Daily Archives: June 1, 2017

My mother is 85 and in relative good health. She has been seeing things that are not there, mostly people that she does not know in her house. My sister passed away a year ago from kidney failure, which she had been on dialysis for 9 years. Someone told me that maybe if my mom had an issue with her kidneys, that might explain her seeing things that are not there. I’m not sure if we should be pointing that out to her doctor.

I suggest that you bring your concerns to the physician who is caring for your mother.  Hallucinations and delusions are not a common presentation for kidney disease.  I suggest that you take your mother to be examined by her physician … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Laboratory Testing, Treatments

Hi, I had edema and some pain in my foot. I applied to hospital. According to my lab results everything was okay (including creatinin 0.98) except protein amount urine (3256 mg / 2.2 Litre). They made biopsy and the result was fsgs (collapsing). My BMI is over 32 (183 cm 110 kg and my blood tension was 16 – 10. Doctor gave me Delix 5 mg (1 per day) and poor protein diet. Is that mean “My kidney disease is because of obesity and tension?” If yes, can it be reversed?

Focal segmental glomerulosclerosis (FSGS) has many different causes, including obesity.  High blood pressure can be seen in patients with FSGS but does not normally cause FSGS.  I am unable to make a specific diagnosis without performing a complete history and … Continue reading

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

What does clear cut rejection mean? I’m a 28 year transplant patient and my Doctor told me I’m in clear cut rejection and putting on a prednisone taper. What will this prednisone taper do?

The term “clear cut rejection” is not a medical term and does not have any medical meaning to me. If you have rejection of your kidney, this must be treated and giving a steroid (such as prednisone) is commonly used … Continue reading

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

My brother has CKD and needs to undergo a second transplant as his first transplant has failed after 7 years. I was tested to be his donor but rejected as my GFR was considered low. My GFR is 38 in each kidney, totaling to 76. My corrected creatinine clearance is 82.5 ml/min.1.73m2. Serum creatinine is 0.8 mg/dl. I do not have high BP, Cholesterol or diabetes and all my other screenings were normal (heart,liver,blood tests etc). I am a 100% HLA match to my brother. Please advise whether the GFR is actually a concern for rejecting me as a donor. I am 34 years old.

Each transplant center determines the guidelines that they will use to accept someone as a kidney donor.  There are no national or international guidelines that are universally recognized.  I can only suggest that you seek a second opinion at another … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Laboratory Testing, Living Donation, Transplantation, Treatments

I just got my online results from a urine and blood test and I would like your opinion. The results that are negative or in red are: UA leukocyte esterase small-abnormal, UA bacteria rare-abnormal, Bun 24 mg/dl, Bun/creat ratio 27.6. My kidney and liver function in the last year seem to be not so good. I have had stomach dull aches since a colonoscopy 6 months ago also terrible hot flashes. Help….asking you before my doctor calls as she is a general practitioner.

The urine tests that you mention could suggest a urinary tract infection, but I cannot be sure.  The remainder to the tests appear to be in the normal range by most testing.  I suggest that you wait and discuss these … Continue reading

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

I’m 45 and my GFR 116. What does that mean for a man of my age?

A estimated glomerular filtration rate (eGFR) is approximately the percentage of kidney function.  In your case an eGFR of 116 milliliters per minute per 1.73 meters squared in a normal result.  You can learn more about the eGFR at our … Continue reading

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

I´m a female, living in Sweden and is 59 years old. I was diagnosed with renal pelvis TCC, PT2a, grade 3, 8 years ago. I had my left kidney removed and have gone for follow ups since then. When the cancer was discovered I was told that I had a 3 cm cyst in the right kidney. After that the cyst has grown to be 7.5 cm and I have had several infection in the kidney. I’m worried about the growing cyst and the infections in my only kidney and wanted to do something to prevent a acute situation. I took it up with a doctor who wanted me to go to a urologist at the hospital. I have now got the answer from the urologist at the hospital that they think its a normal kidney with no pathological problem. My question is- Is a single kidney with a 7.5 cm cyst in it consider to be a normal kidney? I was worried before and now I feel very worried with this answer.

The question that you ask is a urological question and best answered by a urologist, who is a surgeon. I am a nephrologist and do not have expertise in this area.  I suggest you continue to consult with the urologist. … Continue reading

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

Can you give a hemodialysis patient doxycycline?

Doxycycline can be used in dialysis patients in the appropriate doses.  I have commonly used this drug to treat infections in dialysis patients.

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

Dr. Spry, if a CKD patient’s Urologist and Nephrologist are both negative towards making improvement with their disease does the CKD patient have the right to replace them with new doctors?

You can always seek a second opinion in regards to treatment.  That is every patients right.  

Posted in Chronic Kidney Disease, Kidney-Related Health Questions, Nephrologist, Symptoms and Side Effects, Treatments, Urological Issues

My ankles measure about the same every morning and by bedtime they are any where from 1/4 to 1/2 an inch larger. My swelling is below the ankles. I watch my salt intake, my weight and my diet. I am an 92 years of age and I am an African American I am finding myself getting slower by the day. Thank you for any help you can give me.

I am unable to make a specific diagnosis based on the information that you present.  Swelling in the ankles has many causes but most of the time this is related to venous and vascular disease in the legs.  I suggest … Continue reading

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