Hydronephrosis with no dilation of the ureter, what could be the reason?

Patient's question:

Recently, I haven't been feeling hungry, and my body is a bit swollen. I feel weak all over. When I went to the hospital for a check-up, they said it was kidney disease. Could you please explain why there is no hydronephrosis and no dilation of the ureter?

Doctor's answer:

It's quite serious. An ultrasound examination of the urinary system needs to be conducted to diagnose the cause of the kidney hydronephrosis and its severity. Additionally, a fasting blood test should be done to check the four renal function indicators to see if there are any abnormalities in renal function. If the renal function is normal and the kidney hydronephrosis is caused by stones, first examine the size and location of the stones to formulate a treatment plan. If it's a lower ureteral stone, oral diuretic and stone-expelling traditional Chinese medicine can be used, along with rotational activities and other strict treatments. If it's an upper ureteral stone, surgical treatment such as incisional stone removal can be performed.

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