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What Causes Weight Gain Post Kidney Tumor Removal?

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Posted on Wed, 7 Dec 2016
Question: I had a nephrectomy one year ago with removal of a large cancerous tumor on my right kidney. The tumor was about the size of a soccer ball. Since then I have gained 50 lbs, have edema off and on in my legs, a small rash on my stomach near the surgical site and have a whole lot of back pain. I originally was on lisinipril but was able to get off that a few months ago as my blood pressure is normal. I take no other medication other than a bactrim cream for the rash (helps but doesn't go away). I no longer have a gallbladder from a surgery years ago. All my CT Scans and ultrasound, blood tests and urine tests show nothing wrong. I also tested my thyroid and did a Cushings test. All normal. Nobody has any answers and I really feel like I have fallen through the cracks. I watch what I eat, I exercise 2-3 days a week, I have low stress at home. I am struggling to stay active but it is difficult. I only feel good maybe 2 days out of the week. Example: Walking a lot one day will make me inactive for a few days to recover. I realize it was a major surgery, but I am concerned about these side effects. The only thing I keep hearing from my doctors now is to consider weight loss surgery (no thank you, enough cutting on me), diet pills or deal with it. Any thoughts?
doctor
Answered by Dr. Indranil Ghosh (3 hours later)
Brief Answer:
Cause of obesity not apparent

Detailed Answer:
Hi
Thanks for your query.

You have unexplained obesity after kidney cancer surgery. There is no relation between this surgery and weight gain directly. Reduced activity after surgery may explain partly. Recurrence of cancer is unlikely to cause weight gain, but even that has been ruled out. As are hormonal causes.

So the weight gain remains unexplained. There are no easy answers to this. Increasing the exercises gradually, following a diet chart and if required, as rightly suggested, weight loss surgery. There are no other options that I could figure out from your condition.

Hope this helps. I will be available for further follow up.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indranil Ghosh (3 minutes later)
Could only having one kidney cause some sort of insulin resistance? My sugars are slightly elevated but still within normal ranges, just at the high end.
doctor
Answered by Dr. Indranil Ghosh (57 minutes later)
Brief Answer:
No not because of single kidney

Detailed Answer:
Insulin resistance is due to obesity I believe.
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Indranil Ghosh

Oncologist

Practicing since :2004

Answered : 1712 Questions

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What Causes Weight Gain Post Kidney Tumor Removal?

Brief Answer: Cause of obesity not apparent Detailed Answer: Hi Thanks for your query. You have unexplained obesity after kidney cancer surgery. There is no relation between this surgery and weight gain directly. Reduced activity after surgery may explain partly. Recurrence of cancer is unlikely to cause weight gain, but even that has been ruled out. As are hormonal causes. So the weight gain remains unexplained. There are no easy answers to this. Increasing the exercises gradually, following a diet chart and if required, as rightly suggested, weight loss surgery. There are no other options that I could figure out from your condition. Hope this helps. I will be available for further follow up. Regards