Daily Archives: December 5, 2018

Lab results are: MicAlb 7.8. alb/cr 121.0, urcreat 64.4. I am Type two diabetic and have high blood pressure. Should I be concerned with these values? Thank you.

The normal for a urine microalbumin to creatinine ratio (alb/cr) is less than 30 milligrams per gram of serum creatinine. The value you report may be elevated but you do not mention the units. I suggest that you review this … Continue reading

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

How do I know what stage of CKD I am? I was just diagnosed with IgA Nephropathy and Secondary FSGS.

You will need to know your serum creatinine and then use this value to calculate your estimated glomerular filtration rate (eGFR). The eGFR is then used to categorize your stage of chronic kidney disease (CKD). You can review the calculation … Continue reading

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

Hi Dr. I’m a 32 y/o woman. My ultrasound indicates “increased renal echogenicity”, but my creatinine BUN and eGFR levels are all normal. My kidney sizes are also normal. Anything to worry about? Thank you.

The echogenicity of the kidneys on ultrasound examination is usually a judgement call on the part of the radiologist who is interpreting the study. It is usually based on a comparison to the echo density of the liver or the … Continue reading

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

My daughter was born with two kidneys, but lost one after birth. She is very healthy as far as we know with the one kidney life style she is leading. We go see her kidney doctor every year. My concern is that all he wants to check is her blood pressure. He doesn’t ever take a urine sample or a blood test. I was just wondering why? Thank you.

Both I and the National Kidney Foundation would recommend that blood and urine testing for kidney disease to be done annually in anyone at risk for chronic kidney disease (CKD).  If your daughter is still a child, and she has … Continue reading

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

Hi Doctor. I wanted to ask about hydronephrosis. My son has hydronephrosis in both kidneys. Does he need surgery? One Doctor said he needs surgery because of kidneys are swelled but one Doctor said he doesn’t need surgery. He has reflux and he will be fine with time. Please help me. I’m confused.

Blockage of the kidney (hydronephrosis) is within the expertise of a urologist. A urologist is a surgeon and deals with surgical diseases of the kidney. I am a nephrologist and have no expertise in surgery. I suggest that you consult … Continue reading

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

Hello Dr. Spry, I am a 66 year old female with retroperitoneal fibrosis. I was diagnosed in 1984. My right kidney was blocked to the point it blew up to 3x’s the normal size. The damage was extensive to my right ureter and it had to be wrapped with tissue from my bowels. Now, I have hydronephrosis in the right kidney and my doctor wants to stent me every 6 mos. He feels additional surgery is not an option. I am looking for a physician who specializes in retroperitoneal fibrosis. They are not easy to find. I want to see if I have any other options.

The diagnosis of kidney disease from retroperitoneal fibrosis is a disease that causes blockage of the kidney. A urologist is the best physician to deal with blockage of the kidney. I am a nephrologist and I have no surgical expertise. … Continue reading

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

My husband, 73 years of age, diagnosed with kidney failure; Stage 5 creatinine 4.9, BUN fluctuate from 55 to 65, today is 80. All the other blood and urine test in the range. Still has no symptoms at all. He is scheduled for Fistula. How serious is it to have BUN number that high?

The Blood Urea Nitrogen (BUN) is just another aspect of kidney disease but the absolute number is not of any particular significance. The most important thing that you present is that your husband is not having any significant symptoms. That … Continue reading

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

My father had BP last five years. He doesn’t take any medicine for BP. Recently, he has some problems. He walks on some distance (2-4 mins); starts pain in left hand fingers to left chest. After few minutes, take rest to support to go forward. Recently I consulted couple of doctors with my dad. They wrote some test and follow all of them, everything is positive in heart side. They suggest to go for angiography. We prepared, but one of the blood result in the level of serum creatinine comes to 2.3. So doctors said to now angiography is not well because its affect to kidney. Can you give any suggestion and alternatives for this case?

There is going to be some risk associated with any treatment of your father. Your father will need to see a kidney specialist to see if this kidney problem is permanent or if this is potentially reversible. Once the cause … Continue reading

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