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Does a kidney stone and simple cysts need treatment?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My father has had left-sided flank pain on and off. An ultrasound shows a about 1/8 inch stone in the left kidney, bilateral simple renal cysts, and grade I fatty liver.

Please advise whether the kidney cysts need treatment and whether the stone can pass with medication.

Thank you.

Answered by Dr. Penchilaprasad Kandikattu

Education:

MBBS

Professional Bio:

Dr. Penchilaprasad Kandikattu is a General Practitioner with 15 years of clinical experience. He pursued his MBBS from Dr. NTR University of Health Sciences, Andhra Pradesh, and MD in General Medicine from Rajiv Gandhi University of Health Sciences, Karnataka. He is specialized in treating acute and chronic illnesses and provides preventive care and health education to patients. Currently, he is working at Sri Sai Hospital, Mancherial, Telangana.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

A 0.12-inch kidney stone is very small, and in most cases, stones smaller than 0.19 inches pass spontaneously with adequate hydration and medications. Drinking plenty of water (unless restricted due to another medical condition) and taking prescribed medications, such as pain relievers and, in some cases, stone-expulsive therapy (for example, Tamsulosin), may help the stone pass.

Simple renal cysts (a fluid-filled sac that forms in or on the kidney and are usually harmless) are very common, especially with increasing age. If they are described as simple cysts on ultrasound and kidney function is normal, they usually do not require treatment. Periodic follow-up ultrasounds may be all that is needed.

Grade I fatty liver (an early stage of fat buildup in the liver that is usually reversible with healthy lifestyle changes) is an early and potentially reversible stage. Weight management, regular exercise, avoiding alcohol, and controlling diabetes (a condition that causes increased blood sugar levels), cholesterol, and triglyceride levels are recommended.

Since your father is experiencing intermittent left-sided flank pain, I recommend the following:

  1. A urine routine examination to rule out infection.

  2. Serum creatinine and renal function tests.

  3. Follow up with a physician or urologist if the pain worsens, fever develops, blood appears in the urine, or the stone does not pass within the next few weeks.

Overall, these findings do not appear serious at present. The kidney cysts usually require only observation, and the small kidney stone has a good chance of passing naturally with conservative treatment.

I hope this helps.

Please revert in case of further queries.

Thank you.

Medically reviewed by iCliniq medical review team
Published At July 20, 2026
Reviewed At July 20, 2026

Education:

MBBS

Professional Bio:

Dr. Penchilaprasad Kandikattu is a General Practitioner with 15 years of clinical experience. He pursued his MBBS from Dr. NTR University of Health Sciences, Andhra Pradesh, and MD in General Medicine from Rajiv Gandhi University of Health Sciences, Karnataka. He is specialized in treating acute and chronic illnesses and provides preventive care and health education to patients. Currently, he is working at Sri Sai Hospital, Mancherial, Telangana.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Penchilaprasad Kandikattu is a General Practitioner with 15 years of clinical experience. He pursued his MBBS from Dr. NTR University of Health Sciences, Andhra Pradesh, and MD in General Medicine from Rajiv Gandhi University of Health Sciences, Karnataka. He is specialized in treating acute and chronic illnesses and provides preventive care and health education to patients. Currently, he is working at Sri Sai Hospital, Mancherial, Telangana.

This doctor is not available for online consultations on the platform anymore.

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