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Back pain. Abdominal scan shows spots on spine. Benign hemangioma and hepatic dome cyst in liver diagnosed. Dangerous?

I had a Abdominal CT scan (liver protocol) due to spots seen on MRI of spine due to mid back pain. Spots confirmed as benignhemangioma and hepatic dome cyst in liver but report also noted mild pelvicalyceal prominence bilaterally without definite evidence of obstruction. I have had 2 past kidney infections and in my 20's and 30"s I easily could have 2-3 UIT's per year. I presently have alot of pain over my kidneys but no fever. Especially in warm weather I take cranberry juice capsules as I feel I have an infection starting. I urinate about twice as frequently as my young daughters. I am told by my father that his mother had to have her kidney removed in her 30's and does not recall injury but no one has been able to track down the reason she had to have it removed. I have been to a urologist and have no obvious deficits with lab work and ultrasound. Any advice?
Asked On : Sat, 20 Apr 2013
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General Surgeon 's  Response

Thank you for the query.

Such recurring UTIs needs to be diagnosed as can lead to kidneys severe inflammation and failure.
From your symptoms it sounds like you may have kidney stones. It is very common that such stones can not be visualized in the CT or ultrasound and the only proof of its presence is recurring back pain radiating to the lower abdomen and groin.
Other reasons like narrows in the ureter can result with chronic utis due to impeded urine flow.
Increased blood sugar level (diabetes) makes us prone to utis as well.
Hepatic cyst and hemangioma are very common findings and most of them does not need any action except observation.

Kidney stones are thought to be caused by diet, but as there is few types of stones and every type needs different diet, it is hard to advise which diet you should have. You definitely should drink a lot of mineral water (like 2-3 l a day). Increase physical activity. You may try to decrease sodium intake, animal proteins intake, avoid foods high in oxalate, such as spinach, rhubarb, nuts, and wheat bran.

Your urologist should perform cystoscopy and urinary tract check with contrast.

Hope you will find it helpful.
Answered: Sat, 20 Apr 2013
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