Daily Archives: December 3, 2018

I am a 39 year old female. I’m 5’1′ and my weight is about 165. I received my GFR which is 83. On the GFR Reference Range, it stated GFR’s between 60-90 is considered stage II mild decrease in GFR. Should I be concerned? Currently, I do not have health insurance and cannot afford to see a doctor. Any detailed information will help. Thank you.

In order to make a diagnosis of Stage 2 chronic kidney disease (CKD), your estimated glomerular filtration rate (eGFR) must be between 60 and 90 milliliters per minute per 1.73 meters squared and you must also have abnormalities in your … Continue reading

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

Dear sir, My mother is suffering kidney disease from October until 7 dialysis done. But sir, it shows in sonography report kidney size is normal and shows parenchymal damage. The urine come proper as ordinary. BP is ordinary. The creatinine level after 5 days is 8.8. Please advise?

Your mother appears to have very advanced kidney failure but I am not able to provide any other specific diagnosis. I suggest that you continue to consult with the physicians who are caring for your mother. Further dialysis treatments may … Continue reading

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

Dear Dr. Spry, I am a male 53 years old diagnosed with kidney disease almost 3 years ago. Now Stage 3 GFR 21 with no symptoms at all. Creatinine level 3.1. I have daily tablet Aprovel 150 mg. Sometimes I have leg swelling. I take tablet Lasix 40 mg. My treatment is check up last one year before. Please let me know.

The medications that you are taking are Aprovel (irbesartan) and Lasix (furosemide). These medications are commonly used in chronic kidney disease (CKD) in order to treat high blood pressure and control edema. If your blood pressure is well controlled to … Continue reading

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

Hi doctor, I did a 24hr creatinine clearance and protein urine test, including creatinine serum. My 24hr creatinine urine was low at 498mg compared to the 800-1800 range and my 24hr urine creatinine clearance was 54 ml/min compared to the 88-128ml/min. The test said my creatinine urine was 43.3mg/dL. The creatinine serum is .64, but I read on this site the serum may not be accurate. The 24hr protein part was 46mg/24hr for the 30-150mg range. Should I be concerned about anything, such as the low creatinine clearance? I am urinating differently too. I go more often but less comes out as if it takes more effort to make urine maybe?

The information that you present suggests that you did not collect all of your urine in the 24 hour test. A low 24 hour urine creatinine suggests that not all of the urine was collected and the result will not … Continue reading

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

Hello Doctor. I am a chronic kidney disease patient. 40 days ago I have performed my ultrasound test for KUB and there is renal parenchyma echo-genesis (something like that) and showing renal calculi 2 mm in both the kidneys. My creatinine is 2.0 urea is 68 and presently I am feeling tightness in my back upon right side kidney whenever I am standing up from my sitting position. I am worried about it what is happening to me? Is there any blockage in the tightened kidney? Please give me advice what to do?

Stone disease of the kidney must be evaluated by a urologist to see if this is something that could be causing your symptoms. I am a nephrologist and do not make recommendations about treating stone disease of the kidney. I … Continue reading

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

My daughter (54) just started dialysis. She is diabetic Type 1 since the age of 7. I am 74 and very healthy, only take Alendronate and Levothyroxine, exercise every day and am not overweight. I live in Florida and she lives in Ontario Canada. Should I get tested for compatibility to donate to her?

If your daughter is currently on the transplant list, then you can ask to be tested as a donor. It is necessary that she be evaluated first and deemed to be an acceptable recipient. Once she is on the list, … Continue reading

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

My GFR has dropped from 28 to 17 in a matter of 6 months but my diet has changed for the better, potassium went from 6.1 to 5.1 using Veltassa, staying well hydrated but nobody can explain the quick drop in GFR. My question is my primary care doctor has me on Actos and Glyburide for Type 2 diabetes and my last A1C was 6.8%. I am hearing and reading that I should not be taking Actos but my primary care doctor and 3 different nephrologists say its OK. Please help.

Actos (pioglitazone) in a diabetic drug that can cause fluid retention in patients with chronic kidney disease (CKD), but if you are tolerating the medication well and your diabetes is well controlled based on your HgbA1c, I don’t see a … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diabetes, GFR, Kidney-Related Health Questions, Medication and Kidney Function

Breads are confusing, including white bread selections. I am on a renal diet due to acute kidney disease/failure, and my kidneys have improved. Can I have whole wheat bread? I know to read labels ingredients. Thanks for your reply.

Breads can be consumed in a kidney diet. I am a strong advocate for the DASH diet. I suggest that you review the DASH diet at: https://www.nhlbi.nih.gov/health-topics/dash-eating-plan

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

My CMP w/ eGFR shows Bun/creatinine ratio of 30.0 (the reference range shown on results is 5.0-25.0.) I know I don’t drink enough water and I had been sick with bronchitis and congestion in my chest just a few days prior to the test. I only had lab work done because my sister had clear cell renal carcinoma and had a kidney removed last summer. Her surgeon told her it was a good idea for any siblings to have at least a sonogram of the kidneys. The trigger for finding her cancer was a routine health exam that showed microscopic blood in her urine. There is no other family history of cancer. I’m not really alarmed about this and all other results of my test are in normal range. I also had a CBC w/auto diff W/PLT same day and my MO% was high 19.3 (reference range 5.5 – 11.7) as well as the MO# 1.6 (ref .3 -.8). I would like to get your opinion on these lab results. When the doctors office called they said my lab was ok. Can you give me your initial impression? I do plan to have the sonogram soon.

I am unable to make a specific diagnosis based on the information that you present. The Blood Urea Nitrogen (BUN) to creatinine ratio is a calculated value that is not helpful in the diagnosis of kidney disease. I do not … Continue reading

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

I am writing for a friends daughter who lives in Costa Rica and is being treated for Factor Seven blood deficiency. Her treatment doesn’t seem to be working. They feel her problem originated from her kidneys, which one is large and one is smaller. The pills she takes help but it appears the country isn’t prescribing her enough. She hemorrhages frequently from her nose and mouth. Any thoughts or insight would be greatly appreciated. Thank you.

I am unable to link a Factor Seven deficiency to any form of kidney disease. Factor Seven deficiencies are genetic defects which means that the young lady was born with the disease and she does not make sufficient amounts of … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions