Daily Archives: August 2, 2017

I am patient with left kidney Bosniak III, Hydronephrosis IV both kidneys, multiple stones both kidneys. A Double J stent incarcerated on left kidney. Could not remove it at all. Left kidney functioning 50%, right one 42%. Doctors in El Salvador want to remove left kidney, total removal. Please a second opinion, may God bless you. I could attend a consultation wherever it is available in TX.

The question that you pose is a urological question and must be addressed to a urologist.  I am a nephrologist and I have no surgical expertise.  Hence, I suggest that you ask your primary care physician (PCP) for referral to … Continue reading

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

Does a CO2 level of 23 validate daily sodium bicarbonate tablet therapy?

The target for bicarbonate therapy is to keep your total CO2 content greater than or equal to 22 millimoles per liter.  Hence, if you are taking bicarbonate therapy, the dose appears to be appropriate.  

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

Lately my creatinine went from 2.9 to 3.4 to 3.2 and more recently it shot up to 5.0 and a week later from 5.0 it went back to 2.9. Can you tell me what’s going on with my creatinine?

I am unable to make a specific diagnosis based on the information that you present.  These sudden changes need to be reviewed by your nephrologist.  You may require some adjustments in your medication if there are remarkable changes in your … Continue reading

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

I have uremic pruritus, very bad, so bad that my scratching causes the area of itch to bleed. My Doctor has try Gabapin and a few moisturizing lotions but I had a reaction to Gabapin and the lotion does not do much better. I have been on UV-B treatment for 7 months and the itching been going in cycles of scratching for hours and losing a lot of sleep to an hour or so but always waking up to itching. Cool packs help but I don’t have enough cool pack to cover all the area I am itching. When I take the cool packs off the itching comes back. I read in the American Journal Kidney Disease that an iron deficiency may be causing the problem. I am anemic and there has been an increase in Iron Deficiency and an increase in my itching. Any ideas?

I am unable to make a specific diagnosis based on the information that you present.  Chronic uremic pruritus is a very challenging disease to treat.  It sounds like you have tried most recommended treatments.  In some cases, I have sought … Continue reading

Posted in Ask the Doctor, Dialysis, Symptoms and Side Effects, Treatments

I’d like to know if using red ginseng after having a kidney transplant in 2000, kidney still working great, could effect my transplanted kidney? I take Prograff as my anti rejection med.

I am not aware of any research testing that has been done on the interaction between red ginseng and transplant medications.  Transplant medications are very complex and must be maintained at very specific levels in order to maintain your kidney … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Transplantation