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Urology (Expert Forum)
Should I be seeing a Urologist?
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Should I be seeing a Urologist?
by AutumnR, Feb 03, 2007 12:00AM
I am a 38 year old female and I recently went to my GP because of pain in my upper left abdomen. She told me to use a fleet enema because I was probably just constipated (I’m pretty regular). I did that with no change in my pain. After two weeks I was sent for an ultrasound which showed something in my left kidney. My doctor then sent me in for a CAT scan and the radiologist said it looked like a dense area in my left kidney about 9 millimeters in size and appeared to be benign.
I’ve had dull pains it that area for months (the pain gets considerably worse when you push on my abdomen) but lately I have also had sharp stabbing pains as well. I don’t have any pain in my back kidney area.
I also had a couple of incidences when urinating. A substance that looks like small pieces of clear skin are in my urine (no frequency in urinating no blood in my urine). I took a sample in to show my doctor and she said it may just be mucus. It looks like tissue to me. I had a urine test that came back normal. I had a pelvic exam that was normal.
My doctor said she does not think my kidney is of concern and is referring me to a Gastroinologist. I’m worried about this because I have had to really push for each and every test I have had thus far.
I haven’t had any past major health issues. The only other thing I have is melasma on my face that hasn’t gone away (my last son is three years old).
Should I be concerned about my kidney? Urologist or Gastroinologist, what do you think?
Thanks
I’ve had dull pains it that area for months (the pain gets considerably worse when you push on my abdomen) but lately I have also had sharp stabbing pains as well. I don’t have any pain in my back kidney area.
I also had a couple of incidences when urinating. A substance that looks like small pieces of clear skin are in my urine (no frequency in urinating no blood in my urine). I took a sample in to show my doctor and she said it may just be mucus. It looks like tissue to me. I had a urine test that came back normal. I had a pelvic exam that was normal.
My doctor said she does not think my kidney is of concern and is referring me to a Gastroinologist. I’m worried about this because I have had to really push for each and every test I have had thus far.
I haven’t had any past major health issues. The only other thing I have is melasma on my face that hasn’t gone away (my last son is three years old).
Should I be concerned about my kidney? Urologist or Gastroinologist, what do you think?
Thanks
Doctor's Answer
by Kevin Pho, MD, Feb 05, 2007 12:00AM
, Feb 05, 2007 12:00AM
I can't comment on the kidney lesion without seeing the report. If you are concerned about the lesion, you can consider an MRI of the kidney for a more definitive evaluation.
Regarding the abdominal discomfort, various upper GI diseases can lead to the symptoms. The CT scan should rule out pancreas and splenic disease. An upper GI or upper endoscopy can be considered to evaluate for GERD, ulcers, or inflammation of the upper digestive tract. A gastroenterologist can help in this regard.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
Regarding the abdominal discomfort, various upper GI diseases can lead to the symptoms. The CT scan should rule out pancreas and splenic disease. An upper GI or upper endoscopy can be considered to evaluate for GERD, ulcers, or inflammation of the upper digestive tract. A gastroenterologist can help in this regard.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
