Daily Archives: December 21, 2016

Since recurring sepsis in 2007 and being diabetic, my kidneys are not functioning well as a result. My creatinine was 2.5 and after a restricted protein diet and attention to hydration my recent blood work saw a reduction to 1.7. My question is how does this relate to the efficiency and ability of my kidneys to filter. My doctor said and I believe I am saying it correctly: at 2.5 filtration was @25% and with the reduction to creatinine related to an improvement to 35%. I assume this is stage 2. My question is in grams, what should me daily limits of protein be to lessen the load on my kidneys, as well as potassium and sodium. I once was consuming 80 – 120 g of protein but have reduced it to >50 g.

I do not advocate for reducing protein intake for patients with chronic kidney disease (CKD).  I suggest that your protein intake be between 0.8 and 1.2 grams per kilogram of body weight per day.  This is a safe level.  You … Continue reading

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

My sodium level is 145 as a result of sodium bicarbonate therapy for metabolic acidosis. What can I do to reduce the level?

The serum sodium should not be increased by taking sodium bicarbonate.  You can lower the serum sodium by drinking more water.

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

I have urine problem from last six months. At beginning blood came in my urine then Doctor gave me antibiotics and other medical treatment for 15 day but next pain start when my bladder full in my bladder and in my penis area. When I go to pass urine from last six month same position but blood came only once at beginning. All test including cystoscope and blood test normal. A urine cytology also normal kidney blood test also normal. I have also CT scan and it shows that I have simple two cysts in each kidney like 7 to 8 mm size but have urine problem. All three Doctors says different. Some said prostatitis, some says infection but no one diagnosed clear. All three I changed gave antibiotics every time and inflammation drugs. My year back ultrasound showed no cysts in kidney. I have regular medical check up because I am working as a pilot. Please advise me. My prostate size is on normal limits but on borderline. I am fed up with all this. Please advise me what should I do?

The problem that you describe appears to be a urological problem.  I am a nephrologist and have no expertise in the bladder or the prostate.  I suggest that you consult with a urologist.  I am unable to provide a specific … Continue reading

Posted in Ask the Doctor, Kidney Cysts, Kidney-Related Health Questions, Laboratory Testing, Treatments, Urinary Tract Infection/Pyelonephritis

This is the result of my urinalysis. I have no symptoms of a UTI. I have noticed lately that I urinate less often than I used to. Do you think I might have kidney disease?Color Yellow Yellow Appearance Hazy Clear pH 5.0 5.0-8.0 Spec Gravity >1.030 Protein 30 mg/dL Negative mg/dL Blood Trace Negative Bilirubin Negative Negative Urobilinogen Negative mg/dL 0.1 – 1.0 mg/dL Ketones Negative mg/dL Negative mg/dL Leuk. Esterase Small Negative Nitrite Negative Negative Glucose Negative mg/dL Negative mg/dL WBC 0-2 /HPF 0-2 /HPF RBC 3-5 /HPF 0-2 /HPF Bacteria Few /HPF Mucous Threads Present Squamous Epitheleal 11-30 /HPF 0-10 /HPF General Information Collected

I am unable to make a specific diagnosis without performing a complete history and physical examination.  In order to diagnose chronic kidney disease, a blood test and a follow up urine test would be needed.  I suggest that you consult … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Symptoms and Side Effects, Treatments, Urinary Tract Infection/Pyelonephritis