What Causes Severe Fatigue After A Partial Nephrectomy?

Posted on Sat, 2 Jul 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 2 Jul 2016 Answered on

Thu, 28 Jul 2016 Last reviewed on

Question : husband with hx of renal ca 2012. partial right nephrectomy. lately not feeling well. fatigue--achy--malaise. went for follow up yearly with renal oncologist--no signs of ca although bun and creatine elevated (not grossly--don't remember values ) platelits elevated at 550 and wbc 18.? ( he had an epidural XXXXXXX 22 for back pain). he has dropped about 20 lbs in past month or so and lately has had a hard time remembering things. he feels week and overall not well. had a recent mri of brain for head aches--neg. ct abd and chest recently done --was ok except liver slightly enlarged. I feel like there is something going on and its being missed

Answered by Dr. Deepak Sundriyal (5 hours later)

Brief Answer:
Hello dear. It is unlikely to be related to the malignancy

Detailed Answer:
Hello dear. Welcome to HCM.
I have gone through the details.
As the CT chest and abdomen and MRI brain are normal, it seems highly unlikely that the cancer has relapsed. However he has lost some weight and feeling malaise and Kidney function slightly deranged, he requires further workup.
thyroid function tests
Diabetic profile
ESR Complete blood counts with peripheral smears , MAntoux test, Urinary routine and culture test
(Look for any occult infection like tuberculosis, urinary tract infections)
I would also like to know whether back pain has been evaluated in detail or not.
Also measure temperature and maintain a temperature chart
Last but not the least , a detailed physical examination is must
Feel free to ask further.
Thans and regards

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar