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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Increase In Kidney Size With Internal Echoes

I had an ultra sound on my right kidney in july, I had a follow up yesterday it showed an increase in size from 1.6 in july to 2.6 yeasterday with a few internal echoes. I have no blood in my urine, no pain, and I exercise everyday. What should my course of action be?
Fri, 11 Jul 2014
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Urologist 's  Response
Hi,
Hopefully there will be no major issue if you have no pain or fever or blood in urine, but I suggest that you get your urine for analysis and culture, as internal echoes usually suggest infection, and a mild untreated infection high in the kidneys can become a full-blown pyonephrosis where the kidney turns into a sac of pus.
You can start antibiotics if the culture grows bacteria and can give a senesitivity pattern which is optimal for you.
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Suggest Treatment For Increase In Kidney Size With Internal Echoes

Hi, Hopefully there will be no major issue if you have no pain or fever or blood in urine, but I suggest that you get your urine for analysis and culture, as internal echoes usually suggest infection, and a mild untreated infection high in the kidneys can become a full-blown pyonephrosis where the kidney turns into a sac of pus. You can start antibiotics if the culture grows bacteria and can give a senesitivity pattern which is optimal for you.