Common "Polycystic Kidney Disease" queries answered by top doctors | iCliniq

Polycystic Kidney Disease

Polycystic kidney disease is a condition in which multiple cysts occur on the surface of the kidneys. Over time these cysts may impair the functions of the kidneys resulting in kidney failure. Painkillers and the removal of cysts help improve the condition. However, a kidney transplant may be required in complicated cases.

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Is anxiety causing my high BP during doctor visits?

Query: Hello doctor, I am 19 years old, exercise regularly and eat healthy, yet my blood pressure is always very high at the doctor. He says this is only because of my anxiety disorder. It has been as high as 168/110 before. He did a physical and CBC, thyroid, glucose, and kidney function test and they all...  Read Full »


Dr. Mashfika N Alam

Answer: Hi, Welcome to icliniq.com. Hypertension at your age is not usual and if it is present, a few things need to be evaluated thoroughly, especially your kidneys and your adrenal glands. A renal function test will not be helpful in this case. An MRI or ultrasound of the kidneys would be required to ru...  Read Full »

Why does my pregnancy ultrasound show hyperechoic kidneys?

Query: Hello doctor, What does both kidney slightly hyperechoic in an ultrasound indicate? I am 19 weeks pregnant and very worried about my baby.  Read Full »


Dr. Eeshani Dutta

Answer: Hi, Welcome to icliniq.com. Hyperechogenicity in kidneys is seen in some congenital polycystic renal diseases leading to renal failure in late childhood or adulthood. But in fetuses, this marker has been studied sparsely. These studies have shown that if the amniotic fluid around the baby is adequ...  Read Full »

I have a high creatinine level. How to correct urine parameters?

Query: Hello doctor, I have high creatinine levels due to polycystic kidneys. The level reaches up to 14 mg/dL. So the doctor suggested dialysis and I underwent four dialyses to date. Now the creatinine level is 6.73 mg/dL, urea is 91.69 mg/dL, BUN is 42.8 mg/dL, eGFR is 8.84 mL/min, and uric acid is 6.65 ...  Read Full »


Dr. Yash Kathuria

Answer: Hello,Welcome to icliniq.com.I understand your concern regarding your CKD (chronic kidney disease) status and your willingness to get off dialysis. In ESRD (end-stage renal disease), once you are on dialysis it is not easy to immediately stop it. But yes with a good diet and lifestyle, it can be tap...  Read Full »

I have chronic kidney disease. Do I need dialysis shortly?

Query: Hello doctor, I am a 43-year-old male. I often feel tired, confused, and nauseous. I have back pain, headaches, and indigestion often.I am feeling sick from PKD. I am suffering from renal failure with GFR of 13. I am currently not under any medication. I need an ESRD diagnosis. Kindly help. Attach...  Read Full »


Dr. Manzoor Ahmad Parry

Answer: Hello, Welcome to icliniq.com. I have gone through your reports (attachments removed to protect patient's identity). The reports suggest chronic kidney disease (CKD) stage five due to polycystic kidney disease (PKD). The stage of CKD is such that you need to prepare for renal replacement therapy....  Read Full »

Do I need to start taking tablet Tolvaptan for polycystic kidney disease?

Query: Hello doctor, I am a hypertensive patient with a blood pressure range of 125/90 mm of Hg. I am using medications and made lifestyle changes for two years. I have been using tablet Micardis 40 mg for a week and yet to start tablet Tolvaptan. I have used tablet Concor COR 2.5 mg in the past. Also, I a...  Read Full »


Dr. Manzoor Ahmad Parry

Answer: Hello, Welcome to icliniq.com. I understand your concern. I have seen your reports (attachments removed to protect the patient's identity). Tablet Telmisartan 40 mg can be taken as your blood pressure is 119/98 mm of Hg. However, as a young person, you must target your blood pressure to 110/70 mm ...  Read Full »

What could cause a spike in BP in PKD patients with regular medication?

Query: Hello doctor, I am a 57-year-old male with polycystic kidney disease. My BMI is 27, and I am a non-smoker. My creatine ~1.25, eGFR ~63. I am currently on 30 mg Lisinopril, 12.5 mg Hydrochlorothiazide daily. Most recently I changed to (6 months ago), taking 40 mg Lisinopril only and noticed bp incr...  Read Full »


Dr. Pranaw Kumar Jha

Answer: Hello, Welcome to icliniq.com. The causes of this accelerated phase could be multiple. Is there any change in dietary habit with increased salt intake? Any recent change in antihypertensive? Did you by any chance miss antihypertensive medications? Any consumption of pain killer NSAIDs (nonsteroida...  Read Full »

Do PKD patients have an urge to urinate always?

Query: Hi doctor, I am 17 years old. I was born with polycystic kidney disease. When I was 14, I was diagnosed as I was having severe chest pain and dizzy spells. I am currently four months postpartum. Since my son was born I have not been able to use the bathroom as frequently as most. It never caused me ...  Read Full »


Dr. Abhishek Kirti Dixit

Answer: Hello, Welcome to icliniq.com. Since you are a patient of polycystic kidney disease, you will be more prone for urinary tract infections, urinary stones or cysts, which could burst and form clots, which can result in obstruction. One cannot be sure unless you get a sonography done. Since you say...  Read Full »

Is hernia surgery advisable for a 73-year-old man with a bad medical condition?

Query: Hi doctor, I am a VA patient. I have a GFR of 27. I have polycystic kidneys, COPD, and emphysema with severe allergies. I have hiatal hernia for 15 years. Now I am 73 years old. In this bad health, my doctor advises me to have a hernia operation to rebuild the valve. In this bad medical condition, ...  Read Full »


Dr. Anushtup De

Answer: Hi, Welcome to icliniq.com. I do not understand the full form of VA. On considering your multiple comorbidities, surgery can be considered if you are severely symptomatic due to hiatal hernia. If you have minimal symptoms such as reflux or bloating, or heartburn, then surgery is not needed. Please...  Read Full »

What causes multiple scattered cysts in the liver?

Query: Hi doctor, I am a 41-year-old male who is 5.10 feet tall and weighs about 180 lbs. I take 5 mg a day of Lexapro for anxiety or depression for the last five months. No other medications, but I do take supplements and vitamins. As a result of an MRI of my spinal cord to look for muscle twitching poss...  Read Full »


Dr. Vedprakash Verma

Answer: Hi, Welcome to icliniq.com. I have seen your images, blood reports and read your history (attachment removed to protect patient identity). My conclusion is that multiple liver cysts cause echinococcus parasitic infection, which is painful, and fever, which you do not have. Next can be polycystic k...  Read Full »

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