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Good Day Doctor, Please I Have A Brother Who Has
Question: Good day Doctor, Please i have a brother who has been diagnosed via I.V.U test to have right sided hydroonephrosis pelvic ureteric junction obstruction. please, how can be treated. he has been on this for close to a year.
Good day Doctor, Please i have a brother who has been diagnosed via I.V.U test to have right sided hydroonephrosis pelvic ureteric junction obstruction. please, how can be treated. he has been on this for close to a year.
Brief Answer:
PUJ OBSTRUCTION
Detailed Answer:
Hello .....
Welcome to Ask a doctor.
There is an obstruction at pelvi ureteric junction causing backpressure leading to dilatation of kidney tubules.With time,the kidney function gets hampered.
The only treatment is a surgical procedure,an endoscopic stenting.
He should keep himself well hydrated and recurrent urinary tract infection (due to urinary stagnation)should be treated with proper antibiotic course.
Hope that I have answered your query.
Regards.
PUJ OBSTRUCTION
Detailed Answer:
Hello .....
Welcome to Ask a doctor.
There is an obstruction at pelvi ureteric junction causing backpressure leading to dilatation of kidney tubules.With time,the kidney function gets hampered.
The only treatment is a surgical procedure,an endoscopic stenting.
He should keep himself well hydrated and recurrent urinary tract infection (due to urinary stagnation)should be treated with proper antibiotic course.
Hope that I have answered your query.
Regards.
Above answer was peer-reviewed by :
Dr. Raju A.T
Brief Answer:
PUJ OBSTRUCTION
Detailed Answer:
Hello .....
Welcome to Ask a doctor.
There is an obstruction at pelvi ureteric junction causing backpressure leading to dilatation of kidney tubules.With time,the kidney function gets hampered.
The only treatment is a surgical procedure,an endoscopic stenting.
He should keep himself well hydrated and recurrent urinary tract infection (due to urinary stagnation)should be treated with proper antibiotic course.
Hope that I have answered your query.
Regards.
PUJ OBSTRUCTION
Detailed Answer:
Hello .....
Welcome to Ask a doctor.
There is an obstruction at pelvi ureteric junction causing backpressure leading to dilatation of kidney tubules.With time,the kidney function gets hampered.
The only treatment is a surgical procedure,an endoscopic stenting.
He should keep himself well hydrated and recurrent urinary tract infection (due to urinary stagnation)should be treated with proper antibiotic course.
Hope that I have answered your query.
Regards.
Above answer was peer-reviewed by :
Dr. Raju A.T
Can we have an idea of the cost involve in carrying out the treatment and what are the chances of successful operations
Can we have an idea of the cost involve in carrying out the treatment and what are the chances of successful operations
Brief Answer:
Right sided PUJ Obstruction
Detailed Answer:
A ureteral stent, sometimes as well called ureteric stent is a thin tube inserted into the ureter to prevent or treat obstruction of the urine flow from the kidney and It’s cost depends upon the type.
Ureteric stents range from 10,000 to 40000 Nigerian naira.
Procedural charges are exclusive.
Regards.
Right sided PUJ Obstruction
Detailed Answer:
A ureteral stent, sometimes as well called ureteric stent is a thin tube inserted into the ureter to prevent or treat obstruction of the urine flow from the kidney and It’s cost depends upon the type.
Ureteric stents range from 10,000 to 40000 Nigerian naira.
Procedural charges are exclusive.
Regards.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Brief Answer:
Right sided PUJ Obstruction
Detailed Answer:
A ureteral stent, sometimes as well called ureteric stent is a thin tube inserted into the ureter to prevent or treat obstruction of the urine flow from the kidney and It’s cost depends upon the type.
Ureteric stents range from 10,000 to 40000 Nigerian naira.
Procedural charges are exclusive.
Regards.
Right sided PUJ Obstruction
Detailed Answer:
A ureteral stent, sometimes as well called ureteric stent is a thin tube inserted into the ureter to prevent or treat obstruction of the urine flow from the kidney and It’s cost depends upon the type.
Ureteric stents range from 10,000 to 40000 Nigerian naira.
Procedural charges are exclusive.
Regards.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Doctor thanks for your swift response. I will appreciate if you could suggest a doctor or a medical institution in Nigeria where we can get a good attention please
Doctor thanks for your swift response. I will appreciate if you could suggest a doctor or a medical institution in Nigeria where we can get a good attention please
Brief Answer:
RIGHT PUJ OBSTRUCTION
Detailed Answer:
Hi.....
Don't worry.This is an uncomplicated and short procedure.
It has a good success as stenting drains the urine and relieves the kidney tubular swelling.Kidney functions are restored.
Lagoon Hospital in Lagos is an advanced and good centre with multi specialities including Urology.
Best of luck.
May your brother be blessed with best of health.
Regards.
RIGHT PUJ OBSTRUCTION
Detailed Answer:
Hi.....
Don't worry.This is an uncomplicated and short procedure.
It has a good success as stenting drains the urine and relieves the kidney tubular swelling.Kidney functions are restored.
