Daily Archives: November 14, 2016

Are there any vitamins that I can take that are manufactured in a fish and shell fish free factory? I have allergies and can not take the vitamins that were given to me by my doctor. I’m in stage 3.

I am not aware of any such vitamins.  If you eat a healthy diet, with plenty of fresh fruits and vegetables, it is unlikely that you will need to take any vitamins.  I suggest that you adopt the DASH diet, … Continue reading

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

Wonderful service, thank you! Two part question, what is it called when you are born with 3 kidneys. One is normal and on one side, the other two are the other side, one on top of the other. One ureter joining the two kidneys and another ureter joining a kidney to the bladder. Yes, I was a special kind of mess prior to my partial nephrectomy, but I would like to know the label for that mess. As well, can this be a genetic byproduct of Ehlers-Danlos Syndrome, which I also have, yay me!

The general medical description for having two kidneys on one side is known as “Congenital Abnormalities of the Kidneys and Urinary Tract” or CAKUT.  This was an abnormality that you were born with but does not have anything to do … Continue reading

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

What should we do if one kidney is not showing and the other is working only 15 %?

I am unable to make a specific diagnosis based on the information that you present.  I suggest that you discuss with your  physician and see if referral to a nephrologist or a urologist is most appropriate.  Further testing may be … Continue reading

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

Does excessively high protein in urine lead to death?

A large amount of protein in the urine is called proteinuria and if the amount is greater than 3.5 grams per day, then this is known as nephrotic syndrome.  It does not result in death, but does indicate kidney disease … Continue reading

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

My husband has a very enlarged prostate. For five months, he suffered urine infections because he was not evacuating his bladder. Approx. 1.2 litres of urine were retained in his bladder over that period. Antibiotics failed to solve problem. On 25th October a catheter was fitted. Shortly after that date. he finished a six week course of antibiotics. On 19th September he had blood tests and I believe the measurement was 18. He is to have another blood test on Monday 14th November. What questions should I be asking his GP about any improvement/deterioration in the kidney function?

The problem that you mention is a urological problem.  This is usually dealt with by a urologist.  I have no expertise is diseases of the prostate and bladder.  If his kidney function has been impacted by the blockage from the … Continue reading

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

Good evening, Sir. May I know what is meant by protein 1+? Is that a serious condition for the kidney? Thank you, Sir.

A color dipstick is often used to screen for protein in the urine and a 1+ test is the lowest level of protein in the urine.  I recommend that you have a second test where they measure the amount of … Continue reading

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

My blood creatinine of 1.30 mg/dL, age 30, male, Right Kidney size is (10.7*4.5cm) & Left Kidney size is (9.8*4.6cm). But I have a little pain in my back. Please reply what could be the cause of this pain? I live in Pakistan.

I am not able to make a specific diagnosis based on the information that you provide.  I can only suggest that you have a complete history and physical examination by your physician.  Pain is an uncommon symptom of chronic kidney … Continue reading

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

Dr. Spry: 76 year old male with CKD stage 3. Creatinine 1.8, 37 GFR. I am suppose to get a angiogram to confirm heart issue after failed stress test. This test uses a dye that is a problem for CKD patients. Is my kidney function too low to have this test?

I cannot give medical advice without performing a complete history and physical examination.  It is true that contrast administered for a heart catheterization can cause kidney injury.  There are preventative treatments that can be used safely to decrease the risk … Continue reading

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

I have acute renal failure and I also have type 2 diabetes. Is acute renal failure bad? My number is 47. The kidney specialist said my number for my age should be 75. My age is 47.

I cannot make a specific diagnosis based on the information that you provide.  If your estimated glomerular filtration rate (eGFR) is 47 milliliters per minute per 1.73 meters squared, then you have Stage 3a chronic kidney disease once this value … Continue reading

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

How low is too low on sodium? I was getting under 1000Mgs., or less, a day. I started increasing it to about 1300. My doctors say under 2000. I use my computer and Fit Bit to track my sodium intake. Also how much protein is required to be safe on a low protein diet?

The National Kidney Foundation, the Centers for Disease Control and the American Heart Association all recommend 22300 milligrams of sodium intake per day. Hence, I recommend that same number.  There is not extra benefit from achieving a sodium intake less … Continue reading

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