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MRI Said Kidney With Presence Of Double J Stint. Can It Cause Lower Back Pain Or Aggravate Kidneys?

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Posted on Sat, 23 Jun 2012
Question: Hello, My Name is XXXXXXX and the following will have to do with my Question. I am a male, 59 years old. I have the following from an MRI report. The right kidney is identified with the presence of a double J stint within the right renal collection system. However there is persistant moderate degree of hydonephrosis. Califications are demonstated in the midpole calyx on the right which may represent a renal calculus 7mm in diameter. The left kidney is identified and demonstrates moderate degree of hydronephrosis and hrdroureter. Following the left ureter inferiorly demonstrates a ureteral stone measuring up to 11mm in the greatest dimension and located at the S1 level. Stranding or reticulation of the perinephric space fat is seen suggestive of obstrutive uropathy. Additional calculi are demonstrated within the upper mid and lower pole of the left kidney. The right kidney also demonstrates additional calculi associated with the renal pelvis.

IMPRESSION: Presence of the double J stint within the right renal collecting system though persistant hydronephrosis and hydoureter is seen on the right. Multiple renal calculi are also seen and associated with the right kidney. Stones demonstrated within the mid ureter left side causing moderate to severe hydronephrosis and hydoureter. Additionl stones are seen associated with the renal pelves. Stranding of the adjacent perinephric space fat is seen suggestive of an obstuctive uropathy.

NOTE: The stint in my right kidney was put in place in May of 2006.

I also suffer from Mild Degenerative Disc Lower Lubar Spine Area.

My Questions are:
1. Can the problems with my kidneys aggravate or cause moderate to more severe pain in my lower Back?
2. Can pain and spasms in my lower back aggravate my kidneys.

Thank You. XXXXXXX
doctor
Answered by Dr. Rajiv goel (2 hours later)
Hi,
Thanks for posting your query.
The history suggests that you have a long standing stone disease.
Your right kidney is getting damaged because of the stent and the resultant encrustations.
The left kidney has a swelling because of a stone in the ureter.
You urgently need to see a urologist, get serum creatinine done and then find out the functional status of your kidneys. Subsequently, you need to get yourself operated on both the sides in sequential manner.
Your backache is probably more because of the stone disease rather than spine problem. In addition, the analgesics you may be taking for the backache may be damaging the kidneys as well.

Hence, I strongly advise you to see a urologist at the earliest and get your renal function checked.

I hope I have answered your query. Please accept my answer if you have no follow up queries.

Regards.

Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
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Follow up: Dr. Rajiv goel (1 hour later)
Thank you for your answer, So what you are saying is that my kidney problems are more likely to cause my prolonged back pain than the mild degenerative disc? I have had pretty bad lower back pain for about 6 weeks now. So thats not unusual to last that long? Thank you again.. XXXXXXX PS I will see my Doctor on Tuesday.
doctor
Answered by Dr. Rajiv goel (13 minutes later)
Hi,
Thanks for reverting.

Yes, there is a greater likelihood that your back pain is probably because of kidney disease rather than your disc problem. Pain, arising due to a disease process in the kidneys, can last for longer than 6 weeks and you should certainly get your renal function tested and treated at the earliest.

Regards.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
Answered by
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Dr. Rajiv goel

Urologist

Practicing since :1998

Answered : 581 Questions

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MRI Said Kidney With Presence Of Double J Stint. Can It Cause Lower Back Pain Or Aggravate Kidneys?

Hi,
Thanks for posting your query.
The history suggests that you have a long standing stone disease.
Your right kidney is getting damaged because of the stent and the resultant encrustations.
The left kidney has a swelling because of a stone in the ureter.
You urgently need to see a urologist, get serum creatinine done and then find out the functional status of your kidneys. Subsequently, you need to get yourself operated on both the sides in sequential manner.
Your backache is probably more because of the stone disease rather than spine problem. In addition, the analgesics you may be taking for the backache may be damaging the kidneys as well.

Hence, I strongly advise you to see a urologist at the earliest and get your renal function checked.

I hope I have answered your query. Please accept my answer if you have no follow up queries.

Regards.