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re ultrasound result small kidneys
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re ultrasound result small kidneys

I have stage 3 kidney disease and am goind to see neph for first time next week. Beofre going i was asked to get a renal ultrasound which I did yesterday. I asked the radiologist if they  (kidneys) looked happy. she said they were smaller than normal and the right one the smallest. she said that was to be expected??????? anyone else heard this???
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Avatar_f_tn
I have had an atrophic kidney for 7 yrs. which is a kidney that has shrunk in size, mine shrunk to 1/3 its normal size. I have just been diagnosed with stage 3 kidney disease, getting ultrasound in a couple weeks
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Avatar_dr_f_tn
Hello and hope you are doing well.

There are two types of kidney diseases acute and chronic. Chronic kidney diseases develop slowly and can cause shrinkage in kidney size. Chronic kidney disease is caused by diabetes mellitus, high blood pressure, polycystic kidney disease and some medications like pain killers. Medications are given to reduce the blood pressure and to correct the anemia. When the renal function is below the optimal level then dialysis is initiated. At the end stage of renal failure renal transplant from a competent donor would be the therapy of choice.

Hope this helped and do keep us posted.
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963889_tn?1359680934
thankyou, I have since seen the actuaql report and it says : bilateral cortical (think that was the word from memory or very similar) thinning, more evident on right, also says scarring right mid pole (dont know what that means) at the bottom of the report it said summary" consistent with chronic kidney disease.  The nephrologist said that given the speed it is declining that it will be progressive and all we can hope is that it slows down a little.  I asked her about kidney diet as had read a lot on this forum about it. she was not convinced there was any beneift ie she said it can worsen other complications of kidney disease????? I see her again in 2 months. It has since fallen even further and is now 29, so I guess that puts me tottering on stage 4. I have had the egfr bumpbing up and down quite a lot though but the overall pattern is a fall, eg  over the last 12 months it has gone quite crazy, from memory (approximate pattern)  88,  72, 63, 68, 53, 61, 50, 32, up again to I think mid 40s and then bang 29???? is this usual to have such a jumping around egfr, nephrologist didnt seem suprised but I am puzzled why it would do this
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Avatar_dr_f_tn
Hello and hope you are doing well.

Understand your predicament. But it is not possible to predict the trend of progression of kidney failure. The shrinkage and the cortical thinning is due to nephron loss. The scar could be due to an old infection. Systemic effects of kidney failure like anemia, hypertension or repeated infections will further compromise the kidney function and hence the deterioration in GFR and kidney function. It can only be monitored to gauze the progress and the symptoms are treated.

Hope this helped and do keep us posted.
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963889_tn?1359680934
Hi thanks for so many answers. I have one more question. I have read that ibuprofen is not good for kidneys but it works so well. i asked my general doctor and he said was fine and that it can cause a problem but only whilst actually taking it and not long term. Yet the kidney doctor said no. I am confused here. Is it a problem and what does it do, if anything???
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Avatar_dr_f_tn
Hello and hope you are doing well.

Yes ingestion of ibuprofen is known to acute renal failure, decreased creatinine clearance, polyuria, azotemia, cystitis, and Hematuria. In addition in rare instances it can cause  Renal papillary necrosis. The precise incidence rate of these effects is unknown and it could be less than 1%.

Hope this helped and do keep us posted.
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