Are Probiotics safe? Which type is best to use?

I only recommend probiotics when someone is taking broad spectrum antibiotics for an infection.  Probiotics seem to prevent and stall the development of antibiotic associated diarrhea.  I do not have a brand name that I recommend.  You may have to discuss this with your physician.  Probiotics are generally same.

Posted in Kidney-Related Health Questions

I am 23 years and I have been diagnosed with nephrotic syndrome “FSGS” since 7 years and have been under medication since then but my body didn’t respond to medication. My 24 hr urine protein is around 5gm/day and blood creatinine is 2.5mg/dL. What is the current risk factor for CKD? My body weight is ideal and I never had diabetes or BP (hypertension).

Focal segmental glomerulosclerosis (FSGS) is a kidney disease of many causes.  As you failed treatment, this significantly increases your risk of chronic kidney disease (CKD).  I suggest regular follow up with your primary care physician and a nephrologist to chart the decrease in your kidney function.  Unfortunately, since you failed treatment (which is usually high dose prednisone), the risk of progressive kidney disease and development of kidney failure is quite high.

Posted in FSGS, Kidney-Related Health Questions

My boyfriend is in acute renal failure. He is currently on hemodialysis. He goes on a Tuesday and Friday and taking only enalapril 10mg nocte, but its going on for a month. He is having lower abdominal pains plus back pain left and right side, especially when he sits down or sleeps.

I cannot establish a diagnosis based on the information that you present.  Pain is not a common presentation for kidney disease unless he has kidney stones.  I suggest that he consult with the nephrologist who is caring for him on dialysis.

Posted in Acute Kidney Injury, Kidney-Related Health Questions, Symptoms and Side Effects, Treatments

I am Raghavendra. Please give me suggestions. In my right kidney I have a 6mm and a 5mm stone. In my left kidney I have a 7mm, 5mm and a 4mm stone. Please suggest what I should do.

You should consult with a urologist to see if there is anything that needs to be done about removing these stones.  Once the stones are treated by the urologist, you should follow a low salt DASH diet and drink plenty of water to keep your urine clear.  You should drink enough water until you get up once at night to pass urine and then drink water in the middle of the night.  You can review the DASH diet at:  http://www.nhlbi.nih.gov/health/public/heart/hbp/dash/new_dash.pdf     You also may need to see a nephrologist to determine why you are passing so many stones.  This may require collection of a 24 hour urine.

Posted in Kidney Stones, Treatments, Urological Issues

My brother in law has glomerulonephritis. Can he eat quinoa?

I have no experience with quinoa.  I suggest that you consult with a nutritionist and dietitian about this grain.

For general information about diet and chronic kidney disease please click here

Posted in Diet/Nutrition, Glomerulonephritis, Kidney-Related Health Questions

My Mother, with 25% kidney function, at the age of 87, seems to be fine, but is understandably slowing down. My siblings think she is as good as dead. I disagree. She’s mentally bright, with a positive attitude.

As we age, we lose kidney function.  Your mother at age 87, would be expected to have about 50% kidney function (an estimated glomerular filtration rate (eGFR) of about 50 milliliters per minute per 1.73 meters squared).  Hence, with 25% kidney function, she has chronic kidney disease (CKD) and may suffer complications related to decreased kidney function.  Dialysis is generally not needed until the eGFR is less than 15.  I suspect your mother may do well for some time, but without knowing her complete history and performing a physical examination, I cannot offer a specific prognosis.

Posted in Chronic Kidney Disease, GFR, Kidney-Related Health Questions

I started having kidney stones in both my kidney when I was 16 years old. I just turned 25 and I’m still forming kidney stones in each kidney very frequently. I will generally get kidney stones in both kidneys about once, and sometimes more each month. After years of pain and blood, protein, and high blood pressure, my doctor finally decided to do more tests. An IVP and a CAT Scan was done while I was around 7 months pregnant. The results showed that both my kidneys had high grade hydronephrosis, with right hydroureternephrosis. The tests also revealed a defect with my right ureter that is narrow from a birth defect. I still have blood in my urine often, as well as protein in my urine. I now have high blood pressure as a result of kidney damage. My blood glucose numbers are steadily rising, but my nephrologist hasn’t been doing anything about it. My red blood cell count and my hemoglobin levels are low, and have been for 6 months now. My potassium is low, and my sodium is high. My pH levels in my urine are often too high. The levels seem to jump up and down constantly. Also, my carbon dioxide levels in my blood are high, and have been for quite some time now. I have such a hard time breathing that it’s hard for me to do anything and I have a 3 year old son. My question is this. Is there anything doctors can do to fix my right ureter? What’s my health going to be like in 5 or even 10 years if nothing more is done about the waste products building in my blood? I have headaches everyday and I cannot live like this anymore. I’m on blood pressure medication which took my headaches awsy , but have since returned. I have lung issue as well. Pleurisy, pharingitis, dermatitis, and bowel/intestinal problems with blood in my stool for quite some time now. My heart rate hasn’t been normal since before the birth of my son 4 years ago. Shouldn’t my doctors and specialists be doing more for my health considering my lab results are way off? I just turned 25 years old.

The problems that you identify are urological in nature and are not commonly cared for by nephrologists.  I suggest that you consult with a urologist.  Once the blockage is cared for, then the nephrologist should be able to assist you in performing a diagnostic work up for stone disease and make recommendations about what is causing your stones events and how to stop them.  In the meantime, I recommend that you follow a low salt DASH diet.  This should help with your blood pressure and also with your stone disease.  You can review the DASH diet at:  http://www.nhlbi.nih.gov/health/public/heart/hbp/dash/new_dash.pdf   You should also involve your primary care physician (PCP) in trying to coordinate your care so you get the proper recommendations from your specialists, your PCP help you implement them into your overall treatment plan.

Posted in Chronic Kidney Disease, Diet/Nutrition, Hydronephrosis and Hydroureter, Hypertension/High Blood Pressure, Kidney Stones, Kidney-Related Health Questions, Proteinuria, Symptoms and Side Effects, Treatments, Urological Issues

I can hardly stand the sight of meat. I used to be carnivorous. Does it have something to do with protein spilling over into bladder?

I am unable to provide a diagnosis based on the symptoms that you provide.  This is not a common symptom of kidney failure, but could represent a concern.  You should have your kidney function tested with both blood and urine.

Posted in Diet/Nutrition, Kidney-Related Health Questions, Symptoms and Side Effects

I had gfr test. The first test results were 29 next time 34, does this change all the time? Could it stay above 15 for a long time?

The laboratory cannot differentiate between an estimated glomerular filtration rate (eGFR) of 29 and 34 milliliters per minute per 1.73 meters squared.  The accuracy of the laboratory testing is usually plus or minus 10, so these numbers are not different.  The best way to see if there is a decrease in kidney function is to repeatedly measure the number every 3 to 6 months.  Trends in the number can be significant, if repeated a number of times.

For information about chronic kidney disease (CKD) click here

Posted in Chronic Kidney Disease, GFR, Kidney-Related Health Questions, Laboratory Testing

I have Alport Syndrome and I also have advanced osteoarthritis in my hip. What pain medications can I take that won’t harm my kidneys?

I cannot recommend pain medications without knowing your complete history and performing a physical examination.  I suggest you discuss this with your physician.  Alport’s syndrome is a hereditary kidney disease and there are several different types.  I suggest you visit with your nephrologist in regards to pain medication.

Posted in Alport Syndrome, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function, Treatments