Daily Archives: November 16, 2016

The eGFR non African 68, BUN 12, Creatinine .9mg/dL. Should I immediately see nephrologist or get more labs?

The numbers that you describe are normal.  I do recommend that you have a urine test for blood, protein and infection to determine if you have any form of kidney disease. For information on tests to measure kidney function click … Continue reading

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

Hello, I have a large cyst growing inside my kidney and would like to have it sucked out and then burned out with alcohol or whatever the procedure is completed with, in order to vacuum out the cyst and then kill/remove its lining/outershell cystic casing… 1) Do you have recommendations for this procedure? 2)And is there a list for great Kidney Surgeons in New Mexico to have this procedure safely done with? 3) Do you recommend this procedure or something else like maybe laser?

The problem that you describe is a urological problem.  I am a nephrologist and do not treat kidney cysts.  It is uncommon to have any treatment for simple kidney cysts, if that is what this is.  I recommend that you … Continue reading

Posted in Ask the Doctor, Kidney Cysts, Kidney-Related Health Questions, Nephrologist, Treatments, Urological Issues

The national news stations are reporting that it appears that after recent trials that Celebrex is safer to take than either ibuprofen or naproxen as they concern heart issues.They also referenced kidney issues but they did not address those who already have kidney problems. I have stage 3 kidney disease and also suffer from osteoarthritis. I would appreciate your advice as to whether this would change your current recommendations or not.

Celebrex (celecoxib) is still a non-steroidal anti-inflammatory drug (NSAID) and should not be used regularly in patients with chronic kidney disease (CKD).  It can still cause kidney damage and fluid retention.  I suggest you discuss your concerns with your physician. … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Medication and Kidney Function, Symptoms and Side Effects, Treatments

I am suffering from recurrent renal calculus. Twice operated PCNL, URS, lithotripsy all occured. In last 3 month, stone number increased two times. Parathyroid, thyroid, serum calcium, uric acid all are normal. Drinking 4 liter water daily. Dietary precaution also taken. What I have to do stop stone formation and retard the speed?

The problem that you describe is a urological problem.  You must consult with a urologist.  I am a nephrologist. In order to stop the stones, you must undergo further testing to see what is causing the stones.  This may involve … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney Stones, Kidney-Related Health Questions, Nephrologist, Symptoms and Side Effects, Treatments, Urological Issues

Sir, my father has a heart problem. It was detected by a recent angiogram. The consulted doctor said 3 vessels are blocked. We have gone through stents (angioplasty) but my father has diabetes The patient, age 55, blood pressure, creatinine 1.2, protein also losing, it’s ratio is 8.11. Sir, presently doctor is trying to decrease values. Sir, my question is after decreasing these creatinine values is this angioplasty preferable, and is there any problem for the kidneys now and in the future?

I cannot provide medical advice without performing a complete history and physical examination.  The dye used for angioplasty can cause kidney injury.  I suggest that you consult with your father’s physicians and ask about the risk and benefits of undertaking … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Treatments

Is there a way to determine what caused your kidneys to lose their function? Can a biopsy let you know if it is diabetes or high blood pressure or lupus? Does knowing what exactly caused the CKD help with the treatment to protect further loss of kidney function. When would you recommend a biopsy?

A kidney biopsy will yield a specific diagnosis as to the cause of kidney disease in most circumstances.  Only a nephrologist can determine if you need a kidney biopsy.  I suggest that you consult with a nephrologist.  A kidney biopsy … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diabetes, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Lupus

I was diagnosed of kidney problem recently and the doctor prescribed a drug but after that I am still experiencing the pain at my right side abdomen. The right side of my abdomen has swollen.

I am unable to provide a diagnosis based on the information that you present.  I suggest that you contact your physician and ask to be evaluated.  I do not recognize a kidney problem based on your symptoms.  

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