Monthly Archives: March 2017

7 years ago my husband got MRSA after a hip replacement. It came back in form of a tennis ball sized mass at surgical site. Doctor put him on antibiotics for past 2 1/2 years ago. His kidneys functioned at 80 precent. Now at 50. What kind of diet should I get for him?

A change in diet will not be helpful in this case.  Acute kidney injury requires good nutrition and I do not recommend any dietary restrictions in someone with acute kidney injury.  In order to recover kidney function, adequate amounts of … Continue reading

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

My aunt is 55 years old and she was diagnosed with heart failure(40%) since August 2014. 2 months back, she has been diagnosed with renal failure and she is on regular hemodialysis, 3 times a week. Is kidney transplant possible or she has to depend on dialysis for the rest of her life?

If your aunt has severe heart disease, this may complicate any attempt to perform a kidney transplant.  In some cases, combined kidney and heart transplant can be done, but these are very rare.  I suggest that your aunt consult with … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney Failure, Transplantation, Treatments

4/4/15 I had blood work done, my creatine was 0.9 and my GFR was 84. I went back on 6/30/15 due to having episodes of vertigo, nausea, extreme fatigue and extreme bloating and pressure. My creatine level was 1.2 and my GFR was 57. My doctor told me I was probably a little dehydrated and said to retest in a couple weeks. However, she made it sound like nothing so I never went back. I just got into my patient portal and saw these results along with some further back as well. After doing some research and talking with a friend of mine that’s a nurse, I learned that creatine levels that increase by .2 or .3 are considered a severe decline in kidney functioning. This would explain alot of my symptoms over the past couple of years. Such as, always feeling tired, extreme bloating and pressure, flat pain, discomfort when I pee (farther up my urethra and not a burning). I’ve already made an appointment with my PCP for tomorrow, but I’m nervous about how to talk with her about this. Any suggestions on how to go about getting her to do more extensive blood work? Also, do you think I’m over reacting or is what I learned true and I could have kidney disease?

A rise in the serum creatinine from 0.9 milligrams per deciliter (mg/dl) to 1.2 would not be considered a remarkable decline in your kidney function.  I would suggest that you have re-testing to include both blood and urine testing for … Continue reading

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

I was told that I had 30% of my kidney function remaining. I am a 76 year old male stroke victim (05/13/2007). A recent blood test showed my Creatinine Serum was 1.44 mg/dl, which I also calculated at 37. I will see a doctor on June 2, do I need to worry? I am also a diabetic with a fib.

Chronic kidney disease (CKD) is very common in patients with high blood pressure, stroke and diabetes.  Any one of these diseases can be a cause for the CKD.  It is important that both your blood pressure and your diabetes be … Continue reading

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

My father is 70 years old. He had removed his left kidney in India because of Tumor. Currently he has to go to frequent urination almost every 20 min. He has high Luekocyte count in his Urine report. Dr. from India told that he has CKD and as per his calculation his kidney function is 30%. He is in USA now, we recently did his blood and Urine report and his eGFR is 36 and Creatine count is 1.87. What is causing him to go to frequent urination? He does not have medical insurance. How can we consult a nephrologist in order to get better treatment?

I would suggest that you first start with consulting with a primary care physician (PCP). This will be less expensive and I am not sure his frequent urination is related to his chronic kidney disease (CKD).  Your father could have … 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, Treatments

Hi. I had a cat scan and it claims my kidney is swollen. Told to watch it. I then had urine test and it came back with white blood cells in urine of 70. But no significant growth at a low number. I’m confused. I have had flank pain constant on my ride side to my back and now it’s elevating to my left side. Any opinions for me?

I am unable to make a specific diagnosis based on the information that you provide.  Your symptoms could be compatible with kidney infection, but also could be from many other causes.  I suggest that you discuss your concerns with your … Continue reading

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

Should a person take Cellcept with kidneys functioning at 100%? My spouse is a lupus pt and was recently prescribed this medication due to swelling in his legs and feet. I am doing some research on this medication and very concerned about him taking it. He was prescribed 500mg a day for 2 weeks, then two tablets a day for 2 weeks, then 3 tablets a day. I am concerned about damage to his kidneys from the use of this medication and also concerned about immunosuppression.

Cell Cept (mycophenolate mofetil) is a immunosuppressive medication used in lupus patients to prevent damage to major organs such as his kidneys.  I am not able to make a specific diagnosis based on the information that you present.  I am … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Lupus, Medication and Kidney Disease, Medication and Kidney Function, Symptoms and Side Effects, Treatments

I have Chronic Kidney Disease Stage 2 (mild,) according to my doctor. But my test results (creatinine is around 1.1) has been the same for at least 7 years. Will my condition inevitably worsen, albeit at a slow rate, or I may just be this same stage till I die (I am 67 years old)? I do take a number of herbal supplements but my CKD hasn’t worsened. So I am okay with those supplements, do you think? (These supplements along with diet and exercise have allowed me to stay away from pharmaceutical prescription medicines for a long time, to my doctor’s pleasure!) But I am always interested to know what I can do – diet-wise, healthstyle-wise, supplement-wise – to prevent my CKD worsening.

If your kidney function has been stable at this level for 7 years, this forecasts a relatively good prognosis.  Stage 2 chronic kidney disease (CKD) means your estimated glomerular filtration rate (eGFR) is between 60 and 89 milliliters per minute … Continue reading

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

My mother was diagnosed with stage 4 CKD. She is in pain and very tired all the time she also jerks a lot. She has been sick for a while but doctors didn’t catch it until she was already stage 4. She waited a month to see a kidney nurse and have to wait 2 weeks to see the actual doctor. She is very depressed because they seem to not be concerned. They have no plans to start dialysis or even think about a transplant for at least two years. They gave her only a water pill and told her to get over the counter iron pills. Is this normal? Why would they wait so long?

I am unable to make a specific diagnosis based on the information that you present.  There may need to be further tests to be done in order to make a specific diagnosis of her chronic kidney disease (CKD).  I can … Continue reading

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

I miss taking a shower or water aerobics because of protecting my catheter from getting wet. Is there something like a wet suit available that can be used for protection?

There are protective devices and coverings that can be used in patients with a catheter, but they do not permit getting into a pool or immersing the catheter under water.  They can sometimes be used with a shower.  You will … Continue reading

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