Suggest treatment for parenchymal disease
Patient: i am having parenchymal grade 2 disease. i found it when i got a pain in my abdomen and done ut scan ..before 5 years ago. now i am 30 years, bachelor .i have not taken any treatment...some times ...i felt pain in my left side of my stomach .but not all the time....by pressing that section i don't feel any pain .but inside ..i dont know....now i am working in oman as quality control inspector..in my lifetime i have not taken any continuous medication . and my life style is good..enjoying.....i want to know that in future  did i want to consult a doctor,or may any problem occur due to this silent disease. Doctor: Hello and welcome to HCM.  As an Urologist,i can understand your anxiety.Kidney function tests,include USG-scan,which shows parenchymal disease.The other test are creatinine,electrolytes and check B.P.,which may go up.As you've not repeated your tests for 5 years,do the following tests soon:1.  urine routine,culture and ACR done.2.  LFT,platelets,lipid profile and s.proteins with A/G ratio.3.  Ultrasound scan with residual urine.According to reports,the Urologist,can advise expert treatment.If you've any doubts,you may send the reports here,for an expert opinion.Dr.Matthew J. Mangat.