Monthly Archives: January 2017

If you have a patient with creatinine 5 and you give him a certain amount of insulin, why do you lower the dose if the creatinine falls, for example to 3?

I am not sure why the dose of insulin would have to be lowered.  The kidney is responsible for much of the elimination of insulin from the body.  The estimates are that the kidney is responsible for eliminating about 50% … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Treatments

My husband was going to be my live donor by using the swap kidney program, transpant surgery had already been scheduled, but got word from his family doctor that his psa level showed up abnormal so they sent him to do a biopsy on his prostate. and discovered he did have traces of very early stages of cancer, they cancelled the transplant, was told to wait and let him recover from surgery and took me off live donor list. My husband asked his doctor if he could still do the kidney transplant, he stated he did not see why not, the whole prostate had been removed and his gleason level was 3.4, Would it be possible for him to still do the transplant surgery.

There are no national standards for accepting someone as a living kidney donor.  Each individual transplant center determines the criteria they will use to accept a living kidney donor.  The goal is to do no harm and avoid injury or … Continue reading

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

My wife has recently been diagnosed with kidney disease. Serum creatinine 203.5 , GFR left kidney 10.1 and right 13.4. All blood tests are fine and no problem in passing urine or kidney pain. No inflammation seen in ultrasound and DPTA test left kidney 43 % right kidney 57 %. Need help please.

I am unable to make a specific diagnosis based on the information that you present.  Your wife appears to have some type of kidney disease, but I cannot tell what type.  Your wife should be seen and examined by her … Continue reading

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

I’m having hard time diagnosing if I’m a patient of kidney disease and at what stage or what type. I took high doses of vitamin D and natural intake of calcium i.e. Milk plus egg e.t.c and I used to regularly drink sodas. I think problem sparked there. First symptom was attack of sudden sensorineural hearing loss attack which recovered after 5 days to normal. I kept having these hearing loss attacks with the gap of sometime month or two months. The trigger I found was intake of dairy products and/or sodas-especially high phosphate drinks. This followed until I was prescribed prednisolone (corticosteroids) 24 days course by ENT. He figured I’ve autoimmune ear disease but attacks became more frequent and problem worsened. Following 5 months, I was prescribed homeopathic remedy of kali phosphoricum to strenghten my nerves but consequence of this was constant nightfall, arteries with neck fattened and back of the head pressure. Currently, my urine is foamy and dark but it’s crystal clear after semen discharge. Bone pain plus right arm being numb, irritation, possibly hypertension, loss of appetite, short of breath when lying on either side of body while sleeping, heart burn, frequent urination sometimes and sometimes not, constant nightfall, back pain for few days but it diminished. Another thing when there’s urge to urinate I feel pressure on back of head. I did a report for serum calcium to trace a problem and it came 11.0 with low vitamin D recently. I followed with PTH intact level which came back 46.57 with no sign of tumor on gland. To further diagnose, I had first spot urine phosphorus and calcium test which came lower than usual stating decreased renal excretion. To further proof this, I had 24 hrs urine calcium+phosphorus+ Urinary protein+ Micro Albumin spot+creatnine test + creatnine and phosphorus serum test. Results : Urine Volume: 1020 ml/24 hrs Phosphorus 317.22 mg/24hr Calcium 23.46 mg/24hr Urinary protein- NIL Micro albumin spot urine- afternoon – Positive (Approx 100 mg/l) Creatnine clearance 38.2ml/min Creatinine Serum: 2.3mg/dl Phosphorus Serum : 5.1 mg/dl Calcium Serum 11.0 mg/dl Sex: Male Age: 17 Height: 5’5/ 165 cm Race : Gujarati/ Indo-Aryan/ Color: Whitea

I am unable to provide a specific diagnosis based on the information that you provide.  It will be necessary for you to be seen and examined by your physician and possibly referred to a nephrologist.  Some of the testing that … Continue reading

