Daily Archives: December 4, 2017

I have done my kidney transplant. My creatinine is 2 and stable. Should I worry about it? I don’t have any other problem and have had my transplant for 3 months and my mother was my donor. Her age is 45 years and my age is 19 years. Why is my creatinine level not going down?

I am unable to make a specific diagnosis without performing a complete history and physical examination. There a number of reasons why your creatinine may not be falling or remaining at 2.0 milligrams per deciliter (mg/dl). This may be all … Continue reading

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

Can you tell me anything about the new treatment for ESRD, that is trying to get approval by the FDA? I have been on dialysis for 5 years, and sure hope there is an alternate soon. Also,how long does it usually take to get approval from FDA ?

I am not aware of any new treatment for End Stage Renal Disease (ESRD) that is being considered by the Food and Drug Administration (FDA). If there is a new treatment before the FDA, the agency does not have a … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Medication and Kidney Disease

My mother is a polycystic kidney disease patient. I would be very grateful for advice as to whether Kyolic tablets contain far too high potassium levels? Kyolic tablets have given increased energy and initially lowered blood pressure, but she is concerned that it may now be causing heart rythm problems. This may be due to her total potassium intake, but it is vitale to know of Kyolic is too concentrated in potassium. Thank you.

I have no experience with Kyolic tablets. I am not aware of what is contained in Kyolic tablets, nor am I aware of the use of Kyolic in patients with chronic kidney disease. I suggest that she consult with her … Continue reading

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

What reason would Sensipar be used for primary hyperparathyroidsim? I can give more information if needed, its kind of complicated.

Sensipar (cinacalcet) is used to treat primary hyperparathyroidism when someone is not a surgical candidate to remove the abnormal parathyroid gland or when the gland cannot be identified for surgical removal.  It is a way of treating the disease when … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions

What exactly is 100% kidney function? I was told that I had 52% in one kidney and 48% in another. Does the total of both kidneys always add up to 100% for functionality? In other words if both kidneys were functioning perfectly together each would provide 50% to get to 100%. If one kidney was having problems then one would give more than the other to always make up 100 % unless there were issues and both kidneys could not make up the 100%. For example both kidneys are giving 40% each. I wasn’t given my GRF.

When an estimated glomerular filtration rate (eGFR) is measured, this give the total function for all the kidney tissue that is present, even if you have one, two or more kidneys. There are some scanning techniques (such as nuclear medicine … Continue reading

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

I have a stone in the left lower pole measuring 3.6cm in height and 1.4cm in width it fills the entire left lower pole and extends into the lower part of the renal pelvis. I have pain in this area when I am active working and exercising. I have been told that this pain is coming from my back not likely from my kidney. I feel like its coming from my kidney, what do you think?. Should I think about having this stone removed? I am a male 60 years old good health.

I am a nephrologist and have no surgical expertise. The problem that you describe is a urological problem and should be addressed to a urologist. A urologist is a surgeon and deals with stone disease of the kidney and questions … Continue reading

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

What does “Mild asymmetry of the kidneys, both within normal limits of size” mean?

I am not able to interpret radiologic studies without knowing something about the study and knowing the history and background of the patient. I suggest that you ask your physician to interpret the study for you. It sounds like that … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions

I have a question about deceased donor kidney transplants from 2003. Do they generally last 10-15 years on average or longer? Does one generally die with a functioning transplant? Also, if I have a family history of kidney disease should I be checked again? When I was younger it was said that I did not have it, I assume that’s still the case, but my mom had it, and recently passed away from complications from immune system issues. It’s called PKD.

According to statistics published by the United Network for Organ Sharing (https://unos.org/), the expected half life for cadaveric organ transplants in 2003 would have been in the range of 8 to 9 years. This means that on average, one half … Continue reading

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

Hello! I recently got a full blood panel and got the call yesterday that my creatinine is at 1.08. I have a follow up next week with my doctor. I checked my labs from last year and notice my creatinine was 1 and egfr was 75. No one ever said anything to me about this. I am very concerned as I am a healthy 32 year old woman with no other health issues. I am 5’7” and weigh 131lbs, and exercise regularly. I don’t however eat well or drink water. Many days I’ll go without water completely, and do drink 16oz of sugar free red bull per day. As soon as I got the call it scared me enough to start drinking only water. My question is, how worried should I be? Is it possible my levels are low for a year because I don’t drink water and it’s just dehydration? Will my levels improve? My concern is I have done irreversible damage and it’s only going to go downhill from here. I immediately think the worst, and fear I’ll be on dialysis by the time I’m in my 60’s. Hoping for some peace of mind. Thank you.

Normal laboratory variation may be as much as 0.2 milligrams per deciliter (mg/dl). Hence, there is no real difference between a serum creatinine of 1.00 and 1.08 mg/dl. These numbers are basically the same because of the day to day … Continue reading

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

I am a kidney patient.What should be my daily nutrition supplement?

Rather that using a nutrition supplement, I am an advocate for a healthy diet. I believe that a low salt DASH diet is the best diet for patients with chronic kidney disease (CKD) as long as their blood potassium levels … Continue reading

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