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Left Kidney Hydronephrosis

Does anyone know any good medicine for moderate hydronephrosis in left kidney. The ultrasound report says mild obstruction however, no stones in kidney found. The symptoms are on and off pain in the left side kidney region. The urine passing is without pain and normal in color.
 
  asimkhan79 on 2010-03-31
This is just a forum. Assume posts are not from medical professionals.
It is essential that you investigate the reason for the 'moderate hydronephrosis in left kidney. The ultrasound report says mild obstruction however, no stones in kidney found.'

Some Calculi are not visible on X'rays but they usually are identified on Ultrasound scans.

The therapy that can be prescribed will depend on the reason for the blockage and it is in your own interest to investigate the reason ASAP.

Please read the article below which I have copied from The Merck Manual.





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Hydronephrosis



Hydronephrosis is distention (dilation) of the kidney with urine, caused by backward pressure on the kidney when the flow of urine is obstructed.


Kidney stones are common causes of urinary tract obstruction.
When hydronephrosis occurs quickly, people may have excruciating pain, most often in the flank (the area between the ribs and the hips).
When hydronephrosis occurs more gradually, people may have no symptoms or experience attacks of dull, aching discomfort in the flank.
Doctors initially use bladder catheterization (or ultrasonography) to detect hydronephrosis, and they may use ultrasonography or another imaging test to determine the site of the blockage.
Treatment depends on the cause of the obstruction.



Hydronephrosis: A Distended Kidney


In hydronephrosis, the kidney is distended because the flow of urine is obstructed and urine backs up in the kidney's small tubes and central collecting area (renal pelvis).

Normally, urine flows out of the kidneys at extremely low pressure. If the flow of urine is obstructed, urine backs up behind the point of blockage, eventually reaching the small tubes of the kidney and its collecting area (renal pelvis), distending the kidney and increasing the pressure on its internal structures. The elevated pressure from obstruction may ultimately damage the kidney and can result in loss of its function. When the flow of urine is obstructed, urinary tract infections are fairly common and stones are more likely to form. If both kidneys are obstructed, kidney failure may result.

Long-standing distention of the renal pelvis and ureter can also inhibit the rhythmic muscular contractions that normally move urine down the ureter from the kidney to the bladder (peristalsis). Scar tissue may then replace the normal muscular tissue in the walls of the ureter, resulting in permanent damage.

Causes

Hydronephrosis commonly results from an obstruction located at the junction of the ureter and renal pelvis (ureteropelvic junction). Causes of this type of obstruction include the following:

Structural abnormalities—for example, a birth defect in which the insertion of the ureter into the renal pelvis is too high or there is inadequate development of the ureteral muscles (congenital ureteropelvic junction obstruction)
Kinking at the ureteropelvic junction resulting from a kidney shifting downward (ptosis of the kidney)
Stones (calculi) or a blood clot in the renal pelvis
Compression of the ureter by bands of fibrous tissue, an abnormally located artery or vein, or a tumor

Hydronephrosis can also result from an obstruction below the ureteropelvic junction or from backflow (reflux) of urine from the bladder. Causes of this type of obstruction include the following:

Stones in the ureter
Blood clot in the ureter
Tumors in or near the ureter
Narrowing of the ureter resulting from a birth defect, an injury, an infection, radiation therapy, or surgery
Disorders of the muscles or nerves in the ureter or bladder
Formation of fibrous tissue in or around the ureter resulting from surgery, radiation therapy, or drugs (especially methysergide)
Bulging of the lower end of the ureter into the bladder (ureterocele)
Cancers of the bladder, cervix, uterus, prostate, or other pelvic organs
Obstruction that prevents urine flow from the bladder to the urethra, resulting from prostate enlargement (most often caused by a condition called benign prostatic hyperplasia—see Prostate Disorders: Benign Prostatic Hyperplasia (BPH)), or rectal impaction with feces
Abnormal contractions of the bladder resulting from a birth defect or a spinal cord or nerve injury

Hydronephrosis of both kidneys can occur during pregnancy as the enlarging uterus compresses the ureters. Hormonal changes during pregnancy may aggravate the problem by reducing the muscular contractions that normally move urine down the ureters. This condition, commonly called hydronephrosis of pregnancy, usually ends when the pregnancy ends, although the renal pelvis and ureters may remain somewhat distended afterward.

