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Sjogrens Topics => Living With Sjogren's => Topic started by: paulc182 on January 01, 2017, 09:01:32 AM

Title: How to catch/diagnose kidney problems?
Post by: paulc182 on January 01, 2017, 09:01:32 AM
Hi ya'll.

So a question regarding kidney involvement, how do I catch/diagnose it?
Been feeling a dull ache in my low right back and I was wondering if I had any involvement, maybe a stone.
I know the full metabolic panel is the most essential and basic thing. What about other things like Renal Tubular Acidosis? What do I ask to check that for instance? I know Potassium blood level and urine pH are indicators, but I recall there needs to be more to go on.
Title: Re: How to catch/diagnose kidney problems?
Post by: Pete0211 on January 01, 2017, 09:58:36 AM
I'd recommend scheduling an appointment with a nephrologist or urologist and just asking them. They'd probably get an xray to look for stones, a urine culture for infection, and urine testing for kidney function. I recently did a 48 hour sample through my urologist and Litholink (which also includes a blood draw), and it turns out aside from stones left over from my hyperparathyroid issue, my kidneys are functioning optimally.
Title: Re: How to catch/diagnose kidney problems?
Post by: paulc182 on January 01, 2017, 09:59:24 PM
Quote from: Pete0211 on January 01, 2017, 09:58:36 AM
I'd recommend scheduling an appointment with a nephrologist or urologist and just asking them. They'd probably get an xray to look for stones, a urine culture for infection, and urine testing for kidney function. I recently did a 48 hour sample through my urologist and Litholink (which also includes a blood draw), and it turns out aside from stones left over from my hyperparathyroid issue, my kidneys are functioning optimally.

Got it. Was it secondary hyperparathyroidism? Or adenomas?
Title: Re: How to catch/diagnose kidney problems?
Post by: Pete0211 on January 02, 2017, 06:37:55 PM
It was adenoma - a single gland that grew to about 1 inch x 1/2 inch. I probably had the disease for 10-15 years before it was diagnosed in 2015, and had it removed about three weeks after diagnosis (had a 15.8 calcium level and a parathyroid hormone level of 2066).
Title: Re: How to catch/diagnose kidney problems?
Post by: paulc182 on January 02, 2017, 08:30:47 PM
Quote from: Pete0211 on January 02, 2017, 06:37:55 PM
It was adenoma - a single gland that grew to about 1 inch x 1/2 inch. I probably had the disease for 10-15 years before it was diagnosed in 2015, and had it removed about three weeks after diagnosis (had a 15.8 calcium level and a parathyroid hormone level of 2066).

Wow thats crazy high. Most PTH levels are between 10-55 pg/mL, unless you're using a different measurement.
Title: Re: How to catch/diagnose kidney problems?
Post by: Pete0211 on January 03, 2017, 04:46:59 AM
No, it's the same measure. That's what makes them think (along with other medical history) that I had the disease, undiagnosed) for almost 15 years.

Even the docs (at a parathyroid center that does about 70 surgeries a week) told me that they rarely see numbers that high, because it tends to kill before that.
Title: Re: How to catch/diagnose kidney problems?
Post by: paulc182 on January 03, 2017, 05:10:19 AM
Quote from: Pete0211 on January 03, 2017, 04:46:59 AM
No, it's the same measure. That's what makes them think (along with other medical history) that I had the disease, undiagnosed) for almost 15 years.

Even the docs (at a parathyroid center that does about 70 surgeries a week) told me that they rarely see numbers that high, because it tends to kill before that.

Aren't the tumors usually benign?
Title: Re: How to catch/diagnose kidney problems?
Post by: Pete0211 on January 03, 2017, 03:02:41 PM
The tumor themselves are, yes. The disease, and the elevated calcium levels are deadly over time.