Daily Archives: December 10, 2018

Hello sir. My grandmother is suffering from high levels of potassium and alkaline phosphates. She doesn’t have any symptoms, but in last 2-3 checkups, the levels are really in the danger zone. Please suggest a diet or any caution needed. She is also pure vegetarian.

I am not able to recommend medical therapy without performing a complete history and physical examination. I am not able to make a specific diagnosis based on the information that you present. It is difficult to suggest a diet when … Continue reading

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

Hi Doctor, my father is of age 60 years and suffering from HCV and KCD. His creatinine is 13.8 and HB is 11.9. He is having no vomits or any other symptoms that patient suffers when they have KCD. I want to ask that can we still delay the dialysis or not? Does delay will make his condition more severe if we delay the dialysis? Regards.

The decision to start dialysis requires that a nephrologist and your father review the risks and the benefits of dialysis therapy. The decision to start dialysis is not based on any number. The laboratory data that you present suggests that … Continue reading

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

Hi. Could I ask someone to please ask a health professional with your association why my recent blood creatinine is 0.65 but my 24hr urine creatinine is 498mg/24hr and urine creatinine clearance is 54ml/min? Do I have kidney disease or damage? I had proteinuria a month ago when I lost twenty pounds quickly with diet & metformin but when I did 24hr protein recently it was normal. I am 28, 210 pounds, have fatty liver, and type 2 diabetes. I also used to take lithium for 10 years. I’m concerned my kidneys may be actually damaged at a stage 3 level but my blood creatinine doesn’t show it and maybe there is something I could do now to help? Thank you so much.

I am not able to interpret a 24 hour urine test without performing a complete history and physical examination. Twenty four hour urine collections can be very difficult to interpret and are subject to many errors.  I suggest that you … Continue reading

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

I am at stage 3 CKD and ultrasound revealed hydronephrosis and essential hypertension. DMX revealed osteopenia. What other medical professionals might I consult for health? I am seeing a nephrologist for BP management.

You should have a primary care physician (PCP) who coordinates your care and recommends consultation with other specialists in order to maintain your overall health. The hydronephrosis may require consultation with a urologist to see if a blockage of the … Continue reading

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

My father is 63 years old. He complains of gouty arthritis, serum uric acid is 6.6, normal renal functions. Does he need to get medications and what about Febuxostat? Thank you very much, sir.

Gout is usually a clinical diagnosis that requires an examination by your father’s physician. If he has gouty arthritis, then treatment with either Allopurinol or Febuxostat (Uloric) would be appropriate. For additional information about gout, please visit our website at: … Continue reading

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

Is it possible for my GFR rate to go from 57 to 65 in 4 months time when my GFR rates for the last 5 years have been in the 50’s?

The difference between an estimated glomerular filtration rate (eGFR) of 57 and 65 milliliters per minute per 1.73 meters squared is within the usual range for laboratory variation. I would not consider these numbers to be clinically different from each … Continue reading

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

Hi, my partner who is 29 year old female had bad pain in stomach 6 months ago which passed after several hours. A&E performed CT scans and ultrasounds and couldn’t see anything. No pain since then however they’ve carried on testing and now referred to kidney specialist, as GFR is 43 and creatinine is 141. She isn’t a smoker, isn’t overweight, and goes to the gym 3-4 times a week. I am terrified her kidneys are failing at such a young age. She has no ill symptoms at all, just the abnormal results.

I am unable to make a specific diagnosis based on the information that you present. Your partner may require further testing including an ultrasound of the kidneys and further blood and urine testing. In some cases, a kidney biopsy can … Continue reading

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

I am always feeling tired. I pee a lot and have a short breath, have ammonia breath, and also getting sick. I am really worried and concerned if it is kidney issue or not because I search online and get to know those symptoms are also kidney issue signs and symptoms. Thank you. I await your response.

I am not able to make a specific diagnosis based on the information that you present. Kidney disease commonly presents without any symptoms and the symptoms that you describe can be seen in many different illnesses. I suggest that you … Continue reading

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

Hello. I have stage 5 kidney failure. My failure was caused by bladder cancer. A neo bladder was made, but does not release all urine, so the kidney is floating. My GFR is now at 14. I am getting scheduled for a fistula. Both of my kidneys are failing, so both will be removed. I will go on dialysis until I am able to have a kidney transplant. Up to four/six months, so I am told. I will not have any kidneys in my body. My question is: without any kidney, can I still lead a normal life, or will I be on dialysis during that entire time? I have done some reading and the answers are confusing because one says that I can do dialysis 2-3 times a week and be fine, where another article says that I will need to stay hooked up to the machines in order to continue to live until I get a transplant. Which is true? Thank you.

I am not a urologist so I am not familiar with the surgical details regarding the management of bladder cancer, but I do not understand why your kidneys would need to be removed just because they have failed. Kidneys are … Continue reading

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