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Recurring Mononucleiosis and kidney function test

Resolved Question:

diagnosed with recurring mono in sept. swollen nodes, burning sensations, pains, ect. I have a ct scan soon.
Creatinine Clearance (Est) 135.6500 mL/min 88.0 - 128.0 H
BUN/Creatinine Ratio 21 8.0 - 19.0 H.
Kidney function safe for contrast dye, and barium drink?


Category: Nephrologist

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Category: Pediatric Nephrologist
 24 Doctors Online

Expert:  Dr. Sree Bhushan Raju replied 4 Days ago

Hello,

Thank you for choosing DoctorSpring,

As your GFR is acceptable , you can go ahead with contrast study and drink good amount of water before and after the procedure. Barium study is also safe and it won't get absorbed from the intestines and unlikely to get into blood circulation and affect the kidney function

I assume that you do not have any pre-existing Kidney disease or chronic disease like Diabetes.

Hope this helps
Feel free to ask followup questions.

Best,
Dr.Bhushan


Patient replied :

Well, the right side of my lower back has been hurting. I have experienced the most pain after laying, and sleeping. I have no history of kidney disease. I am concerned that if this is a mono infection, or maybe strep that has been hiding out, that my kidneys could be further damaged by the iodine contrast. Should I try and get some antibiotics to see if things clear up, or go through with the ct scan first?


Expert:  Dr. Sree Bhushan Raju replied 3 Days ago

Hi,

YOU are unlikely to get contrast induced nephropathy ( CIN). You can get ultrasound abdomen to see whether there are any lymph nodes pressing the lower part of ureter or bladder. You also can get urine culture tests done once to rule out the presence of urinary tract infection.

People of elderly aged, diabetics, those on concurrent nephrotoxic drugs, those with lowered kidney function due to any etiology, dehydration, systemic severe sepsis etc are vulnerable for CIN.

You drink good amount of water so that contrast will not affect your kidneys. Doctors doing the procedure also will take all required precautions to see that they wont give more than 100 ml of contrast during the procedure.

Hope this answered your queries.
Best,
Dr. Sree Bhushan Raju
MD, DM (AIIMS), DNB, FISN, FICP, FIACM
Additional Professor & Head,
Dept of Nephrology
Nizam's Institute of Medical Sciences


Dr. Sree Bhushan Raju
Category: Pediatric Nephrologist
Experience: 
FISN : Fellowship of Indian Society of Nephrology(ISN), 2012
FIACM : Fellowship of Indian Association of Clinical Medicin(IACM), 2012
FICP: Indian College of Physicians Association of Physicians of India, 2012
Fellowship: DM, DNB, All India Institute of Medical Sciences, New Delhi, 2002
Residency: MD, General Medicine, Nizam's Institute of Medical Sciences, 1998
Medical School: MBBS, Gandhi Medical College, 1994
Dr. Sree Bhushan Raju and 4 other Medical Specialists are ready to help you

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