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urologist or nephrologist?

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Old 12-27-2006, 10:47 AM   #1
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beach8411 HB User
urologist or nephrologist?

I have been having kidney pain (both sides) every morning when I wake up. The pain goes away shortly after I get up. I have microhemeturia. I did quit drinking soda the first day of pain, (was drinking approx 80 fl. oz per day). Now I just need to quit smoking, but i have too much anxiety right now. I did find out that my blood work that tested kidney function came back normal. I also found out that after the radiologist looked at my ct scan and ultrasound he wrote a report stating that i had three lesions on my right kidney. One of them appears to be a simple cyst while the other two appear to be complex cysts. The largest one measures approx. 1.2cm. The imaging report said that my kidneys looked normal other than that, and my left kidney was unremarkable. They recommended that i follow up with another ultrasound/ct in three months. I am very worried. Shouldn't these be removed immediately. I have been very disappointed with the urologist i have been going to, and feel that i need to see a nephrologist, but the nurse at my Primary care doctor said that the urologist is where I need to go and won't write a referal. My main issue is why am I having pain in both kidneys? And also isn't there some type of urine test that detects cancer cells, and if so why haven't they given that to me yet?

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Old 12-27-2006, 11:13 AM   #2
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Re: urologist or nephrologist?

The bottom line is that your kidney function is normal. That is great news. Many people have cysts. All kinds of cysts and there is no reason to remove them. Why would you want an invasive, dangerous procedure that will not benefit you at all?

There may be some pain due to either an infection or a small stone. The pain may be in both kidneys because it is referred. Referred pain is where you have pain in one area but it spreads because the nerves become sensitized.

A follow up in a few months sounds perfectly normal to me too. Quitting smoking will also do wonders for the way you feel. It is possible that some of the pain is also left over from the soda. Did you drink a lot of soda with caffeine? That is not good for you and can specifically irritate the bladder and the kidney. Give it a bit of time for your system to recover from the soda and see what the next test shows.

The bottom line is that if your bloodwork is normal for kidney function, then at this point you don't really have anything to worry about. Easy for me to say, I know, but keep in mind that the docs see a lot of this sort of stuff and if there was something to worry about, they would worry. Nobody gets referred to a nephrologist unless test shows some problem with kidney function, and you don't have that.

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Old 12-27-2006, 11:26 AM   #3
Join Date: Dec 2006
Location: USA
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beach8411 HB User
Re: urologist or nephrologist?

thank you so much for you answer. My biggest fear is that it is cancer, and I just don't think the doctors seem to be taking this serious enough. Let it be known that I was diagnosed with generalized anxiety disorder, but this kidney pain, microscopic hemeturia, and small complex cyst scares me to death.

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