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Is a CT scan result of cortical thinning and scarring in the kidney a cause for concern?

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Posted on Fri, 3 Aug 2018
Question: I have stage two kidney disease, with GFR rate of 61, 67, and 67 and creatinine levels 96, 87, and 87 on my last three tests. The tests were. Done between December 15 and XXXXXXX 17. I’m non black. I have been diagnosed with stage two kidney disease. About ten years ago. I developed septicemia as a result of a kidney infection. I had no symptoms of a urinary tract infection and went to the emergency room deathly ill. Though my organ systems were already shutting down, I recovered completely. I have recurrent UTI’s and had two episodes with pyleonephritis In the last two months. They cleared up only after trying several antibiotics. The last one, Monurol, finally cleared up everything. A CT scan shows cortical thinning and scarring or loculations in my right kidney. What does this mean for future kidney function? Will the disease progress? What do the CT scan findings indicate about the condition of the right kidney?
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Answered by Dr. Manuel C See IV (1 hour later)
Brief Answer:
Will not progress unless you develop new infections.

Detailed Answer:
Good day and thank you for being with healthcare magic!

Scarring, loculations, and cortical thinning are because of your previous kidney infections. You would maintain your current kidney function unless you develop new infections in the kidney.

As a 72 year old because of your age we expect your kidneys to have a decrease in function already plus your previous infections.

Drink plenty of fluids, cranberry juice would prevent further infection in the urinary tract.
Above answer was peer-reviewed by : Dr. Kampana
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Follow up: Dr. Manuel C See IV (13 hours later)
Thanks for the reassurance about future problems. I was on large doses of Ibuprofen, three 800’s a day, for 8 years following a car accident for pain management. This caused anemia from bleeding in the small intestine. I had a lysis of adhesions and a resection and stopped using nsaids. Would the Ibuprophen cause kidney damage? Also, what other medications can cause kidney and/or liver damage? I have a chronic problem with intestinal blockages, four between last May and the last one January 15 of this year. I had surgery in September to remove a closed loop blockage. The latest one was a twisted small intestine. Would these problems be related to urinary tract problems? I’ve had eight UTI’s since October, with two of them affecting my kidneys. I have a family history of infections.
doctor
Answered by Dr. Manuel C See IV (6 hours later)
Brief Answer:
Stay away from NSAIDs.

Detailed Answer:
Thank you for your follow up question.

Long term use of NSAIDs has been shown to lead to kindey function deterioration. Allopurinol and colchicine has been also implicated in decrease in kidney function.

The recurrent adhesions and operations in the abdomen doesn't lead to kidney problems unless there is massive bleeding and a decrease in blood pressure during these operations.



Above answer was peer-reviewed by : Dr. Kampana
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Dr. Manuel C See IV

Urologist

Practicing since :2005

Answered : 909 Questions

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Is a CT scan result of cortical thinning and scarring in the kidney a cause for concern?

Brief Answer: Will not progress unless you develop new infections. Detailed Answer: Good day and thank you for being with healthcare magic! Scarring, loculations, and cortical thinning are because of your previous kidney infections. You would maintain your current kidney function unless you develop new infections in the kidney. As a 72 year old because of your age we expect your kidneys to have a decrease in function already plus your previous infections. Drink plenty of fluids, cranberry juice would prevent further infection in the urinary tract.