Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
130 Doctors are Online

Renal colic, ultrasound shows hydronephrosis. History of recurrent UTI

my serum creatine is 3.8 , usg shows small kidney Rt. 7.8*3.7, Lt. 8.33*3.78 . my creatine hovering between 3 and 4 from last 3 months on june 30,2012 left renal colic began an urgent usg showed hydronphrosis hydroureter left creatine 4.3 on day 2 of hospitalisation surgen suggest for dj stent ,dj stent left side done on 2 july 2012 my past history i has recurrent uti with spiking fevers from 1 year , persistant heavy pyuria that was sterile on most occasions, the radiologic imaging did not show evidence of obstructive uropathy , i was empirically started on antitubercular drug because of prolonged history of fever with uti , recently completed anti tb theorpy that lasted 6 months, on 20 june 2012 creatine found to go up a dignosis of acute tubulo interstial nephritis caused by rifamipcin was made and anti tb theropy stopped, creatine continued to rise in spite of tb theropy being stopped in dec 2011 i was evaluated for pyuria and fever with chills and rigors in a private hospital in nagpur where usg revealed bening prostatic huperplasia with pvr of 10 ml serum psa was 26.71 and dignonosed to have prostatitis with bph with recurrent utis , i underwent diagnostic cystoscopy with holmium laser enucleation of prostate 25 gms, the histopathology revealed bph with mild prostitis in general examination bp 124/80 respiratory rate of 18/min,no pallar anicetric pls advice for further tretment and tests
Asked On : Sun, 30 Sep 2012
Answers:  2 Views:  213
Report Abuse
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Lab Tests
Nephrologist 's  Response
Your kidneys seem to be significantly damaged from your description. Your doctor must have told you already that only some kidney function is left. There are few things you can get corrected and prolong your kidney function. Check your serum bicarbonate in a NABH accredited lab [most labs dont do this test properly]. The bicarbonate has to be between 22 and 24 meq/l. Get serum vitamin D and serum PTH, serum calcium and serum phosphorus done appropriately treated. If your kidney function is rapidly worsening then get a AV-fistula done. If you need more clarification please contact.
All the best. Hope it helps.
Answered: Tue, 6 Aug 2013
I find this answer helpful

 1 user finds this helpful

1 Doctor agrees with this answer

Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]


Loading Online Doctors....
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor