Daily Archives: April 17, 2017

Hello Doctor, A year ago I had been diagnosed with mild high blood pressure. After sometime, I experienced extreme fatigue and tiredness and even when I wake up in the morning followed by upper back pain and yellowish urine color and later painful in discharging as well as several night run to the wash room and poor sleep. I did several blood tests and my creatinine was 61, urea 2.1. My doctor sent me for ultrasound renal and CT test and it was normal. My doctor insisted my kidneys are working well.

I am unable to make a specific diagnosis based on the information that you provide. I do not identify any kidney disease based on the information that you present.  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

eGFR = 159 Creat it on = 61 What does it mean Doctor?

The information about kidney function tests that you provide suggests normal kidney function.  I suggest that you also have urine testing for blood, protein and infection.      

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

My wife age 30 is proteinuria patient (diagnosed MPG) and did Deltacortril therapy but no result. The doctor suggested Rituximab injection.

I am unable to provide medical treatment advice without performing a complete history and physical examination.  If you are concerned about this advice, I suggest that you seek another nephrologist and ask for a second opinion.

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

Is Micro-Chinese Medicine Osmotherapy real or a scam?

I believe it is a scam.  I have no information that Chinese Osmotherapy is of any benefit to kidney disease.  

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

Hi doctor… I had under gone automated PD surgery 10 years ago because I had consumed poison. After this many years now am not feeling well, my health is getting worse day by day. I am always feeling very tied and weak. Please suggest me what should I do?

I recommend that you see your physician.  I am unable to make a specific diagnosis based on the information that you present.

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

Hi. I went to the doctor found that I’ve got kidney problem. The doctor gave me some pills and now am coughing dry cough and this my sputum is foamy. What must I do?

You should again consult with your physician.  If you are experiencing a side effect of the medication, I recommend that you consult with the physician who gave you the medication.  

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

I read that “creatinine clearance” is another good indicator of kidney function. I am 57 years old. Weight is 307 pounds. Creatinine level is 1.63. Can you tell me my creatinine clearance and what it indicates to me?

The creatinine clearance is another way to estimate kidney function.  It is based on the clearance of a metabolite of muscle called the creatine, that is then converted into creatinine and eliminated by the kidneys.  This can be done by … Continue reading

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

Hello Dr., I have CKD, my egfr is about 51-59 and my creatinine is about 1.11. I want to take magnesium, as when I do, it makes me feel good. What type and dosage should I take? Should I take it in combination with calcium and D3?

I am unable to recommend medication without performing a complete history and physical examination. I suggest that you consult with your primary care physician about taking magnesium supplements.  Magnesium can be tolerated by most people but you should always check … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, GFR, Herbal Supplements in Kidney Disease/Failure, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function, Treatments

Hi, Every day early morning, I drink 3 liters of water to get my Bowl Movement. Could you please let me know, Am I increasing burden on my Kidneys? Kidneys find difficulties to consume 3 liters of water?

Drinking extra water does not burden the kidneys.  They will handle the extra load of water just fine.

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

My husband has creatinine 2.3, 1 kidney, also high pressure under control 140/80. He is taking 7 pills a day to lower hypertension. He will have an aorta operation replacement with a 15cm long, at the end of the month. He also has hidden blood on urine in today laboratory test. What kind of fruits and vegetables he has to eat to reduce the creatinine to normal levels. He recently had catheterization and angiogram both of them because of the aorta problem on 4 April. Please help me to make a diet to lower creatinine. Urgent!

There are no diets that lower the serum creatinine and improve kidney function.  There are diets that can slow the deterioration in kidney function.  I am a strong advocate for the DASH diet.  You can review the DASH diet at: … Continue reading

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