Monthly Archives: October 2018

Dear Doctor, I have 3.5 year old son. During the stomach sonography, we found that he has only one kidney. It has also confirmed through DMSA test. His right kidney is normal in size and do not have any damage issue. It also working fine. his latest cretnine ratio is 0.3. Earlier it was 0.37 and 0.49 around 5 month back. Right now we are feeding him plenty of water and allowing him for Urine in every one hour. What kind of suggestion you want to provide us? Is there any serious issue with him?

There are many people who have only a single kidney. They lead normal lives and do not require any special treatment.  It is important to lead a healthy lifestyle.  Drinking water and staying hydrated will avoid stress to the single … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Nephrectomy / One kidney

I’ve been on dialysis 6 years now and diahrrea has always been a problem from the beginning. I do not have a gallbladder. Ocassionally, I have normal bowel movements. I went to taking a probiotics and an immodium daily and this really helped for several years but now I’m back to battling this problem again taking as many as 2 immodium daily to get it to stop. I see a gasteroentrologist but nothing from her! My blood levels are all normal ranges. Any help? Or suggestions?

I am not able to make any specific diagnosis based on the information that you present. Diarrhea can be a major complicating problem for patients on dialysis. It can interrupt the treatment and can also result in embarrassment for patient … Continue reading

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

How is the frequency of hemodialysis treatments determined? How is the length of these treatment determined?

There are a number of factors that are considered when prescribing dialysis treatments. Early in the story of dialysis it was noted that patients dialyzed once per week and twice per week did not do well. It was not until … Continue reading

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

I was on Valsartan for years and now I am in kidney failure. It came on just out of the blue. I have been going down hill and the Doctor keeps “wait and see”. I do not know what to do now. I am afraid I will die soon. I need a Doctor who will help me. My Doctor has not suggested anything and I had no clue as no one I know has ever gone through this.

Consultation with a nephrologist may be helpful to establish your diagnosis and your prognosis. I suggest that you seek a consultation with a nephrologist from your primary care physician (PCP).

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

Hi Dr. My question is should I be consulting a nephrologist at this point or am I getting ahead of myself? I am a 53 year old female. Brief medical history 10 yrs. + metastatic melanoma survivor, one year Interferon. Coronary & Carotid Disease as well as PVD. Type 2 Diabetes but maintain no higher than 6.5 A1c. COPD, pulmonary nodules. Many long term prescriptions, omeprazole, metoprolol, amlodipine, losartan, clopidogrel, rosuvastatin, zetia, metformin and baby asprin. This week I had a urine ACR of 120.4 and it came back from lab flagged as high. For the last few years, my eGFR is 60. My right renal artery also is 50% stenosed. I’ve also been experiencing lower back pain. My question is this: is it too soon to be worrying about my kidney function or are these numbers acceptable? My primary and cardiologist do not seem concerned and in fact wish to increase metformin from 500 to 750. Your opinion would be greatly appreciated regarding my need to see a kidney doctor at this point in time (I’d rather catch anything early than late for a change:) Thank you in advance!

I am unable to make a specific diagnosis based on the information that you present. We do see elevated albumin to creatinine ratios (ACR’s) in patients with heart disease, high blood pressure and diabetes. Any one of these could be … Continue reading

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

Hi, I’m 5’10, 165 lb, and I’m a 27 year old male. No high blood pressure and no diabetes. My creatinine is between 1.3-1.6 over several blood tests. I was referred to a specialist and after an ultrasound of my kidneys he said my creatinine levels are fine and that some people naturally fall out of the normal ranges and that I don’t have any kidney damage whatsoever. Is this accurate, or should I get a second opinion?

Yes. There are very muscular individuals with a larger muscle mass that may have elevated serum creatinine. This also occurs rarely in normal individuals. I would also recommend that you have urine testing for blood, protein and infection, just to … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney-Related Health Questions, Serum Creatinine

Hello, my NP says that I am in stage 3 and stage 4 kidney failure, but, he says if I go to a nephrologist they will just send me back to him. I think that it is time for me to see a specialist. What is your opinion? Thank you.

I typically encourage nephrology consultation for Stage 4 chronic kidney disease (CKD). This means that if your estimated glomerular filtration rate (eGFR) is less than 30 milliliters per minute per 1.73 meters squared and has been present for more than … Continue reading

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

Hello, I donated a kidney to my father in April of this year. My labs have always been great and never had any abnormalities with kidney function. I just had my 6 month follow up labs and my eGFR is slightly low (just out of range) my BUN was elevated as well. I have, however, been on the Ketogenic diet (which is high protien, high fat, low carbs). I was on it before the donation and lost 30+ pounds. But now with one kidney, I don’t know if this is what is causing my kidney function to change. I’m worried and not sure if to just go back to a more “normal” way of eating.

A high protein diet for a patient with one kidney should be avoided, in my estimation. High protein diets could be changing your blood chemistry and resulting in changes in your kidney function testing. I suggest that you discuss this … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Kidney-Related Health Questions, Nephrectomy / One kidney, organ donation

Hi I am a kidney donor (5 years out) and I was recently prescribed celebrex however my pharmacist is unsure if it safe for me to take as a kidney donor. I have done some research online but can not seem to get a good answer. Do you have any advice?

Short courses of Celebrex (Celecoxib) have been used in patients with one kidney, but I recommend this be limited to no more than two weeks and that you maintain very good hydration. Longer courses of Celebrex would likely be concerning. … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Nephrectomy / One kidney

What about contraceptive pill? Does this have bad affects on kidney and liver?

Oral contraceptive pills (OCP’s) can cause an elevation of blood pressure, which can complicate chronic kidney disease (CKD). OCP’s can also be associated with blood clotting abnormalities. I am not aware of any liver problems. I suggest you review any … Continue reading

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