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Renal Agenesis Questions

Asked for Male, 35 years old from Navi Mumbai
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My dad has a tumor in the upper and mid pole of the right kidney measuring 14 *6.9*10.5 CMS as per latest USG. 2. Likewise prostrate is also enlarged at 5 CMS. 3. The Impressions mentioned in the report include Mild Hepatocellular splenomegaly, small cyst measuring 1.7 CMS in the left lobe of liver, mass lesion in the right kidney, enlarged prostate. 4.The latest chest ray states, well defined rounded opacities in right mid zone and bilateral lower zone with a possibility of lungs metastasis. 5. He has lost 10 kgs in the last 1 year. 6. His left and right foot especially appear to be swelling now. Not sure why. 7. He wakes up 6-7 times at night to pass urine and as a result has a disturbed sleep. 8.He has been constantly having cough and pain along the lower back and spinal cord. If surgery needs to be done, how critical would that be? Life threats now versus Post surgery? Can surgery be avoided? Any effective oral medication?

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MBBS, MS - Oncology, DNB ( General Surge...read more

Oncologist•Bangalore
Appears kidney cancer with spread to lung. PET/CT scan will show all the body parts affected with it, so that it can be analysed and managed better. Surgery is not required when there is already metastasis (spread). Oral medications are available to keep a control over the growth of tumor so that life can be extended. Please consult a qualified medical oncologist near by for further analysis and prescription.
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Asked for male, 72 years old from Chennai
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My dad has a tumor in the upper and middle pole of the right kidney measuring 14 *6.9*10.5 CMS as per latest USG. 2. Likewise prostrate is also enlarged at 5 CMS. 3. The Impressions mentioned in the report include Mild Hepatocellular splenomegaly, small cyst measuring 1.7 CMS in the left lobe of liver, mass lesion in the right kidney, enlarged prostate. 4.The latest chest ray states, well defined rounded opacities in right mid zone and bilateral lower zone with a possibility of lungs metastasis. 5. He has lost 10 kgs in the last 1 year. 6. His left and right foot especially appear to be swelling now. Not sure why. 7. He wakes up 6-7 times at night to pass urine and as a result has a disturbed sleep. 8.He has been constantly having cough and pain along the lower back and spinal cord. How do you suggest I go about?

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MBBS, M.S. General Surgery, M.R.C.S. Eng...read more

Oncologist•Mumbai
He would need a CT thorax to confirm the size and number of metastasis. Also a bone scan would be advisable if bone pain or raised alkaline phosphate level in blood. PET CT scan can be done instead of both the above investigations. MRI brain if symptomatic.
If he is asymptomatic for the lung mets and his general condition is good and tumor is resectable and not poor prognosis on IMDC criteria (based on some blood reports and contition of Patient), then I prefer to to a cytoreductive nephrect...more
Asked for male, 65 years old from Pathanamthitta
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MBBS, MD - Internal Medicine, DM - Cardi...read more

Cardiologist•Delhi
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Sinus bradycardia simply means that heart rate is less than 60 beats per minute, better whether it is harmful or harmless depends on many factors like what is the cause of this bradycardia, is it associated with any long pauses on holter or is it causing any symptoms to the patient. Sometimes in athletes or people who do a lot of gym it is normal to find sinus bradycardia. So to find out whether it is harmless or harmful consult a cardiologist near you, you may be asked to get the following test...more
Asked for male, 80 years old from Bangalore
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MBBS, MD - Internal Medicine, DM - Cardi...read more

Cardiologist•Delhi
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1) Your cholesterol is high and at your age we can start low dose statin like atorvastatin 10 mg once daily along with diet change as well daily morning walk for 30-40 mins which should take care of the cholesterol issue. 2) You do not need ecosprin since you do not have diabetes and hypertension unless there is any previous history of heart blockages. 3) With regard to your problem for which you went to the hospital i.e. Low heart rate, even though you have not mentioned how low the heart rate ...more
Asked for male, 24 years old from Hyderabad
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MS - General Surgery, FMAS.Laparoscopy

General Surgeon•Gandhinagar
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Hello dear Lybrate-user,
Warm welcome to Lybrate.com
I have evaluated your query thoroughly. There can be possible stricture again after 8 months gaping, not recommended to perform
self catheterisation. Strongly recommended to consult your surgeon or uroloigst tomorrow for catheterisation.& later follow strictly post surgery advises strictly even in so busy schedule, after all nothing is
important in the world than your health. Hope this clears your query. Wishing you fine recov...more
51 people found this helpful
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MBBS, MD - Internal Medicine, DM - Cardi...read more

Cardiologist•Delhi
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You need to maintain weight according to the BMI standard for your height and age, stop midnight snacking as it just worsens your weight problem and cholesterol problem. For diet kindly consult a dietitian for a detailed diet chart for a healthy heart diet which should contain fruits, fibres, vegetables, salt restriction and avoid fried, sugary and saturated fat containing food.
Asked for male, 26 years old from Gandhinagar
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MD PHYSICIAN

General Physician•Delhi
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Get yourself tested for anemia, thyroid dysfunction, serum sodium, kidney pathology as your heart reports are normal. Heart rate 50bpm is considered normal. But get yourself tested to rule out possibility of any underlying disease.
Asked for Male, 24 years old from Dewas
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MD - Homeopathy, BHMS

Homeopath•Vadodara
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Hi lybrate-user. If you want Homoeopathic treatment then Consult through Lybrate. This is not a condition which can be prescribed so simply.
Though you may get Homoeopathic Medicine
Bothrops 30 TDs for 2-3 days.
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Asked for Male, 20 years old from Hyderabad
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MD PHYSICIAN

General Physician•Delhi
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The various precautions include :No smoking, regular exercise: 75 minutes intensive or 150 minutes moderate exercise each week, don’t grow obese, or lose weight if overweight, if diabetic, strict diabetes control, strict blood pressure control, use platelet aggregation inhibitor drugs e.g. Aspirin
most would greatly profit from being on a statin, avoid much heavy exercises.
67 people found this helpful
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