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

Sir, I am from Andhra Pradesh. As below my right knee I feel itching frequently and observed very light black spot measuring approximately 3 cm I felt that skin allergy is indication of future ailments of kidney, liver or heart. My father, at present no more, who underwent stent operation always having the problem that I have at present. So I visited the doctor to know what the exact reason to my itching was and how my kidneys works. During the scanning my left kidney has been diagnosed as contracted kidney which measures 6.2 X 2.7 cm only. Whereas my right kidney is in good condition having measures 12.3 X 5.4 cm. I have no bad habits like smoking & drinking among others. In addition I am purely vegetarian. I wondered why it has happened. Whether it is genetic? I have few questions to be clarified by experts like you which are as follows: 1. Which acts are need to convert contracted kidney as good working kidney? 2. What are the reasons for contracted kidney? 3. After birth of any human being how many years are needed to have full growth kidney? 4. Contracted kidney means “Shrinking of kidney after having full growth kidney having no growth after few years” 5. As per measurement how many years my left kidney has grown and what is the reason for its stopping of full-grown. 6. Can you confirm whether my contracted kidney has became shrink after full grown or stopped to grown midway? 7. Whether there is a possibility to regain good kidney in place of my contracted kidney without any operation and by following good food habits. 8. Whether genetic is also one reason for contracted kidney? 9. Whether there is a possibilities to contracted kidney to shrink further. If yes whether it will affect another kidney in future? Which measures are necessary to discourage this?

Finding a small contracted kidney commonly occurs as you have described. It is incidentally discovered during a scan for other reasons.  It is impossible to tell why the kidney is small and contracted.  The most likely reason is because you … Continue reading

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

I have polycystic kidney disease. My current medications are 10 mg lisinopril and 120 mg Diltiazem twice daily. My creatinine is 1.4. I’ve heard that I shouldn’t be on a calcium channel blocker. Is this true? I was put on Diltiazem because the lisinopril was causing an increase in creatinine, but an ARB has never been tried.

I have used calcium channel blockers in many patients with chronic kidney disease (CKD).  I do not know any reason why you would not be able to use diltiazem with lisinopril.  The use of a calcium channel blocker by itself … Continue reading

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

My creatinine level right now is 1. 37 and I am trying to lose weight. Will Garcinia cambogia be bad for me to use? I’ve used it before and it worked.

I have no information about the use of Garcinia Cambogia in patients with chronic kidney disease (CKD).  Weight loss is certainly desirable as long as it can be sustained.  Weight loss can be a benefit for patients with CKD but … Continue reading

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

I have recently gone through the process of testing to donate a kidney to a friend. Unfortunately, I was told my kidneys are only functioning at 50% so I will not be able to donate. I would just like a second opinion if this is true, and if it is do I need to be concerned for the health of my kidneys?

I suggest that you ask your primary care physician (PCP) for a referral to a nephrologist who can evaluate your concerns.  If there was a problem that would preclude you from being a kidney donor, then a complete evaluation may … Continue reading

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

I have had a kidney transplant 3 years ago and would like to know if I could take s-adenosylmethionine as it is found to be good as NSAID’s for osteoarthritis which I am suffering and I can’t take any NSAID’s. Please could you advise me if it would be safe to try

I have no information about the use of s-adenosylmethionine in patients with a kidney transplant.

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

A couple of years ago my mom had to have one kidney removed due to a cancerous tumor. Surgery was the only treatment needed as it had not spread anywhere. She has had a clean bill of heath since then. She deals with restless leg syndrome and chronic insomnia, but is very leary of taking medications that may affect her remaining kidney. I had checked into the use of valerian for a sleep aid, but different sources are conflicting on the effect of it on your kidneys. Is it safe to use, or is there a better alternative for insomnia?

I have no experience with valerian as a sleep aid.  I do not have any information about the use of valerian in patients with chronic kidney disease (CKD).  

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function, Nephrectomy / One kidney, Symptoms and Side Effects, Treatments