You have been experiencing pain in your left abdomen and have undergone treatment for pyelonephritis. An imaging scan showed that a small renal cyst slightly off the cortex in the kidney is the possible cause of some of your symptoms. Briefly, such cysts are usually benign and do not require treatment unless they grow or cause symptoms. In your situation, please continue to receive the necessary treatment for the infection, and they will also check the cyst to be sure it is not causing any inconvenience. 

For a dialysis patient unwell for a year, it’s important to stay alert to symptoms like fatigue, swelling, or difficulty breathing, as these may indicate the dialysis isn’t working effectively. This can happen due to missed treatments, not taking medications, or poor diet choices. It's essential to consult the dialysis team to address these issues and adjust the treatment plan for better health.

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.