Male | 18
Can a moved fistula bulge be fixed with surgery?
Hi, I have end-stage kidney failure and I've been doing hemodialysis for 4 years now, and I've been worrying about my fistula or how long it is going to last before I get a tube stuck in my neck as an alternative. Today, the bulge on my arm which I assume is the fistula got moved or at least something got moved slightly causing discomfort and a change of shape of the bulge. Is that a cause for concern? It doesn't have redness or pain in the exact place, but I'm worried sick. Can this be fixed by a surgery? Other questions that have been bothering me. How about if it got ruptured? It started to bulge and reddened. Can it still be fixed? Also, let's say my left arm fistula died and I had to use my right arm. Can I still use my left arm for fistula once it's healed in the future? Thank you for your answers in advance, I'm a teenager who got dealt with a bad hand right from the get-go and I wish to know more about my current situation.
Urologist
Answered on 18th June '24
It’s understandable to be concerned about changes in your fistula. If you notice any discomfort, change in shape, or other symptoms like redness, it's important to check it. A vascular surgeon can assess your fistula and determine if any intervention is needed. Even if your current fistula fails, it's possible to create a new one in the same arm after healing. This should be evaluated by your doctor. Please consult your nephrologist or a vascular surgeon for a detailed examination and advice.
2 people found this helpful
Questions & Answers on "Nephrologyy" (87)
i have done ultrasound result was 14mm stone in pelvic uretic junction when litho done after treatment another ultrasound done showing another stone 9mm in kidny how it is possible invisible the seond stone in first ultrasound?
Female | 34
Often the second kidney stone might be missed on the first ultrasound. Stones can form in different parts of the kidney and may not all appear at the same time. Symptoms of kidney stones include pain in the back or side, blood in the urine, and discomfort while urinating. Treatment options include drinking a lot of water, medications, or procedures to break the stone. It's crucial to have your nephrologist check you for any additional problems and manage your treatment accordingly.
Answered on 3rd Sept '24
Dr. Babita Goel
I am 48 years old. There is albumin (protein)+1 present in my kidneys. I am experiencing a fever as well as pain in my back. I have hypertension and diabetes as well.
Female | 48
According to what you have said, it may be a sign that there is an infection in one or both of the kidneys or even some sort of damage if the protein in your urine is accompanied by other symptoms like fever, backache, high blood pressure, and diabetes. Having protein present within urine isn’t normal at all, especially when taken together with these other signs. So you must see a nephrologist as soon as possible to have this checked out.
Answered on 11th June '24
Dr. Babita Goel
Hello (apologies for long post) Caucasian, Male, 60, 6'0", 260 lbs. Meds: Lisinopril 40 mg, Metoprolol 50 mg x2 a day, Amlodipine 10 mg, Furosemide 20 mg, Glimepiride 1 mg, Janumet 50-1000 x 2, Atorvastatin 10 mg...NO drink/smoke or rec. drugs. Issue: After a lot of work, have lost 40+ lbs in last 5-6 years...blood pressure 130/85, A1c 7.0 ...here is the issue. In March of 2023, after years of my GFR staying constant in mid/upper 40's, (not great, but consistent), it was lower at 41. Dr wanted to check it again in 1 month. I very strictly controlled my diet/sugar/protein/soda/increase water intake, etc...take meds religiously...GFR dropped to 35. Dr sent me to a nephrologist, but before the scheduled appointment (which was 6 weeks later), he took me off of Triamterene...said it can be hard on kidneys. When the nephrologist sent me for labs, GFR went UP to 50. Another test 2 weeks later and GFR went up to 55. Nephrologist says that removing Triamterene from regimen played NO part in GFR rising...put me on Spironolactone due to edema returning . 6 months later at next check-up, all numbers and BP continue to be good, but GFR back down to 40. Is it possible that the diuretics have been hard on my kidneys and causing the lower GFR. I understand with years of HBP/diabetes, the GFR is not ideal, but I'd like to keep it in the 50's if possible. Family doctor took me off the Spironolactone and put me on Lasix in March of 2024...bloodwork coming up in a couple of weeks. Family doctor seems to think the diuretics have contributed to lower GFR...Nephrologist says they have nothing to do with my fluctuating GFR numbers... seeking input from anyone here with knowledge/experience...appreciate any insights re: affect of diuretics on GFR...alternatives to traditional diuretics, etc. I've read loop diuretics like Lasix best for kidney issues.
Male | 60
Diuretics such as Triamterene may have been responsible for your kidney problems, which in turn may have resulted in the increase or decrease of your GFR. The switch from you to Lasix by your family doctor is a good decision as it is a diuretic that may be less harsh on the kidneys. Continue to collaborate with a nephrologist to discover the optimal treatment for you.
