The kidney failure patient is feeling severe cold.

Patients with kidney failure commonly have cold intolerance.  This is a normal complaint for many kidney failure patients.

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Posted in Ask the Doctor, Kidney Failure, Kidney-Related Health Questions, Symptoms and Side Effects

My son has a duplicated renal system with severe hydronephrosis. He is 18 months old and has only had one UTI. I watch his diet very closely and monitor everything he eats. He is still breastfed as well and doesn’t drink any cow milk or other milks for that matter. Is there any other suggestions that you have to help avoid any infections? Which food is the best and which are the worst for a child his size? We are currently in the process of finding a doctor that will preform a partial nephrectomy and remove the extra ureter but its been a hard process because of our insurance. So, in the meantime, I have been trying to help him with foods being his medicine. Are there any herbs that you know of that are safe for a child with his condition? Thank you.

I am an adult nephrologist and do not consult on infants or children.  I suggest that you contact your pediatrician regarding dietary recommendations for an 18 month old.  I suggest that your pediatrician and a urologist work together to help your infant son.

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Posted in Ask the Doctor, Birth Defects/Urinary Tract Abnormalities, Blood/Urine Testing For Kidney Disease, Diet/Nutrition, Hydronephrosis and Hydroureter, Nephrologist, Pediatric Issues, Urological Issues

I have muscular pain in my both arms. I have got urine and renal test with results colour yellow, pus cells 1-2, sp.gravity 1.020, Epithalil cells 1-2, PH 5.0 Rbcs 0 -1, glucose nil. Crystal CaOx nil, Protein nil. Amorphous Urates nil, Blood. nil. Triple phosphate nil, Ketones nil, Crystal Uric acid nil, Urobilinogen nil, Bacteria nil, Bilirubin nil. Yeast nil. RENAL PROFILE Blood Urea 62 mg/dl, Serum Creatinine 1.5 mg/DL Serum Uric Acid. 4.8 mg/DL. My age is 50 years.

I am unable to provide a diagnosis based on the information that you present.  The urine findings you mention are normal.  I suggest that you use the blood testing information regarding creatinine and blood urea nitrogen (BUN) to calculate your estimated glomerular filtration rate (eGFR).  You can access the estimating equation for your eGFR at:

You will need to enter your vital information and the blood testing results.


Posted in Ask the Doctor, Chronic Kidney Disease, GFR, Kidney-Related Health Questions, Treatments

I have XKD level 5. Is almond milk good for me. Also decaf coffee, and eggs. I have bi-polar disorder.

I do not know what XKD stands for.  This is not an acronym that I am familiar with.  I cannot comment on diet changes and nutritional recommendations without knowing your complete history and medical diagnosis.  I do not consider almond milk, decaf coffee and eggs to be a problem for my patients.


Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, GFR, Kidney-Related Health Questions

I was referred to a nephrologist after my doctor received some blood work. After visiting the kidney doctor several times, they only said I had “maybe” type 2 ckd. This does not need to be monitored but once per year. However, after seeing test results from blood and urine, I should be classified as having type 3 ckd. At what point would I be considered having type 3 ckd? I currently have left abdomen, flank, neck and leg pain. I am about to start drinking to numb the pain.

Stage 3 chronic kidney disease (CKD) is determined by having an estimated glomerular filtration rate (eGFR) between 30 and 59 milliliters per minute per 1.73 meters squared for at least 3 months.  You refer to Type 3 CKD, but I do not know of any such classification that uses “types” rather than “stage”.  I suggest that you ask for clarification from the physicians who are caring for you.


Posted in Ask the Doctor, Chronic Kidney Disease, GFR, Kidney-Related Health Questions

Husband while recently in rehab following cranial surgery was seen to have 4.7 potassium level. Not in danger zone. But he has had warnings (since he was a lithium user till Depakote came along). His vitals are to be envied. But general fretting among local medics has ensued. Talk of strict low P diet, less liquid etc. He’s bipolar, takes his meds etc., but this new threat of dialysis (from medics) is hard to handle. I know there’s no diet to prevent need for the procedure, but some directions might maintain current levels,. I have noted to list of high and low, fruits/vegs etc. Do you think there should be panic, other than not eating from danger list i.e tomatoes, wheat, avocado, oranges etc. Much appreciated in anticipation.

I am not sure I see the problem.  A normal potassium is 3.5 to 5.5 mEq per liter.  A level of 4.7 is well within the normal range and should not cause concern.  Dialysis is performed for kidney failure, which may include an elevated potassium, but is not performed for an elevated potassium alone.  While a low potassium diet may help to lower the potassium levels, I am not sure this is indicated from the information that you present.  There are medications that can be administer in order to lower the serum potassium, but again, I do not see this as necessary based on the information that you present.  I suggest consultation with a nephrologist about this concern.

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Posted in Ask the Doctor, Chronic Kidney Disease, Dialysis, Diet/Nutrition, Kidney-Related Health Questions, Symptoms and Side Effects, Treatments

I had a successful transplant 2 years ago and I’m doing well. I’m embarrassed to ask this, but is there anything we should not do sexually? We are not into anything weird, but just want to keep my kidney safe. There isn’t any website information that I can find. Thank you.

Sexual performance after a kidney transplant is not changed.  Many men have improved sexual desire and better stamina after a kidney transplant.  We have a blog on our web site that reviews sexuality after transplantation.  Please go to our web site at:

Posted in Ask the Doctor, Clinical Trials/Studies, Kidney-Related Health Questions, Sexual health, Transplantation

Why after eating My husband has pains in the stomach?

I am unable to provide a specific diagnosis based on the information that you present.  I suggest that your husband consult with his physician.  There are many causes of stomach pains and further examination and testing may be needed.


Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions

I am stage 5. I cannot find if the following are good to eat: Avocado, Plantine, corn and seafood almond milk and nuts. Thank you.

I cannot recommend diets without knowing all of your kidney chemistries.  I suggest that you consult with a dietitian who has access to your blood chemistries and is familiar with special kidney diets.  The most important thing to adjust in your diet is to decrease the amount of salt or sodium in your diet.  You should not add any salt in cooking and should not add salt at the dining table.

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Posted in Ask the Doctor, Diet/Nutrition, Kidney-Related Health Questions

I have been very health oriented for many years. 4 years ago the doctor gave me prescribed 40 mg omeprazol capsules to take for heartburn. A couple weeks ago, I made an appointment because I was having body pain and back pain. The result, now I have stage 4 kidney disease! I am so upset because they should of checked every couple months but no, four years went by. Now I can’t get an appointment with a specialist until November! Will I get worse till then and isn’t there something I should be doing until my appointment if I have stage 4? How long does it take for omeprazole to wreck your kidneys.

Omeprazol is a proton pump inhibitor (PPI) that is very effective at decreasing the acid production by your stomach and leads to relief of heartburn and gastric upset.  PPI’s have been associated with chronic kidney disease (CKD), but have not been shown to cause CKD as far as we know at this time.  I recommend that you stop using the PPI and that you have a kidney ultrasound test to see if you have other causes of CKD.  You should also have urine testing for blood, protein and infection.  This will help to make a specific diagnosis for your CKD and will help to understand if treatment is needed.  While it is possible that the PPI caused the damage, I cannot make that diagnosis as yet, based on the information that you present.  I suggest further consultation with your physician.

We do not know how long it takes to produce CKD and we are not sure if PPI’s really cause the disease or are just associated with the disease.


Posted in Ask the Doctor, Chronic Kidney Disease, GFR, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Treatments