Symptoms

Symptoms depend on the cause, location, and duration of the obstruction. When the obstruction begins quickly (acute hydronephrosis), it usually produces renal colic—an excruciating, intermittent pain in the flank (the area between the ribs and hip) on the affected side. Obstruction on one side does not reduce urine flow. Obstruction can stop or reduce urine flow if blockage affects the ureters from both kidneys or if it affects the urethra. Obstruction of the urethra or bladder outlet may produce pain, pressure, and distention of the bladder.

People who have slowly progressive (chronic) hydronephrosis may have no symptoms, or they may have attacks of dull, aching discomfort in the flank on the affected side. Sometimes a kidney stone temporarily blocks the ureter and produces painful hydronephrosis that occurs intermittently.

Hydronephrosis may cause vague intestinal symptoms, such as nausea, vomiting, and abdominal pain. These symptoms sometimes occur in children when hydronephrosis results from a birth defect in which the junction of the ureter and renal pelvis is too narrow (ureteropelvic junction obstruction).

People who have urinary tract infections may have pus in the urine, fever, and discomfort in the area of the bladder or kidneys.

Diagnosis

Early diagnosis is important, because most cases of obstruction can be corrected and because a delay in treatment can lead to irreversible kidney damage. Doctors may suspect hydronephrosis because of a person's symptoms and sometimes because of findings discovered during a physical examination. A distended kidney can occasionally be felt in the flank, particularly if the kidney is greatly enlarged in an infant or a child or a thin adult. A distended bladder can sometimes be felt in the lower part of the abdomen just above the pubic bone.

Doctors depend on testing to make the diagnosis. Bladder catheterization (insertion of a hollow, flexible tube through the urethra) is often the first diagnostic test done in people with renal colic, pelvic pressure, or distention. If the catheter drains a large amount of urine from the bladder, then either the bladder outlet or the urethra is obstructed. Many doctors do ultrasonography to determine whether the bladder is filled with a large amount of urine before doing bladder catheterization.

If the presence or site of obstruction is in doubt, various imaging tests can be done to identify evidence of obstruction such as hydronephrosis or a site of blockage. For example, ultrasonography is a very useful test in most people (particularly children and pregnant women) because it is fairly accurate and does not expose the person to any radiation. Computed tomography (CT) scanning is an alternative. It is rapid and highly accurate, particularly at identifying stones. Other imaging tests, such as intravenous urography, may be performed to identify the site of obstruction, if it is not visible with ultrasonography or CT.

An endoscope (a rigid or flexible telescope) is sometimes used to look at possible sites of obstruction as closely as possible. An endoscope can be used to examine the urinary tract.

Blood and urine tests are done. Blood test results are usually normal, but tests may reveal high levels of urea nitrogen (sometimes called BUN), creatinine, or both, if obstruction affects both kidneys. Results from an analysis of urine (urinalysis) are usually normal but white blood cells and red blood cells may be present when a stone or a cancer is the cause of obstruction, or when the obstruction is complicated by an infection.

Prognosis

Permanent kidney damage is unlikely to result unless both kidneys are obstructed for at least a few weeks. The prognosis is less certain for chronic hydronephrosis.

Treatment

Treatment usually aims to relieve the cause of obstruction. For example, if the urethra is obstructed because of an enlarged or cancerous prostate, treatment can include drugs, such as hormone therapy for prostate cancer (see Prostate Disorders: Prostate Cancer), surgery, or enlargement of the urethra with dilators. Other treatments, such as lithotripsy or endoscopic surgery, may be needed for stones that block the flow of urine. If the cause of obstruction cannot be rapidly corrected, particularly if there is infection, kidney failure, or severe pain, the urinary tract is drained. In acute hydronephrosis, urine that has accumulated above the obstruction can be drained with a soft tube inserted through the skin into the kidney (nephrostomy tube) or by insertion of a soft plastic tube that connects the bladder with the kidney (ureteral stent). Complications of nephrostomy tubes or ureteral stents can include displacement of the tube, infection, and discomfort.

Urgent relief of chronic hydronephrosis is usually not required. Complications of hydronephrosis, such as urinary tract infections and kidney failure, if present, are treated promptly.
 
Joe De Livera last decade
Thank you very much for the information. Sir, you are absolutely right, I will have to get it investigated first, however, I am not at all prepared for any surgery that the doctors might suggest. I would again require your help Sir.

In the meantime is there any homeopathic medicine that improves the overall function of kidneys.

Kind Regards,
 
asimkhan79 last decade
Please visit:

http://www.abchomeopathy.com/forum2.php/219363/

How Joepathy expelled another Kidney Stone

Do not ever consider Surgery for your Kidney problem.

I shall try to help you after you give me more data on the reason for your Hydronephrosis.
 
