2012年11月30日星期五

What are the Tests and Examinations of Kidney Cysts



Kidney cyst is the general term kidney cystic mass ranging in size. It is not connected with the outsides the common renal cysts can be divided into adult polycystic kidney disease, simple renal cysts and acquired renal cysts.
Suggestion:
Laboratory tests
Urinalysis showed mostly normal. Microscopic hematuria is rare. Renal function tests are normal, unless the cyst as multiple or bilateral (rare) even if one side of the kidney surface extensive destruction of the contralateral kidney may also be due to the compensatory hypertrophy while maintaining the total renal function normal.
X-ray examination
Can be seen in the abdominal plain film often part of the kidney shadow enlargement or mass oppression. Cyst weight or position can cause the kidneys to reverse the abnormal renal axis. Sometimes striped calcification can be seen in the tumor edge. Excretory urography angiography can be diagnosed. 1 to 2 minutes after the intravenous injection of a contrast agent to radiography, visible renal vascular density increased, the cyst occupied part of the space that is not, because no blood vessels. urography continuous radiography shows mass presence of cysts around one or renal calyx or pelvis often become dented or bent, widened, flattened or lumen disappeared. oblique or lateral radiographs are also helpful in the diagnosis when the mass occupy lower pole of kidney, ureter segment will shift to the spine. kidney itself will rotate through the radiopaque sac or to see the psoas muscle. conventional urography can not effectively distinguish opaque renal parenchyma when renal tomographic X-ray photography to increase vascular renal parenchymal cysts contrast. occasionally renal tumors also relatively free of blood vessels, which is easy to be confused with the cyst. rare cases, the cyst wall tumors may also occur, Therefore, it is necessary for further identification of the diagnostic check.
CT scan
Identify renal cysts and tumors, CT is the most accurate. Cyst fluid density similar to water, and the density of the tumor and normal renal parenchyma similar after intravenous contrast agents, the renal parenchyma becomes more dense, and the cyst remains unaffected ; clear boundaries of the cyst wall and the renal parenchyma, tumor no; cyst wall is thin, but not with tumor. many ways, the identification of cysts and tumors CT is superior puncture fluid judgment.
Renal ultrasound
Ultrasound to take a non-invasive diagnostic techniques to identify renal cysts and substance of mass, a large proportion of ultrasound examination and found to comply with the image of the cyst ultrasound image monitoring can puncture the cyst and suction capsule fluid.
Isotope scan
Straight line scan shows the mass outline, but it is difficult to distinguish between a cyst or tumor. Technetium scan photography avascular mass.
In the cyst photography percutaneous cyst aspiration
When the above checks on the identification of cysts and tumors still have questions, necessary rows aspiration.
Differential Diagnosis
Basic checks
Urine check normal urine bag oppression renal parenchyma or merge sac infection, there may be a small amount of red blood cells and white blood cells in the urine.
B ultra understand the cyst number, size, wall. Renal mass can be differentiated as the preferred method of examination. Typical B-performance anechoic lesion, wall smooth, clear boundary how when imaging prompted; When the wall irregular echo should be alert to the malignant transformation; limitations echogenic wall thickening secondary infection, lesion fine echo intracystic echogenic bleeding. cysts with multilocular cysts, polycystic kidney distinguished.
Intravenous pyelogram (ivp) can show the extent of the cyst oppression renal parenchyma can identify hydronephrosis phase.
Further examination
CT B-ultrasound can not determine who rendered valuable cyst with bleeding infection malignant not homogeneous CT value increased when CT shows cyst characteristics do not have to be a cyst puncture
(1) Kidney cancer: was occupying lesions, but prone to deep, causing more obvious calyceal bending. Hematuria is common, while the cyst is not seen when the renal tumor pressure above the psoas muscle, abdominal plain chip to see less than the edge of the muscle, and the cyst is still visible. transfer evidence (such as weight loss, fatigue, touched supraclavicular lymph node enlargement, chest X-ray shows metastatic nodules), polycythemia, high calcium hyperlipidemia and accelerated ESR prompt cancer. remember the cyst wall can also occur cancerous change. renal vein cancer clogging, unclear or even not developing excretory urography. ultrasound image and CT is always the last to do differential diagnosis. angiography and renal tomography X-ray photography is rich in blood vessels in the tumor, a contrast agent-intensive "pond" cyst density unaffected. prove other diseases before, assume that the space-occupying lesions of all kidney cancer is wise.
(2) polycystic kidney disease: As shown in urography, the disease is almost always bilateral diffuse renal calyx and pelvis distorted its law has become a simple renal cysts isolated solitary. polycystic kidney disease is often associated with renal dysfunction and hypertension, renal cysts.
(3) renal carbuncle: the disease is rare. Acquisition history, history of skin infections in the weeks prior to the projection of fever and local pain urography showed similar lesions, cysts and tumors, but because of renal inflammation around the impact the renal contour waist muscles shadow blurred., kidney more than fixed. patients in the supine and upright kidney position to compare can be confirmed. angiography may be a non-vascular lesions. Gallium scan can display the inflammatory nature of the lesions, but simple renal cyst infection may also have similar performance.
(4) hydronephrosis: signs and symptoms may be entirely consistent performance with simple renal cysts, urography distinct. Cysts cause kidney deformation, while hydronephrosis will not.

