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Daily Archives: October 4, 2018
Is water imperative to drink in Stage 4 kidney disease or is any type of fluid ok (is tea, coffee, flavored zero calorie eaters that are not carbonated).
The kidneys are capable of handling and dealing with any liquid that contains water. Whether that liquid is plain water, or other liquids such as coffee, tea or flavored waters, the kidneys are capable of dealing with these liquids, sorting … Continue reading →
My mom is suffering from CKD. It has been more than six yrs that she was diagnosed with CKD. Her creatinine level is 5.3 and her haemoglobin level is 6 now, an anemic. She had been under treatment with allopathy medicine. She is 67yrs old. Please help me to maintain her health and to lower her creatinine level. I really want her to live many more years. I have no one else in this world besides her.
Her anemia might be able to be treated by an erythropoiesis stimulating agent (ESA) such as epoietin alpha or darbepoietin. Anemia with chronic kidney disease (CKD) is very common and can be treated. If her CKD has progressed to kidney … Continue reading →
I am Indian 63yrs old having weight 68.6kg.and height 5.5 ft. and have no other complications than serum creatinine 6.7mg% and Bun 63.4. My bp is 140/80. and no diabetic. Till to day I have no sign of any illness. On one occasion, when I went to native faced severe sun temp.at 47, and felt that my body became dry since then my appetite is affected and very recently on 22nd September on blood test my Hb found to be lowered at 8.9 and size of kidney became 7.20×4.5 RK and 7×4.2LK with above blood reports. Doctor diagnosed it may be a chronic renal failure[?]. I have no problem with urine, urine clearance and no pains any where in body but developed nausea for food. Is it sign of CKD or chronic renal failure? Difference between chronic disease and failure? Is there any way to make up Hgb at normal level? Does reduction in size of kidney reduces functional ability? If yes, what can be done to bring it at normal? Is Magnetic Biotherapies worth to undergo? Please advise me at the earliest to avoid any further complications in this matter. You may suggest any best place if treatment is to undertake.
Symptoms such as loss of appetite, nausea and progressive anemia with weakness are common with advanced kidney disease. The anemia can be treated by use of Erythropoiesis Stimulating Agents (ESA’s). The other symptoms may be more difficult to treat. I … Continue reading →
I can’t get anyone in my dialysis unit to listen to me. I keep telling everyone that I don’t retain water. I still urinate at least as much as I drink, which is 8oz of coffee and about a 20 oz glass of water some days. I have asked other patients how they feel after dialysis and most say better. I feel awful, sometimes I want to eat everything but always I will sleep until the next day and could sleep more. My blood work always looks perfect, a liitle lie on calcium, protein and iron and if I make blood cells it is very few. (Before ESRD my blood sugar meter would many times say to use real blood and not work). My BS is in control. My doctor says do you think you are gaining weight and no I don’t. I am kinda stuck at 94 kilos. I believe they are dehydrating me to the point of tiredness or I am still too low on red blood cells.
I am not able to make a recommendation without performing a complete history and physical examination. In my experience, most patients on in-center dialysis three times weekly, have symptoms of fatigue and need to rest or sleep for some time … Continue reading →
I am a 48 yo female with a history of Nephrogenic Diabetes Insipidus, which had resolved two years ago by removing the offending medication. Last year, I was started on Methotrexate for RA and my GFR immediately fell to 45. I was started on Norvasc for cardiac reasons and the GFR returned to over 60 but urine specific gravity was consistently less than 1.005. Just removed Norvasc, specific gravity now normal but GFR dropping to 53. The question is…which is the lesser of the two evils?
This is not a question I am able to answer. There are a number of other blood pressure medications that are available and if you have side effects with one, then there should be another to choose from. The specific … Continue reading →
My 7-year-old daughter had bloodwork done to try to understand why she has constant stomachaches. A CBC was done and her BUN level came back slightly elevated at 19 (ref. range 5-18 mg/dL) but her BUN/creatinine level is significantly elevated (in my opinion) at 63 (ref. range 13-32). All other parameters tested are within normal ranges. Should I be concerned and what further steps would you recommend?
The Blood Urea Nitrogen (BUN) test could be elevated because of dehydration in someone who has a stomach ache. I do not have much confidence in the BUN to creatinine ratio. I do not find it a helpful test. I … Continue reading →
You should consult with your physician for examination as to why you are have acute kidney failure. These test results would suggest that you have acute kidney injury and you should consult with your physician.
Dear Sir, with many thanks for your kind website. Please be informed that I’ve have had kidney transplantation 16 years ago. The donor was my brother. ( my brother and I have one same father, but our mothers are different.) From 3.5 years, the creatinine has raised little by little. Now it’s 4.5 but BUN is 30. I have repeated blood analysis several times at different labs, and all the results were same. Honestly, my doctor is confused. She says that such creatinine must normally lead to higher BUN like 100 or more. Would you please let me know do you have idea in this regard?
The blood urea nitrogen (BUN) has many factors that can effect the value, so that a serum creatinine of 4.5 may not necessarily be associated with a markedly elevated BUN test. For example, if you are a very muscular man, … Continue reading →
Hi Dr, over a year ago my husband underwent a Radical Cystectomy (RC) after 6 weeks of chemo and radiation. He has two constructed ureters, since then he’s been septic twice, with multiple hospital stays as recent as August along with multiple stent replacements. The right stent fell out twice and now he only has left stent which was replaced Wednesday because he started getting ill (always same symptoms). He’s been on Cipro for 3 weeks with 7 more days to go. He now has CKD primarily generating from left kidney. GFR is at 50. Prior to the RC he Was a strong, healthy, vital man with the blood work of an 18 year old. We live in Florida but got 5 opinions prior to making our decision. His bladder cancer was aggressive but did not penetrate the wall, did not spread and is not a cancer he can pass on to his children. Can you help us with any guidance or information? We eat aloe, the actual meat of the plant daily. Are daily doses of honey and lemon good for his CKD. What else can I do for him to prevent and/or improve his left kidney?
It would appear that the cause of the chronic kidney disease (CKD) is his bladder changes with infection and obstruction of the kidney. Hence, the treatment is best carried out by his urologist. This is not a primary kidney disease … Continue reading →
Hi Dr. Spry, Thanks so much for taking time to answer this question. My father has type 1 diabetes and was prescribed ramipril. His creatinine was recently found to be 140, but I think the ramipril prescription came before any revelation of elevated creatinine.He has consistently low pressure and yesterday it was 88 over 40. (He was dizzy) Does ramipril do anything other than lower blood pressure? We are wondering if he needs to be on this medication at all since he has no problems with high blood pressure.
Ramipril is an Angiotensin Converting Enzyme (ACE) inhibitor and is commonly used to treat diabetic kidney disease, even in the absence of high blood pressure. It should not be used to cause symptomatic low blood pressure and it should not … Continue reading →