How to treat small cyst noticed on both kidneys?
Patient: Ultrasonogram of kub region shows: Kidney appear mildly echogenic with blurring of their corticomedullary differentiation measuring approx 8.6 cm on right and 9.4 cm on left in craniocaudal dimensiion. small simple cyst are seen both kidneys.And HR Urinary total protein 464 mg /24hrss Cretanine 1.76 mg/dlS uric acid 6.60 mg/ dlswelling and unbearable pain in left foot. Doctor: HelloYour findings may suggest renal parenchymal disease and small simple cysts in both kidneys.Simple renal cysts are generally age related developmental findings and it only require follow up ultrasound.Renal cysts may require treatment if there is pain,increase in size of cysts,infection etc.Increased echo texture of kidneys may indicate renal parenchymal disease.It may be due to many reasons like glomerulonephritis,chronic diabetes mellitus,chronic hypertension etc.This need clinical correlation and further investigations.Investigations include routine hemogram,random blood sugar,urine RE/ME,complete renal function test(include serum urea,creatinine,creatinine clearance,serum sodium,potassium,chloride,bicarbonate,phosphate),GFR estimation,24 hour urinary protein excretion etc.You may need diet restrictions and medicines after investigations.Get well soon.Take CareDr.Indu Bhushan