Lagoon Hospital in Lagos is an advanced and good centre with multi specialities including Urology.
Best of luck.
May your brother be blessed with best of health.
Regards.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Brief Answer:
RIGHT PUJ OBSTRUCTION
Detailed Answer:
Hi.....
Don't worry.This is an uncomplicated and short procedure.
It has a good success as stenting drains the urine and relieves the kidney tubular swelling.Kidney functions are restored.
Lagoon Hospital in Lagos is an advanced and good centre with multi specialities including Urology.
Best of luck.
May your brother be blessed with best of health.
Regards.
RIGHT PUJ OBSTRUCTION
Detailed Answer:
Hi.....
Don't worry.This is an uncomplicated and short procedure.
It has a good success as stenting drains the urine and relieves the kidney tubular swelling.Kidney functions are restored.
Lagoon Hospital in Lagos is an advanced and good centre with multi specialities including Urology.
Best of luck.
May your brother be blessed with best of health.
Regards.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
thanks so much Doctor. I really appreciate
thanks so much Doctor. I really appreciate
Brief Answer:
PUJ OBSTRUCTION
Detailed Answer:
You are most welcome.
Please let me know if I can be of any help at any point of time.
Stay healthy and stay blessed.
Regards.
PUJ OBSTRUCTION
Detailed Answer:
You are most welcome.
Please let me know if I can be of any help at any point of time.
Stay healthy and stay blessed.
Regards.
Above answer was peer-reviewed by :
Dr. Yogesh D
Brief Answer:
PUJ OBSTRUCTION
Detailed Answer:
You are most welcome.
Please let me know if I can be of any help at any point of time.
Stay healthy and stay blessed.
Regards.
PUJ OBSTRUCTION
Detailed Answer:
You are most welcome.
Please let me know if I can be of any help at any point of time.
Stay healthy and stay blessed.
Regards.
Above answer was peer-reviewed by :
Dr. Yogesh D
Good day Doctor,
I want you to please comment on the situation of liver function test and how that can be handled too
I want you to please comment on the situation of liver function test and how that can be handled too
Good day Doctor,
I want you to please comment on the situation of liver function test and how that can be handled too
I want you to please comment on the situation of liver function test and how that can be handled too
Brief Answer:
PUJ OBSTRUCTION
Detailed Answer:
A minimal or mild increase in liver enzymes is the most common biochemical alteration encountered in everyday clinical practice.
The limitations of liver function tests is...
1)Lack sensitivity: The LFT may be normal in certain liver diseases like cirrhosis, non cirrhotic portal fibrosis,congenital hepatic fibrosis, etc.
2)Lack specificity : They lack specificity and are not specific for any particular disease. Serum albumin may be decreased in chronic disease and also in nephrotic syndrome. Aminotransferases may be raised in cardiac diseases and hepatic diseases.
Except for serum bile acids the LFT are not specific for liver diseases and all the parameters may be elevated for pathological processes outside the liver.
E.g. Alkaline phosphatase (ALP) is an enzyme in the cells lining the biliary ducts of the liver. It is also be found on the mucosal epithelium of the small intestine, proximal convoluted tubule of the kidneys, bone, liver, and placenta.
It plays an important role in lipid transposition in small intestines and calcification of bones.
50% of all the serum ALP activities in blood are contributed by bone.
ALP is physiologically increased when there is increased bone turnover (eg, adolescence) and is elevated in the third trimester of pregnancy (produced by the placenta)
Thus, LFT have certain advantages as well as limitations at the same time and it is important to view them keeping the clinical profile of the patient.
An elevation of bilirubin is seen in - Hemolysis, ineffective clearance of bilirubin,physiological jaundice, inherited hyperbilirubinemia,ineffective erythropoiesis, hematoma,kidney dysfunction and myoglobinemia.
I don't think that these marginally distorted LFT are of any significance.As it is being said that "We should treat the patients and not the investigations".
Please get the LFT repeated after 3 months.
Regards.
PUJ OBSTRUCTION
Detailed Answer:
A minimal or mild increase in liver enzymes is the most common biochemical alteration encountered in everyday clinical practice.
The limitations of liver function tests is...
1)Lack sensitivity: The LFT may be normal in certain liver diseases like cirrhosis, non cirrhotic portal fibrosis,congenital hepatic fibrosis, etc.
2)Lack specificity : They lack specificity and are not specific for any particular disease. Serum albumin may be decreased in chronic disease and also in nephrotic syndrome. Aminotransferases may be raised in cardiac diseases and hepatic diseases.
Except for serum bile acids the LFT are not specific for liver diseases and all the parameters may be elevated for pathological processes outside the liver.
E.g. Alkaline phosphatase (ALP) is an enzyme in the cells lining the biliary ducts of the liver. It is also be found on the mucosal epithelium of the small intestine, proximal convoluted tubule of the kidneys, bone, liver, and placenta.
It plays an important role in lipid transposition in small intestines and calcification of bones.
50% of all the serum ALP activities in blood are contributed by bone.
