Nephrology

Sir / madam. Kindly please check the ultrasound report and pls say what abnormalities found? And pls say what is - " concretion is seen in upper calyx " Reports attached

Hi dr During routine follow up with cardiologist one year ago  creatinine was found to be 1.21 where acc to report normal limit was 1.17 . He suggested kft after 6 months and now again in kft creatinine is 1.18 where normal limit is 1.17 and some more 2 -3  parameters are abnormal like phosphorus etc His usg and Uacr was normal 1 year ago.. Is it an indicator of Kidney disease Report attached Thanx

I'm diabetic since 6 years.HbA1c remains between 6% - 7%,hypertensive since 2 years with bp remaining around 130/80 or 140/80.Have grade 2 fatty liver disease.No problems or symptoms of kidney disease as such Serum creatinine used to remain 1.0 mg/dl.Tested after 13 months from the same lab & it came 1.2 mg/dl (ref range : 0.72 - 1.25).There has been a spike of 0.2 mg/dl.Reports of blood urea,potassium,urine culture,urine r/e,urine acr & usg (kub + pvru) are normal.Other test reports & parameters are also normal Re-tested from 2 different labs on the next day.On one it came 1.10 mg/dl (ref range : 0.6 - 1.30) & on another it came 1.18 mg/dl (ref range : upto 1.4). Is the spike of 0.2 mg/dl of serum creatinine after 13 months normal ? Am I having any kidney disease ?

Attached prescription I am 28 male I had recurring urine infection. My symptoms are yellow urine and burning sensation. I took many antibiotic courses, but now my urine culture shows no bacteria, still I have same symptoms. I go to a government hospital. The urologist tried many medicines, but nothing helped. Now doctor advised cystoscopy and biopsy, and they will send the tissue to lab for more testing. I want to do the cystoscopy and biopsy in a private clinic, but I want to send the tissue sample to the government hospital lab for testing (because it may be cheaper). Is this possible? If possible Also, can anyone tell me the approximate cost of cystoscopy and biopsy in a private clinic

My urologist prescribed two Medicines Can you please  confirm me I attached prescription What are medicine names? I Didn't understand the 2nd medicine name 1St one is Amitriptyline

Hello , My grandmother is heart patient , asthma patient and recently she has facing issues with kideney as well. Initially Creatinine was increased then it got reduced and then uric acid increased. We have visited nephrologist as well he as prescribed Febutaz-40 and 6-7 dosage of  Relipoietin 10000IU (all are completed). Last month her knees and feet were swollen . Now the swelling is reduced on other sites except right knee. Right knee is still swollen and she is unable to walk. I just want second opinion here and also what food she can consume and all. Genuine advice will be highly appreciated Current Ongoing Medications - Dytor 5mg Cilacar 10mg Esokem-D  (Esomeprazole & Sustained Release Domperidone) Tonact-ASP 75 Febutaz-40 Levosiz-M Restyl 0.25mh Foracort inhaler

I went to a government hospital for urology problems? Please tell me does it require general anesthesia or local anesthesia? I meant full anesthesia or local anesthesia?

I'm diabetic since 6 years.HbA1c remains between 6% - 7%,hypertensive since 2 years with bp remaining around 130/80 or 140/80.Have grade 2 fatty liver disease.No problems or symptoms of kidney disease as such Serum creatinine used to remain 1.0 mg/dl.Tested after 13 months from the same lab & it came 1.2 mg/dl (ref range : 0.72 - 1.25).There has been a spike of 0.2 mg/dl.Reports of blood urea,potassium,urine culture,urine r/e,urine acr & usg (kub + pvru) are normal.Other test reports & parameters are also normal Re-tested from 2 different labs on the next day.On one it came 1.10 mg/dl (ref range : 0.6 - 1.30) & on another it came 1.18 mg/dl (ref range : upto 1.4). Having excessive weight loss of 10 Kgs,having excessive anxiety & stress,taking librium 25 (chlordiazepoxide) (1 tab twice a day) since 7 months & smoking excessively since 7 months Can any of these factors cause a spike in creatinine level? Is the spike in creatinine level normal considering other reports & my age?

Attached image I was recommended cystoscopy by a urologist from Government Hospital . I wanna get it done from a private clinic What Could be the average cost of cystoscopy?

My father has CKD with S. Creat 5.14, UA - 8.9. Not on dialysis. For the past few days, he has lost appetite and has been having gas and bloating in the stomach. Is this due to CKD? Is it safe to give him Bifilac, or please suggest any other medicine. Thank you