Suggest treatment for renal artery stenosis

default
Posted on Mon, 8 Jun 2015 in Kidney Conditions
Question: my father have pain in the kidney. attached is the initial test reports. can you please suggest the next steps? what are the tests we should take now and who is the best dr. in XXXXXXX for this? i heard psri is the best place for the kidney problems?
doctor
Answered by Dr. Rakesh Madhyastha 1 hour later
Brief Answer:
Left renal arterty stenosis

Detailed Answer:
Hello

Thanks for the query

It looks like your father is suffering from left renal artery stenosis. Which means that the blood flow to the kidney has reduced significantly. Here is how you should go about it

1. Get a DTPA renal scan to know the functioning of the left kidney
2. If the functioning of the kidney is normal or salvageable after the DTPA scan then you will have to go for stenting of the artery
3. Stenting of the artery is done by cardiologist after a angiogram.

I recommend you to approach Dr Alkhil XXXXXXX of Apollo Hospitals for one stop solution for the problem.


I hope I was of help, if you have any further questions please get back to me

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Rakesh Madhyastha 2 days later
i have attached couple of more tests done. can you please suggest what is ur opinion in this case?
doctor
Answered by Dr. Rakesh Madhyastha 4 hours later
Brief Answer:
Single functioning kidney

Detailed Answer:
Hello

Thanks for getting back with the reports. From the reports I infer that the left kidney is not functioning anymore. If I were to be your doctor I would not do anything about it.
I would do the following things


1. Get serum creatinine and potassium done. Based on that I would add an ace/arb tablet for protection of the right kidney
2. Avoid analgesics or herbal medicines known to cause kidney injury
3. Exercise daily for atleast 45 min a day
4. get renal function test done once in 6 months

I hope I was of help, if you have any further queries please do get back

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Rakesh Madhyastha 13 hours later
left kidney is still at 20% as per reports so should we just let it die? will it cause any problem in future.
also the pain that my father is having sometimes it increases to unbearable level. what should we do about it?
also my father have a high blood pressure. do the kidney problem arises due to high blood pressure or its the reverse?
doctor
Answered by Dr. Rakesh Madhyastha 6 hours later
Brief Answer:
Follow up

Detailed Answer:
Hello


You have asked a very good question.
The idea of doing a renal artery stenting for a kidney is to salvage that kidney. Usually in early phase of detection of renal artery stenosis the functioning of the kidney will be good and the size of the kidney will be normal or slightly reduced in size,in such cases it makes sense doing an intervention. Once the kidney is already shrunken and the functioning of the kidney is less there is not point. Left kidney will not die, functioning of the left kidney has reached a stage where it has got adjusted to the reduced blood supply through the stenosed artery. It will not improve further after stenting.

The high blood pressure is due the renal impairment. Adding ACE/ARB and centrally acting antihypertensives like Arkamin will be of help, it will bring down the blood pressure well.

Pain might not be to the stenosis. I suggest getting a surgical opinion for the pain. The best painkiller for your father would be tramadol.

I hope I was of help, please get back to me for any further doubts please get back to me

Regards


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Rakesh Madhyastha 1 hour later
thanks for the reply !
can you please suggest any good surgical doctor in XXXXXXX from where we can take help?
doctor
Answered by Dr. Rakesh Madhyastha 30 minutes later
Brief Answer:
Follow up

Detailed Answer:
Hello

I don't know any surgeon in XXXXXXX myself however if you can tell me which part of XXXXXXX I can ask my surgeon colleagues and find out for you.
You can also search for a surgeon in XXXXXXX through Healthcaremagic 'search for a doctor' link

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Rakesh Madhyastha

Nephrologist

Practicing since :2009

Answered : 4360 Questions

premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication
Lab Tests

Recent questions on  Tramadol

doctor1 MD

my name is william bell ph# 580 302 4418. i am 58 years old.since 2009 i have had a triplebypass an angiogram and a stent. the doctors were dr....

doctor1 MD

I have lower back pain and my Xray shows that i have a straightened lumbar lordosis due to spasm. Pls what can i do since i cannot take any NSAID...

doctor1 MD

If I take a dose of Tramadol 50 mg. is there a chance I will have increased heart palpatations?I suffer a rapid heart rate and have been prescribed...

doctor1 MD

sir my wife having pain in her left leg. she was x-rays in surya ortho in Faridabad . The Doctor said that there is less gap in hip due to that the...

doctor1 MD

My wife, age 83, has developed a situation where her dominant hand (left) the index and ring fingers have curled into the palm and those knuckles...

doctor1 MD

I take blood thinner what anti inflammatory can I take

doctor1 MD

I have had shingles twice and had treatment and the shingles vaccine . My shingles were on the left side of my body, under the breast and around my...

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2