My 6 years old daughter had her KUB ultrasound. This is the result: Both kidneys are slightly enlarged for age, the right measures 85X38X37mm with cortical thickness of 11mm while the left measures 91X34X38mm with a cortical thickness of 13mm. Both, however, shows homogenous parenchymal echopatterns. No focal lesion demonstrated nor shadowing calculi. Intact renal sinus echocomplexes. Urinary bladder adequately distended it shows 3mm smooth walls. No intravesical shadowing echogenic focus seen. I just want to ask if there is something to worry about this result.

I do not identify any kidney disease based on the information that you provide.

 

Posted in Kidney-Related Health Questions, Laboratory Testing

Lab results Hemoglobin 6.6, Blood Urea 248, S.Creatinine 10.7, GFR Left 1.03ml/min, GFR Right 1.25ml/min. What should I do?

The studies you provide suggest severe anemia and advanced kidney disease.  I suggest you contact a nephrologist or “kidney specialist”.

 

 

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

My mom was recently diagnosed with kidney stones. She is now in process of testing. The information given to my mom, says her urine has erythrocyte about 25-30, and leukocyte around 2-5, also the epithelial cells is positive. The doctor said that my mother’s urine contained blood. Soon after her Dr’s visit, she felt pain and then suddenly 2 really small stones appeared in her urine. The shape is similar to rice. She kept the stones. My mother said she drank a herbal drug. It is called Tiens. Tiens is known as a herbal drug that can help people to destroy kidney stones. Today, she went to have an ultrasound, and the doctor said yes, she has the kidney stones. Do you have any suggestion on how to treat this?

Your mother appears to have recurrent kidney stones and should see a urologist.  A urologist treats kidney stones.  A nephrologist uses treatment to prevent future kidney stones.  Your mother should see a urologist first then see a nephrologist after all of the stones have been treated.

 

 

Posted in Kidney Stones, Kidney-Related Health Questions, Urological Issues

If I donate a kidney, and I end up needing a kidney in the future, will I be put to the front of the waiting list? If I donate and I loose my individual health insurance policy due to the intent of the Republicans to gut the policy I purchased under the Obama administration, and I am unisured, and I end up needing a kidney. How will I get the operation paid for?

If you donate a kidney and then subsequently develop kidney disease and need treatment, you will get special consideration.  This does not include “going to the head of the list” but your wait time on the list will be shortened.  This has rarely been required in the history of the living donor program.  If you need a kidney transplant, this will be covered under the Medicare program.  Patients with End Stage Renal Disease (ESRD) are eligible for Medicare that pays 80% of the costs of dialysis and transplant care.  You will need a Medicare supplement insurance plan to pay the remaining 20%.  If you lose kidney function in your remaining kidney, you will be eligible to enroll in Medicare.

Posted in Insurance & Medicare Coverage, Kidney-Related Health Questions, Living Donation

I have been diagnosed with stage 4 ckd. Just 2 months ago, I was stage 3. Would this seem to be aggressive to you?

The stage of chronic kidney disease (CKD) may vary depending on how close you are to the margin.  We may see someone in Stage 3 CKD with an estimated glomerular filtration rate (eGFR) of 33 milliliters per minute per 1.73 meters squared.  With the next measurement, the eGFR falls to 26 and thus becomes Stage 4 CKD.  The break point is at 30.  Normal variation in the blood test may result in a change of the eGFR by plus or minus 10 and still just represent an estimation of kidney function.  Deterioration of kidney function rarely exceeds 10% per year.

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

Flovent HFA  100 mcg – 1 puff in the morning Losartan Pot Tab 100  mg – 1 per day – blood pressure Lumigan –  1 drop in each eye at night, ProAir – If needed – asthma Tramadol – If needed for back pain, Amlodipine Besylate  5 mg – 1 per day – blood pressure Fluticasone Propionate – 50 mcg – 2 sprays in each nostril at bedtime Metroprolol,Succ ER 25 mg – 1 daily – blood pressure Levothyrox 100 mcg (0.1 mg) – underactive thyroid Famotidine 20 mg – 1 per day – gerd Spirolact, Tab 25 mg – 1 per day – diuretic Atorvastatin Tab 10mg – I at night – cholesterol Baby aspirin -1 per day Calcium – 600 – 1 per day, C1000 – 1 per day, Vit D2 (Ergocal) 50,000U – 1 every  week,  B-12 1000 mcg sublingual – 1 per day

I am not able to comment on medication interaction or side-effects without knowing your complete history and physical examination.  Each individual is very different and must be evaluated on an individual one to one basis with your physician.

 

 

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

I am 17 year old boy. I got appendicitis operation at the age of 11 which also revealed that I have only right kidney, none on left. I am getting pain in kidney region when I bend also sometimes both sides when I am sitting and last for half an hour. I don’t do any exercises neither do I participate in games. I am a studious student. Why I am getting the pain? What should be my food habits to keep my kidney healthy?

Pain is not a common way for kidney disease to present.  If you only have a single kidney, you may have some kidney disease but I cannot make a specific diagnosis based on the information that you present.  I suggest you consult with your physician for consultation and a physical examination.

For general information about tests used to measure kidney function please click here

 

Posted in Kidney-Related Health Questions, Nephrectomy / One kidney, Symptoms and Side Effects

Doctor, I’m on dialysis, I am 46 years old, I started dialysis Feb.25,2014. I started doing hemodialysis but now doing peritoneal for the last 7 months.That’s going well, but currently I am not on the transplant list. I need a full left knee replacement, my doctor is concerned about infection so he won’t do surgery, He said we would talk about it in April, after my wife’s vacation, my case worker, told me I should get on the list, but I don’t want to waste the transplants teams, time or mine. My goal was to get my leg fixed, and to be put on a list in the first year of Dialysis, but now I’m not sure what to do.

This is a difficult decision that only you and your nephrologist can make. It is commonly recommended that you get on the transplant list so as to accumulate time on the list.  The average waiting time is between 2 and 4 years, so getting on the list and then allowing time to accumulate while you continue with whatever treatment needs to be done.  You should discuss this with your nephrologist.

Posted in Dialysis, Transplantation

I am chronic kidney failure patient on dialysis for the past 3 years. I am HCV positive under Interferon and have primary complex and taking medications for it. Will I be able to undergo transplantation after I recover from all this complaints? Can I continue the treatment?

I do not know what “primary complex” is.  If you have chronic hepatitis C, you are still eligible for a kidney transplant.  I recommend that you discuss this with your nephrologist.

Posted in Dialysis, Kidney Failure, Kidney-Related Health Questions, Transplantation

Can I reverse Stage 3 kidney failure. Can it be done by just changing your diet? How does vitan D and B help your kidneys. Where should I go to get a diet plan for myself?

Chronic kidney disease (CKD) is generally not a reversible disease.  The goal of treatment is to slow the progression of the disease and not reversal of the disease.  I recommend the DASH diet.  I do no think that vitamin D or Vitamin B will reverse or slow kidney disease.  You can review the DASH diet at:  http://www.nhlbi.nih.gov/health/health-topics/topics/dash/

Posted in Chronic Kidney Disease, Diet/Nutrition, Kidney-Related Health Questions