Daily Archives: November 29, 2018

My friend has Berger’s and I was curious about what would happen if someone with IgA deficient blood gave him a transfusion? Or transplant? Would it decrease the build up in his own kidneys ‘naturally’? I really am curious if this is an avenue researched have looked into… We both grew up in the same environmental area and attended the same school. I’ve always felt like I should donate my kidney, but my doctor has said not because of the IgA issue I have. I have IgA deficient, O positive blood.

The problem in IgA nephropathy (which is also known as Berger’s Disease) has to do with the abnormal way of making IgA so that the molecule is damaged. Someone with IgA nephropathy has a tendency to make abnormal IgA molecules … Continue reading

Posted in Ask the Doctor, IgA Nephropathy/IgA Dominant Glomerulonephritis, Kidney Failure, Kidney-Related Health Questions, organ donation, Transplantation

Sir, my blood potassium level is 5.40. In June, this year it was 5.19. I am having constipation. Sometimes I get so lethargic that I almost pass out. My contrast CT scan and blood parameters are ok.

I consider the normal range for a serum potassium to be between 3.5 and 5.5 milliequivalent per liter (mEq/L). I am not able to make any specific diagnosis based on the information that you present. I suggest that you consult … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions

Is a creatinine level of 1.4 bad? and does it get worse over time if not treated?

This blood test of a serum creatinine could be abnormal but I cannot tell on the basis of a single blood test. You can use this blood test to calculate an estimated glomerular filtration rate (eGFR). You can go to … Continue reading

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

Dear Doctor, Many thanks for being willing to answer our questions. My mom is 66 years old, diabetes, hypertension and with high cholesterol. Recently she was diagnosed with Left renal parenchymal disease. We are so worried about her. Please kindly advise what we should do to improve her health status. Kind regards

I am unable to make any specific diagnosis based on the information that you present. The diagnosis that you mention is “left renal parenchymal disease”. This is a finding usually made on ultrasound examination and does not necessarily suggest any … Continue reading

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

I had a kidney ultrasound in the United States at which time the doctor told me that I had blockage in my renal arteries to both kidneys. When I returned to Taiwan the cardiologist ordered a CT with dye to check all arteries in lower half of my body. It says that there is no significant orificeal stenosis in bilateral renal arteries. But there is small sized bilateral cortical thinning of bilateral kidneys. Which test do I go with? I am a teacher in Taiwan and a United States citizen. Is it time to go back to the United States for medical treatment? Please advise on Ultrasound or CT

I am not able to offer an opinion unless I can examine the ultrasound findings and the computerized tomogram (CT) scan findings for myself. The ultrasound test should be looking at a doppler investigation of the kidney arteries whereas the … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions

I recently lost 20 pounds on Jenny Craig diet which is a good thing and was feeling great! Then, I caught an upper respiratory virus from the children in my classroom ( which I’m usually immune to). PD thought I might have pneumonia so I had X-ray and CT due to some elevated lab work. CT came back with normal findings with CT with contrast of the abdomen, lungs, liver, gall bladder, kidneys etc. Stated normal but it was noted that I had some peripelvic cysts – which I had been made aware of in 2007. They were determined to be simple cyst in 2007 and we’re noted again a couple of weeks ago when I had the CT with contrast. They noted peripelvic cysts without hydro something. So, my GP wanted to do an in office ultrasound on my abdomen as a follow up and his ultrasound tech said she found gallstones in the gallbladder and dilated left kidney obstruction. So now GP wants to order another CT on the left kidney even though my CT two weeks ago indicated everything looked normal including gall bladder and kidneys. Could these things have been missed on a CT with contrast? I had the CT with contrast in a hospital. I don’t really want to be exposed to CT scan with contrast so soon. Your thoughts? Could the peripelvic cysts be mistaken for the hydro. That the ultrasound tech saw on left kidney since that is where the cyst are near? Recommendations?

I am unable to comment on X-rays and Ultrasound examinations that I cannot see myself. The ultrasound could be difficult to tell the difference between peripelvic cysts and blockage of the kidney (hydronephrosis). The computerized tomogram (CT) scan with contrast … Continue reading

Posted in Ask the Doctor, Hydronephrosis and Hydroureter, Kidney-Related Health Questions

Hi DR. Spry I am a male 73 years old diagnosed with kidney failure almost 4 years ago. Now Stage 5 GFR 12% with no symptoms at all. The Doctors are pushing the fistula, which I refused due to having no symptoms. I am having a Chinese remedy of mix Cilantro, parsley, garlic, apple cider vinegar ground all together. I have it with my food. My urine smells very strong. Is that good or bad? Please let me know.

The current recommendation for best practices is to have a fistula placed once the estimated glomerular filtration rate is less than 20 milliliters per minute per 1.73 meters squared. This recommendation stems from the need to have a fistula placed … Continue reading

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

My husband developed kidney disease (2013) due to enlarged prostrate which led to urinary retention. His bloods at the time were Creatinine 700 Urea 47.5. Five years later his bloods are much improved and he is at Stage 3b. My question is why is he always so cold? His HGB is OK also he lost his sense of smell and taste 5 yrs ago and still has none. He has had a scan of his sinuses but nothing abnormal was detected. He also has no sensitivity to heat. He drinks his cup of tea straight away despite it being hot. Also when he put his hands in water, he has it very hot. I do worry about the long term effects of him eating and drinking everything so hot. He already has a bad, cracked rash over both his palms. I would be very grateful for any advice you could give us. Kind Regards

Patients with chronic kidney disease (CKD) commonly complain of cold intolerance. It is very common for spouses to patients with CKD to fight over thermostat settings. Patients with CKD commonly turn the thermostat very high in order to warm themselves. … Continue reading

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

A relative had a living donor kidney transplant a little over a decade ago. The kidney is failing now, requiring dialysis and another transplant. The first time around, I did not get tested to be considered as a donor. I am type O and considering being tested this time around. I am internally struggling about the decision to be tested, however, because my spouse is a T1 diabetic and only time will tell if our young children develop T1DM as well. I am worried about the remote chance that someday one of them could require a kidney and what would happen if I’ve already donated one of mine. I know that waitlist priority is given to people who have already donated a kidney in the past, but are there any rules that would essentially transfer priority status to my spouse or kids if they ever needed a kidney and I already donated mine to my relative?

The United Network for Organ Sharing (UNOS) and the Organ Procurement and Transplantation Network (OPTN) have policy that allow individuals who have donated a kidney in the past and develop End Stage Kidney Disease and require a kidney transplant to … Continue reading

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

My 48 years old mother is having frequent urination and burning sensation while passing urine. Urge for urination is impulsive and it is almost impossible to manage. She is also having pain and tenderness in lower limb mainly in calf muscle and ankle region that worsens on long standing.

The symptoms that you describe are likely related to bladder and not kidney disease. I suggest that you consult with her primary care physician (PCP). I am unable to relate the leg pain to bladder problems. I suggest that your … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions