Monthly Archives: October 2016

I have IgA nephropathy (gfr 55). I have dry eyes and have been searching for some type of remedy for some time. Recently a new medication has come to market by the name of Xiidra. My opthamologist has prescribed it for me and I have just started to use these eye drops? I am wondering if this medication or any other eye drops can potentially harm my kidney function?

I do not know of any ill effects of eye drops on kidney function.  I am not familiar with Xiidra, but kidney injury is not listed as a concern for the medication. For more information on IgA click here: Advertisements

Posted in Ask the Doctor, Chronic Kidney Disease, IgA Nephropathy/IgA Dominant Glomerulonephritis, Kidney-Related Health Questions, Medication and Kidney Disease, Treatments

Will Alpha lipoic acid help lower creatinine levels?

I am not aware of any study that has shown that intake of alpha lipoid acid will lower the serum creatinine.  I do not think that this supplement would help to improve kidney function.  

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

I have a high serum urea level 10.1mmol/l. What does this mean?

The blood urea nitrogen (BUN) is one of the chemicals measured in the blood that can reflect kidney function, but also can reflect other things such as bleeding into the gastrointestinal tract, high protein diet, and dehydration.  A normal BUN … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, GFR, Kidney-Related Health Questions, Laboratory Testing

For a 7 year old with CKD (multi cystic dysplastic kidney disease) with 40% kidney function what kind of water would be best to drink, i.e. should he drink distilled water to avoid fluoride and other possible nephrotoxic chemicals. He drinks tap water in a large urban, industrial area of New Jersey and I am concerned that there are chemicals present that aren’t part of the routine testing.

Even with 40% kidney function, drinking tap water is still the safest and best for someone with reduced kidney function.  It is not necessary to drink distilled water, unless there are problems with lead contamination in your water system.  If … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, GFR, Kidney-Related Health Questions, Pediatric Issues, Pregnancy / Kids

I recently was cleared to be a kidney donor and have been doing research on life after kidney donation. I met with the transplant team and have had my questions answered, but want to reach out regarding weightlifting and nutrition post kidney donation. After resting the suggested 6 weeks, will I be able to return to lifting? Other than not consuming excessive protein, are there any other dietary restrictions I should be aware of? Are there any supplements I should consider adding to my diet? I.e. multivitamin?

After surgery like this, a release to return to weight lifting is best answered by your surgeon.  Weight lifting will not affect your single kidney and would have no adverse effects on your kidney function, but because of the surgical … Continue reading

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

I have been told I have stage 3 kidney disease. What are the preventative measures I should be taking to decrease the progression of this? Are there medications that are especially harmful to kidneys? (naproxen, chlorthalidone, pravastatin, omeprazole).

In general, I recommend following a low salt DASH diet for patients with Stage 3 chronic kidney disease (CKD).  You can review the DASH diet at:  https://www.nhlbi.nih.gov/health/health-topics/topics/dash I recommend 150 minutes of extra physical activity per week.  I recommend monitoring … Continue reading

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

My baby has a right ectopic kidney which is not working after we did DMSA scan last week. She is 3.7 years old. Due to frequent UTIs she has been getting since last year, her pediatrician sent us for further tests which then helped us to realize she had the ectopic kidney. 1. The physician advised us to monitor her for a year and if she gets more than 3 UTIs, then she should have the kidney removed. 2. While we wait, what can we do to ensure she avoids getting these UTIs? 3. What foods should we give her to ensure the left kidney continues working well ?

I am an adult nephrologist and have no expertise with children.  I am not aware of any diet that would help this situation.  I would recommend consultation with a pediatric urologist as the most appropriate physician to deal with this … Continue reading

Posted in Ask the Doctor, Birth Defects/Urinary Tract Abnormalities, Kidney-Related Health Questions, Laboratory Testing, Pediatric Issues, Urinary Tract Infection/Pyelonephritis

Is it normal procedure for an AIDS/HIV patient to be given dialysis when the kidneys are not producing urine and then discontinue dialysis once the kidneys begins producing urine again without keeping the patient on dialysis until the kidneys stop producing again? The patient is retaining fluid throughout the body and lungs, heart is slightly enlarged, liver is having problems and blood is sepsis. Dialysis was given again and stopped once vitals were back up and kidneys started producing again. I don’t understand why the patient is not given dialysis at least once a week if the problem continues to reoccur at least once every two weeks. My concern is the organs are being put through turmoil and eventually begin shutting down.

Dialysis is not used to prevent kidney disease but rather to replace kidney function until the kidneys recover function on their own.  I’m not sure I can make a specific diagnosis based on the information that you present.  Human immunodeficiency … Continue reading

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

I suffered from renal failure in 1969 at the age of 2 1/2. I have HUS, Hemolytic Ueremic Syndrome and was diagnosed at 2 1/2. I am one of the very first patients on dialysis and am in early, early nephrology journals. I am in stage 2 of CKD or Chronic Kidney Disease and I go to see my nephrologist about every 4 months and get regular bloodwork done. I may never have to be on dialysis again but I was directly exposed to carbon monoxide in the fall of 2014 and anyone that has been exposed long enough it will affect your renal function to some extent. I was already in stage 1 of CKD at that point and that pushed me to stage 2. My nephrologist has prescribed a renal diet which is helping but I have nights where I am up every half hour. My doctor had me get a renal ultrasound 2 weeks ago and it came back normal, and I am suffering from an overactive bladder. Is there perhaps also a way to determine if it is just my overactive bladder or my advancing chronic kidney disease. What test or tests can I have done to determine this?

The testing that I recommend is a blood test to check the serum creatinine and calculate an estimated glomerular filtration rate (eGFR) and urine testing for blood, protein and infection.  These tests should be done at least annually on any … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, GFR, Kidney-Related Health Questions, Laboratory Testing

Yesterday I had severe pain in my left side kidney. But after I used Panadol, I felt better. But sometime, I felt pain. But I didn’t feel irritation of urine. Is this a symptom of kidney stone?

There are many problems that can cause pain in the left side, including a kidney stone.  I suggest that you consult with our physician and have an examination.  

Posted in Ask the Doctor, Kidney Stones, Kidney-Related Health Questions, Laboratory Testing