Abdominal Pain, Blood In Urine. Found Swollen Lymph Node In Abdomen And Kidney Stone. Worrisome
HERE IS MY QUESTION. The doctor indicated there was a swelling of the lymph nodes in the abdomen area and has scheduled my son to see a Hematologist-Oncologist the following day. From what I’ve read on the Internet, it seems to be quite common to experience a swelling of the lymph nodes in the area of an infection or obstruction. Since he’s been experiencing pain in this region for over a month and he’s probably had this stone lodged (or forming) in his kidney for that period of time – ISN’T IT LOGICAL TO EXPECT THE LYMPH NODES IN THE AREA TO BE INFLAMED AND SWELLING? I’m an avid advocate of thoroughness and I agree they should follow-up with the necessary test to determine the possible presence of a blood disease…but, I’d like an outside opinion/explanation as to the usualness or unusualness of the follow-up visit (the next day) with the Hematologist-Oncologist. Also, I’m a little confused about the term – “Hematologist-Oncologist”. I thought you were either one of the other.
Welcome to XXXXXXX and thanks for your query.
First I would like to explain the nomenclature of the specialists.
Cardiovascular surgeons/ vascular surgeons- dermatologist/venereologist/ dermato-venereologist are few examples of intersections in medicine.
The main diseases of blood are cancers and hence people who sub-specialize in cancer of the blood are called hemato- oncologists.
So, I would suggest you not to worry of the name and proceed with the treatment options.
Coming to the treatment, 10 mm stone DOES NOT require open surgery.
It needs lithotripsy in usual situations and PCNL in very rare situations.
After seeing enough stone cases, I do not think that the lymph nodes are due to the stone or infection in the kidneys.
It is usually due to chronic inflammation, tuberculosis or a tumor ( primary or secondary).
So I do feel that he needs to be evaluated separately by the hemato- oncologist.
Hope this helps. Kindly write back for doubts if any---
Best regards
DR GS
I forgot to mention that when my son was a teenager, he experienced three (3) occasions of a collapsed lung – both sides. This occurred over a period of about two years and they eventually "COATED" his lungs to prevent any possibility of collapse in the future. DO YOU THINK THESE OCCURANCES OF A COLLAPSED LUNG AND SUBSEQUENT "COATING" OF BOTH LUNGS COULD HAVE ANYTHING TO DO WITH THE CURRENT CONDITION OF THE SWOLLEN LYMPTH NODES?
Welcome to XXXXXXX
If the collapse was due to tuberculosis, there is a possibility.
Best regards,
DR GS.