Daily Archives: January 2, 2019

I have mild hydronephrosis with proximal hydroureter in left kidney and size is 12.7×4.9 cm.While I feel pain in lower abdomen as well in both kidneys. I took medicines but problem is still present. What should I do to determine the disease and treatment?

The problem that you describe is a urological problem. I am a nephrologist and have no surgical expertise. I suggest that you consult with a urologist, who is a surgeon and deals with blockages of the kidney. For general information … Continue reading

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

I have stage 3 kidney disease which has remained unchanged for 12 or more years. I’m scheduled to have a nuclear stress test in 3 days. Will there be any negative effects on my kidneys because of the dye?

The contrast used for a nuclear cardiac stress test does not have any direct ill effects on the kidney. You should be fine to undergo a nuclear stress test.

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

My brother was diagnosed with stage 5 renal failure with about 3-5% function left. My brother received a kidney transplant 25 years ago from our other brother and only has 1 kidney. The hospital is saying that he cannot receive dialysis until he gets insurance but does not qualify for Medicare until he is sicker or he gets an outpatient consultation- which the hospital canceled because he doesn’t have insurance. My brothers creatinine levels keep rising but the hospital says his potassium levels is what needs to be watched. My sister and I both want to get tested to donate but they said they can’t test us until he is assessed by the transplant team which also won’t help until he has insurance. I do not want my brother to get so sick he can’t handle a transplant but I feel he is being held back from treatment. Is there any other steps we can take? I feel like we are just watching and waiting for him to get too severe.

Your brother should consult with a nephrologist. If your brother has only 3-5% kidney function remaining, he should be eligible for social security disability insurance (SSI) and this would also make him eligible for Medicaid and possibly Medicare. It is … Continue reading

Posted in Ask the Doctor, Insurance & Medicare Coverage, Kidney-Related Health Questions, Living Donation, Nephrologist, Transplantation

Dear Dr. Spry, I am from Iran. My wife is diagnosed to have nephrocalcinosis, with the low level of potassium and high amount of calcium in her blood and those deposited in her kidneys. She had her consultation with a well-known endocrinologist that resulted in her hospitalization for a week for the purpose of true diagnosis. She is told that she has a rare type of Bartter syndrome. My online information obtained reveals that there are over 73 types of Bartter syndrome. Now my question is that despite the diagnostic procedure taken here in Iran, what do you recommend to be done to find out exactly what type of rare syndrome she is inflicted with? Many thanks in advance.

In order to treat your wife, it is not necessary to know the exact defect that is present in the kidney that results in a clinical syndrome consistent with Bartter’s Syndrome. In most cases, it is necessary to treat the … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions

What does stage 5 of CKD entails? What diet to follow? How severe is it?

Stage 5 chronic kidney disease (CKD) is characterized by an estimated glomerular filtration rate (eGFR) of less than 15 milliliters per minute per 1.73 meters squared and it must be present for at least three months. To learn about the … Continue reading

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

My latest blood work showed Bun level of 31 along with Creatinine levels of 1.38. What does this indicate?

You can use this information on our web site to calculate your estimated glomerular filtration rate (eGFR). This is an estimate of your kidney function. It will give you an estimate of your current Stage of chronic kidney disease (CKD), … Continue reading

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

Hi my daughter is 3 she has had kidney hydrophonosis in her left kidney since I was 24 weeks pregnant. It was diagnosed as a common problem and she was put on trimethoprim from the day of birth. I was told every appointment it would go away; as she grew it never did. 4 weeks ago the consultant said to take her off her long term medication because the kidney swelling has been static for most of the 3 years and she has never had a urinary issue ever. When she came off she developed her first kidney infection 2 weeks after being taken off the antibiotics, this was her first ever urinary issue. She was put on co-amoxiclov for 3 days which clears it up within 3 days. She had another infection. She was then put on trimethoprim a higher dose for 3 days which hasn’t cleared the infection. She is in pain and has the doctors again tomorrow. Her urine has been consistently full of blood, protein, nitrates and leukocytes. I have been updating the consultant on how she is doing and that she is now suffering from repeated infections to which he states she needs consecutive infection to move onto any other plan of action. He will give me no answer as to when I have to let this continue to, she is ill and they won’t listen to me. Could you please give me an idea of what to do from here? And what might need to be done now? I’m so, so sorry this is so long but it’s so hard to watch her like this and have no help. Thank you.

I am an adult nephrologist and I have no expertise in the treatment of childhood urological illnesses. The problem that you describe is a urological disease and must be evaluated and treated by a urologist. I recommend that you consult … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Hydronephrosis and Hydroureter, Kidney-Related Health Questions, Nephrologist, Pediatric Issues, Urological Issues

My dad was diagnosed with diabetic kidney disease 8 years ago with creatinine of 1.6 something and it has been increasing since then (it remained less than 4). Since last 2 weeks, it increased from 4.3 to 4.5 then 5.5 then 6.5 and now 8.3 along with increased blood pressure going as high as 180/90 or 180/110. His blood sugar was increased too but it remained around 210-220. My father is reluctant to go for dialysis, so his doctor advised him to get AV Fistula surgery done in case the emergency arise. Now my question is, is it necessary to get it done? Is this the last resort?

I am unable to make a specific diagnosis and treatment plan without performing a complete history and physical examination. Your father appears to have a more rapid progression of his diabetic kidney disease than is commonly seen. I suggest that … Continue reading

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

Can stage 5 CKD be reversed?

I am unable to offer a prognosis without performing a complete history and physical examination. In most cases, Stage 5 chronic kidney disease (CKD) is not a reversible disease.

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

I have had 2 kidney stones, one that passed by itself and the other that had the shockwave treatment. I feel like I may have another one but I have noticed that when I urinated, the pain in my lower left side of my back came back. My question is when your bladder is full does the stone stop moving and causing pain?

I am a nephrologist and do not deal with active kidney stone disease. The question that you ask is a urological question and should be addressed to a urologist. I suggest that you consult with a urologist.

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