Monthly Archives: December 2018

Help! I have a higher creatinine than normal, 123.44 umol/L. I had it tested after numerous parties, drinking and less sleep. I also take food supplement Lecithin-E. My BUN is 3.45 mmol/l. 6 months ago I have a 95 creatinine. Am I dying?

The normal for a serum creatinine is between 45 and 90 micromole per liter (umol/L) and the normal for the blood urea nitrogen (BUN) is between 2.5 and 7.0 millimoles per liter (mmol/L). Hence, your testing for the serum creatinine … Continue reading

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

Hello doctor. I just recently had a test done. Could you give me your opinion on what this means? UREA NITROGEN (BUN) 31 H, CREATININE 5.49 H, BUN/CREATININE RATIO 6, SODIUM 136 POTASSIUM 4.0 CHLORIDE 94, CARBON DIOXIDE 32, CALCIUM 9.6, PHOSPHATE (AS PHOSPHORUS) 5.0 H, ALBUMIN 4.3. My creatine was 10 before now it is 5.49. Does this still require dialysis? I do not get swelling in the legs. Just trying to find out if I was placed on dialysis prematurely. Thank you.

The testing that you provide still suggests that you have advanced kidney disease. The numbers that you provide would be about what is expected for a patient who has End Stage Kidney Disease (ESKD) and is on dialysis. For additional … Continue reading

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

HI, I donated a kidney to my sister 17 years ago. I just had my labs done and my creatinine was .88 and BUN was 23 and BUN/creatinine ratio was 26. Is it normal to have a somewhat higher BUN with one kidney? Is it anything to worry about? thank you.

The blood urea nitrogen (BUN) test is not a very good test for kidney function. I do not think this is a significant elevation in the BUN. The BUN can have many reasons to be elevated that do not involve … Continue reading

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

What are “normal” creatinine, BUN and eGFR numbers for a patient with one kidney. My husband went to the ER to be treated for dehydration. His BUN was 46 and creatinine was 1.58. They said he had Stage III kidney disease which obviously was not true. Thank you.

Stage 3 chronic kidney disease (CKD) requires that the estimated glomerular filtration rate (eGFR) be between 30 and 59 milliliters per minute per 1.73 meters squared and it be present for at least three months.  Since you husband was treated … Continue reading

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

Hello! I’m 48, no major health issues (I am post menopausal, hypothyroidism, but no diabetes, no hypertension). I do have thin basement membrane nephropathy. My GFR has been consistently low for several years 40’s-50’s. Last was 44 and creatinine was 1.3. All other labs have been fine and I’ve just started seeing a nephrologist. 1.) Should I be concerned to where I need to alter my diet or make any other lifestyle changes? I want to do everything I can to not let this get any worse. And 2.) Is this considered stage 3 chronic kidney disease yet all other labs are normal? And last 3.) Could this be a cause of a general feeling of malaise and poor appetite at times? Thank you so very much!!!

Thin basement membrane disease usually causes blood in the urine (hematuria) but rarely causes progressive kidney disease. Hence, I am surprised by the low estimated glomerular filtration rate (eGFR). This would be classified as Stage 3 or 3b chronic kidney … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, GFR, Hematuria, Kidney-Related Health Questions

My father, age 73, has been operated twice last month. He had acute intestine obstruction and had laparotomy. After the surgery, his Urea increased to 94. But gradually it decreased to 50. But now, after 20 days of his surgery, he has stopped urinating. Even the urine bag has been fixed but it is empty even after 2 days. He is feeling pain in his chest. His bladder is felt empty. The creatinine has increased to 4.6 mg/dl and urea to 70 mg/dl. Sodium is 134 mmol/L Potassium 4.5 mmol/L nd chloride 99 mmol/L He is not urinating since 3 days. Please tell me what cause can be and what should be done? Thanks in anticipation.

Your father appears to have acute kidney injury as a complication of the surgery. I am unable to make a specific diagnosis as to the cause of the acute kidney injury. In most cases, this requires dialysis until the kidney … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Dialysis, Kidney-Related Health Questions, Treatments

My brother is at end stage kidney disease and has been deeply depressed for the last three months. I understand the link between depression and chronic illness. He has not been compliant with his dialysis and most recently was off dialysis for 23 days. He lives in South Carolina and does not have a support network. I am trying to move him to Indiana but Fresenius will not accept him as a transfer patient related to noncompliance. Can dialysis centers refuse care? If we bring him home to Indiana, can they still deny him life sustaining treatment? We believe he will fair better with a support network and will be compliant. His noncompliance began with the depression that went untreated by his doctors in SC. Thanks, for your input.

Each dialysis center can deny transfers from one center to another based on non-adherence to dialysis.  Patients who are non-adherent to a dialysis schedule can be disruptive of their own care and also the care of other patients.  Another way … Continue reading

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

My dad has suffered for the last 15-20 years from kidney stones. When my brother and I would visit him growing up, we could almost always guarantee a few of those days would be spent in the hospital. Although no direct correlation has been made, my dad used to work on a casino boat and would often help paint the paddle wheels. Many of the workers that did this ended up with severe kidney/lung problems and there has been an ongoing lawsuit against the company. My dad was unable to afford legal assistance but it did seem to be around that exact time that his problems started. He currently lives in a very small rural area and has been seeing the same urologist for a long time. I have not been able to see any improvement, only degradation, of his condition. He is disabled and no longer able to work. I want to be able to do something to help him but have no idea where to begin. Should I recommend that he sees another physician? What are some things that he can do at home to help relieve pain? Honestly any help would be greatly appreciated. I have read articles on the internet but would love to hear some feedback from a more reliable source. Thank you!

If he is still having recurring kidney stones, I recommend he see a nephrologist who is interested in kidney stones.  You father may want to suggest this to his primary care physician (PCP) to see who he or she would … Continue reading

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

I donated a kidney to my brother in October 2016 and since the donation I have had +1 Blood in my urine and mucus threads present. Everything else is in the normal range. I have gained 20lbs (from 115lbs to 135lbs) since donation as well. Should I have any concerns? Or what questions should I ask my doctor? P.S. I’d do it again. I love my brother!

The blood in your urine does not sound like something that is normal. I would have your physician check to be sure that there are really blood cells in your urine. If so, then further testing by a urologist may … Continue reading

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

My son has just found out that he has had only one functioning kidney since he was about three years old. I worry that the kidney may fail and I want to be sure that I am a able to donate one of my kidneys if this happens, so I want to know if I can get a test done now to see if I am a match to save time if the need arises that he needs a transplant in the future. Is this possible?

There is no single test that you could do at the present time to see if you could be a donor for your son. You could do a blood group typing test to see if your blood groups match but … Continue reading

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