Monthly Archives: February 2017

I had a test on 24 Feb 2017 and got the results that I have protein in my urine. I also have blood pressure and I take a medicine of Advantec. So what should I do?

You should first have an exact quantitation of the amount of protein in your urine.  This can be done on a timed urine collection or on a spot specimen.  You should also have blood testing for a serum creatinine that … Continue reading

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

I wonder if you can possibly help me. I have a query connected with having CKD and colds and flu. Since I have had CKD -I am at Stage 1-I seem prone to I have CKD early stages. I seem to be getting colds and flu quite often. These last six months have been particularly difficult. Having a viral related myositis, bouts of heavy colds and flu bouts. I have had the a flu shot but this has been to no avail. My Question is: Is their any connection with impairment of the immune system and chronic kidney disease so making me more vulnerable to picking up viruses.

Stage 1 chronic kidney disease (CKD) is very early CKD and should not be associated with an impairment of your immune system.  I suggest further consultation with your physician.  

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

I was diagnosed with CKD stage 3 about a year ago. I have been HIV for 35 years and had HEP C for as long (recently cured that on harvoni), and am quite concerned about my kidneys, as I know there is no cure for CKD. I started following a rigid kidney diet, and lost 12 pounds in the first month. Mind you, I weighed 102 when I started the diet. So all my doctors told me to eat for weight gain, which I have. That diet consists of fattening things such as sugar, meats etc. My question to you is this….what illness trumps the other?

Weight loss is very concerning in patients with chronic kidney disease (CKD).  Malnutrition can be a very poor prognostic sign in patients with CKD.  I suggest that you consult with a dietitian who is familiar with CKD and can examine … Continue reading

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

I was just dx with CKD and calculus kidneys my lower back hurts all the time. Pain in the right side in my lower back and lower left in the back. Is this normal and of course I have fatigue and will go to my nephrologist on April 4. I hurt whether I have a kidney infection.

If there is a stone (calculus) in your kidney, then this must be evaluated and treated by a urologist, not a nephrologist.  I suggest consultation with a urologist. For more information on kidney stones click here:

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

I use Ultrafiltration Profile 2 and Sodium Modeling. I have used this for 8+ years and now a nurse is telling me it is not meant to be used for every treatment. Is this true and where can I read about it. Another nurse told me to use this profile because dialysis was causing my blood pressure to go extremely high and the UF Profile corrected this. (I gain 1- 3 kilos between treatments) My other question is that I went through a period that even though my dialysis machine showed I was on UF Profile 2 it did not act as it did in the past for about 6 months and then suddenly started to work as it had before. I asked the biomedical person can the programed UF Profile be altered and he said no. I had read that sodium can be added to the dialysate (hypertonic solution) but a nurse recently told me this is not used anymore. Do you know what would cause the UF Profile 2 to work, not work and work again.

I am not familiar with the term “Ultrafiltration Profile 2”.  I assume that this must be a setting on your dialysis machine that allows for a variable amount of fluid removal over time.  I suggest that you discuss your concerns … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney Failure, Kidney-Related Health Questions, Nephrologist, Symptoms and Side Effects

I am in Stage 4 CKD (20 GFR, 75 years old but very young for my age otherwise) and would like to know if saunas are safe for CKD patients? I have read blogs from CKD patients who say they feel more energetic after using saunas (I’m assuming because of the elimination of toxins and excess fluid build-up from the body). I do not want to do anything that could be harmful but would really like to try this if it is safe.

A sauna should not pose any risk to a person with chronic kidney disease (CKD).  As long as you stay well hydrated before and after sauna, there should be no risk.    

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

I am a 24yr old female with (urinary) creatinine reading of 178.3 mg/dl but do not have readily available healthcare access and am wondering my potential issue(s) with this elevated level?

A urinary creatinine only tells you how concentrated your urine is. It is not an indicator of chronic kidney disease (CKD).  I am unable to make a specific diagnosis based only on a urinary creatinine.  

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

If I start having recurring gout more frequently, can this be an indication of CKD?

Gout is very common in chronic kidney disease (CKD).  CKD can cause gout and gout can cause CKD.  If you have recurring attacks of gout you should see your physician and be tested for CKD.  

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

I have stage three CKD. How much water should I drink each day? Can I drink too much water?

There is no limit to the water that you can drink per day.  Even with Stage 3 chronic kidney disease (CKD), your kidney function should be sufficient to handle any water that you may drink.  I suggest that you drink … Continue reading

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

I was in a severe car accident in 2015, I have had tons of X-rays, MRI and CT scans done. The X-xrays show that I have a spot on my right kidney. I’m concerned about it but the doctor’s aren’t. I also have pain in that area and lower back. Do you think it might be a kidney stone?

I am unable to make a specific diagnosis without reviewing the X-rays and scans.  I suggest that you discuss your concerns with your physician and ask for an explanation of the “spot” on the studies.  The computerized tomogram (CT) scan … Continue reading

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