Daily Archives: August 15, 2013

When monthly labs are drawn on dialysis patient’s should they be drawn on a Monday after weekend or mid week on a Wednesday?

The answer has to do with nephrologist preference.  I have monthly labs drawn in my units on Wednesdays and Thursdays.  By doing testing mid-week, you can perform certain clearance testing and make assumptions about nutritional intake.  Other nephrologist like to … Continue reading

Posted in Chronic Kidney Disease, Dialysis, Nephrologist

Aged 65, creatinine 7.1 and blood urea 216, and takes his first dialysis. Can you tell me is there any way to get rid of this dialysis?

The blood tests that you relate are markedly abnormal.  I am unable to make a diagnosis based on the blood tests alone.  I recommend that you discuss this with the nephrologist who is caring for this person.  Dialysis would appear … Continue reading

Posted in Chronic Kidney Disease, Dialysis, Kidney-Related Health Questions, Nephrologist

I have IGA-nephropathy for last 16 years. I am trying to find if Stem Cell treatment is available and where can I find this information.

Stem cell transplantation is not recommended for IgA nephropathy.  I recommend that you not pursue this.

Posted in Kidney-Related Health Questions, Nephrologist

I am suffering from B/L Nephrolithiasis, right kidney with 9mm and multiple renal calculus and left kidney with 6 mm. What can I do for the proper treatment? Which method is better for me? The pain is continuous and it is not subside by Drotraverine & Diclofenac tablet. What can I do?

You must see a urologist to become stone free.  If one of the stones can be recovered, it should be analyzed to see what the stone is made of.  I am a nephrologist.  Once the urologist has treated and removed … Continue reading

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

My daughter who is now 7 was diagnosed with renal hydronephrosis while I was pregnant with her. After a year old and many ultrasounds and checkups later, doctor said she was fine and he didn’t need to see her anymore. My question is this. She gets a lot of rashes in her private area. I want to believe its due to too much acid in the juice she drinks. They are not terrible rashes and she bathes in plain water no bubbles and we use dove soap. We treat them with A&D ointment, they get better and then a few days later it comes back. She is just tired of them and wants to see if I can do something about it.

I cannot relate the rash to the kidney hydronephrosis. I am not aware of any connection between the two.  I suggest that she be examined by her pediatrician for a diagnosis and treatment.

Posted in Ask the Doctor, Kidney-Related Health Questions, Pregnancy / Kids

I recently had a test come back with size 7 and 10.2 on my kidneys with one working a lot more than the other one. Is this a concern and what could the possible outcome be?

Kidneys are commonly measured in centimeters (cm) of length.  I assume that one of your kidneys is 7 cm in length and the other is 10.2 cm in length.  Men normally have 11 cm kidneys and women normally have 10 … Continue reading

Posted in Chronic Kidney Disease, Kidney Stones, Kidney-Related Health Questions, Medication and Kidney Disease

My 21 year old son has stage 2. What can we do so it does not get worse?

Each kidney disease and each person is unique.  I recommend that your son have a specific diagnosis for his chronic kidney disease.  The specific diagnosis leads to a specific treatment.  You should discuss this with your son’s physician.

Posted in Chronic Kidney Disease

I am diabetic and have history of high lipids. I am 64. Recent tests results are excellent; cholesterol and lipids but GFR is 22, with hypertension. Can I avoid dialysis and/or transplant if GFR remains the same or improves?

I am unable to provide a prognosis without examining you and performing a complete history and physical examination.  An estimate glomerular filtration rate (eGFR) of 22 milliliters per minute per 1.73 meters squared is Stage 4 (out of 5) chronic … Continue reading

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

Does using Pradaxa have an affect on my kidneys?

Pradaxa is a blood thinner, used to treat patients with certain kinds of heart disease adn blood clots.  The dose of Pradaxa must be reduced in patients who have chronic kidney disease (CKD).  You should discuss this with your physician.

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

I am taking a painkiller by the name-Gabapentin for pain in my toes. Will that do damage to my kidney? I was only born with one kidney.

The dose of Gabapentin must be reduced in patients who have chronic kidney disease (CKD).  Your physician should know that the dose must be reduced for CKD.  You should bring this to his or her attention.  Gabapentin should not injure … Continue reading

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