Monthly Archives: November 2017

I am wondering if I could have kidney disease or worse. My protein levels are high in range. I am always tired, started itching like crazy. And found what’s seems to be a pea size bump in the side of my neck. I urinate every 2/3 hours at night and I’m only 34 in age, female. I also realized the last two nights I’ve had night sweats. Should I make checking up on this a priority or am I just over reacting?

I do not recognize a specific kidney disease based on the information that you present. I suggest that you contact your primary care physician (PCP) for examination and consultation. Advertisements

Posted in Ask the Doctor, Kidney-Related Health Questions

Hello sir, My dad is suffering from kidney disease. We came to know about it by the KFT Test, and in the result Urea-144 Creatinine-13 Sodium-129. Then our doctor advised to do dialysis and we did it 5 times. Now Urea is 75 and creatinine is 5.2. So I would like to ask you, what should we do to bring these levels to normal range? And what treatment should we take?

Your father appears to have very advanced kidney disease. I am unable to make any other specific diagnosis based on the information that you present. It may be necessary for your father to be permanently on dialysis or seek a … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney Failure, Kidney-Related Health Questions, Transplantation

Hello, I was diagnosed with Stage 3 CKD – my GFR is 51. I only see a GP – should I go to a renal dietician and see a nephrologist? My doctor didn’t act like this is serious and he didn’t say anything about a special diet, but I have learned a lot from the internet. I have Type 2 Diabetes also and take blood pressure medication – I am very concerned. I’m a 59 yr. old female – Is it possible for the GFR number to go up? Thank You

It appears that you have early Stage 3 Chronic Kidney Disease (CKD). In most cases, primary care physicians (PCP’s) are very well able to care for Stage 3 CKD. As far as diet, I am a strong advocate for a … Continue reading

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

Can you direct me to where I can read about what the LOWER systolic limits would be for a person with stage 3 CKD? In order to keep most of my readings at 130 or lower, I get readings in the 110-120 range for systolic. I take my BP readings four times a day with each an average of 3 tests done 2 minutes apart. Early morning give lowest readings with early afternoon the same or slightly higher. Early evening sees low 120’s with midnight readings closer to 130. Occasionally I get readings above 130, usually later in the day/evening. Thank you.

Your observations are very comprehensive. The guidelines for blood pressure control in chronic kidney disease suggest that the average blood pressure should be maintained at less than 130/80. These guidelines are not based on the frequency of blood pressures that … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Hypertension/High Blood Pressure, Kidney-Related Health Questions

My daughter was pumped with fluid to try and jump start her kidneys. She is diabetic as well. She was sent home after a few days in the hospital looking like a balloon. It’s been a few days and she is no better. Her skin is so tight and painful. She is not to take her Lasix. Any suggestions to help her get rid of fluid? Thanks.

I am unable to make a specific diagnosis based on the information that you present. There could be a number of reasons why she is failing to clear the fluid. I suggest that she needs to be re-examined by her … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions

My husband has FSGS and his last labs showed GFR of 7 and his BUN was 96. Creatinine was 8.3. Although he has no swelling and no shortness of breath or nausea, they have put in a fistula. We have been to the class and decided on Home PD at night while he sleeps. He is very tired when he comes home now and has leg cramps and itchy skin. Even though they are putting in accesses to prepare for dialysis, with these numbers, how much longer do you think his kidneys will last?

The decision to start dialysis is not usually based on any particular number or laboratory test. It relies on a discussion between your husband and a nephrologist about his symptoms. If his symptoms are such that he wants to go … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney-Related Health Questions, Nephrologist

Can a creatinine level for 1.7 be reversed for a diabetic patient of 16 years? Feb 2017: Creatinine 1.5 | GFR 54.3, Nov 2017 : Creatinine 1.7 | GFR : 63.2.

The two creatinine determinations that you mention are within typical laboratory error. Laboratory measurement from one day to the next can vary by 0.2 milligrams per deciliter (mg/dl). Hence, these numbers are not clinically different from each other. Future testing … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Laboratory Testing, Serum Creatinine

Dr. Spry, I am finding conflicting information re: Post Kidney Transplant Patient [immunosuppressed due to medications] and avoiding contact with a person who has shingles/internal shingles. Kidney Transplant Patient had shingles 1 1/2 yrs post transplant and would like to avoid another outbreak, at all costs. Please advise. Thank you.

At the present time, there is no vaccination or immunization available for a transplant recipient to prevent shingles (herpes zoster). These vaccinations are with a live virus, which cannot be used in someone who is on immune suppressing medications. The … Continue reading

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

Doctor, I am a Dialysis Patient. The dialysis has not made any improvement from many years. Artificial kidney is not coming into existence even getting face posts and WhatsApp messages that something good is on it’s way. In Sha Allah, Allah says he has kept remedy/ solution for all diseases except getting older. Hence my thought is instead of dialysis, can’t we exchange the blood in our body with new blood and get the old blood dialyze and reuse it in next sitting as we change the bike/ care oil which gets corrupted.

There is no way to exchange blood at the present time. There is no way to remove all of the blood from someone without resulting in death. Hence, for now, all research on trying to miniaturize the components of a … Continue reading

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

Are fractional excretion tests for Phosphorus, Uric Acid, Sodium, Potassium, and bicarbonate done for people who are not in suspicion of having kidney failure?

The fractional excretion tests of phosphorus, uric acid, sodium, potassium and bicarbonate are done to test the tubular functions of the kidney. This is most commonly done to diagnose a problem known as renal tubular acidosis. They can be seen … Continue reading

Posted in Ask the Doctor, GFR, Kidney Failure, Kidney-Related Health Questions