2012年11月28日星期三

Chinese Herbal Medicines for Treating Adult PKD


Question: both my wife and daughter have Adult PKD. My wife is found have PKD in 2005 and she began dialysis from the year of 2011 and this year it was found that my daughter have multiple cysts on her kidneys. Ask for possible treatment options.
Here is my wife’s illness condition:
Before dialysis urea is 220 and creatinine is 9.9; after dialysis urea is 127 and creatinine is 5.3. The largest renal cysts on right kidney are 9.5*5.3cm,8.5*6.1 and largest on left kidney are 8.1*5.1,7.7*4.9.
Here is my daughter’s illness condition:
Early impairments in bilateral renal parenchyma, the larges cyst on left kidney is 2.7*2.7 and right one is 2.2*2.0cm.
Answer: To be honest, your wife’s condition is severe. Her kidney cysts are very large and the big cysts have caused damage to her renal tissues. Besides, among her medicines, the first four medicines are taken for controlling blood pressure. Others are for relieving various symptoms, such as vomiting, nausea, difficult breathing, etc. That is to say, no medicine can shrink her cysts or repair the damaged renal tissues. Therefore, the medicines she takes don’t treat her PKD but just relieve her symptoms.
Also, the levels of urea and creatinine are high. This is because the damaged kidneys cannot filter metabolic wastes in the blood normally. A healthy kidney mainly has three functions, namely filtration function, secretion function as well as regulating electrolyte and water in blood. Due to the excess pressure from big cysts to renal tissues, the kidneys are damaged and kidney functions are impaired.
Of course, her condition is not too severe to be handled with. She still have chance to get improvements by receiving Chinese herb medicine. As you mentioned, she has no anemia, which indicates that her kidneys can produce moderate EPO. She has no itching problem, which shows that her blood phosphorus is not very high and eletrolyte is relatively balanced.
At present, your wife faces two problems. One is the increasing cysts; the other is the damaged renal tissues, or rather renal functional cells. Chinese herb medicine is mainly used to shrink and restrain the cyst.
As to your daughter, she is at the early stage. The most important thing for her is to restrain the growth of her cysts. The doctor doesn’t give her any medicine. This is because there is no effective medicine in western medical science to prevent kidney function impairment. In western medicine, only when PKD patients have symptoms, for example, hypertension, the doctor will give them anti-hypertensive medicine to relieve such problem. However, Chinese medical science is different. Chinese herb medicine can restrain the growth of the cysts so as to protect kidney function.

