After two biopsies, my husband, who has a gfr of 31, still does not have a diagnosis or reason for his kidney failure. We have been advised to just monitor. There is slight inflammation, tiredness and no real problem with other blood tests or symptoms.

The kidney biopsy is the best test we have to determine the cause of chronic kidney disease.  If the biopsy is inconclusive or cannot define a specific diagnosis, then conservative treatment is to control blood pressure, maintain a healthy lifestyle and weight, and have regular testing to look for potential opportunities to treat.  Your husband should continue to follow up with his nephrologist.

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

How can you do the kidney dialysis? What are the risk factors of AKD?

Dialysis is performed either has blood dialysis (hemodialysis) or dialysis via the abdomen (peritoneal dialysis).  Dialysis must be prescribed and monitored by a nephrologist.  The most common cause of acute kidney injury (AKI) or acute kidney disease (AKD) is blood infection.  Other causes of AKI include allergic reactions, drug reactions, blockage of the kidneys, glomerulonephritis, and many other kidney diseases.  Infection still remains the most common case of AKI.

Posted in Acute Kidney Injury, Dialysis, Glomerulonephritis, Kidney-Related Health Questions

Are Cardiolite, Lexiscan, and dobutamine safe for someone with one kidney due to RCC, Stage 3b CKD, hypertension, orthostatic hypotension, PVCs, CAD, diastolic dysfunction, bradycardia/ tachycardia, pericardial effusion, mitral regurgitation, pleural effusion, diabetes, arthritis, and other medical problems?

Cardiolyte and Lexiscans are tests looking for disease of blood vessels of the heart.  Dobutamine is a heart stimulant that is commonly used to stress the heart.  These tests are done looking for heart disease and should not have any bad effects on the kidneys unless these tests induce a heart attack and cause the heart to stop.  Low blood pressure and heart arrest (cardiac arrest) can injure the kidneys, but the drugs or nuclear scans should not have any direct effect on the kidneys.

Posted in Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Medication and Kidney Function

I just want to know if a woman with a kidney disease can become pregnant?

Yes, a female with chronic kidney disease (CKD) can become pregnant, but the chances are reduced depending on the degree of impairment of the kidney function.  Female patients on dialysis rarely become pregnant.  If you are not yet on dialysis, pregnancy is possible.

 

Posted in Chronic Kidney Disease, Dialysis, Kidney-Related Health Questions, Pregnancy / Kids

am a gravity peritoneal dialysis patient. I am developing flu and wish to know how I can tell the difference between peritonitis and flu. Is there some warning signs I should look for?

If you have peritonitis, the fluid draining from your abdomen will become cloudy and your abdomen should become remarkably painful.  If you have flu, your fluid should be clear and your abdominal pain should be mild.

Posted in Dialysis, Symptoms and Side Effects

What is a renal diabetic and is their diet different?

I do not use the term “renal diabetic” so I am not sure the context that you ask your question.  There is such a diet as a “renal diet” and such a thing as a “diabetic diet”.  The two have similarities.  I do not know what the term “renal diabetic” might mean.

Posted in Chronic Kidney Disease, Diabetes, Diet/Nutrition

I want to donate my kidney. My blood group is B positive. Please give direction about this.

You must contact the local transplant center and ask to be tested for kidney donation.  You should find the closest kidney transplant center and ask to be evaluated.

For general information about living donation click here

Posted in Kidney-Related Health Questions, Living Donation, Transplantation

My husband has had diabetes since he was 17 yrs and is now 63.  His creatinine keeps going up now at 3.3 & GFR 19.  His potassium these past 2 months has been high, very high last month at 6 and now today at 5.9.  He is again drinking the Kionex to bring it down.  Was wondering, his cardiologist took him off one BP med and added a water pill 20mg.  Could this water pill be raising his Creatinine and making GFR levels low.  Or is it his smoking?  I was told that he can keep these levels elevated so he does not lead into dialysis.  How?  What are we doing wrong?  I haven’t been giving him any Potassium.  This is very upsetting & we are not getting no answers from anyone.  Last resort is going to Mayo Clinic in Minnesota for a consultation.  Maybe they can get him on track.  He’s on Lantus 27 units, Humalog sliding scale, Crestor 20mg, Amlodipine besylate 10 mg, Diovan 80mg, Carvedilol 25mg and Furosemide 20mg.  Is he on too many medications?

Diovan can cause the potassium to rise and can also cause some decrease in kidney function, but it is a very useful drug in the treatment of diabetic kidney disease.  It has been shown to prolong kidney function in diabetics.  You should discuss this with his nephrologist.  I am unable to make any other diagnosis in this case.  I suggest that you consult with your nephrologist and with his primary care physician about his situation.  His blood pressure should be controlled to 130/80, if possible.

 

Posted in Chronic Kidney Disease, Diabetes, Diet/Nutrition, GFR, Kidney-Related Health Questions, Medication and Kidney Function, Symptoms and Side Effects

Just started dialysis…they want to inject me with Epogen…from what I read it is dangerous…Your opinion!

Erythropoietin (Epogen) is safely used to maintain hemoglobins in the range between 10.0 and 11.0 grams per deciliter (g/dl).  It is safely used in dialysis patients.  You should also make sure that you have adequate amounts of iron in your blood to make red blood cells when the Epogen is administered.  I recommend you discuss your concerns with your nephrologist.

For more information about anemia and CKD please click here

Posted in Anemia, Dialysis, Kidney-Related Health Questions, Medication and Kidney Disease, Symptoms and Side Effects

Hello I read this in a hospitals page: “Diet : There are no foods known to cause IgAN, (though drinking excessive alcohol can cause a similar picture – if you think this may be the case you should tell your doctor)” Can you please tell me what it means? If there is a relation between alcohol and glomerulonephritis.

Patients with alcoholic liver disease may have an increased risk of developing IgA nephropathy.  If someone is drinking alcohol daily and suffers from liver disease as a result, this can increase the risk of developing IgA nephropathy (a type of glomerulonephritis).

Posted in IgA Nephropathy/IgA Dominant Glomerulonephritis, Kidney-Related Health Questions, Symptoms and Side Effects