Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

157 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Having fullness in the kidney, frequent infections, dry mouth, constipation. Had surgery for PUJ obstruction. Normal?

Answered by
Dr.
Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 9783 Questions

default
Posted on Sat, 19 Jan 2013 in Urinary and Bladder Problems
Question: I had undergone surgery in December 2011 to correct a PUJ obstruction. It is now one year since the operation was performed and I do not feel very well. I continue to experience symptoms such as fullness in the kidney, frequent infections, excessive drinking of water, dry mouth, pain in the left flank, burning under the feet especially when I urinaye.I feel very tired and i am unable to concentrate, i become very irritable, and also suffer with severe constipation. I recently visited my doctor who made me do blood tests. The platelets were high over 311. he said that was due to the recent surgery. I also did an ivp whih revealed a back up of urine in the kidney, it was explained that the kidney is barely functioning and it was smaller than the right one. what do I do,
doctor
Answered by Dr. P. T. Patil 1 hour later
Hello
Thanks for your query.

You have undergone surgery for PUJ obstruction in Dec 2011.and still you have symptoms of general malaise and obstructive uropathy. Will you please furnish some more information to conclude?

1) When was your PUJ detected?
2) The IVP that you have posted is old one done before surgery or recent one?
3) Have you done your blood test (Serum Creatinine, Blood Urea) and DTPA scan to asses Kidney Function before and after surgery?

Please feel free to ask if you have more questions. I shall be pleased to answer the same. Waiting for your feedback. Thanks with Regards.

Dr. Patil

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
default
Follow up: Dr. P. T. Patil 9 hours later
The PUJ was detected in the early part of 2011, i ALSO HAD TWO STONES WHICH WAS BLASTED PRIOR TO HAVING SURGERY DONE TO RECTIFY PUJ.

i FORGOT TO MENTION ONE OF THE SYMPTOMS THAT I AM ALSO EXPERIENCING WHICH IS PUFFINESS OF FACE, I AM 39, MY FACE LOOKS LIKE I AM 79
IVP was done recently
Recent blood tests results
1TEST NORMAL ABNORMAL
Hematology
WBC 5.9
LYMPHOCYTES 2.2
MID# 0.3
GRANULOCYTES 3.4
LYMPHOCYTES 37.4
MID% 5.9
GRANULOCYTES 56.7
HEAMOGLOBIN 13.7
RBC 4.93
HEAMATOCRIT 40.7
MCV 82.6
MCH 27.7
MCHC 33.6
PLATLETS 311H


RENAL PROFILE
BUN 17.0
CREATININE 1.0
SODIUM 144.3
POTASSIUM 4.14
CHLORIDE 106.8
BUN/CREA RAT 17.0
eGFR 61.7

CHEMISTRY
URIC ACID 5.5


ANALYSIS RESULT
CREATININE 75 UMOl/L
URIC ACID 0.19MMOl/L
BILIRUBIN TOTAL 14.3umol/L
GOT (AST) 36u/l
GPT(ALT) 26u/l
GGT 35 u/l
ALKALINE PHOSPHATASE 53u/l
PROTEIN 68 g/l
ALBUMIN 42g/l
CHOLESTEROL 4.8 mmol/L
TRIGLYCERIDES 3.12mmol/L
BUN 2.90mmol/L
HDL 0.62mmol/L
CORONARY RISK FACTOR 7.7 ratio
GLOBULIN 26 g/l
LDL CHOL 2.8 mmol/L
VLDL CHOL 1.42mmol/L

WBC 6,2
LY 36.9
MO 18.7
GR 44.4
LY# 2.3
MO 1.2
GR# 2.8
RBC 4.82
Hgb 13.0
Hct 41.1
MCV 85.3
MCH 27.0
MCHC 31.6 L
RDW 14.7
Plt 238
MPV 10.7

