Suggest treatment for kidney shrinkage with high triglycerides and swollen pancreas
Patient: Hi, I have a question about kidney issues. Brief background: all my life, I ve had chronic stones; 4 years ago, 1 kidney failed; I was just hospitalized at the end of Oct/ beginning of Nov for extremely high triglycerides, very swollen pancreas, & erratic heartbeat. At that point, it was discovered that my other kidney had started to shrink. How bad does this situation sound? I m worried because I still have children at home to care for. Also, I have very little access to medical care Doctor: Hello and welcome to HCM.As an Urologist,i can understand your concern.You must write age and sex.By now you must've been referred to a nephrologist,for kidney failure.A solitary functioning kidney with shrinkage,is a sign of failing function.Check the following :1. urine routine,culture,and ACR; 2. blood routine,creatinine,RBS,uric acid,LFT,platelets,lipase and electrolytes. Repeat lipid profiles,ECG and echo scans as advised.3. ultrasound scan-KUB,with residual urine (TRUS,and PSA,if male ).If you've any doubts,send a direct question to me,with all reports.Dr.Matthew J. Mangat.