Daily Archives: January 20, 2017

What is my brothers prognosis? He is 59 yrs old, has Type 2 diabetes, kidney failure, on dialysis 3x/wk, cardiovascular disease, peripheral neuropathy, high blood pressure, vision loss, confusion, above the knee amputation, addiction to marijuana, very moody, angry, and nasty. Does not watch his diet or exercise.

I am unable to provide a prognosis without performing a complete history and physical examination.  With the information that you present, your brother is very ill.  His life expectancy is likely very short. For more information on kidney failure click … Continue reading

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

How do you treat CKD patients with atherosclerotic disease of the left common carotid artery? What medications do you give to treat the atherosclerotic disease?

Hardening of the arteries (atherosclerosis) is a disease of blood vessels associated with high blood pressure and elevated blood cholesterol levels.  It is also passed down in families and is thought to be related to genetics.  The treatment in patients … Continue reading

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

Good morning. For the last approximately two months I have been into hospital for my colonoscopy. I’m required to have approximately every two years because of family history. When I spoke to the Anesthesiologist, I mentioned a burning around my kidneys that occurs even if I do say for example my housework? Wandering if I need to have a check. I’m 61 almost and I am very healthy and give Plasma and Blood. I was thinking about going on the Bone Marrow register.

I am unable to provide a specific diagnosis based on the information that you present.  There are many causes of a burning sensation and chronic kidney disease is not a common cause of this burning sensation.  If your symptoms continue, … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects

Dr Spry; My new Doctor ran a complete panel of blood work and my GFR came back at 52 on 1/3/17, (after two days of symptoms of diarrhea and taking 4 tablets of Imodium to stop it.) She listed in my file stage III CKD. I was unaware I was ever even a stage II! I called her about it and reminded her I had been sick the day before the test and I was fasting. I had submitted a non-fasting blood test before our call and during the call she gave me the results of that test, but had not re-tested for the GFR. When I asked why not she said “If I can catch the blood at the lab, do you want me to run it again?” I said absolutely, I think we need to. Well now she says it came back at 61 and in her words ” I am now normal and has changed my diagnosis in my record as stage II. I don’t know what to think or what to do now. Suggestions?

Chronic kidney disease (CKD) is diagnosed when there has been an abnormal test for at least three months.  If these tests were done days apart, then CKD cannot be diagnosed.  This may have been an episode of acute kidney injury … Continue reading

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

I was given 5 fluorourcil injections for squamous cell cancer on my nose, some months ago. NOW with a kidney problem, I was given a blood test which showed a 23.8 in the (6.0-20 )scale. Which is high. A computer article by a doctor, I presume, said that the test would be invalid in the presence of fluorocytosine. Could this be the case for 5 fluorourcil.

I do not know what test you would be referring to. 5 Flourocytosine and 5 flourouracil are different compounds and I do not know what test they would interfere with.  I suggest you consult with your physician for further clarification. … Continue reading

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

Five months ago My daughter (44yrs) was told she has HSP Henoch-Schonlein Purpura. It started with rash on legs that spread throughout. Her kidneys are leaking protein and blood and she is retaining fluid in her legs and painful joints. Her own immune system is destroying her cells and was put on an immunosuppressant drug and mega doses of steroids. Her bowels were bleeding caused by capillary leakage. She had skin biopsy on her rash for Lupus, Lyme and cancer and all negative. Kidney function blood tests are normal. Tomorrow she is scheduled for kidney biopsy to determine a cause for the hematuria and protein that persists in her urine. Have you heard of this virus (in an adult) attacking the kidney and the consequences of this virus ? I would appreciate your views.

Henoch Shoenlein Purpura (HSP) is not caused by any virus that we know of.  The cause of HSP is unknown.  I suggest you wait for the results of the kidney biopsy and then follow the advice of the nephrologist who … Continue reading

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

I have stage 3a ckd. I noticed on my deodorant it said not to use if you have kidney disease. Is there a safe deodorant to use?

The deodorant likely contains aluminum and this is hazardous to kidney patients if you eat the deodorant.  As long as it is not ingested, there is no concern.  You cannot absorb the aluminum if you place it on your skin. … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions