Daily Archives: May 16, 2017

Hi Dr. Spry, I have a question regarding dehydration and the progression of chronic kidney disease. I know that BUN lab could also be affected by dehydration. How do you distinguish true dehydration and worsening of the disease in renal patients based on the lab values like BUN, BCR, serum creatinine, GFR or serum Na?

The blood urea nitrogen (BUN) may reflect kidney function but is affected by many other things other than kidney function.  The best test to estimate kidney function is the estimated glomerular filtration rate (eGFR).  The BUN to creatinine ratio (BUN/Creat) … Continue reading

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

How much liter water should taken by hemodialysis patients?

The amount of water that should be ingested by a dialysis patient depends on many things, but mostly on the amount of urine that the dialysis patient makes per day.  The amount of urine should be measured.  I generally recommend … Continue reading

Posted in Ask the Doctor, Dialysis, Diet/Nutrition, Kidney-Related Health Questions, Nephrologist

My husband has found his creatinine is 3.0. In 2013 it was 1.2. He had a kidney stone in August the same year. The rest of his blood work was good. No high blood pressure, no diabetes, high cholesterol, nothing to stand out. He had more blood work and urinalysis May 1. He had a CT scan May 8. Don’t see doctor back till June 7. The anticipation is killing me. Can you give me a ray of light.?

I am unable to make a specific diagnosis based on the information that you present.  The serum creatinine is abnormal but that is the only comment I can make. I suggest that your husband consult with his physician and see … Continue reading

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

I am male, 30 years old and I have Proteinuria. Doctors suspect some kind of Glomerulonephritis. One doctor thinks is IgA Nephropathy. And I am really confused and worried. I decided to do a biopsy to find out in about a month from now. The laboratory results are confusing me a bit as they use different measurements. All are urine test results here. January 2017: Urinary Micro Albumin: 1132 mg/L Urinary Creatinine: 1.25 gm/L Albumin Creatinine Ratio (ACR) 905.0 mg/gm February 2017: Urinary Micro Albumin: 590 mg/L Urinary Creatinine: 0.60 gm/L Albumin Creatinine Ratio (ACR) 983.0 mg/gm May 2017: Urinary Albumin: 109.2 mg/dL Urinary Creatinine: 0.08 g/dL Albumin Creatinine Ratio (ACR) 1365 mg/g (Different laboratoy than the 2 previous) I will appreciate a lot if you kindly would give me your feedback.

The only result that you quote consistently is the urinary albumin to creatinine ratios.  The other results reflect the concentration of the urine and are not significant.  The urinary albumin to creatinine ratios are between 905 and 1365.  These numbers … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Hydronephrosis and Hydroureter, IgA Nephropathy/IgA Dominant Glomerulonephritis, Kidney Biopsy, Kidney-Related Health Questions, Laboratory Testing, Nephrologist

Is taking BCAA has an effect on cyst size ( increase or enlarge cysts ) and will it affect the kidney functionality. Note that I am an athlete/bodybuilder with good shape and normal blood pressure and have resting bpm between 40 and 45.

I do not have any information that branched chain amino acids (BCAA) has any effect on cyst size in patients with polycystic kidney disease (PCKD).  I do not know of any research that shows any effect of BCAA on kidney … Continue reading

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

Hello, as it is known in the last studies that caffeine is the only proven agent to increase the cyst size in the kidneys. Is that true, and what about the protein and the glutamine will they affect the cyst ?

There is research that shows that caffeinated beverages such as soda pop and coffee may increase cyst size and increase pain in patients with polycystic kidney disease (PCKD).  I advise patients with PCKD to avoid caffeinated beverages.  I am not … Continue reading

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