Daily Archives: January 5, 2017

I have Type 2 diabetes with stage three kidney disease and am scheduled for a colonoscopy. The prep includes taking Gavillyte c pre-exam one gallon total. Does this med cause further kidney problems and if so what precautions should I take? Please advise.

Gavilyte contain polyethylene glycol (PEG) with electrolytes and is safe for patients with chronic kidney disease (CKD).  It is important to drink plenty of clear liquids including water while drinking this preparation.   Advertisements

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

HI, I’ve been on PD dialysis for little over 3 months and I’m a little concerned about the iodine from the transfer cap going into my peritoneal cavity. I am dry during the day and when I start my therapy, I watch the iodine go back into me. My other concern is my initial drain is usually 20ml and I don’t think it makes it through the patient extention line therefore it is returning into me with the iodine with the first fill. Is this dangerous and isn’t it just putting back in the waste it took out?

The povidone iodine used to disinfect the cover cap of the transfer set is not a problem and can be placed in the abdomen without ill effect.  There is iodine naturally in your body and this small amount will not … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney-Related Health Questions, Nephrologist, Treatments

I was informed today that the Transplant Team has denied me being able to donate a kidney to my brother. The reason they gave was that I had an elevated fasting blood sugar of 114 along with my family history of diabetes. I am the only one in my family who doesn’t have diabetes. My question is, why can’t I have the choice to donate a kidney? What happens if my brother never gets a kidney due to how long the list of recipients is? Shouldn’t it be my choice? Couldn’t stress be a big factor that causes my sugars to be elevated all of a sudden? Can I at least ask to be retested?

Each transplant center determines who will and who will not be a kidney donor. There are no nationwide accepted guidelines for transplant centers to follow.  It is generally felt that if someone has a risk of developing diabetes, there are … Continue reading

Posted in Ask the Doctor, Diabetes, Kidney-Related Health Questions, Laboratory Testing, Living Donation, Transplantation

Hi doctor, My husband is suffering from 3rd stage of kidney disease and his creatinine is 1.8 and protein in urine is 2+. We see kidney doctor every 3 moths but they put him on prednisone for one year and now he is taking high cholesterol and high blood pressure medicine. I am so worried for him. I need your suggestions please.

I am unable to make a specific diagnosis based on the information that you present.  It might be necessary for your husband to have a kidney biopsy in order to have a specific diagnosis and specific treatment for his chronic … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function, Nephrologist

Is it safe to use Essential Oils (Doterra) if you have chronic kidney disease? Are there specific essential oils that those with kidney disease should not use?

I have no information about the use of essential oils in patients with chronic kidney disease (CKD).  I am unaware of any benefits to the use of essential oils.  I suggest that you ask your physician about your present illness … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Herbal Supplements in Kidney Disease/Failure

Hi, I went through your website and thought it will be very helpful for me if you suggest something. My age is 29 years, Male. I was having very excessive alcohol daily since last 5 years. But for the last 10 months I started having pain in my stomach as well on my back sometimes (not severe or regular) and my bad that I still continued the intake of excessive alcohol. Last week I had a tooth ache due to which I had 7-8 very strong pain killers regularly for 3 days with the regular drinking. Since last three days I am having ammonia taste in my mouth. Also I have back kidney pain on the both sides. I have stopped drinking and have decided to discontinue it completely. Can my body cure itself ? (I want to avoid going to the doctor as my family would know about it) What are the foods I need to eat and not to eat ? I am already having lots of water. Can you please provide me healthy food guide for this so that my body recovers quickly? How long it would take to recover from this on it’s own? If the situation worsen I would definitely go for lab tests and Doctor. But as of now I hope my body can recover by itself.

I am unable to make a specific diagnosis based on the information that you present.  It is possible that you have kidney disease or liver disease, but I cannot tell based on the information that you present.  I suggest that … Continue reading

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

Good Morning, I have a question that I have been trying hard to find the answer to but haven’t found anyone to help. My husband has many medical issues but after a urine test in July of 2015 revealing a albumin/creatinine ratio of 241 (tagged as critical), another test about a month ago revealed the ratio was up to 810.8! The primary doctor’s decision on this was to wait another four weeks and take another urine sample… My question is… how bad is bad? Is this a situation where the doctor is waiting too long to do anything about it? He’s had foamy urine for over a year now and, although I’ve brought it up every time we see the doctor, it’s been ignored. Without going into the details, I think, to help you understand our situation, my husband is being treated by the VA. Any information you can give us on this will be much appreciated. Thanks.

With increasing protein in the urine, further testing may be needed.  If the protein continues to increase, a kidney biopsy may be necessary.  I suggest that you ask if your husband needs to see a nephrologist and if a kidney … Continue reading

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

Hello, My father ( aged 58 ) had kidney failure and now has dialysis 3 times a week. He still loves traveling, hiking and staying active as he has done all his life. He is complaining about severe muscle soreness even after not so high intensity and length hiking in mountains. He is fit and daily active so that seems to be very unusual and difficult to manage for him. Is there a medical link between kidney disease and activity levels (in particular hiking or perhaps higher altitudes) he should be aware of to make sure he can fully enjoy what he loves? Or is this just the case of having to exercise more in preparation for hikes to avoid unnecessary muscle strain?

I am unable to make a specific diagnosis based on the information that you present.  Your father should be examined by his nephrologist to determine if there is a problem with his exercise and his muscle pain.  You father should … Continue reading

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

To whom it may concern: I am writing this letter to ask you a question about my mother who has IgA nephropathy problem which has been continued for 8 years. Although, the rate of proteinuria raised nearly 3450 mg/24hrs last year and her Dr. prescribed prednisolone 50 at first. As a result, rate of proteinuria has decreased to 194 mg/24 hrs. On order to her Doctor was able to decline prednisolone to 12.5 mg/day. Despite decreasing of protein rate in urine, the amount of proteinuria has raised again to 1710 mg/24hrs! So her Doctor raised prednisolone to 15 mg/day. In addition, she uses Calcitriol in their medication as well. I want to know that it is important to follow treatment by using of prednisolone after one year so as to use constantly? I really worry about the side effect of using this drug extra for my Mother!

The goal of treating IgA Nephropathy is to lower the protein in the urine and improve kidney function.  It sounds like your mother is being treated appropriately.  Your mother’s physician should be monitoring the side effects of prednisolone.  The side … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diabetes, IgA Nephropathy/IgA Dominant Glomerulonephritis, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Medication and Kidney Function, Nephrologist, Symptoms and Side Effects, Treatments

I have been taking 300 mg of Allopurinol for 32 years now. Any long term side effects? Over this time my creatinine value has gone up to 2.85. Who could I talk to about taking it for this long?

Allopurinol is a medication used to prevent acute attacks of gout and prevent joint damage from gout.  It will also prevent gout kidney stones from forming.  If you are tolerating the medication without side effects, then you should continue to … Continue reading

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