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Have CKD, Low GFR. Sonogram Shows Complex, Septate Cysts With Hydronephrosis. Prudent?
Thank you
I've been diagnosed with CKD. I am 68, 5'-7", trim, very healthy (otherwise), take no meds, and exhibit no symptoms. My GFR is now 47. In the past (over 20 yrs ago) I also had some low GFR numbers, but did not receive a Dr's advice re the blood chemistry. I've recently altered my diet to eliminate animal protein, all sugars, breads, alcohol, and stick to just fruits and veggies (occasional small baked fish portion). I have relatively small kidneys (around 9 cm each) and 1 kidney has a large cyst (4.5cm x 3.4 cm x 3.6 cm) and the other has 2 much smaller ones. The sonogram listed the cysts as complex, septated cysts, with no hydronephrosis, no masses, or calculus. My BMI is in the low 20's. I am being told to have a nuclear medicine scan to assure that both kidneys are still working, preparatory to surgery to remove/reduce the cysts. Is this a prudent path?
I've been diagnosed with CKD. I am 68, 5'-7", trim, very healthy (otherwise), take no meds, and exhibit no symptoms. My GFR is now 47. In the past (over 20 yrs ago) I also had some low GFR numbers, but did not receive a Dr's advice re the blood chemistry. I've recently altered my diet to eliminate animal protein, all sugars, breads, alcohol, and stick to just fruits and veggies (occasional small baked fish portion). I have relatively small kidneys (around 9 cm each) and 1 kidney has a large cyst (4.5cm x 3.4 cm x 3.6 cm) and the other has 2 much smaller ones. The sonogram listed the cysts as complex, septated cysts, with no hydronephrosis, no masses, or calculus. My BMI is in the low 20's. I am being told to have a nuclear medicine scan to assure that both kidneys are still working, preparatory to surgery to remove/reduce the cysts. Is this a prudent path?
Tue, 25 Jun 2013
Hi and thanks for the query,
I think the approach is very approach. the absence of hydronephrosis and other complications at this point in time warrant timely removal of these cysts to ensure they do not grow too big to cause other compression symptoms to nearby structures. It important to have adopted a healthy life style especially with your diet and you should continue with it.
I strongly feel removing the cysts now is to your best interest in safeguarding the integrity of your kidneys. Proper follow up with your nephrologist is very important and being prudent with any drugs that could compromise kidney function is my advice.
Thanks and hope this helps as I wish you the best of health.
Kind regards,
Bain LE, MD.
I think the approach is very approach. the absence of hydronephrosis and other complications at this point in time warrant timely removal of these cysts to ensure they do not grow too big to cause other compression symptoms to nearby structures. It important to have adopted a healthy life style especially with your diet and you should continue with it.
I strongly feel removing the cysts now is to your best interest in safeguarding the integrity of your kidneys. Proper follow up with your nephrologist is very important and being prudent with any drugs that could compromise kidney function is my advice.
Thanks and hope this helps as I wish you the best of health.
Kind regards,
Bain LE, MD.
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