Monthly Archives: May 2017

I am 72 years old and been getting kidney stones every 3 to 5 years since 1992. I am 74 inches with a 44 inch waist and weigh 235#. Due to a 2 inch curvature of the spine, I look like Homer Simpson with a beard. Because I require large amounts of salt tablets to get through the day without suffering from charlie horses and leg cramps at night, I am at a loss as to what I should do to prevent the stones. I also drink large quantities of dog grass tea as it is known to dissolve stones over a period of time. Presently, I have a large stone in my left kidney which my doctor tried to use lithotripsy on, but failed. He has suggested Percutaneous Nephrolithotomy, but after reading the complications associated with the procedure, I’ll suffer with the pain. What would you suggest to try to dissolve the stone and for a longterm solution?

The question that you ask is a urological question and should be addressed to a urologist.  I am a nephrologist and my expertise is in prevention of kidney stones, not in the surgical treatment of kidney stones.  One problem that … Continue reading

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

I am very interested in the WAK. I have been on dialysis for 15 years. I have heard of this before as a treatment I do know that this is the study phase but I would love to be part of that study, it has to be better than dialysis.

I am not aware of any active recruiting that is being done right now for the Wearable Artificial Kidney (WAK).  There have been some early pilot studies, but there are no trials being carried out at the present time.  You … Continue reading

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

My mom is 51 years old. She has done a DTPA test recently. Her total GFR count is 39 mls/min according to the report. I found on the internet that the normal value of GFR for her age is about 78 mls/min. Can this GFR value be treated to the normal range by proper medications? And how far is she from a severe kidney failure?

I am unable to make a specific diagnosis based on the information that you present.  A DTPA test is only a nuclear medicine scan that looks to see what function may be present in both kidneys but does not indicate … 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, Treatments

Hello doctor, My father is having kidney disease from past 4 months, his creatine level was 3.5 mg/dl and urea, 76 mg/dl. His urine test was done for micro albumin and it came negative. Since then he his having weakness, leg and face edema urine output is also low. He has a history of diabetes type 2 and hypertension but both are well controlled. As of now his creatinine level is 1.8mg/dl and urea 58md/dl but still is swelling in the legs and face and there is pain in the back. His doctor prescribed certain medicines (Prolomet, Gemer-2, Corvadil, Metoz, Meltor, and Omnacortil). Can you suggest some tests and medicines in order to improve his kidney function?

I am unable to make a specific diagnosis based on the information that you present.  Your father appears to have chronic kidney disease (CKD), but I cannot tell you why that is the case.  I suggest that you father consult … 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, Treatments

I have just been told that I have kidney disease stage 2 and have had it for awhile and have never been told. I am 72 years old . I also have type 2 diabetes under control with medication Metformin 500mg twice a day. In the past few months, I have lost 16 lbs not trying too in any way. How can I find what to eat that is good for my kidneys and diabetes at the same time? How much water should I drink? Thank You for your time. My primary care doctor says I do not need to see a kidney doctor. Of course, I have an HMO and believe that is why.

Stage 2 chronic kidney disease (CKD) is very early CKD and should be able to be managed by your primary care physician (PCP).  You should follow a low salt diabetic diet.  If you need further counseling, you may need to … Continue reading

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

My son is suffering with vomiting after taking food. He suffering with stomach pain sometimes. Now he is 3years old. I contacted with children doctor. He told to take scan. After I take scan reports, he told me stone is found in RT KIDNEY. That report showing 2.9 cm calculus. Doctor told to give him plenty of water and fluid give good result for my son. Please kindly give me your valuable result to cure soon for best results.

The question that you ask is about kidney stone disease and this is usually addressed to a urologist.  I am a nephrologist and do not care for kidney stone disease.  Your son should be seen by a urologist and evaluated. … Continue reading

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

Hi Dr. Spry, My friend had a renal transplant on April 2016 and his GFR has been in the high 60’s. He was prescribed Bactrim last week for a respiratory infection and his recent GFR is now 56. He informed me that he was prescribed Bactrim after the transplant. I’m wondering however, if the current GFR is a side effect of the Bactrim and if he should stop and have the antibiotic change to something else? Thank you for your time and attention. I appreciate your expert advice.

Bactrim (Sulfamethoxazole/Trimethoprim) can cause an increase in the blood potassium but should not change the serum creatinine or the estimated glomerular filtration rate (eGFR).  Infections, in general, can lead to a slight reduction in the eGFR.  I would suggest that … Continue reading

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

Sir, My mother’s serum creatinine level is 9.61mg/dl and serum urea level is 217 mg/dl. Her potassium and sodium level is 4.83 and 136.00 mEq/L, respectively. Her treatment is going on from India. We can not afford dialysis in present time. How can these levels be reduced by medicine, and what should be the diet eg. which fruit she should take? Her age is 46 years.

There are no medications that can improve kidney function, once that function has been lost due to chronic kidney disease (CKD).  I can only suggest that your mother consult with the physicians who are caring for her.  At her age, … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Dialysis, Kidney-Related Health Questions, Transplantation, Treatments

Hi! I was just about to start a workout regimen with a waist trainer, when I got the call for my kidney transplant surgery. My question is, is it safe to waist train after this type of surgery and how soon after recovery can I start if it is?

This is a question for the transplant surgeon to answer.  Each person is different and each surgery is different, so a question about doing physical activity after any surgery should be addressed to the surgeon who performed the surgery.  

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

I am a Sri Lankan and my brother has CKD. He underwent a transplant in 2009 and now again his kidney has failed and doctors recommend another transplant. He is undergoing dialysis currently. I being his sister, tested to be his donor and I was a 100% HLA match. My 24 hour corrected creatinine clearance is 82.5ml/min/1.73m2. Serum creatinine is 0.8 mg/dl. My GFR is 38 in each kidney. However, the doctors rejected me to become his donor as my GFR was considered low. Please advise whether the low GFR is actually a concern as all my other reports are in the normal reference ranges. I am 34 and do not have high BP or diabetes. My brother is 37.

Each kidney transplant center determines who can and who cannot be a kidney donor.  There are no international guidelines on what estimated glomerular filtration (eGFR) is necessary to be a kidney donor.  You could ask to be evaluated by another … Continue reading

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