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Ultrasound Observations
Due to foot pain, swelling and abdominal pain tested Serum uric acid and USG Abdomen & Pelvis
Uric Acid 7.7
Impression - Ultrasound
Right kidney Tiny calculus 3.3mm in lower calyx
Left kidney - Microlith measuring 2.8mm in mid calyx
Mild Prostatomegaly (26cc )
Hepatomegaly with grade 2 fatty changes
I am taking Cilacar T for hypertension and Thyronorm 50 for hypothyroid.
Are these Ultrasound changes age related normal or need medical consultation.
Answers (33)
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Calculus in both kidney and grade 2 fatty infiltration does need attention.
Stones in lower calyx don't usually come out with medicine but as it is very small so surgical intervention not required at this stage.
Microlyth in left kidney might flush outitself. For fatty liver you need diet modification and excercise.
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Abdominal pain is mostly because of the calculi ( kidney stones). Increase your water and fluid intake. Also consult a general surgeon if abdominal pain persists for further management.
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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You should follow it up with Liver Function Test. Grade 2 fatty liver should be followed closely.
Avoid refined sugar and ultra processed foods - especially soft drinks.
Any urinary symptoms like nocturnal awakenings to pass urine?
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Ultrasound seems to be normal
Uric acid is little high
Next Steps
Tab. Fabustat 40mg once a day for six weeks.
Health Tips
Avoid fatty food and junk food
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These ultrasound changes are inocuous . They only need to be followed by repeated ultrasound scans every six months.
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For renal calculus have plenty of water and syp alkasol 2tsp in 1/2 glass of water BD
Need to look for foot photos and Blood pressure readings and want more history for Hypothyroidism history
For grade 2 fatty liver avoid spicy and oily food do regular exercise
And I would advise for Lipid Profile
And consult with above info on Practo or nine seven six six seven four two eight zero two
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The kidney stones on both sides,are small in size, should not cause any significant problem.Your uric acid is high ,may have resulted in foot pain and swelling.Prostate enlargement could be age related.Grade 2 fatty liver should be taken care of .As you have thyroid and BP, ideally you should consult a physician in your area for appropriate management
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You will need a consult for further evaluation. History including alcohol drinking/ smoking etc will be needed. Diet modification has to be done.
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Your report suggests of various disorder , but this disorder may be age related .
Need an detail history and examination . Kindly consult me on practo for further details
Health Tips
Drink plenty of water( 2- 3 litre )
Include vegetable and fruit in diet
Avoid fast food
Avoid fatty food
Avoid high fat meal
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You need medical consultation. Kindly consult with me on 94 two six eight six 78 nine six.
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It's not normal, so many things ongoing in your body.renal calculi, hypothyroidism also,bp increase.please feel free to consult me on practo for further management and evaluation.
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At 53 years of age, some of these findings can be common, but they are not completely normal and do need medical follow-up.
1. Uric acid – 7.7 mg/dL
This is high and can explain your foot pain and swelling. It suggests hyperuricemia / possible gout. Diet control and medication may be required.
2. Kidney stones (very small):
Right kidney: 3.3 mm calculus
Left kidney: 2.8 mm microlith
These are tiny stones and usually pass on their own with good water intake (3–4 liters/day). Regular follow-up is advised. No surgery is needed at this size.
3. Mild prostatomegaly (26 cc):
This is mild enlargement and is commonly seen after 50 years of age.
Treatment is needed only if urinary symptoms are present (weak stream, frequent urination, night urination).
4. Hepatomegaly with Grade 2 fatty liver:
This is not normal and requires attention.
Common causes include:
fatty diet
overweight
diabetes
high cholesterol
alcohol (if taken)
.
5. Current medicines:
Cilacar T for hypertension
Thyronorm 50 for hypothyroidism
These medicines are fine but regular monitoring is required.
Conclusion:
These ultrasound findings are not dangerous, but they are not just age-related changes either.
Next Steps
You should consult a physician for:
uric acid control
fatty liver management
kidney stone prevention
routine blood tests (LFT, lipid profile, sugar, kidney function)
With proper treatment and lifestyle changes, all these conditions can be well controlled.
Health Tips
Lifestyle changes, weight control, diet modification, and liver function tests are important.
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
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I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided.
Contact me on Practo or WhatsApp chat.
92469306sevenfour
Dr. Harichandana,
MBBS, MD (General medicine)
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These findings are not dangerous, but they are not just age-related either. Small kidney stones on both sides, raised uric acid, mild prostate enlargement, and fatty liver are common at this age, especially with BP and thyroid issues — but they do need attention and lifestyle correction.
