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Hypodense mass on left kidney - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   Hello would like t ochat
Doctor :   hello
User :   what is your name?
User :   nice to meet you .. please advise: I recently had an ultrasound found a 1 cm X 2cm HYPODENSE mass on my left kidney in th epole .. "colow doppler flow arounfd the periphery" when i consulted previously, i am hoping its probably a cyst... but my doctor si trying to scare me into thinking its something seriuos .. he said because my red blood count is slightly elevated .. what do you think
Doctor :   may i know your age and gender please ?
User :   55 yr old male
Doctor :   do you have anyother medical condition ?
User :   reflux
Doctor :   can you tell me what all medications are you on ?
User :   sometimes producing some nausea and bupring
User :   reflux meds seems to help with sypmtoms
User :   ranitidine
Doctor :   ok
Doctor :   and what are your present symptoms ?
User :   bilirubin slighlty elevated also
User :   i get some nausea and mucus in th emorning and get some dry retching for a few monutes
Doctor :   ok
User :   burping
Doctor :   have you lost weight recently ?
User :   no gained weight
User :   no fever
Doctor :   and abdominal discomfort ?
User :   some belching fullness
Doctor :   ok now i will suggest you thats you should change your antacid medication
User :   ok
Doctor :   and get PRILOSEC 20MG
User :   ok
User :   should i worry about this kidney? doctor wants ct scan
Doctor :   which is more effective than ranitidine
User :   ok
Doctor :   its a over the counter
User :   ok
Doctor :   you should take one a day
User :   ok
Doctor :   for 14 days
Doctor :   now coming to your second problem
Doctor :   a hypodense mass can be a cyst and it also can be a calcification or it can be tumor, i mean the ultrasound gives us us a vague image, it tells us something is wrong BUT not what is wrong
Doctor :   i hope you understand that
Doctor :   now yes the next step would be a CT in any case so that we can pinpoint the cause
User :   ok he said he wasn;t sure what it is but"i caught it early" what does he mean?
User :   so i dont ned to assume the worst
User :   need
Doctor :   no not at all
User :   ok so it can likely be just a cyst and he;s trying to be careful
Doctor :   infact if it was a tumor you would have symptoms like rapid weight loss
Doctor :   yes we all have to be careful
Doctor :   and you should go ahead with teh CT
User :   really? no i have been gaining wieght
User :   the nausea i think is my reflux not the kidney
Doctor :   kidny has no connection for the nausea
Doctor :   thats your reflux
User :   good so then i can just do the ct scan and i will report back to you
Doctor :   sure you can
User :   ok so the elevated red blood is nothing special j the cyst might produce that?
Doctor :   a minor infection can also do it
User :   yes it could be infected also correct?
Doctor :   yes thats right
User :   ok
User :   what;s your recap of this?
Doctor :   well its difficult to assess without a physical examination thats why a test report is must but then like i said a XRAY ia vague so we need a CT to pinpoint
User :   ok well my physical exam is normal
User :   he found nothing
Doctor :   so lets hope the CT comes all ok
User :   ok so it could be harmless
Doctor :   yes it can be just even a normal calcification
User :   well the doctor was dramatic
Doctor :   but to be sure what exactly it is we do need a CT
User :   just based on an ultrasound thats indefinite
User :   ok very well thnaks for this
User :   thanks
Doctor :   your most welcome
Doctor :   take care
Doctor :   bye
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