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Hydronephrosis: Might there be an underlying issue?

Kidney & Bladder | Last Active: Apr 30, 2022 | Replies (12)

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@kelly223

I have had left flank pain since late January. Subsequently have been to ER several times and admitted twice. Have had the following tests:
4 X-rays of lungs
2 CTs with contrast of abdomen (one indicating possible hydronephrosis)
2 Renal scans with nuclear med (unremarkable)
Ultrasound of both kidneys
Endoscopy (hiatal hernia, rest unremarkable)
Stress test heart with nuclear contrast (reaction to contrast)
MRI of abdomen with contrast gatalinium - went into anaphylactic shock, results of MRI unremarkable)
I was going to have retrograde pyleogram done next to determine if I have an obstruction somewhere however after the anaphlaxic shock, I don’t believe I want to jump into yet another test with contrast as I believe I may have too much contrast intake already. Is there any testing that can be done to determine blockage or cause of hydronephrosis without contrast? Currently living with terrible left flank pain. Any recommendations are appreciated. Thank you

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Replies to "I have had left flank pain since late January. Subsequently have been to ER several times..."

One more note, successful kidney pyleoplasty done in 1996 and was successful. Same side as flank pain today.

Hi @kelly223, welcome. I moved your post to this existing discussion about hydronephrosis to connect you with others like @pmwilson @xmohashi @harleymama @student672 @gingerw

You asked: "Is there any testing that can be done to determine blockage or cause of hydronephrosis without contrast?"

Might an ultrasound imaging exam be an option for you? Have you asked if the retrograde pyelogram could be done without contrast?