Answered on 22nd Aug '24
Dr. Babita Goel
How many points can my creatinine increase with GFR increase after 30 days with stage 4 ckd eating low phosphorus potassium protein and sodium. I have lost some weight using peddler. In the past 30 days my blood pressure and blood sugar have been stable
Male | 76
This means less creatinine in your system. Lower creatinine is good - it shows less strain. High creatinine brings tiredness, swelling, trouble urinating. Keep tracking your progress carefully. If new worries arise, like changes in how you feel, let your nephrologist know right away.
Answered on 23rd May '24
Dr. Babita Goel
Urine infection; pus cells -8-10, epithelial cells 10-12
Female | 35
Finding pus and epithelial cells in urine could indicate an infection. Symptoms of this condition may include a burning sensation when urinating, having a frequent need to urinate but passing only small amounts of urine, cloudy or strong-smelling urine. This bacterium could have been introduced into the urinary tract by drinking a lot of water or taking antibiotics as prescribed by your nephrologist.
Answered on 8th Aug '24
Dr. Babita Goel
I had kidney stones. Some are removed with ursl, but there are still some. I had wart or something else on my leg, so the doctor recommended to use salicylic acid bp 40%. I didn't even realize that I should disclose the fact of having issues with kidney thinking what could be the relationship between dermatology and urology. But I am pretty sure I have committed a huge mistake. The acid has probably entered to my kidney and caused something. It is such a painful ? in my back around kidney. I am far away from hospital (remote). Need first aid to get rid of the pain ? (probably some organic base will neutralize it)
Male | 24
Your back pain might be caused by acid affecting your kidney area, which can irritate this sensitive organ. Drinking plenty of water can help reduce the acid, but it's important to see a nephrologist.
Answered on 21st Aug '24
Dr. Babita Goel
Kidney problems dull pain on right side
Male | 18
Your right kidney area hurts slightly, and you're going pee often with blood. Possible causes: stones, infections, or inflamed kidneys. To know for sure, see a nephrologist. They'll check your urine and maybe get scans done.
Answered on 25th July '24
Dr. Babita Goel
30 year old, creatine and urea level high, diarrheas, from past 4 days. Back ache.
Male | 30
you need to visit emergency department if your bp is more than 180/100 and having symptoms like headache for properly evaluation and management of your condition. This could be hypertensive emergency and needs immediate ecg and bp lowering medication to avoid possible complications.
Answered on 23rd May '24
Dr. Ramit Sambyal
My GFR rate is 58. 73 years old. I was prescribed Herperax 800 for 5 days 4 tablets each. Whether the kidney would have been affected and if so, how long will it take to recover to original position
Male | 73
A GFR level of 58 indicates that you are in Stage 3 kidney disease. Herperax 800 has kidney side effects. Kidney problems may be indicated by the urine output changes and the swelling. To help your kidneys recover, drink plenty of water, avoid medications that harm your kidneys, and follow up with your doctor for monitoring. It can take time for the kidneys to improve, but following these steps can help.
Answered on 23rd Sept '24
Dr. Babita Goel
Dr, I was diagnosed with IGA nephropathy 32 years ago. I am 64 years of age and my creatinine is 2.31 and has been hovering around that number. I have lost 124 lbs over the past year with the assistance of Zepbound. My kidneys have not improved and appear to be getting slightly worse. I run 3 miles a day and eat around 1200 calories a day never exceeding my sodium or potassium requirements. I do not have protein or blood in my urine. Please help. What is causing my creatinine to continue to rise? I am currently In Stage 4 kidney disease. Should I get an updated biopsy since my only biopsy was done in 1992. What can I do? Could the Zepbound be causing my kidneys to worsen? I drink 100 ounces of water daily.
Female | 64
It is concerning that your creatinine levels are rising despite your efforts. IGA nephropathy can progress slowly over time, and factors like age, diet, and medications may influence kidney function. Zepbound's impact on your kidneys should be evaluated by a specialist. I strongly advise you to consult a nephrologist for a thorough assessment and consider getting an updated biopsy to understand the current state of your kidney disease.
Answered on 8th July '24
Dr. Babita Goel
Firstly, approximately 20 years ago, I experienced a significant shoulder impact while playing football, resulting in a sprain that extends from my neck to the back of my shoulder. Whenever I engage in physical activity, particularly on the injured right shoulder side, I feel a burning sensation accompanied by heat. Additionally, I've noticed that my right hip appears elevated since the injury. In a previous scan, I discovered a left-sided disc prolapse. Moreover, I occasionally experience sprains in the middle of my back. I have not been taking any medications for this issue as previous doctors have been unable to identify the problem. I am concerned about the long-term implications and would greatly appreciate your expertise in evaluating and providing guidance on the appropriate course of action. Are there any specific tests or examinations that you recommend to better understand the underlying causes and potential treatment options for my shoulder, hip, and back issues? Furthermore, I recently discovered that I have kidney stones in both of my kidneys. I do not have diabetes or high blood pressure, and I am not diagnosed with arthritis. Additionally, I have been informed that I have elevated uric acid levels. Considering these multiple health concerns, I am wondering if blood tests or any other diagnostic tests would be beneficial in identifying any potential connections between these issues and guiding the most appropriate treatment plan.