2012年11月24日星期六

Multiple Cysts on Right Kidney, Diabetes, Diets and Treatments


Question: I was told by my doctor that I have multiple cysts in kidney, but the cysts are only found in right kidney and the largest one is 28mm. I also have a cyst on my liver. What makes the condition even more complex is that I became diabetes about 2 years ago. Will I develop kidney failure and how to prevent that?
Answer: your illness condition is not very severe since the cyst is not very large and it is in the early stage, so do not worry. With proper and effective preventions and treatments, the illness conditions can be brought under control and you can just live a normal life.
Since you have diabetes which makes the condition a little bit complex, if you suffer from high blood sugar, you need first to control and maintain blood sugar within safe and stable level. Here are some diet suggestions for diabetic and renal patients.
Your diabetic and renal diet also should consist of non-carbohydrate high-protein foods. You can eat limited amounts of cottage cheese (which has high sodium levels, so sparingly), eggs (or a low-cholesterol substitute), fish, lean cuts of meat, poultry and seafood (without boiling in high-sodium seasonings).
Among meat and high-protein foods you should avoid are cheeses (American, cheddar and Swiss); dried beans (such as kidney, lentil, lima, pinto or soy); high-sodium meats (such as bacon, canned and luncheon meats, hot dogs, organ meats, pepperoni, salami and sausages); nuts and peanut butter.
As for treatments for shrinking these multiple cysts in right kidney, I recommend natural way---herbal medicines. It takes effects through the following ways.
First, Effective ingredients of Herbal medicines promotes the blood inflow to kidneys and enhance the flow speed of blood circulation. By this, the Suction of blood flow will be more powerful. Just imaging blood flow as a tornado, the quicker the pace of ration, the harder things can avoid its suction. Second, ingredients of TCM soften the cyst wall, and inactivate cyst wall’s secretion of liquid. Softened cyst wall paves way for easier cyst liquid filtrating out into blood capillaries, and inactivated cyst wall become incapable of secreting more cyst liquid. So, once these cysts in kidney are shrunk, they hardly have the chance for relapse.

2012年11月22日星期四

Therapies and Diets for PKD


Question: I am now 35 years old and suffering from PKD. I want to know is it curable and is there any chance of death? What are the differences between western therapy and Chinese therapy? What kind of diets should I follow to not aggravate the cysts?
Answer: You asked about the differences between Chinese and western therapies. I think you must know that in western treatment, they treat polycystic kidney disease through removing big cysts by operation which is considered as another kind of trauma to kidney, though operations can relieve patients' symptoms in a short time. Besides, many foreign patients told me that their doctor told them there is no way to treat this disease due to its genetic feature and they have to wait for Dialysis or Kidney Transplant. In our Chinese medicine treatment, we deal with the cysts by reducing cyst fluid secretion and increasing the reabsorption of cysts fluid through improving blood circulation on cysts wall and the permeability of cyst wall. Through this way, cyst can be shrunk gradually and then patients can avoid operations.
As for the diets for you, it depends on your illness and physical conditions and which stage you are in. I will just give you brief and general suggestions and you can consult the doctor for more detailed explanations and choose foods that are most suitable for your illness conditions.
1. Have less salt food (including preserved food, pickles, tinned meat), spicy food (including hot pepper, liquor, shrimp, crab, etc.) contaminated food (perishable food, leftovers, etc.) broiled dishes. Limit high protein food from animal and oily food, etc.
2. Have good rest. Avoid drastic physical strength, and trauma on abdomen.
3. Take nutritional food.
4. Have high-quality protein food, supply high fibre, rich vitamin food, and, eat low fat and sugar food.
5. Do some mild exercises, but not strenuous exercises.
6. Drop smoking or drinking alcohol.
And in the daily life, in order to avoid the rupture of the cysts, (your kidneys are very big now), the abdominal pressure should not be too much. When you bend down, be careful. Don't lift too heavy objects, avoid twist your waist violently, have a loose belt, and try not to have constipation.
Try not to drink coffee, coca cola. And try to be careful not to get urinary infection.

2012年11月21日星期三

What Cause too much Bubbles in Urine


Excessive bubbles in urine are generally formed in the following three circumstances.
One kidney disease or urethral secretions increase. This situation changes in other parts of the body to be combined with detailed diagnosis to determine the specific cause.
Second, bacteria formed in the urinary tract. If there are too much bacteria in the urinary tract, the bacteria will destroy the composition and structure of the urine, resulting in urine excessive bubbles.
Third, life without sex is too long. Because they often occur nocturnal emission, or often in a state of sexual arousal, resulting in increased mucus secretion by the bulbourethral glands, mixed with urine, you can bubble. In addition to the above three cases, there is a situation is a normal physiological performance, that is, very few people urinate containing proteins, while the lower the surface tension of a protein, when too much of the protein content in the urine, urine surface will naturally form a foam. Of course, this is only a very small number, the vast majority of patients, urine bubble caused by one of the above three conditions are.

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