Daily Archives: July 12, 2017

I am an 81 yr old white female with Sjögren’s syndrome but doing quite well. I feel good but have a creatinine serum of 1.02 and eGFR of 52. I take Lyrica and Cevimeline for my Sjogrens. Should I be concerned?

The dosage of some of your medication may have to be adjusted based on the decreased kidney function.  The dose of your medications should be based on your creatinine clearance, which is a measure of your kidney function.  I suggest … Continue reading

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

I recently was told by my new Doctor that I needed to see a nephrologist. My last blood work indicated that my urea nitrogen was 27 mg/dL. My creatinine is 1.95 mg/dL and my eGFR is 27mL/min/1.73m2. I can not get into see the nephrologist until Sept. 21, 2017. I have been trying to set this up since the beginning of June. They said they put me on the top of the cancellation list. My question is what do I do in the meantime to help myself out?

In the meantime, you can monitor your blood pressure to make sure that your blood pressure is less than 130/80.  If you have diabetes, your diabetes should be very carefully controlled.  You should follow a low salt diet with less … Continue reading

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

I have a lot of kidney stones. I also have a lot of blackberries right now, someone told me that Blackberries and raspberries cause kidney stones because of the seeds. I hate to have to throw them out. Is there truth to this?

Fruit and vegetables have greater amounts of potassium and should be helpful in preventing kidney stones.  I do not believe that blackberries and raspberries will increase your risk of kidney stones.  I suggest you drink plenty of water and follow … Continue reading

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

2 questions Doctor. 1 . I live in Cape Coral, Florida is there a free screening nearer to me other than Orlando? my GFR is 49 happened suddenly I have never ever had this on my blood work report. I am 73 with high blood pressure. I really do not want to go to a specialist. I had ARDS 16 years ago and I am thinking that illness effected my kidneys. I was in the hospital 3 1/2 months in a coma for 9 weeks. At that time my kidneys were ready to shut down. It was a miracle that one day my kidneys were going and two days later they were normal. Any advice would be greatly appreciated.

A list of upcoming screening events can be found on our web site at: https://www.kidney.org/news/keephealthy/KEEPHealthyEvents In addition, you can find a local National Kidney Foundation office nearest to you by going to our web site and finding out if the local … 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 and 50 years old. I am diagnosed with polycystic kidney disease. How can you help me?

I can suggest that you visit our web site to learn about autosomal dominant polycystic kidney disease (ADPCKD).  You can access our web site at: https://www.kidney.org/atoz/content/polycystic You can also learn about ADPCKD at the Polycystic Kidney Disease Foundation at their web … Continue reading

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

Hello Dr. Spry, I was diagnosed with FSGS in 2014 after a routine labwork showed diminished kidney function. Creatinine levels have remain between 2.1 – 2.4 for the past 2 yrs, with kidney function between 35 – 40. Currently taking BP medications with avg reading of ~135/88. My only other ailment is my cholesterol being high, but so far I have not been able to tolerate the statin medication my doctors have provided me. I’m 37 yrs old and need to know what happens next? What steps can I take to prevent kidney failure? Is there any new health technologies that provide alternative treatment for my condition? Thanks.

Currently, the recommended treatment for focal segmental glomerulosclerosis  (FSGS) is based on the kidney biopsy and subtype of the disease.  In most cases, the basic treatment is to use ACE-inhibitors or ARB agents to treat and control blood pressure.  The … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diet/Nutrition, FSGS, Kidney Biopsy, Kidney-Related Health Questions, Laboratory Testing, Nephrologist, Treatments

I’m stage 3. I have a high count of protein in my urine, really high. My doctor said to cut way back on protein. Where do I go for help on this. I need to lose weight as-well. I thought a DaVita dietician could help me but she said no, only if your on dialysis. I’m trying to avoid dialysis! (Lol). Thank you for any help.

I suggest that you follow the DASH diet.  The most important part of the diet is to maintain a low salt diet and the sodium intake should be less than 2300 milligrams per day.  You can review the DASH diet … Continue reading

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

My brother is on dialysis he still smokes and drinks vodka, and he has a substance abuse problem. I noticed both his ankles and feet were swollen. His last treatment was Saturday and this was Sunday. What is the cause of the swelling? I didn’t want to ask him because he becomes offended when people inquire. He has also lost at least 15 more pounds. What can we do to help him?

Swelling in ankles usually suggests retention of fluid or heart disease.  If inadequate amounts of fluid are removed on dialysis, then fluid retention can occur.  Unfortunately, if your brother is unwilling to help himself, it is unlikely that there is … Continue reading

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

Is Stevia a safe sugar substitute for Peritoneal Dialysis patients to use?

I am unaware of any problems with sugar substitutes in patients who are on peritoneal dialysis.  Stevia is a sugar substitute that has limited use in the United States.  I am not aware of any reports of problems in kidney … Continue reading

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

I have got transplant of kidney done 4 years ago. Hydroxy-vitamin D remains under insufficient level (24 to 28) even though I do take ostrocalcium (vitamin D supplement) daily. My serum calcium remains between 8.7 to 9.5 (normal range). Can you suggest any better supplement for enhancing vitamin D level? While on the subject, let me inform you all others test results (lipid, lever function, fasting plasma test, urine test) are normal with creatinine at 1.1 and egfr at 75. My second query is what is PRA test? Is it required to be done by transplant patient at regular intervals?

The recommended dose of vitamin D is approximately 1000 to 2000 units per day and you should check to see how much vitamin D is contained in your supplement.  If your level remains low, then increasing the dose may be … Continue reading

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