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Is removal of kidney the solution for these kidney infections?

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Posted on Fri, 21 Mar 2014
Question: Hi My relative has kidney infection below are the deatils,we consulted in raipur chhattisgarh,doctor are saying need to remove left kideny please help me what we can do. kidney: The right kidney measures 11.1 X 5.8 CM and left kidney measures 9.6 x6.3 CM in size. The right kidney has normal cornical echotexture and have smooth margins. Cortico-Medullary differentiation is maintained, No calculus or hydronephrosis is seen.The left kidney, esp middle and lower pole is very poorly visualized. Dirty acoustic shadows are seen in these region.(emphysematous pyelonephritis to be ruled out) Impression: Finding reveal 1 Hepatosplenomegaly 2 Poorly visualized middle and lower pole left kidney(emphysematous pyelonephritis to be ruled out) Advised:Clinical Correlation Please mail the details what we can do next Is the patient having Diabetes? No please sugest us the beter solution at present condition
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Answered by Dr. Ravi Bansal (10 hours later)
Brief Answer: emphysematous pylonephritis Detailed Answer: Hi XXXXX. Is the patient having Diabetes? The condition is known as emphysematous pylonephritis. Here one of the kidney is infected and destroyed because of bacteria. This kidney is unlikely to be functioning. But since this infection is very severe it may not resolve with medicines and may lead to risk of life. In such situation we can attempt to control infection with medicines, but if the clinical condition of patient does not show any improvement or there is worsening then operation to remove the kidney is the best way forward to save the patients life. This decision is based on the clinical judgement of the treating doctor. The CT scan images are showing a severe disease. i think if the treating doctor is convinced that he cannot control the infection with medicines then operation is the only way and should not be delayed. Brief Answer: emphysematous pylonephritis Detailed Answer: well this condition is commonly seen in diabetics and is very XXXXXXX in them. If your patient is not diabetic he has a better chance of recovering. Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Ravi Bansal (1 hour later)
doctor already removed pus from lover porsion of kidney. but did not get beter reslt.now they are planning to insurt the pipe inside of kidney to creat low pressure to move out infected bactia which is the form of air and another symtum is good like no sweling in legs and he take food properly and etc. and dibaties level at night is 160 to 260 and creatinin is propetly under control ( 1.42 to 1.52) and count (w.b.c.) is decreses 17150 to 12460.. . now this condition what should we do?? what ever be doctors planning will be succeed or not??? and day dibties level is 120 to 140
doctor
Answered by Dr. Ravi Bansal (11 hours later)
Brief Answer: PYLONEPHRITIS Detailed Answer: Hi XXXX, First thing DO NOT PANIC. I can understand this is a difficult time but the disease will take its course. You have to trust the doctor and let the treatment go on. WAIT FOR A COUPLE OF DAYS IF PATIENTS CONDITION IS IMPROVING ..
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Ravi Bansal (21 hours later)
hii sir will you tell me about the charges of Nephrotomy surgury??? aproximate charge?
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Answered by Dr. Ravi Bansal (8 hours later)
Brief Answer: uti Detailed Answer: Charges will vary from centre to centre and type of surgery. Simple nephrectomy lap nephrectomy or radical nephrectomy. Cost would be around 60 to 70000 for lap nephrectomy to 100000 for more radical procedures. But in your case cost will be more of infection control medicines or icu stay if needed.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Ravi Bansal

Nephrologist

Practicing since :1996

Answered : 359 Questions

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Is removal of kidney the solution for these kidney infections?

Brief Answer: emphysematous pylonephritis Detailed Answer: Hi XXXXX. Is the patient having Diabetes? The condition is known as emphysematous pylonephritis. Here one of the kidney is infected and destroyed because of bacteria. This kidney is unlikely to be functioning. But since this infection is very severe it may not resolve with medicines and may lead to risk of life. In such situation we can attempt to control infection with medicines, but if the clinical condition of patient does not show any improvement or there is worsening then operation to remove the kidney is the best way forward to save the patients life. This decision is based on the clinical judgement of the treating doctor. The CT scan images are showing a severe disease. i think if the treating doctor is convinced that he cannot control the infection with medicines then operation is the only way and should not be delayed. Brief Answer: emphysematous pylonephritis Detailed Answer: well this condition is commonly seen in diabetics and is very XXXXXXX in them. If your patient is not diabetic he has a better chance of recovering. Best wishes.