Daily Archives: June 13, 2017

I am at 27% function and am nauseated throughout the day. What can I do to combat it? It can worsen as I speak, which is affecting my job.

Nausea can be a symptom of many diseases including chronic kidney disease (CKD), gastrointestinal disease, and many other medical conditions.  I suggest that you review your symptoms with your physician.  If the symptoms are related to CKD, there may be … Continue reading

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

Can we increase the GFR level if it is less than 15?

That depends on the cause.  It may be possible to improve kidney function, if the cause is acute kidney injury (AKI).  If the cause is chronic kidney disease (CKD), then improvement is less likely.  The kidney has the capacity to … Continue reading

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

Recent fasting blood work came back with uric acid levels 7.2, up from 6.2 eleven months ago which was last episode of gout. Creatinine 1.8 with my eGfr 55. Last blood test results creatinine was 1.01 and eGfr was 62. I have type 2 diabetes with an A1C of 6.7 (for the last year). Previous year was A1C was 6.5. Also have high blood pressure which is well controlled. Have an appointment with my urologist next month to monitor renal oncocytoma which is more than 5 centimeters in size and to make sure I’m not making anymore kidney stones, which have caused two blockages. Do the numbers from the recent blood work indicate early kidney disease?

Chronic kidney disease (CKD) is diagnosed by having an estimated glomerular filtration rate (eGFR) of less than 60 milliliters per minute per 1.73 meters squared and this need to be present for at least 3 months.  CKD can also be … Continue reading

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

I had amputation on right leg (below knee). Having pain (cramps) mostly on right. also have P A D.. pain goes away soon i get off machine. note: pain exists when filtering is off.

I am unable to provide a specific diagnosis based on the information that you provide.  Phantom pain into lost legs is very common after amputation of the leg.  This is very difficult to treat.  I suggest that you consult with … Continue reading

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

Actually my kidneys sizes are decreased. Protein++, pus cell 4-6/HPF, Rbcs 10-15/HPF in urine. Serum urea 50 above. Serum cholestrol 229. Serum triglycerides 410. Kindly advise me. Thankful to you.

I am unable to make a specific diagnosis based on the information that you provide.  The urine test that you mention is abnormal.  You should discuss the urine test with your physician.  It is possible that you have kidney disease … Continue reading

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

I am 65 year old man and have kidney cells damaged for 14 years after going through low protein and low potassium diets. My creatinine and eGFR are OK. I have right knee cap arthritis. My question is can I take Instaflex capsule once a day.

I am not familiar with the Instaflex capsule.  I looked at it online and it mostly contains herbal supplements.  I would not foresee any kidney problems for this supplement, but I am unaware of any research done on patients with … Continue reading

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

Hello! I am currently undergoing hemodialysis due to ESRD secondary to Polycystic Kidney Disease, and I have been diagnosed as having an infection which is MRSA. I’m receiving antibiotics via an IV line in my right forearm. My left arm has my A/V fistula which is about 2 1/4 yrs post op for creating the fistula. Since having the surgery, I have constantly been told to not let anyone use my left alarm for routine blood draw or to have my BP taken. Today, the Infectious Disease doctors informed me that the Vancomycin will be given after dialysis, or during the last hour, using the fistula as the access port for the medicine. I am very concerned that the medicine, Vancomycin, will negatively affect my fistula which I was told to guard as if it were a pile of gold. So, I hope you can help me, as I really do not want anything going thru my fistula, especially an antibiotic which I was told is pretty nasty stuff. Do you know of any studies or anything that has been written in reference to Vancomycin via A/V fistula for MRSA treatment? I have tried, unsuccessfully, to find anything written about the use of the fistula for antibiotic therapy.

Vancomycin is the most common antibiotic to be used to treat methicillin resistant Staph Aureus (MRSA).  It is an antibiotic that can be given through your dialysis needles at the end of dialysis so that it does not require another … Continue reading

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

The doctor said the results of my Mother’s (age 98) blood work showed her creatinine at 147. Most of the time I see creatinine measured in percentages. How does this number relate? Her potassium 5.1. She does have impaired kidney function and has had for many years. Significant fluid retention in her legs with history of blood clots. At what creatinine level are the kidneys unable to function?

The results that you quote suggest that the serum creatinine is being expressed in micromole per liter (mcmol/L or umol/L) rather than milligrams per deciliter (mg/dl).  The former is expressed in scientific notation and the latter is the more common … Continue reading

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

My MRI results are paraspial soft tissues demonstrate partial hemorrhage left renal cyst measuring at least 7 cm. What does this mean and could it be something bad?

I am unable to make a specific diagnosis without knowing your complete history, performing a complete examination and reviewing the magnetic resonance imaging (MRI) results.  I suggest that you review the results with your physician or perhaps consult with a … Continue reading

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

My Nephrologist says if I had perfect kidneys then frequent urination throughout the day from drinking water would be a concern. But since I don’t have perfect kidneys my Nephrologist says frequent urination from drinking water during the day isn’t a concern. In fact, My Nephrologist says frequent urination is a good thing for me since I don’t have perfect kidneys. Do you agree?

Patients with chronic kidney disease (CKD) do have more frequent urination because of the inability to concentrate urine.  This is commonly associated with more water and fluid intake.  Hence, the statement of your nephrologist is correct.  

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