Daily Archives: November 28, 2016

Can a person with a damaged left kidney and a healthy right kidney live without dialysis?

Yes, many people live long and normal lives with one functioning kidney.  As long as one kidney is normal and functioning, there is no need for dialysis. For more information on living with one kidney click here: Advertisements

Posted in Ask the Doctor, Chronic Kidney Disease, Dialysis, Laboratory Testing, Nephrectomy / One kidney, Treatments

I AM 90 YRS OLD WITH NON FUNCTIONING RT KIDNEY DUE TO OBSTRUCTED URETER. I HAVE HYPERTENSION AND LARGE PROTEINURIA AND TAKE A BETA BLOCKER==IS THERE ANY REASON WHY I CANNOT TAKE AN ACE INHIBITOR? THE 90 YR OLD LEFT KIDNEY SUPPORTS A CREATININE OF 2.3.

I commonly use ACE-inhibitors for treatment of hypertension in patients with chronic kidney disease (CKD).  This is particularly the case if there is protein in the urine.  Hence, if you need a second medication for treatment of hypertension, an ACE-inhibitor … Continue reading

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

I am a 62 years old. In 2015 one of my kidneys failed because it’s ureter was full of scar tissue and became blocked. A doctor tried opening up the ureter before the kidney failed using the Da Vinci robot, but there was too much scar tissue. The other kidney is fully functional and seems to be doing okay. I have had blood panels done to monitor my Creatinine levels which has hovered between 1.5 and 1.7. The most recent was a 1.5. I also have issues with slightly high blood pressure and my primary care doctor has me on Lisinopril 20mg and wants me to change over to Valsartan as I am experiencing the common side effect of a dry cough which is associated with Lisinopril. I am leary about using Valsartan because of the warnings I have seen regarding patients with kidney issues. What medications for high blood pressure does NKF recommend for people like me that have had issues with kidneys like mine?

I recommend the use of an ACE-inhibitor (such as Lisinopril) or an ARB agent (such as Valsartan) for treatment of hypertension in patients with chronic kidney disease (CKD).  This is particularly the case if you have any increase in the … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Hypertension/High Blood Pressure, Laboratory Testing, Medication and Kidney Disease, Symptoms and Side Effects, Treatments

My husband already on CKD stage 3. He ‘s now 34 yrs old. He suffered PAN (periarteritis nodosa) at 16 yrs old. I’m afraid he may need to take kidney transplant in the future. But there are some information showed that patient with PAN should not accept kidney transplant? Is this right? He already doesn’t have any symptom of PAN for many years. I can’t say he’s already been healed, as his kidney, but without other symptom for PAN, could he accept kidney transplant?

I do not know of any information about problems with patients who have had previous vasculitis, such as periarteritis nodosa or PAN) receiving kidney transplants.  In some cases of PAN, it can be related to Hepatitis, but if your husband … Continue reading

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

I have CDK and was on Ramipril and Irbesartan for many years. In July, my creatinine level was 3.0 mg/dl, and 24 hour protein 620mg. My nephrologist suspended the ACE-inhibitors therapy because my blood pressure was really low (90-60). After 2 months, creatinine levels had increased to 3.6 and protein to more than 3g. Could this be a consequence of suspending ACE therapy? I’ve been given cortisone for the proteinuria, to no effect, and beta-blockers for blood pressure rather than ACE inhibitors. Creatinine is at 5 now, and proteinuria is still high.

ACE-inhibitors or ARB agents can be used to treat chronic kidney disease (CKD).  The Ramipril you mentioned is an ACE-inhibitor.  The Irbesartan that you mention is an ARB agent.  Either one but not both should be used to treat your … Continue reading

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

I had a wonderful primary care doctor of 20 years. She started seeing abnormalities in my blood work and sent me to kidney specialist at university. All the doc said was were you a premature baby? I said yes. Very Very Very in 1956 and I was a twin. Nobody in all my failing health issues had ever asked me that. She said well according to tests and blood and urine I can tell; so get the extra weight off and I will see you 1 time every year. Bye Bye. I left thinking what was all that about but didn’t feel bad so I carried on. My primary retired and I got very sick. Went to kidney doc and she didn’t even say wow you lost 70 pounds or anything. Just took urine and said see you next year. A tech told me I had CKD chronic and I was in stage 2 almost 3. I didn’t even know what that was about? Nobody from university has said anything to me. I’m getting sicker with various diseases and now I’m wondering what or why haven’t the specialist of the kidneys told me anything except see you next year. Am I sick or what? I’m always tired and get sick so easy. Why won’t she help me? So I’m starting to research myself. I’m old school and usually rely on doctors to help me but we are in a whole different age, and my wonderful primary is gone. What would you do? I’m failing and the university about killed me last year when I got drug resistant sepsis. The doctor was just cruel to me and I have no idea why. My brain was burning up at 106 degree temp. and they left me to rot. The doctor then discharged me after only 2 days. My friend said they had hung over 20 bags of antibiotics and he couldn’t believe it. None according to what they had said worked. So I left sick and to this day I don’t know if I’m cured or not. I now am half blind and wear glasses for the 1st time and can’t remember anything so I no I’m brain damaged. I saw the kidney doctor and she wouldn’t even come in my room after dropping urine. The nurse just said see you next year. I feel terrible and know by God’s information that the sepsis had to do great damage to my kidneys. But they don’t say a thing. Now they’ve blackballed me at other local hospitals because I had legal aid look in to it and of course they said they couldn’t go up against such a large university. So I’ve tried to go to other hospitals and I’m blackballed so at this point I’m just staying home and loving my dachshunds and trusting God but I feel sick and I know I’m failing, but I’m not going anywhere because nobody cares. So this is just a e-mail to let it all out. I just found your website and I was so happy.

In your situation, it is best to find another primary care physician who can interpret the tests to you and help you understand your illness.  I suggest that you try to establish with a primary care physician such as a … Continue reading

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

In 2009 I was diagnosed with kidney disease glomerular nephritis. I had high blood pressure and high creatinine of 4. I was discharged with meds and a diet and monthly checkups. 4 days ago during my monthly blood test my creatinine was 7.4 and my blood pressure was 18/12. I have been for four days in the hospital. My scans are normal and they cant find the reason for the sudden rise in creatinine. I live outside the US.

I cannot make a specific diagnosis based on the information that you present.  The creatinine that you mention suggests very advanced kidney disease.  I am unable to interpret the blood pressure that you mention.  I suggest you follow the advice … Continue reading

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

I was recently told I have Stage 4 CKD, but I’ve doubted that diagnosis since day 1, as all my labs were perfectly normal, and then suddenly, within days, they weren’t. The only symptoms I’ve had is elevated creatinine and decreased GFR. Kidney ultrasound was normal. When I last saw the nephrologist and questioned why, if I have this horrible disease, diet hadn’t been addressed, he ordered some additional blood tests, over and above what he normally checks for. Phosphorus is normal, Vitamin D is low (it was low a year ago), and my parathyroid is very high (147). Am I possibly correct in believing I may not have CKD? My doctor is away and I can’t ask him.

I am unable to make a diagnosis based on the information that you provide.  The diagnosis of Stage 4 chronic kidney disease (CKD) requires an estimated glomerular filtration rate (eGFR) between 15 and 29 milliliters per minute per 1.73 meters … Continue reading

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