Daily Archives: August 8, 2016

Hi, I am 83 and have stage 3 kidney disease. I eat cereal in AM and have to put a little skim milk on it. Is it okay or bad? Can I have a Sprite soda once and while? Thank you.

I suggest that all parts of your diet should be in moderation.  You should follow a low salt diet and I am a strong advocate for the DASH diet.  You can review the DASH diet at:  https://www.nhlbi.nih.gov/health/health-topics/topics/dash Advertisements

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

Hello sir, I was a Type-2 diabetic and no longer after bariatric surgery. However, the diabetes left me with a lot of damage. Neuropathy in feet and now stage-4 kidney disease. I was just told yesterday that I should go on the waiting list for a transplant and see someone regarding the different options of dialysis. My BUN is 71, Creatinine, Serum: 3.79, eGFR: 17 and can’t get BP to come down: 180/90. I have not told my family yet and can not believe this is true or really happening. Other than getting tired easily, out of energy and feeling cold in this hot weather, I feel fine (somewhat depressed now with this news). I guess I am trying to ask you, does this all add up to having to dive into dialysis immediately? How to I tell my employer (& family)

The decision to start dialysis is a decision that you must make with your nephrologist.  The decision is not based on any number but rather is based on your symptoms and whether your nephrologist thinks that dialysis could help to … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Kidney Failure, Kidney-Related Health Questions, Nephrologist, Treatments

I am a type 1 diabetic and have been for 45 years. I live in Bolivia, South America. My Doctor has said I can no longer have more than 5 grams of salt per day. I purchased a bottle of sodium free salt. It contains 94 % Potassium chloride. Is this healthy for my kidneys? I have cut out all salt and cook with no salt and if someone wants salt, they can just sprinkle some. Thank you for your attention.

Patients with chronic kidney disease (CKD) should not use salt substitute.  Salt that is high in potassium could cause the potassium level in our blood to raise and this can lead to heart problems and muscle weakness.  I suggest that … Continue reading

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

My son was born 3/23/16 with pre-diagnosed jegunal attesia. At birth he was actively bleeding from his umbilical chord, he had an extremely low blood count and received multiple transfusions. Due to this blood loss and exposure to gentamicin he suffered AKI. His creatinine topped out at 4.98. Finally on 4/21 the Dr’s decided to go ahead with his surgery to correct the atresia even though his creatinine was still in the high 3 point range, his liver was failing faster than his kidneys were healing. I must mention that during this first month he also had some kind of sickness that caused low grade fevers. He finally was discharged on 6/23. I decant his 60/40 formula and my breast milk with kayexalate. He is now 4 months old and still has a createnine of 1.1 (consistent for past month). We are due for a repeat ultrasound and check up next week on 8/10 with his Nephrologist and GI specialists. Any hope that he can/will recover? Any thoughts on alternative treatments to facilitate healing?

I am an adult nephrologist and do not have any expertise with infants or children.  I recommend that you continue to consult with your pediatric nephrologist.  Your son has some very complex medical problems and many physicians will be required … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Birth Defects/Urinary Tract Abnormalities, Kidney-Related Health Questions, Nephrologist, Pediatric Issues, Pregnancy / Kids, Treatments