Daily Archives: May 17, 2017

Dr. Spry, what do you think about these alternatives to dialysis: Wearing an artificial kidney? Wearing an artificial kidney makes it easier for people to wear and move around with without having to use a dialysis center or dialysis machines. Xenotransplantation? Xenotransplantation uses animal organs in place of human organs like kidneys. Bionic kidneys? A Bionic Kidney is a bio-hybrid device that is moved by the heart which filters wastes and toxins rom the bloodstream and balances sodium and potassium and regulates blood pressure. And a bionic kidney replaces the need for dialysis. What do you think of these dialysis alternatives?

All of these areas that you mention are active in clinical research at the present time. The only one in actual human testing at the present time is the wearable artificial kidney (WAK).  As far as I know, less than … Continue reading

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

My wife is suffering from unilateral renal agenesis. Her kidney function test report is ok but just chloride is slightly high and it’s 109. Now I need to know it’s a serious matter or normal. What are the precautions and treatment?

I am unable to provide a specific diagnosis based on the information that you present.  An elevated serum chloride test does not provide a specific diagnosis that I can make.  I suggest that you discuss this with your wife’s physician. … Continue reading

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

My mother is a chronic renal failure patient and she is on dialysis now 3 times per week. One of the doctors who in dialysis unit suggested that she should take vitamin B complex and vitamin C (becozyme vials) injection every dialysis session but another doctor said that this is became obsolete now because it harms the liver. Now I don’t know if she should take it or not. Would you please help me in this?

I am not familiar with this treatment.  I do not administer Vitamin B or Vitamin C to my patients on dialysis.

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

Hi! My husband has only one kidney at his left side because he is a donor before, but he feels pain now at his back and his operation, he feel pain. What can I do to help him?

I am unable to make a specific diagnosis based on the information that you present.  I suggest that your husband be examined by his physician and have a complete history and physical examination.    

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

Had a CT Urogram which showed both ureters are dilated to the bladder which may relate to distal urethral stricture formation. Then had a Mag3 with Lasix Nuclear scan with no evidence of obstruction. My urologist wants to do a uroscopy to check for stones or tumor. Why would I need this procedure when the Nuclear scan shows nothing?

The question that you ask is a urological question.  I am a nephrologist and do not perform surgery or cystoscopy.  You should ask your urologist about this problem.  A urologist is a surgeon and deals with obstruction of the kidney … Continue reading

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

Can high amounts of salt at a early age be a factor in getting CKD? In the military, we were encouraged to take large amounts of salt tablets. Could that have been a factor in me having CKF?

A high salt intake can make blood pressure higher and result in more resistant high blood pressure.  High blood pressure can result in chronic kidney disease (CKD).  I do not know if taking salt tablets would ultimately result in kidney … Continue reading

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

In three consecutive measurements each several months apart, my ACR kept getting considerably lower and lower. While the u-albumin stayed essentially the same, the u-creatinine kept getting higher and higher. How can you interpret this? Is this a favorable development?

I am unable to make a specific diagnosis on the basis of a changing urinary albumin test.  Urine albumin can vary from day to day and may not reflect any change in kidney function.  I suggest that you discuss the … Continue reading

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