Daily Archives: May 9, 2017

Dr. Spry, which physical side effects would a CKD patient have to start showing that would justify either dialysis or a kidney transplant?

Most of the time, chronic kidney disease (CKD) has no symptoms until a great deal of kidney function has been lost.  The most common symptoms of advanced CKD are fluid retention and swelling in the feet and legs, nausea, especially … Continue reading

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

Hi doc. What’s the connection between kidney disease and back pain and lower back muscle spasms?

Back pain has many causes and kidney disease is not a common cause.  If you have kidney stones, this can be a cause of back pain.  If you have infection or blockage of the kidney, this may also cause back … Continue reading

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

My husband has just been diagnosed with stage 4 renal failure. His kidney function is at 25% and we want to do all that we can to help keep it from going any lower. I am struggling with how to adjust our diet and am seeing lots of conflicting information online. He is also diabetic. Is there a reliable resource to turn to for the best information on the foods he needs to avoid? We don’t see his doctor for another month and I refuse to wait that long to change what he is putting into his body. Any information would be greatly appreciated.

For Stage 4 chronic kidney disease (CKD), I recommend a low salt diabetic diet.  Further dietary adjustments have to be made by your husband’s physician or a dietitian based on the results of the blood testing that has been done … Continue reading

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

Hi. My husband has been on hemodialysis since 2003. He has gone through 2 fistulas on his left arm and 10 days ago they had to use a graft on his right arm after realizing too many IV’s on right arm…its been 10 days and its definitely infected. About 5 days ago he went to Dr’s office to have them check it because we were already suspicious of infection. They told him it looked okay and sent him on his way…by Friday his clinic finally said yes its infected and gave him a dose of antibiotics with his treatment. My question is after being infected for so long is the graft going to be able to be used and also I do not feel like they are being as agressive with the treatment of his infection as they should. They didn’t do a culture on it either?

I can only suggest that you discuss your concerns with the nephrologist who is caring for your husband. Infections in fistulas and grafts are very important to treat aggressively and early. For more information on fistula click here:

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