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Excess urination, done ultrasound. Can any online doctor help me to read it?

my father is 57yrs old and recently he is facing the problem of excess urination . his ultrasound is done which says: * gallbladder is partially dispended * classification in right lobe of lever - ? healed granuloma * mild left hydrone phrosis * Thickened urinary bladder wall-cystitis * Grade 1 prostatomegaly what all this means?? and whom should we consult??
Asked On : Wed, 20 Mar 2013
Answers:  3 Views:  64
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General & Family Physician 's  Response
Hello and welcome to HCM.

Thank you for your query.

Let me help you by providing details on all the results one by one.

A partially distended gallbladder means that the gall bladder is slightly stretched. This could be due to the following reasons:
-Hydrops of the gallbladder (GB)
-Calculus or other forms of obstruction of GB
and a few other reasons. The cause can also be found with an ultrasound sometimes or a more specific investigation

The "?healed granuloma". A granuloma is formed as a immune response to wall off any substances that are considered foreign. This is normal and need not be a cause of concern.

"mild left hydronephrosis". Hydronephrosis of the left kidney refers to the collection of water in the kidney (left-in your case) causing slight distension and dilation, which is usually caused by the obstruction of the flow of urine from the kidney.

"Thickened urinary bladder wall" is called cystitis. This thickening is usually caused by some bacterial infection. Will have to be further investigated.

"Grade 1 prostatomegaly" is the enlargement of the prostate, which is very mild. This enlargement is not considered abnormal taking into consideration your fathers age. As enlargement of the prostate is an age-related condition, usually seen in patients above the age of 50.

In my opinion the best doctor to visit right now would be a urologist for a suspected infection; and a gastroenterologist for the GB distension, to rule out any underlying conditions.

I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications. I would gladly help you.

Best wishes.
Answered: Thu, 21 Mar 2013
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Internal Medicine Specialist Dr. Maruti Karale's  Response

Thanks for being with HCM.

Out of all findings only mild prostatomegaly,cystitis and mild left hydronephrosis are significant.Rest of the findings are insignificant.

Cystitis is infection of urinary bladder in other words it is urinary tract infection.Cystits can cause increased frequency of urination.

Hydronephrosis means swelling of the kidneys when urine flow is obstructed.Here in your case,obstruction could be due to urinary tract infection or prostatomegaly.

At present he needs treatment for UTI with proper antibiotic such as cefixime or ceftrixone along with adequate fluid intake.

After a course of antibiotic,get repeat USG done for prostate.Usually grade 1 prostatomegaly should not cause significant obstruction that also at 57 years.Hence its better to have urologist opinion for further management.

Distended gall bladder,calcification in left lobe of liver are insignificant findings.Liver calcification could be due to old infection in liver.

Hope this information will help you better.

Wish you good health.

Answered: Wed, 20 Mar 2013
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General Surgeon Dr. Ivan R. Rommstein's  Response
Apr 2013
HI Ahmed and welcome to HCM.
well, these findings explain his symptoms. He has cystoprostatitis which is very common at his age and causes urge to urinate, painful urinating and pain in back. Hydronephross is also complication of it. It is now mild and isnt very serious but needs to be investigated. He should visit urlogis who is gonna prescribe certain medicines or plan surgery. Till hat he must drink lot of water and tea and easy food.
WIsh you good health.
Answered: Wed, 20 Mar 2013
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