apollo
  • female
  • 45 Years
  • 07/02/2025

I'm really concerned because my loved one has been diagnosed with pyelonephritis along with bilateral pleural effusion at Wockhardt Hospital on Mira Road. I'm wondering if we should seek a second opinion before starting any treatment. Do you think it's necessary to confirm the diagnosis with another doctor, or should we trust the findings and proceed with the treatment plan they've suggested? Any advice on how to handle this situation would be appreciated.

Doctor 1

Answered by 1 Apollo Doctors

do CT scan and consult others physicians

Dr. Ranjith Suggests...

Consult a Nephrologist

Answered 04/07/2025

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I've just had a routine ultrasound and it turns out my left kidney is now just 7.5 cm, even though my right one seems to be normal. When I had a scan about five years ago, the left kidney was 10 cm. I also did a urine test that showed 100 mgdL of protein and my serum creatinine level is at 1.24. Should I be worried about this? Could this be Chronic Kidney Disease (CKD)?

While these findings could indicate early kidney issues, including CKD, its important to get a thorough evaluation from a nephrologist. They will be able to assess the underlying cause of the kidney size change, proteinuria, and creatinine elevation. With early intervention and appropriate treatment, kidney function can often be preserved, so dont delay in seeking specialized care.

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I'm trying to understand my recent kidney test results. My creatinine is at 0.8 mgdL and my urea level is 21 mgdL. Could you help me figure out what my BUN-to-creatinine ratio is and what it means for my health? I'm kind of worried about the effects it might have.

Your BUNCreatinine ratio can be calculated by dividing the BUN value by the creatinine value. In your case, the BUNCreatinine ratio is 210.8, which equals 26.25. A normal BUNCreatinine ratio is typically between 10:1 and 20:1. A ratio higher than this range may indicate dehydration, gastrointestinal bleeding, or a diet high in protein. A ratio lower than this range may indicate liver disease or malnutrition. In your case, with a BUNCreatinine ratio of 26.25, it is slightly higher than the normal range. This could be due to dehydration or a high-protein diet. It is important to stay hydrated and consider adjusting your diet if necessary.

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Does diabetes cause the loss of protein in urine?

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.