problems
Doctor :   Hi
Doctor :  
Please proceed with your query
User :   I have a ratio of 68 ml/min on mdrd
Doctor :  
Ok
User :   DFG estimated ratio
User :   I'm 35
Doctor :  
Ok
Doctor :  
i will help you in this
User :   is that bad? should I be worry?
Doctor :  
Can i ask few questions ?
User :   yes
Doctor :   do you have any medical illness
User :   but only have few mins
User :   no
Doctor :   Are you on any medications ?

User :   just benin 3cm cyst on kidney right side
User :   yes
User :   sleeping pills
User :   tranquilizer
Doctor :  
Ok
Doctor :  
is you blood urea and creatinine test normal
User :   and I just finished spiramicyne less than week ago for mouth abcess
User :   yes
Doctor :  
ok
User :   creatinine 12.8
Doctor :   is the urine output adequate ?
User :   should be bet 5-14
User :   I know I was desyhdrated when i did the tes
Doctor :  
Ok
Doctor :  
thats normal
User :   didn't eat or drink all day
Doctor :  
ok
User :   so eventhough
User :   the dr said should be 120
Doctor :  
yes its not a problem
Doctor :  
but your blood urea and creatinine is with in normal limits
Doctor :  
and urine out put is good

Doctor :  
did you do any ultrasound abdomen?
User :   yes i did
Doctor :   Hi
User :   i just paid
Doctor :  
Are you back?
User :   yes
User :   so yes i did ultra sound
User :   why?
Doctor :  
Ok
Doctor :  
Let us continue
User :   so.
User :   do i have renal disease?
User :   i'm worry
Doctor :  
I am going through your chat history can you please be patient for few moments I shall answer all your questions
User :   yes
User :   ty very much
Doctor :  
How many times you urinate per day?
User :   if i drink a lot many
User :   6to 8
User :   if i don't drink then 2 or 3 times*
Doctor :  
Did you notice that your urine volume is reduced in recent times?
User :   the day of the exams I didn't drink for almost 24h
User :   no
User :   my urin e if i drink is clear
User :   only reduce when i don't drink water
User :   I had abdominal ultra sound and found 3cm benin cyst
User :   on right kidney
Doctor :  
ok
Doctor :  
I had seen in your previous text
User :   yes?? what??
Doctor :  
Look 68 / ml of GFR is not normal
Doctor :  
It indicates a compromise of kidney function
Doctor :   The MDRD measures the GFR ( Glomerular Filtratiion Rate ) your kidney

User :   could it be the cyst?
User :   is that bad?
User :   or could it be because i didn't drink enought water?
Doctor :  
It could be bad, but sometimes normal persons during dehydration can also cause reduced GFR
Doctor :  
Right now you should not worry, let us wait and re do the test after few days
Doctor :  
i.e is after two more weeks after having normal amount of water
Doctor :  
that is 2.5 litres per day
User :   is 2 days ok
User :   i did it yesterday
Doctor :  
You can wait more
User :   can i do one tomorrow
Doctor :  
In fact let your body be free from any other medicines
Doctor :  
like Spiramycin
User :   i have to leave for few months overseas
User :   ok
Doctor :  
One more question?
User :   yes?
Doctor :  
What is your creatinine value in the blood?
User :   12.8
Doctor :  
Are you sure about it?
User :   yes it was done in france
User :   range is bet 5-14
User :   i have 12.8
Doctor :   What are the units?
Doctor :  
of the creatinine
User :   mg/l
Doctor :  
Is it mg/dl
User :   no
User :   per liter
Doctor :  
Ok fine then it is normal
Doctor :  
Nothing to worry about
User :   do u think i have renal disease
Doctor :  
Not really
User :   even though i have 68 ml/min on mdrd
User :   i thought the range was suppose to be over 90
Doctor :  
GFR should be above 90
Doctor :  
but in normal people dehydration can lead to less GFR
User :   so whats u final awnser for my case should i retest in few days?
Doctor :  
yes
User :   should i be worry?
Doctor :  
you can retest
Doctor :  
No need to worry
User :   so u think i don't have renal desease right?
Doctor :  
But hydrate well
Doctor :  
No
Doctor :  
May I ask you one more question
User :   of course
Doctor :  
What is the reason for getting the MDRD GFR done
Doctor :  
Why did you get a Serum Creatinine test done?
User :   in France it became a regulation
User :   they do it for everybody
User :   could the cyst do that to me?
Doctor :   You should get the monitor the cyst regarding the size and content and the number with repeat ultrasounds

Doctor :  
If there is a change then your doctor shall consider a more invasive procedure for the cyst
Doctor :  
Till then nothing to worry about
Doctor :   Did you follow what I said?
User :   why? can u explain
User :   my cyst was 3cm liquide filled
User :   benin
Doctor :   Ok let me explain

User :   ok
User :   m scared
Doctor :  
As people get older, sacs filled with fluid can form in the kidneys
User :   ok
Doctor :  
These sacs are called cysts
User :   ok
Doctor :   They are usually small oval with watery fluid in it

User :   yes that is what i have
Doctor :  
Kidney cysts are almost always benign that is they do not cause any problem
User :   ok*
Doctor :  
as if people can go through life without even knowing that they have them.
User :   true
User :   mine was find by accident
Doctor :   Yes
Doctor :  
Almost all kidney cysts are found on tests that create a picture of your insides.
Doctor :  
A doctor may notice that one person has a kidney cyst when he or she does one of these tests for another problem.
User :   as of now it's the 68 DFG that worries me
Doctor :  
These are also called incidental cysts too
User :   ok
User :   my dr told me forget about the cyst*
Doctor :   Pain on the side of abdomen, Urine volume lessening, fever and blood in urine are all things that are to be noted
Doctor :  
If you're having any of these problems, your doctor will probably examine you and order lab tests.
User :   i don't have any symptome
Doctor :   If you do not have any have anythese
Doctor :  
Your doctor might want to check the cyst again with a CT scan/Ultrasound in 6 to 12 months.
User :   I already have ultra sound*
Doctor :  
to see the size of it, number and the content of it
User :   i already have that done*
User :   filled with water
Doctor :   I know
Doctor :  
but to follow up with the size you are asked to get one more after 6 to 12 months
Doctor :  
if you do not have any symptoms
User :   are suggesting that the cyst could be a major problem?
User :   my doctor totally dismiss it
Doctor :  
You are still confused
User :   yes
User :   the bottom line is are you thinking of cancer*
Doctor :   You should not worry about the current cyst in the right kidney

User :   ok
Doctor :  
Just forget about it
User :   i want u to be honnest
Doctor :  
Most kidney cysts are harmless
User :   i really need help that is why i got u services
Doctor :   and does not need any further tests
User :   i know but my case is diff right
User :   because of DFG
User :   right?
Doctor :  
IT is not different I have seen many people like you
Doctor :  
It is very common
User :   so you think my DFG will go back to normal?
Doctor :  
The DFG is not a matter of concern
Doctor :   Very much
User :   are u 100 percent on that
Doctor :  
it goes back normal in few days
Doctor :  
Yes
User :   ok so i will drink a lot today
User :   and have it check again tomorrow is that ok
Doctor :  
not only today from today
Doctor :  
you drink lots of water
Doctor :  
and get the test after a week
User :   ok
Doctor :  
believe me you will get better soon
User :   u truly belive that
Doctor :  
yes
User :   cool
Doctor :  
Good
User :   ty
User :   have good day
Doctor :  
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