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Daily Archives: August 7, 2017
Hi, I had reconstructed kidney surgery about 12 years ago. Now I’m in late stage 4 CKD and the kidney I had surgery on is now dead. I’m having a hard time finding my records from the Hospital. Do you know where I can go to get them? Now that my left kidney died did the adrenal gland die with it? I’m having a lot of fatigue, and just down right have no energy. I got my fistula created last week. That was just a FYI.
Disease of the adrenal gland and disease of the kidney are almost always two separate diseases. I do not know what type of kidney surgery that you had, but sometimes the adrenal gland of that kidney can be injured or … Continue reading →
I have proteinuria for over 9 years. It was first detected in 2008. I’m a male person, 36 years old, with 183 cm height and 90 kg weight. My blood pressure is 120/80 most often. My results from the lab August -03 2017 AlkP 66 U/L AST 16 U/L ALT 16 U/L Gluc C 4.77 mmol/L Urea 4.5 mmol/L CreaC 80.30 umol/L UA 361.8 umol/L TP 72 g/L AlbG 47 g/L Gllob. 25 g/L Na-C 139 mmol/L K-C 4.8 mmol/L CaC 2.39 mmol/L Phos 0.95 mmol/L IgA 2.38 g/L IgG 10.70 g/L IgM 0.62 g/L C3 1.1 g/L C4 0.2 g/L Trig 0.7 mmol/L Clol 5.1 mmol/L UHDL 1.22 mmol/L LDL CALC 3.5 Upro 0.69 g/L (proteins in 24 hour urine) I also did tests during the last few months. (the results were 0.39 , 0.60 , 0.62 g/L) My doctor advised me to do a Biopsy in order to detect the reason of kidney damage. What do you think about my lab results? Is it allowed for me to do physical exercises with this condition ( for example 1 hour of bicycling, or 2 hours of walking 5-6 times per week), knowing that this will increase the amount of proteins in my urine аdditionally? This is very important for me because my BMI is over 26 and I have overweight. I want to do exercise so that I can have a normal weight. Do these proteins that are passing from the kidneys to the urine are damaging my kidneys?
I am unable to make a specific diagnosis of kidney disease based on the information that you present. You have excess protein in your urine and this can both cause kidney disease and also be the result of kidney disease. … Continue reading →
Sir, prescribe some medicine that is available in India to *lower the level of creatinine* in blood. It Is urgent sir.
There are no medications that lower the serum creatinine level. I suggest that you consult with your primary care physician (PCP) regarding your diagnosis and your treatment.
I have a family history of Polycystic kidney disorder seen only in males in my father’s side. I am the only daughter to my parents. I had taken a dip test as part of tests for checking my kidney function. Dip test showed microscopic particles of blood in my urine along with a high amount of protein. I have not yet received the results for other tests. Does this indicate anything?
Blood in the urine (hematuria) and protein in the urine (proteinuria) can certainly be seen in patients with polycystic kidney disease (PCKD), however, both hematuria and proteinuria are seen in many other diseases of the kidney and urinary tract. I … Continue reading →
My twin sister and I have to to get a MRI or a CT scan to check our aorta every year or two. My sister had a MRI with contrast a year ago and the following day her right leg swelled up and it has continued and is now getting worse around her knee. I had a CT with contrast done a few weeks ago and I had bad pain in my back on the left side. Are we having issues with our kidneys. My sister has gone to emergency room but they don’ t seem to be looking at the kidney. And this all started after the MRI.
I am unable to diagnose any form of kidney disease based on the information that you present. Magnetic resonance Imaging (MRI) contrast is not known to be toxic to the kidneys, although contrast used for computerized tomography (CT) scanning can … Continue reading →
I’m very concerned for my husband. He’s a veteran, 40 years old, he was diagnosed with PKD in 2005 while in service with a few cysts on both kidneys, liver and pancreas with no other symptoms (pain, hematuria, limitations). In 12 years, it quickly progressed to stage 3, his liver is in very bad shape with cysts inside and out. His kidneys are 3x the normal size and littered with kidney stones up to 10mm. His ureters are covered inside and out with cysts. Our doctor has told us he will likely not live to see 60. We also just found out that the VA should not have prescribed him ibuprofen for his pain, 800 mg every 6 hrs everyday for 3 years. My question, is the ibuprofen at fault for causing his PKD to progress this fast or can PKD get this bad this quickly?
The long term use of ibuprofen has been associated with more rapid progression of chronic kidney disease (CKD). Short term use (several weeks) is usually reversible and kidney function should return to baseline if the ibuprofen is stopped. Your husband … Continue reading →
I have been working with a nutritionist and one of the latest supplements recommended is Cal-Amo which is Ammonium Chloride; Betaine hydro hloride; Calcium Chloride; Calcium Lactate; Magnesium citrate; Calcium stearate. I am a stage 3 Kidney disease person, aged 78 female. Is this a safe product for me at this time ?
I have no experience with a supplement called Cal-Amo. I am not aware of any research that has been done on this supplement in patients with chronic kidney disease (CKD). Of the compounds that you mention in Cal-Amo, I would … Continue reading →
Hello Dr. Spry, My CKD has progressed to ACR = 23,42 mg/mmol, eGFR-EPI = 40 (mL/p/1.73m2), p-urate = 559 umol/L (230 – 480), p-standard bicarbonate 21 mmol/L (22-27). Should I be concerned about a high risk of further progression and therefore 1) Should I ask for referral to a nephrologist? 2) Should I ask for the high urate to be treated? 3) Should I ask for bicarbonate therapy to be started?
I am not able to recommend medical therapy unless I am able to perform a complete history and physical examination. I generally recommend referral to a nephrologist when the estimated glomerular filtration rate (eGFR) is less than 30 milliliters per … Continue reading →
Hello Doctor, My husband had a liver transplant 5 years ago. He is not in Stage 5 CDK, due to the anti-rejection drugs. He is relatively healthy, has high BP, leg swelling, extremely tired and urinates frequently. He is seeing a Kidney Doctor at UCSD and recent blood work showed his GFR is 15-20. My question is what is it that I look for? My husband had a really difficult time with transplant and had to have at least 6 surgeries and he is just downright done with Doctors. My fear is that he will NOT do dialysis or kidney transplant (even if he is a candidate. I would like to give him information so he can think about options. Do you have any information or any kind of books, suggestions?
Your husband should consider all aspects of his care. The amount of effort that has been put forward to give him a new liver and a new life is extraordinary. Kidney disease is an unfortunate complication of that process. I … Continue reading →
I started a lower protein diet (60g/day) in April. In past month hair is thinning rapidly. Do you see this in pts on low Protein diets? There are other factors: hyperthyroid w/ Tapazole, age 73, other meds include coumadin-beta blockers, Any suggestions to counter act? Have just started scalp RX of. castor oil-coconut oil-oils of rosemary & sage. My endocrinologist okayed Biotin and Evening primrose oil if ok w/ nephrologist. I will call him, he is hard to reach
I tend to see hair loss in patients who are protein malnourished. I am not an advocate for a protein restricted diet. Thyroid disease is also associated with hair loss. I suggest that you follow a DASH diet. You can … Continue reading →