Dr. Modlin Answers More Question on the Tom Joyner Morning Show

My two-year-old has hydronephrosis. Will he be at a higher risk for cancer? He is literally at his kidney doctor every three months. Will his kidneys ever be normal?

Hydronephrosis is not a risk factor for kidney cancer in most cases, but it can lead to irreversible kidney damage of the involved kidney and kidney failure if his opposite kidney is not normal. There are ways to treat this. He needs to see a urologist. You can contact my office if you wish: (216) 445-7550.

My kidney enlarged while I was pregnant. The doctor told me it was normal to have some inflammation, but the pain and inability to use it was an issue. My mom now has a cyst in one of her kidneys. Can I expect to have problems with mine as well?

This is hydronephrosis of pregnancy and usually resolves following delivery of the child, but it can persist, and you should have a followup ultrasound. Just because your mom had it does not mean that you will.

What are the warning signs of a kidney problem, and is the test numbered like diabetics tests?

Often times, there are no signs of kidney disease until at late stages, so everyone should see their doctor yearly and sometimes more often and control their blood pressure. The best tests to detect diabetes are the fasting blood sugar and/or hemoglobin A1C blood test.

Is Cellcept strictly a drug used for kidney transplant? Would there be any indicationt to use the drug in a teen with lupus and no kidney damage?

Yes, Cellcept is a medication used for lupus, even in those without kidney damage. It reduces the autoimmune response of lupus. We use it to treat kidney transplant patients also to prevent rejection.

Is an ostomy reversible?

Yes. It depends on the circumstances, but yes, it is usually reversible.

I’m a 29-year-old, 350-lb male in great shape – a pro MMA fighter – but I can’t stay awake more than 10 to 12 hours at a time without dozing off. Is there anything major, besides sleep apnea, I should be worried about?

Yes, you have to be concerned about your blood pressure, your body mass index (depends on your weight and height), cholesterol and heart.

My son is black and 18. What is a good blood pressure for him? He is normally 124/70 something. Some doctors say he doesn’t have high pressure; his cardiologist mentioned HCTZ, but he doesn’t go to her now.

BP of 124/70 is a single reading, but is generally considered normal. It is important for him to check his pressure at several different times during the day and keep a record because it may be higher at times. HCTZ is a mild diuretic and is good to treat early stages of hypertension.

Can a man get off ED meds ever?

Yes. Often times, men will take Viagra, Cialis or Levitra or other ED medications and have a good response and later not need them, especially if he controls his weight, diabetes and blood pressure. Also, men with ED who get kidney transplants often no longer have ED once they get their transplant. Some BP medications cause ED, and you should talk to your doctor about changing your BP meds to see if your ED resolves.

Is there a such thing as borderline diabetes? I have elevated sugar levels sometime and other issues that that sometimes points to diabetes.

Yes, you can have pre-diabetes or borderline diabetes, which can progress to diabetes. Check your fasting blood sugar and hemoglobin A1C, which should be 6 or less.

Would you say it’s a good idea to have my 19-year-old son’s prostate and colon checked?

Men generally don’t need a prostate check until age 40 or colon cancer check until age 50 (but a colon check at age 40 if there is a strong family history of colon cancer). If your son is having pelvic pains, he may need a prostate check or if he is having blood in his stool or abdominal pains, etc., he may need a colon check.

From: http://drday.blackamericaweb.com/index.php/get-well-wednesday/1232-dr-charles-modlin-has-your-kidneys-covered

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