Daily Archives: March 13, 2017

My father-in-law was diagnosed with benign prostatic hyperplasia, urolithiasis, chronic kidney disease secondary to obstructive uropathy. He has been experiencing recurrent UTI, and keep complaining of pain at hypogastric area. He became drug dependent to Tramadol that leads him to hallucination and delerium. His bladder cannot hold lots of urine due to bladder inflammation. We already did what the doctors says but still no improvement. The problem still the same and my father is still suffering from his condition. Please help us and give us recommendation.

The problem that you describe is a urological condition.  I am a nephrologist.  I have no expertise in diseases of the bladder and urinary tract.  I suggest that you discuss this with a urologist. For more information on Uti’s click here:

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Treatments, Urinary Tract Infection/Pyelonephritis, Urological Issues

I just went for a CT scan and the report said that: What does it mean when the report says : No focal abnormality is seen in the pancreas and spleen. The adrenals are not enlarged. Focal renal scarring is seen in the right inter-polar region. Bilateral tiny sub-centimeter hypo-densities in the kidneys are too small to be characterized. There is no hydronephrosis. What can I do for preventing it getting worse?

The description that you provide sounds like minor changes in the kidneys.  I do not identify any specific kidney disease based on the description that you provide.  I suggest you discuss the findings with the physician who ordered the testing. … Continue reading

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

Hi Doctor, My partner was diagnosed 5 years ago, at the age of 26, with a rare Kidney disease called mesangial capillary glomerulonephritis. He has been on steroid treatment and also cholesterol, blood pressure and other pills. He has suffered with many side effects including depression, mood swings, frequency of urination, dizziness, blurred vision and most recently the beginnings of osteoporosis. I have heard of Chinese Medicine Osmotherapy and read about some studies on www.ncbi.nlm.nih.gov and it seems very effective in treating patients with IgA nephropathy. I was wondering if you think this might work for my partner too? and whether it could be used in conjunction with his current medications? My second question is how likely do you think it would be for us to pass this disease down to a child? Thank you for any help you might give us… I worry about our future family and hope that someone will find a cure soon.

Mesangiocapillary glomerulonephritis (MCGN) is an uncommon kidney disease.  There are many different forms of MCGN that have been described.  Chinese medical osmotherapy is of no benefit in any kidney disease that I am aware. I cannot comment on whether you … Continue reading

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

I am in desperate need of some answers or guidance. My sister suffers from kidney disease and has had to have both removed. I have seen her deteriorate so quickly, she has dialysis 4 times per week. I am not able to donate due to medical condition nor is my daughter. Two of my brothers passed away quickly and my other brother is vulnerable to kidney stones. I do not want to lose another sibling and I am desperately seeking any advice at all. I know she is on a waiting list, but does not seem to be moving at all. I believe she has been on dialysis for at least 7-8 years, I am aware of the odds. Please can you advise me in what I can do?

If your sister has no living donors, then she must wait on the transplant list for a cadaver donor to be available.  There is no way to hasten the process.  Kidneys are assigned to patients on the list by time … Continue reading

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

Are blood clots, heart attacks, and strokes common side effects of dialysis?

Cardiovascular disease including stroke and heart disease are the most common cause of death in dialysis patients.  I would not call cardiovascular disease a complication of dialysis but rather patients who have kidney disease and are also on dialysis, have … Continue reading

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

I am CKD Stage 4. I have high hypertension. I have toxin coming out in my pores as I itch all the time. The metallic taste is horrible. I have chosen to do peritoneal. I don’t heal very well. So I’m begging my nephrologist to please have that installed. She just ignored me. My gorgeous is 22 and creatinine is 1.8. I stay sick all the time. My MD says she needs to get on the ball. Please any insight. Also other is 208 liver enzymes falling.

Your symptoms are consistent with kidney disease and you may benefit from dialysis.  I suggest that you visit with your nephrologist about whether you could benefit from starting dialysis treatments. For more information on dialysis click here:  

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

I HAVE STAGE 4 CKD- WHICH IS BETTER WHITE RICE AND ENRICHED WHITE/WHEAT FLOUR OR BROWN RICE AND WHOLE GRAINS?

I don’t know of any information that says that different forms of rice and wheat have any effects on the kidney.  I believe that whole grains and brown rice may be better for patients with diabetes and kidney disease, but … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, Kidney-Related Health Questions

Normal range of creatinine after kidney transplant patient?

In most cases, the serum creatinine after a kidney transplant is between 1.0 and 1.9 milligrams per deciliter (mg/dl).  This may change dependent on your body size, the size of the kidney donor and degree of hydration that is present. … Continue reading

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

Hi Doctor, I’m a 27 year old, Korean, healthy, female. My blood pressure is always very low and I’ve maintained good health for the most part. For more than a year, I have experienced kidney pain and tenderness the night of and day after I drink alcohol. I’ve always thought it was nothing to worry about since I had ingested alcohol and thought this was my body’s normal reaction. There was a time when I didn’t have these symptoms, but it’s been a long time. Recently, I went to my PCP because my kidney pain lasted a few days after I had drank alcohol. My doctor did a UA and my results came back as follows: GLUCOSE, UA Negative mg/dL; KETONES, UA 80 (2+) mg/dL; SPECIFIC GRAVITY, UA 1.027; UA HGB 0.03 (1+) mg/dL; PH, UA 5.0; PROTEIN, UA 30 (1+) mg/dL; NITRITE, UA Negative; LEUKOCYTE ESTERASE, UA Positive; UROBILINOGEN, UA, QL Negative; BILIRUBIN, UA Negative…. WBC’S, UA/HPF 6-10 HPF; RBC, URINE HPF 4-10 HPF; MUCOUS, UR SED, QL, AUTOMATED COUNT Present HPF; HYALINE CASTS, URINE SEDIMENT, AUTOMATED COUNT, QUAL 5-10 LPF. In July, my GFR was 86 mL and my Vitamin D levels were 16ng/mL. I have not repeated a blood test since July. When I spoke with my doctor regarding my results, she stated she ruled out a UTI and a Kidney Infection. She referred me to a Urologist and Radiology for an ultrasound. I have had a kidney infection previously in 2012. I can’t get into my urologist until April, so naturally – I’m scared. Do these results lean toward a kidney stone being present? Could it have been present for over a year and only agitate when I drink alcohol? Or do these seem to point toward diseased kidneys? I’ve lost about 12 pounds in the last couple months (108lbs, 5’3″) and have (in the last week) a decreased appetite. In the last four days, I have been experiencing a low grade fever and chronic, dull pain/heaviness in my kidneys. Since I have experienced a kidney infection before, I am reluctant to go to the ER to see a specialist sooner. Are these symptoms something I need to address sooner than April?

I am unable to provide a specific diagnosis based on the information that you provide.  I am a nephrologist and I cannot make a diagnosis of kidney disease based on the information that you describe.  I agree that you should … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney Stones, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Treatments, Urinary Tract Infection/Pyelonephritis, Urological Issues

I am searching the web for supplements that will help with Chronic Kidney failure. Do you know if hydrolyzed collegan (for arthritis in knees) will harm the kidneys more?

I am not familiar with hydrolyzed collagen and have no experience with this supplement.  I am unaware of any studies that have been done on patients with chronic kidney disease (CKD) using hydrolyzed collagen.  

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