Male | 44
To address your musculoskeletal concerns consult an orthopedic specialist. They would recommend imaging studies, physical therapy, and medications as needed. For your kidney stones and elevated uric acid, seek guidance from a urologist nearest to you or a nephrologist who can perform diagnostic tests. I suggest to follow certain dietary changes, and monitor your kidney health. Open communication with your specialists for a tailored treatment plan for your multiple health concerns.
Answered on 23rd May '24
Dr. Neeta Verma
11 days ago I transplant kidney but urine follows very slow. Kidney are ok but kidney under one Mali light damage this is recovery possible
Male | 53
Slow urine flow often follows kidney transplants. The surgery or swelling may slightly harm and constrict the flow. Consume lots of fluids, which aids in smooth drainage. Usually, this issue resolves naturally during recovery. However, if the problem persists, visit a nephrologist.
Answered on 25th Sept '24
Dr. Babita Goel
Is nic showing on a bloodtest
Female | 17
When getting a blood test, it may show if someone has too much 'NIC' in their system. This happens when people eat too many things with salt or if their kidneys are not working well. If you feel thirsty and tired all the time, or if your feet and legs swell up - those could be signs that something is wrong because of too much 'NIC'.
Answered on 31st July '24
Dr. Babita Goel
The amount of urine that comes out from my body has increased over a week.
Female | 23
Noticing a drastic change in the output of urine by the body is quite essential. It could imply multiple things. Sometimes the intake of liquids and specific foods will make you pass out more waste from your body. However, if these alterations occur without any clear explanation and are accompanied by frequent thirst, it means that you should visit a nephrologist as soon as possible because it might be an indication of an illness such as diabetes or kidney disease.
Answered on 28th May '24
Dr. Babita Goel
Sometimes when I’m in a certain position and I cough or laugh hard my kidney will have a quick sharp pain. It has happened twice today and I noticed it about a month ago I would say but it’s not often. Should I be concerned about this? It is giving me anxiety.
Female | 18
You may have "referred pain" from kidneys. Sometimes, coughing or laughing hard moves kidneys slightly, causing sharp pain. This could be a kidney stone or muscle strain near the kidney. To ease anxiety, drink water and avoid motions triggering pain. If pain continues or worsens, contact a nephrologist for evaluation.
Answered on 12th Aug '24
Dr. Babita Goel
2 kidney fell in 4 yers dayalisis ready
Female | 36
In cases like these, a person may need dialysis, to have their blood cleansified. This is possible when the kidneys are not functioning completely or are too weak. Some of the signs of the problem are a person being very tired, joints getting painful, and having the same problems with urination. It is a great point for them to visit a nephrologist to get the correct treatment.
Answered on 23rd July '24
Dr. Babita Goel
hydroniphrosis problem in 2 years baby.before piroplust right kidney work 50%.Ufter piroplust 3 month latter right kidney work 15%...what to do in this sictution
Female | 2
The baby has a condition, hydronephrosis. This is swelling in the kidney from blocked urine flow. It can cause pain, fever, and trouble urinating. Since kidney function decreased, the baby needs more tests like ultrasound or a scan to find the blockage. Treatment may involve a procedure to remove the blockage or medication to improve kidney function. Following the nephrologist's advice for proper care and treatment.
Answered on 23rd May '24
Dr. Babita Goel
My mother has kidney cyst problem what should we do?
Female | 60
Kidney cysts are comparable to tiny fluid-filled balloons that develop on the kidneys. They are widespread, notably as we grow old. Individuals with kidney cysts display no symptoms and require no treatment. However, if the cysts are painful, infectious, or result in hypertension, your mother needs an experienced nephrologist. In cases where the cysts are problematic, a physician may propose them to be drained off sometimes even surgery might be necessary depending on certain conditions.
Answered on 4th June '24
Dr. Babita Goel
Aoa, I m 43 year old male suffering from RENAL FAILURE my reports are as under . Creatinine is 19.4 Urea 218 Hb 8.4 Vomiting Abdominal pain
Male | 43
Your kidneys may not be working properly, leading to high levels of creatinine and urea in your blood. These substances should be filtered out by the kidneys but are staying in your bloodstream, causing symptoms like fatigue, low hemoglobin, vomiting, and abdominal pain. To start feeling better, you may need treatments like dialysis and medications to lower these levels. Renal failure is a serious condition, so it's important to follow a nephrologist's guidance for proper management.
Answered on 20th Aug '24
Dr. Babita Goel
Cardiac or diabetes and issues is proteinurea
Male | 67
If someone is having problems with their heart or diabetes and is also having protein in their urine, this may mean there could be damage to the kidneys. The signs of this illness are the puffiness of the body, the appearance of bubble-like urine, and the presence of hypertension. This can be caused by increased sugar levels or high blood pressure in the blood. Eat healthy, control your blood sugar, and take medication as directed.
Answered on 26th June '24
Dr. Babita Goel
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