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Concerned about renal cysts - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Kidney Conditions
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2585 Questions
User :   hello
Doctor :   Hi
User :   I recently had an ultrasound fatty liver and a small 1 x 2 cm hypodense mass found on left kidney -- blood tesat reveals Hemoglobin 17.9 MPV 11.4 Basophils 1.1 other values normal-- i have some nausea and sinus problems your opininon Im 55 male
Doctor :   from the ultrasound, it seems that you might be having renal cysts
User :   would that account for higher values?
Doctor :   the high basophils could be due to chronic sinus issues and allergy issues
User :   i do have that what about ther red blood cells?
Doctor :   you Hb is a bit at the higher end
Doctor :   but it is not that high
Doctor :   increase in Erythropoietin by kidneys can casue high Hb levels and HIGH RBC cell count
User :   would a cyst cause that?
Doctor :   yes
User :   doctor is asking for a ct scan -- is that needed?
Doctor :   as one ages, the chances of one having a cyst increases
Doctor :   70% of individuals get a cyst detected once they cross the age of 50
User :   ok so you think there;s nothing major going on here
User :   ok so you think there;s nothing very unusual here?
Doctor :   most doctors ,just want to be more confident
Doctor :   hence they usually try to get a clear cut picture, that only a CT scan can give, and rule out kidney cancer as well
User :   ok well i am overweight
Doctor :   as per your history, and the ultrasound, there is nothing that indicates that there is a kidney cancer
User :   yes could the fatty liver be causing some abdominal discomfort and nausea??
Doctor :   a kidney cancer, produces a hyperdense and a larger mass greater than 4-6 cm
User :   ok
Doctor :   yes fatty liver can cause RUQ discomfort, nausea, vomiting etc
User :   hmmm so i think i am beginning to understand this better
Doctor :   that is good to know
User :   i think i may be worrying too much about this when its nothing unusual
Doctor :   most patients when they get to know that they have to undergo more tests, do have a similar reaction as yours
Doctor :   this is a normal reaction due to anxiety
User :   at this point you see no reason for "surgery" of any kind
Doctor :   and you will get over it ,
Doctor :   no there is no need for surgery for a small renal cysts
User :   ok
Doctor :   presence of blood in urine, a large renal mass, flank pain , etc are indications for worry, which you are not having
User :   no blood no large mass no direct pain
Doctor :   they are indicators for renal cancer , which is treatable with surgery
Doctor :   so as i had mentioned earlier, there is no need to worry about anything in your case
User :   and i think the nausea is fatty liver based ive had this for a couple of years and im overweight 245 lbs 5.10"
Doctor :   yes it is
Doctor :   weight loss, physical workouts will help you out
User :   ive been eating lighter for a few days and already feel a little relief
Doctor :   good
User :   i think you have helped and i do appreciate it .. what is your email and i wil report on outcome of ct scan going tomorrow
Doctor :   I am happy to help
Doctor :   THANKS for consulting me here
User :   bye
Doctor :   take care and have a good day
Doctor :   bye for now
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