Joe De Livera last decade
Thank you once again. I am going to have another test done called KUB (X rays) as sometimes ultrasound scans cannot detect stones. I am told that KUB test will give me a clear picture about the reason for obstruction. The mild PUJ obstruction is apparent in ultrasound right near the kidney and ureter junction.

I am grateful to you.

Regards,
 
asimkhan79 last decade
You may like to know that a Rotary CT Scan will also identify your Calculi.

The only disadvantage in this scan is the exposure to X'rays which are greater than the standard chest X'ray.

However the exposure is not at dangerous levels.
 
Joe De Livera last decade
Thank you for your reply. I got my KUB X rays result today. No stones were seen. Could there be any other reason for my left side pain. I have doubts about the hydronephrosis diagnosis too. May be it is because of sore muscle or come compressed/sensitive nerve in the region...just guesses though

What medicine do you suggest for the pain in the area. Should I take arnica for that.

Kind Regards
 
asimkhan79 last decade
I am copying the section under Treatment above.

Please note that I am not recommending that you have this procedure as there is some complications associated with the procedure but this can be discussed with your Urologist who will be more competent to advise you.

Treatment

Treatment usually aims to relieve the cause of obstruction. For example, if the urethra is obstructed because of an enlarged or cancerous prostate, treatment can include drugs, such as hormone therapy for prostate cancer (see Prostate Disorders: Prostate Cancer), surgery, or enlargement of the urethra with dilators. Other treatments, such as lithotripsy or endoscopic surgery, may be needed for stones that block the flow of urine. If the cause of obstruction cannot be rapidly corrected, particularly if there is infection, kidney failure, or severe pain, the urinary tract is drained. In acute hydronephrosis, urine that has accumulated above the obstruction can be drained with a soft tube inserted through the skin into the kidney (nephrostomy tube) or by insertion of a soft plastic tube that connects the bladder with the kidney (ureteral stent). Complications of nephrostomy tubes or ureteral stents can include displacement of the tube, infection, and discomfort.

In the meanwhile i would recommend that you start the therapy with Berberis Vulgaris 6c in the Wet dose as it is not impossible that this can help you.
 
Joe De Livera last decade
Thank very much for the medicine will use that and keep you posted. Thank you once gain for your advice and help.

Best Regards,
 
asimkhan79 last decade
No matter what is the problem in the left kidney (Repeat 'left kidney')...it generally responds to Berberis Vulgaris Q.
Take 10 drops in 1/4th glass of water ...three times a day.

Reduce frequency of med...once the improvement begins to set in.

You should be able to see some poitive results with in 48 hours of satrting.

Pankaj Varma
 
PANKAJ VARMA last decade
Yes ...as suggested by Joe...Ber. Vulg. in 6c potency will also show results.

Best wishes to all,

Pankaj Varma
 
PANKAJ VARMA last decade
Hi Pankaj,

Greetings !

As you notice I am back on the ABC just as you predicted 4 years ago as I could not resist the pleas of patients on my Fistula thread who pleaded with me to return from exile.

Warm Regards

Joe
 
Joe De Livera last decade
Dear all

Thank you for your kind interest. Please let me know the correct dosage of the medicine. I have bought Berberis 200 (10ml dilution)(Berberis Vulgaris from schwabe germany). Please state the daily dosage and whether to take it with water or direct drops on tongue. how often i should take it. Also is there a possibility that my left side pain could be a lower back muscular pain. Please advise.

Thank you
 
asimkhan79 last decade
If you have visited the link I gave you: http://www.abchomeopathy.com/forum2.php/219363/

you would have read that the remedy I used to dissolve a Kidney stone was Berberis Vulgaris 6c and when the stone was sufficiently reduced to come down the Ureter, I gave Colocynthis 200 in the Dry dose and this propelled the stone down to the bladder and it was then discharged with the urine accompanied by excruciating pain which was only temporary.

I note that you stated 'I have bought Berberis 200 (10ml dilution)(Berberis Vulgaris from schwabe germany).'

Please note that the 200c potency of Berberis Vulgaris is not suitable and you can use Pankaj's dosage of Berberis Vulgaris Q or Mother Tincture --- 10 drops in a small glass of water thrice daily. You cannot use it directly on the tongue.

It is possible that your lower back pain is of muscular origin.
 
Joe De Livera last decade
Thank you very much Joe for the medicine. I feel much better today. The pain has reduced significantly with berberis 200c aswell.

thank you for the advice
 
asimkhan79 last decade
Hi Joe !!

