About 2 years ago, I noticed a change in the frequency of urination. About 6 mo ago, I went to the doc and was prescribed antibiotics for UTI. My symtoms seemed to improve but only for a couple of months. They are back now and include mild constipation, frequent urination especially at night, and if I drink soda, when I wake up in the morning my kidneys feel swollen and hurt. I also notice a urine smell in my underwear.

I am unable to provide a specific diagnosis based on the information that you present.  I suggest that you consult with your primary care physician for a complete examination and further testing.

 

 

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Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Treatments, Urinary Tract Infection/Pyelonephritis

My husband has 10% kidney function and the doctors are giving him Seroquel 3x’s a day. Is this safe? Or are they killing him faster?

In most cases, the dose of Seroquel does not change with alterations in kidney function.  I am unable to comment on treatment with Seroquel. This is a drug that I do not commonly use.

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Treatments

if a person only has 10% kidney function what is the estimated time remaining to be here with us? best case scenario-worst case scenario?

I am unable to offer a prognosis without performing a complete history and physical examination.  There is no way to predict prognosis by just knowing the level of kidney function.

 

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

My father had CT Scan of kidney last Dec. 23. What does this impression means? Partially obstructive left uretherolithiases and uretherovesical junction lithiasis with associated mild hydronephroureter. Non obstructive left nephrolithiasis or Randall’s plaques. Small left renal cortical cyst. Bilateral peri-nephric fat strandings may be secondary to an infectious/ inflammatory process. Colonic diverticulosis without sign of inflammation. Atherosclerotic Abdominal Aorta. Degenerative osseous changes.

The description appears to be a kidney stone partially blocking the left kidney.  I am unable to interpret the remainder of the scan as I would have to know more about the patient and the reasons for the scan.  I suggest that you have your father’s physician interpret the scan.  It is best to interpret the scan with knowledge of the symptoms that your father is exhibiting.

 

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

82 yr old frisk male in Sweden, will turn 83 in January. 175 cm, 80 kg. The four most recent P-creatinine determinations are 128, 133, 161, 130 umol/L in temporal order. U-ACR determinations have, since early 2016 been between 3.4 and 23.42 mg/mmol, inclusive. I have had mild, non-proliferative, stable retinopathy for a few years. Glucose intolerance was first diagnosed in 1974, DM tightly controlled with diet, exercise, and max. allowed dosages of glipizid and acarbose: HbA1C 43 mmol/mol. No neuropathy. Hypothyroidism first diagnosed in 1989, treated with 100 ug levothyroxin sodium 6 days out of 7. Stable. Essential hypertension since several decades ago, treated with candesartan 32mg/day and amlodipin, 2.5 mg/day. Arithmetic mean of BP below 130/80. Hemoglobine 113 g/L. CKD G3b/A2. According to kidney.org website, risk of progression is very high and I should be seen 3 times a year and to be referred to a nephrologist. My PCP’s consultant nephrologist has refused to see me, saying that I had no need for him, nor for a kidney dietician. I am completely left to my own devices. I have restricted daily intake of sodium to 1600 mg, high quality protein to eggs, 120 mg of kefir, and around 100 to 200 mL of soy drink (total , and non-soy vegetable/fruit protein, Ca between 1100 and 1200 mg, K.

From your description, you have early diabetic kidney disease with an increase in the urinary albumin to creatinine ratio.  Your treatment appears to be appropriate and I’m not sure a nephrologist would change any of your treatments.  Most primary care physicians are capable of managing early diabetic kidney disease and diabetes.  Your diabetes appears to be well controlled, your blood pressure is well controlled, and your kidney function appears stable recently.  I do not see any changes that need to be made in your treatment plan.  You can use your serum creatinine to calculate your estimated glomerular filtration rate (eGFR) by visiting our web site and using the calculator at:  https://www.kidney.org/professionals/KDOQI/gfr_calculator

Once your eGFR becomes less than 30 milliliters per minute per 1.73 meters squared, referral to a nephrologist may be appropriate.

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

Hi. Can you donate a kidney after having lung cancer? Had left upper lobe removed in Aug.2012 had chemo. I have been checked and rechecked so far all test are good. Can I be a candidate for donation?

I would doubt that most transplant centers would permit kidney donation with a history of lung cancer.  Each individual transplant center determines who can and who cannot be a donor, so you are free to apply and see if you could be a donor, but I would doubt you would be accepted.

For more information on transplantation click here:

 

Posted in Ask the Doctor, Kidney-Related Health Questions, Laboratory Testing, Living Donation, Symptoms and Side Effects

With the Christmas rescheduling of appointments, I forgot a treatment on Sunday (before Christmas). What are the physical symptoms of too high potassium? I’m hoping to get a treatment tomorrow, but, if not will have to wait until Wednesday. I am experiencing sore muscles all over my body. Thanks.

I suggest that you should check with your dialysis unit about the timing of your next dialysis treatment.  Skipping a dialysis treatment is not a good idea.  If you are having any new symptoms, you should contact your dialysis unit.

 

 

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

I would like to know what medications i can give my wife before home hemo dialysis. I know that Davita makes a point of giving the vitamin after Dialysis. I give the following meds prior to dialysis. I am wondering if i am doing something wrong. I give her Allopurinol, Diltiazem, Levothyroxine, Ecotrin Aspirin, Metoprolol, before Dialysis. Every month all of my wife’s blood work is good.

The nurses responsible for your wife’s home hemodialysis should clarify which medications to be administered before dialysis and which medications should be administered after dialysis. They will have to clarify this with your wife’s nephrologist.  There are medical considerations regarding the timing of medications in regards to dialysis and only her physician can make these decisions.

 

Posted in Ask the Doctor, Dialysis, Kidney-Related Health Questions, Medication and Kidney Disease, Nephrologist, Treatments

My father has been undergoing hemodialysis treatment the past 3 months and just recently has stopped urinating. I realize this is common to dialysis patients however he still feels the need to urinate much of the day. Is there any treatment or medication to effectively mitigate this symptom of the need to urinate sensation?

Most dialysis patients continue to make some urine.  If your father has suddenly stopped urination, this could mean that he has prostatic blockage and does have urinary retention. I suggest that you father see his primary care physician or his nephrologist.  He may need to be evaluated for urinary retention and/or prostate enlargement.

 

Posted in Ask the Doctor, Dialysis, Kidney Failure, Kidney-Related Health Questions, Laboratory Testing, Nephrologist, Symptoms and Side Effects, Urological Issues

Is Lotrimin safe for a kidney transplant patient?

Lotrimin (Butenafine) is a topical agent used to treat fungus infection of the skin.  It is generally safe to use in patients with a kidney transplant.  I always recommend that you let your physician know that you are taking an over-the-counter medication to make sure it does not interfere with any other treatment you are receiving.

Posted in Ask the Doctor, Kidney-Related Health Questions, Medication and Kidney Function, Transplantation