Next Steps
You should consult a physician for medicines and guidance. Kidney stones this size usually pass on their own, but uric acid and fatty liver need control to prevent worsening. Blood tests and follow-up USG may be advised.
Health Tips
Drink plenty of water, reduce salt, red meat, alcohol, and oily foods. Don’t ignore urinary symptoms or increasing pain.
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Your test results show some changes that are common with age and your existing conditions (hypertension and hypothyroidism), but they are not completely normal and deserve follow-up.
• Serum uric acid 7.7 mg/dL — This is mildly elevated (normal upper limit often 7.0-8.5 mg/dL for men, lower for women; many experts suggest keeping below 6.0-6.8 mg/dL to prevent issues). It can link to your foot pain/swelling (possible gout flare) and may contribute to tiny kidney stones.
• Tiny kidney calculi (3.3mm right, 2.8mm left) — These are very small microliths (
Next Steps
• Consult your doctor soon (general physician, endocrinologist, or urologist) — share these reports + your foot/abdominal pain history.
• For uric acid + stones: May suggest repeat uric acid, urine test, more fluids, or low-purine diet; rarely medicine (like allopurinol) if gout confirmed.
• For fatty liver + hepatomegaly: Check liver enzymes (LFTs), lipid profile, blood sugar; focus on optimizing Thyronorm dose (ensure TSH normal) + lifestyle.
• For prostate: If no symptoms, just monitor; if urinary issues, may need PSA test or urology referral.
• No immediate big changes to Cilacar T or Thyronorm needed (they are generally safe here), but doctor can review if adjustments help.
• Repeat ultrasound or tests in 3-6 months to track progress.
Health Tips
• Drink plenty of water (2.5-3 liters/day) to help flush small stones and lower uric acid.
• Diet changes: Reduce red meat, seafood, alcohol, sugary drinks; eat more fruits/veggies (cherries good for uric acid), low-fat dairy, whole grains. Control weight if needed — this helps fatty liver most.
• Exercise regularly (30 min walking/day) — great for hypertension, thyroid, liver, and uric acid.
• Avoid self-medicating painkillers (some raise uric acid); use as doctor advises.
• Track symptoms (foot pain, urine flow, belly discomfort) in a note for your doctor.
For personalized advice based on your age, gender, full symptoms, other reports, and exact medicines, please consult with me online — I can help explain more or guide what to ask your doctor. Take care and get checked soon!
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Hi there , i am dr Prashant singh , MD medicine
No these USG findings are not age related changes , you have kidney stones but they are small in size as it is least than 5 mm and you have grade 2 fatty liver
Next Steps
Avoid oily food , alcohol , red meat
Do regular exercise to take care of fatty liver
Take tab TAMSULOSIN 0.4 mg at bedtime (at night ) to take care of kidney stones and prostatic enlargement
Health Tips
Get lipid profile tested to look at cholesterol levels
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Need medical consultation
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Dr. Namrata Singh
General Physician
13 yrs exp
Delhi
Consult online required more details
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Dr. Shahbaz Khan
General Physician
4 yrs exp
Delhi
Get a consultation with a physician don't take medication with proper consultation
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Nimmi Mulwani
General Physician
10 yrs exp
Ahmedabad
You should consult online
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult
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Dr. Shaikh Huzaif
General Physician
18 yrs exp
Aurangabad
Please consult
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Dr. B R S Kumar
General Physician
25 yrs exp
Hyderabad
Do the following,
1. Low purine diet and avoid alcohol
2. Allopurinol 100mg once a day (this will need gradually increasing in dose after a repeat blood uric acid level in 4 weeks)
3. Blood tests- CBP, HbA1C, Lipid profile, Kidney function test, Liver function test, INR, Ferritin, Hepatitis B and Hepatitis C
4. Blood pressure target is less than 130/80
5. ECG and Echocardiogram
This looks like ‘Metabolic Syndrome’.
All the best.
J G S R clinic
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Consult online
Drink plenty of water
Start tab cystone
Contact will guide you further
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Have plenty of water
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Do consult
Needs to be evaluated
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Dr. Sachin Bhiwaji Sanap
General Practitioner
7 yrs exp
Hingoli
U need to take plenty of water fluids daily
Kindly consult for further valuation
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Dr M V BHAGIRATHA
Gynecologist/Obstetrician
7 yrs exp
Nellore
For renal calculi u drink plenty of water
Regarding urine acid u need to take medications kindly consult
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.