Welcome you back at ABC.

Hope you are keeping good health.

Lots of Sri Lankan cricketers playing in the Indian Premier League these days.

Have a good time.
Best wishes,
Pankaj Varma
 
PANKAJ VARMA last decade
Hi Pankaj,

Thank you for your welcome but as you perhaps are not aware, I returned sometime late last year. I wonder if you remember predicting some years ago after I left it in 2006 that I will return to the ABC at some stage.

I could not refuse the pleas of some patients on the Fistula thread who were counting on me for help with their ailment with my Joepathy and I came back after a self imposed exile of 4 years which I decided upon because of the infernal interference from 3 pseudo classical homeopaths whose names do not bear repeating and who were shadowing my every post.

I am grateful to Simon for keeping at least one of them under control so far and I hope that this will continue.

I am now over 80 years of age and am a living example of the effects of Arnica which I have taken at least once daily since 1996. My BP is
 
Joe De Livera last decade
Gr8 Joe !!

Just keep it up.

In many ways you are an inspiration to a lot of younger guys.

Glad to know that you are also a 'die hard fan' of cricket.

I followed the match too with keen interest. The coming week is going to be packed with exciting stuff on the cricket field.

Lasith Malinga is a favorite amongst bowlers !!

Best wishes again...

Pankaj Varma
 
PANKAJ VARMA last decade
My team is Delhi Daredevils coz I belong to Delhi !!

Although ... I cheer every team that plays good exciting cricket.
 
PANKAJ VARMA last decade
My son (now 3 months old) has been diagnosed with hydronephrosis in his left kidney. The same was diagnosed from the ultrasounds of my wife during pregnancy. Ever since the child was born, Ultrasound scans have been taken every month , and in each scan the hydronephrosis has been found to fall under the category of grade III. We recently did a DTPA test, which revealed a PUJ obstruction. Doctors have advised a pyleoplasty as soon as he gains weight till 5kg. He is 4.8 kgs now.
Here, I would like to mention that, he had an inguinal hernia on the left side also. Whenever, he used o strain (cry), there was a bulge in the inguinal region. After going through the appropriate threads in this forum, I had administered nux vomica 30 for 5 days (about a month and a half back). To my pleasant surprise, now when he cries there is no bulge, and I assume that he doesn’t need to go for herniotomy, as was initially advised by the doctors.
I was wondering if there is some homeopathic remedy for PUJ obstruction in left kidney also. I am so happy to have come across this forum. From this thread it appears that Berberis Vulgaris 6c has a lot of potential. The only issue is that how long should I continue the medicine. As such, the baby doesn’t show any signs of pain. He urinates normally and is never cranky.
In adults, the medicine is continued for months altogether, till the pain subsides. But in my case, I don’t even know whether he is in pain. The only way to find out is by ultrasonography. But I cannot do it everyday. What should be the dosage of medicine. How long should it continue. Please advise.
Kind regards
Prasun
 
prasunroy2000 9 years ago
You can go ahead with Berbaris Q (and not 6C) 3drops in 1/4 cup water when ever your son cries in typical fashion that is given by kidney pain ,with lill observation you can detect 'that type' of crying keep him giving 2 tymes every day but start the medicin when he cries with this pain than give him 2 times every day and additionally when he cries (sos)till one month then again have a check up and confirm what is the situation(most probably the problem wouldhave gone forever)
 
bapu4 9 years ago
Dear Sir,
Thank you so much for the quick response. As advised by you, I have bought berberis Q. However there are a few points which I would like to clarify before proceeding further.
1. Actually my son never appears to be in pain. In fact, we know about his hydronephrosis, only because it has shown up in the ultrasounds. I would also like to mention that he doesn’t have any stones in the kidney. It is just PUJ obstruction.
2. Also, what should be the dosage. He is presently only on breastfeeding, so how much liquid (3 drops in ¼ water) should he take?
Please advise and oblige.
Kind regards
Prasun
 
prasunroy2000 9 years ago
Hi prasunroy2000,
Did you find any improvement in your son condition after homeopathic treatment. My 3 year old son is suffering from the same right ureter obstruction problem.
 
dreamflows 8 years ago
Dear sir
My 2.5yr male child is suffering from mild hydronephrosis with minimal left kidney inflammation.
I have done ultrasound and ct scan of my son but there is no symptom of presence of stone. The flow of urine is normal
My son has pain in abdomen when he wake up in the morning and sometime in day
Please prescribe the medicine
Thanking you
Sanjeev claire
 
Clairesanjeev 4 years ago

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