Monthly Archives: November 2016

My husband was diagnosed with kidney cancer Oct 14 with large bite (cancer) out of mid right femur. Had rod insertion immediately followed by 10 radiation treatments. was recovering from walker to cane. Source was large mass in right kidney. it was removed 11/8. Due to ileus complication now on 11/27 still not able to move without walker due to pain/fluid something in right knee. No cancer apparent. We are seeing Oct14 orthopedic doc today – others are scheduled out 2 wks to 30 days. Main question: can he be given a diuretic to remove fluid in lower body? His creatinine is 2.3.

I cannot recommend medical treatment without performing a complete history and physical examination.  The fluid and swelling in his lower legs are likely related to his acute illness and poor nutrition.  I’m not sure using a diuretic would be indicated … Continue reading

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

Hi. I went for a regular check up. My eGFR reading is 118 ml/min Well, I’m 39 years old. Is my reading normal.

A normal estimated glomerular filtration rate (eGFR )is greater than 90 milliliters per minute per 1.73 meters squared.  Hence, the eGFR that you mention would appear to be normal.  I also recommend that you have urine testing for blood, protein … Continue reading

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

My nephew was born with only one kidney and has ADD but his mother drilled it into his head that taking any type of medication such as Adderall to help him would not be good and could affect the one kidney he has left. I know there has to be some type of alternative. Can you tell me what kind of medication my nephew could possibly take to assist him with the ADD and not affect his kidney?

I am not familiar with the general treatment of Attention Deficit Disorder (ADD).  Drugs such as Adderall (dextroamphetamine) can cause an increase in blood pressure which could cause some kidney damage, but these drugs do not generally cause any direct … Continue reading

Posted in Ask the Doctor, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Medication and Kidney Function, Pediatric Issues, Symptoms and Side Effects, Treatments

My creatinine is 1.5 urine test normal micralbumin normal ultrasound normal. What this means?

You can use this information to calculate your estimated glomerular filtration rate (eGFR).  This is an estimate of your kidney function.  You can use the estimating equation on our web site to calculate this for yourself and learn about kidney … Continue reading

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

My Grandma has been told her kidney function is at 4%. She was diagnosed with kidney failure some time ago (years) & has refused dialysis. Her kidney function was at 10% in April 2016, but then dropped to 5% in October. It’s now November & it’s dropped again to 4%. What should we expect over the next few months?

It is impossible to provide a prognosis without seeing a patient and performing a complete history and physical examination.  Whatever symptoms she has at the present time are not likely to change.  She should aim to do as well as … Continue reading

Posted in Chronic Kidney Disease, Dialysis, GFR, Kidney Failure, Kidney-Related Health Questions, Laboratory Testing

My doctor said I have a rhinning of the bottom wall of my kidney 5cm long. But he wants me to get a MRI before he can be sure. With the holiday, I couldn’t get it scheduled until Nov 30. I am worried to death. What can you tell about what I am in store for?

I am not familiar with the description of “rhinning” of the kidney.  This is not a medical term that I recognize.  I suggest that you clarify this issue with your physician.  

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

Dear Doctor, after a routine urine analysis, I found that I have protein in the urine (++). I visited a Kidney Doctor and he said that I have a kidney infection (pyelonephritis chr.sin.hypotrophio renis sin.), and I took drugs against infections (Seftizon 1gr. ampules for 10 days). Now I do not have protein in the urine, but the left kidney is slightly damaged. So I made the kidney scintigraphy DMSA, and it was ascertained that the workability of the left kidney is 35% and the right is 65%. There are some other data which if necessary will send you as scanned. I live here in Kosovo and medicine is not at a satisfactory level, so I would be very grateful if you would send me a comment about the risk of loss of kidney function. If you can heal the damaged kidneys, or how to prevent further kidney damages? I am 28 years old, 182cm and 82kg. Also, my blood pressure is most often 145/100.

Damage from acute infection will commonly resolve within 3 months.  The kidneys have the capacity to heal damage done by acute infection, as long as repeat infection does not complicate the recovery.  Hence, I would recommend retesting after 3 months … Continue reading

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

Sir, My height 167 cm, weight 100 kg, age 56, Diabetes since 11 years, maximum score of sugar around 280 occasionally due to uncontrolled eating. Even with pills (DPP 4 +metformin )..A1c 6.5…cardiac MRI –inflammatory cardiomyopathy borderline..associated VPC under control by metoprolol 50 mg twice. Now I want change in medicine but sulfonylurea medicines can increase weight. Acarbose/voglibose do not work properly. DPP4 not so work as require. The new medicine was offered by doctor was that sodium glucose transporter but I am afraid of kidney damage. Otherwise best (creatinine around 1). The other offer was doctor for slow release insulin injection but this can also increase weight. Otherwise good. Kindly guide me any other option. I have sometimes an overeating problem. GLUCOSE SODIUM TRANSPORTER MEDICINE CAN HELP ME WITHOUT HARM? LONG TERM EFFECT OF THIS MEDICINES?

You appear to be asking all of the correct questions.  I am unable to recommend medical treatment without performing a complete history and physical examination.  You accurately describe the benefits and risks of each treatment option.  I suggest that you … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diabetes, Kidney-Related Health Questions, Medication and Kidney Disease, Treatments

My husband is 13 years post living donor kidney transplant. He fell into a depression and stopped taking his anti-rejection meds 3 years ago. He has been having IBS issues, sore muscles, weakness and his urine will be light one day and light tea color the next. I did notice his urine has had a strong odor to it but not like an ammonia odor. He has also been sweating immediately after he eats. These were really none of the signs from his previous kidney failure. Does any of this sound like transplant failure?

The symptoms that you describe are not very specific for kidney disease.  It is best that your husband have blood and urine testing for transplant kidney function.  This is the only way you will know if the kidney transplant continues … Continue reading

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

Hi Sir, I am 23 years old, blood group B+. My brother needs a kidney transplantation. Is that possible for me to donate my kidney to him?? My concern is, I was consuming alcohol for the past 5 years. I will drink about 3-4 times a week but recently I quit drinking for 3 months already. And I have been smoking for the past 2 years. Am I eligible to donate a kidney? And my family does not get to know about my drinking and smoking habits?

There are no universal donor criteria.  Each individual kidney transplant center determines who will and who will not be allowed to be a kidney donor.  Some programs do not permit active smokers to be kidney donors.  If you discontinue alcohol … Continue reading

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