ALP is physiologically increased when there is increased bone turnover (eg, adolescence) and is elevated in the third trimester of pregnancy (produced by the placenta)
Thus, LFT have certain advantages as well as limitations at the same time and it is important to view them keeping the clinical profile of the patient.
An elevation of bilirubin is seen in - Hemolysis, ineffective clearance of bilirubin,physiological jaundice, inherited hyperbilirubinemia,ineffective erythropoiesis, hematoma,kidney dysfunction and myoglobinemia.
I don't think that these marginally distorted LFT are of any significance.As it is being said that "We should treat the patients and not the investigations".
Please get the LFT repeated after 3 months.
Regards.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Brief Answer:
PUJ OBSTRUCTION
Detailed Answer:
A minimal or mild increase in liver enzymes is the most common biochemical alteration encountered in everyday clinical practice.
The limitations of liver function tests is...
1)Lack sensitivity: The LFT may be normal in certain liver diseases like cirrhosis, non cirrhotic portal fibrosis,congenital hepatic fibrosis, etc.
2)Lack specificity : They lack specificity and are not specific for any particular disease. Serum albumin may be decreased in chronic disease and also in nephrotic syndrome. Aminotransferases may be raised in cardiac diseases and hepatic diseases.
Except for serum bile acids the LFT are not specific for liver diseases and all the parameters may be elevated for pathological processes outside the liver.
E.g. Alkaline phosphatase (ALP) is an enzyme in the cells lining the biliary ducts of the liver. It is also be found on the mucosal epithelium of the small intestine, proximal convoluted tubule of the kidneys, bone, liver, and placenta.
It plays an important role in lipid transposition in small intestines and calcification of bones.
50% of all the serum ALP activities in blood are contributed by bone.
ALP is physiologically increased when there is increased bone turnover (eg, adolescence) and is elevated in the third trimester of pregnancy (produced by the placenta)
Thus, LFT have certain advantages as well as limitations at the same time and it is important to view them keeping the clinical profile of the patient.
An elevation of bilirubin is seen in - Hemolysis, ineffective clearance of bilirubin,physiological jaundice, inherited hyperbilirubinemia,ineffective erythropoiesis, hematoma,kidney dysfunction and myoglobinemia.
I don't think that these marginally distorted LFT are of any significance.As it is being said that "We should treat the patients and not the investigations".
Please get the LFT repeated after 3 months.
Regards.
PUJ OBSTRUCTION
Detailed Answer:
A minimal or mild increase in liver enzymes is the most common biochemical alteration encountered in everyday clinical practice.
The limitations of liver function tests is...
1)Lack sensitivity: The LFT may be normal in certain liver diseases like cirrhosis, non cirrhotic portal fibrosis,congenital hepatic fibrosis, etc.
2)Lack specificity : They lack specificity and are not specific for any particular disease. Serum albumin may be decreased in chronic disease and also in nephrotic syndrome. Aminotransferases may be raised in cardiac diseases and hepatic diseases.
Except for serum bile acids the LFT are not specific for liver diseases and all the parameters may be elevated for pathological processes outside the liver.
E.g. Alkaline phosphatase (ALP) is an enzyme in the cells lining the biliary ducts of the liver. It is also be found on the mucosal epithelium of the small intestine, proximal convoluted tubule of the kidneys, bone, liver, and placenta.
It plays an important role in lipid transposition in small intestines and calcification of bones.
50% of all the serum ALP activities in blood are contributed by bone.
ALP is physiologically increased when there is increased bone turnover (eg, adolescence) and is elevated in the third trimester of pregnancy (produced by the placenta)
Thus, LFT have certain advantages as well as limitations at the same time and it is important to view them keeping the clinical profile of the patient.
An elevation of bilirubin is seen in - Hemolysis, ineffective clearance of bilirubin,physiological jaundice, inherited hyperbilirubinemia,ineffective erythropoiesis, hematoma,kidney dysfunction and myoglobinemia.
I don't think that these marginally distorted LFT are of any significance.As it is being said that "We should treat the patients and not the investigations".
Please get the LFT repeated after 3 months.
Regards.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thanks a lot Doctor. You are wonderful. May it be well with you always. I wish you are within my reach
Thanks a lot Doctor. You are wonderful. May it be well with you always. I wish you are within my reach
Brief Answer:
RIGHT PUJ OBSTRUCTION
Detailed Answer:
For sure.....I would be more than happy to guide you in the course of treatment.
Take care of yourself and may God bless you.
All the very best.....
RIGHT PUJ OBSTRUCTION
Detailed Answer:
For sure.....I would be more than happy to guide you in the course of treatment.
Take care of yourself and may God bless you.
All the very best.....
Above answer was peer-reviewed by :
Dr. Kampana
Brief Answer:
RIGHT PUJ OBSTRUCTION
Detailed Answer:
For sure.....I would be more than happy to guide you in the course of treatment.
Take care of yourself and may God bless you.
All the very best.....
RIGHT PUJ OBSTRUCTION
Detailed Answer:
For sure.....I would be more than happy to guide you in the course of treatment.
Take care of yourself and may God bless you.
All the very best.....
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Kampana
Answered by
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