TEST F4 1.35
TSH 1.68
T3F 4.23 HI

URINE
GLU NEG
BIL NEG
KET NEG
SG 1.OO5
BLO NEG
PH 7.5
PRO NEG
URO O.2 E.U./dL
NIT NEGLEU NEG

tHESE WERE RECENT RESULTS OF TESTS DONE IN JULY AND DECEMBER 2012

i HAVE MADE AN APPOINTMENT TO DO A COLONOSCY NEXT WEEK. i HAVE BEEN ADVISED THAT i NEED TO TAKE 4 DULCOLAX ON THURSDAY AND ON FRIDAY TO FAST FOR THE DAY AND ONLY TAKE SALINE LAXATIVE. i AM CONCERNED WHETHER THIS WOULD AFFECT MY KIDNEYS IN ANY WAY. THE COLONOSCOPY IS SCHEDULED FOR SATURDAY MORNING

I am also experiencing severe heart palpitation and a pain around my heart area,

doctor
Answered by Dr. P. T. Patil 10 hours later
Thanks for the feedback Your recent blood chemistry is wee within normal range and the main positive aspect is that your renal profile does indicate normal kidney function.

All these symptoms may be due to UTI however function of the Lt kidney can be ascertained only on DTPA scan so please get it done at earliest. Please send urine for culture and sensitivity and once you get the report start the appropriate antibiotics.

Kindly post me result of your Colonoscopy. Please ensure to take plenty of water.

Thanks with regards.
Dr. Patil.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Lab Tests
Medical Topics

Recent questions on  Creatinine

doctor1 MD

Dear Sir, My dad (60 yrs) is suffering from Anklosing Spondylitis for 25 years, and have been using Microcid 25 mg ( 2 tab ) in morning & 2 tab in night ( 100 mg per day ) for 25 yrs. Recently for the last 2 years, we added K-Link product ( K-Artis ) to reduce his pain. Now, we have found that his kidney is shrunk and urea ( 40) , creatinine (1.4) value is in border . 1.Will the renal failure is due to microcid? 2. Can we try using microcid for one week to check if urea & Sr. Creatinine increases or is stable? Please advice

doctor1 MD

Hi, may I answer your health queries right now ? Please type your query here...

                                        My father Mr. Paresh nath Pal, 69 years old having major kidney failure, wanted to know about what are the ways or alternatives.

I am providing details about him till now.

He has Hyper Tension , Diabetes for near about last 20 years. Pacemaker have been implanted on 2006 because of low pulse rate.

According to his recent report on 8th april:

Blood pressure- 124\75

Blood sugar- fasting92\pp141

Blood urea-104

Blood creatinine-3.90

potassium 4.8

hemoglobin-9

doctor1 MD

Dear Sir,

My mother has been suffering from Kidney disease. She never had any problem with BP or Blood Sugar but he has been declared to have bilateral renal parenchyma disease since 2005.

She is taking a calculated diet limiting the salt content in the food to 3 gm/day. The recent blood test conducted (2 months back) has reported bad results and the details are listed below:-

Creatinine - 7.5

Hemoglobin - 8.1

Blood Sugar (Fasting) 88 mg/DL

Urea - 150

Sodium - 131

Potassium - 4.2



What should be the next step? Is kidney transplantation the only choice? When/where should it be done? Is it getting very worse or we still have some time to go for the transplantation?

Please help.

Thanks, Kunal



                                                  

doctor1 MD

A patient aged 77 years in critical health for kidney failure undergoing hamoe dialysis for Creatinine ( 8.0 to 8.5 ). Last 3 dialysis carried out on 19th Aug , 23rd Aug & 27th Aug. Patient in Amritsar India. Pl guide on sos on Contact Mobile 0000

doctor1 MD

Im a 70 year old stage two diabetic. I woke up in the night with dry heaves...I just went to the store and fell faint and nauseated. I rested for 30 minutes and felt a lot better. I home now and concerned ! I had low blood presure. Now its 128...

doctor1 MD

I feel completely dumb I can't concentrate I can't think straight I feel like I can't function has the time even though I am I'm having memory loss I sometimes blackout for a Split Second I had an MRI month ago and it showed nothing same with the...

doctor1 MD

Sir, I am 59 years with no sugar and blood pressure problem . During routine yearly blood test , my Amylase and Lipase tests showed elevated levels. Amylase level showed MORE THAN 1000 in Thyrocare lab and 3661 IN XXXXXXX HOSPITAL LAB, BENGALURU....