Daily Archives: January 14, 2019

This is being written just having been diagnosed with Chronic Kidney Disease Stage 3 Glomerular Filtration Rate. I have gas coming from my vagina for several months. At the time I first noticed it, I just discounted it. I have just gotten Internet this past month and started to look up ’gas in urine’ and was surprised to learn this is for real. I also have yeast infection. On that note, I had been well since before July 2018. Unusual amounts of rain flooded my basement this past year. Mold/fungi developed and air quality tests showed aspergillus and basidispores very prevalent in my house. I needed to move out but five months too late. Remediation has taken place where I lived before. Health issues developed skin, rash, watery eyes, and much more. This was the time when urinating bubbles/foam appeared in the toilet. This recent diagnosis CKD Stage 3 needs health care. I need advise as to who knows how to treat this and also the provider be aware of the fungi that I breathed for 5 months. Thank you for this opportunity to express myself on this matter.

Your primary care physician (PCP) should be the first person to review your history and provide a complete examination. You should also have a urinalysis performed to confirm if this is air coming out in the urine or are the … Continue reading

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

Assuming the average person doesn’t weight train, I am led to believe that we lose muscle mass with aging. Does this mean that blood creatinine levels also decline as we age? As GFR is calculated from serum creatinine and is inversely proportional to serum creatinine, does this mean that as we age and creatinine declines our GFR slowly increase? Or since kidney function also declines with age, the two effectively cancel each other out and GFR essentially stays in a narrow range as we age? I assume the CKD- epi equation is configured to reflect this? Are the rates of decline in kidney function and creatinine levels similar or is one faster than the other? Will GFR keep declining with age even with declining serum creatinine levels?

You are correct that as we age, our muscle mass decreases and hence our ability to generate creatinine is also  decreased as you age. We usually say that your creatinine generation rate declines with aging and hence the total amount … Continue reading

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

Father is 92. Home bound. Has had a catheter for over 5 years. Limited kidney function but urine output is good and shows no sign of infection. But he is experiencing bladder spasms. He is on the correct diet; using cranberry juice, no caffeine, no salt, no sugar etc. Believe spasms from catheter irritation and maybe from a low dose of furosemide 10 mg/daily. Has constipation on and off and have tried and are using Miralax, Mylanta and gas and bloating pills over the counter as doctor suggested. Has slight reddish color to urine/blood, but not bad, it has been worst in the past. No smell or signs of urinary infection. Drinking plenty of cranberry juice and water. How can we reduce the spasms more? They are worst right after a catheter change (but doesn’t start till about 10 hours later) and are reduced over time. Yesterday, we almost had to go to the ER because he couldn’t deal with the pain. He had a surgical procedure while in the hospital 2 months ago due to blood clots/and full blockage after a change where they cleaned out the bladder. Had residual clots for about 3 weeks after that. He feels good about a week before the cath change is due and then has to go through all this again once the cath change is done. We’ve tried different nurses, different urinary doctors, ER and etc. Is there any other things that we can try? I read that maybe Detrol/Norpamin, or maybe Buscupan may help. What do you think?

Bladder spasms in men are very common with long term indwelling bladder catheters. There are no good medications for this. In some cases, bladder suppositories containing narcotics have been used, but narcotics in the elderly commonly induce confusion and sedation. … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Urinary Tract Infection/Pyelonephritis, Urological Issues

Hello. My question is, how do I begin the process of becoming a living kidney donor through NKF? I went to the website but it was confusing.

The National Kidney Foundation (NKF) does not officially have any role in registering or evaluating individuals as a living kidney donor. Each individual transplant center determines who can and who cannot be a donor to their program. Hence, you would … Continue reading

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

My GFR goes between 27 to 29, so I know I have stage 4 kidney disease (for a short time it even went up to 32). I have three questions. Why don’t I swell much in my feet and legs with stage 4? I have just a bit of swelling if my feet are down. Also, about how long does it take to progress to stage 5 if I don’t take any precautions? Are low grade fever and stomach bloating symptoms of kidney failure? Thank you.

The swelling that is experienced in kidney disease can have many causes. These include a high salt diet, the nephrotic syndrome (spilling large amounts of protein into the urine) and heart disease, just to name a few. I am unable … Continue reading

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

Our daughter now aged 18 years was diagnosed with Bilateral Nephrocalcinosis in year 2010. Her Creatinine level was 1.7 in 2010. She had enlarged kidneys with calcium deposition. Her kidney function has since then gradually receded. Following are her test results in 2018: • Creatinine level has reached 4.3 • GFR around 15. • Hemoglobin keeps varying, now at 6.5. • Serum Iron is 21 µg/dl and saturation is 6% • PTH Intact is 415 pg/ml • Echo test and Liver Function Test are normal. For low hemoglobin she is taking Iron supplements and also IV Iron drips along with Darbepoetin injections sometimes. Calcium supplements and Sodamint (bicarbonate tablets) are being advised by doctors. She was under medication for High BP, but its now under control. She does not show any kind of symptoms like vomiting or swellings as asked by Doctors. Doctors are now asking us to be prepared for dialysis and kidney transplant in near future. We look forward to any feedback or information which can help us prevent dialysis and transplant by reducing her Creatinine level and improving her kidney function. Kindly revert with your positive feedback.

There is no known treatment for or any medication that will reverse kidney failure caused by nephrocalcinosis. In most cases, this is related to medullary sponge kidney disease. From your description, it sounds like your daughter is being properly treated. … Continue reading

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

A girl after pregnancy diagnosed with both kidney failure. Suggestion please?

It is certainly possible that someone could develop kidney failure after pregnancy. There are a number of kidney diseases that can complicate pregnancy including systemic lupus erythematosis, scleroderma, post partum kidney failure, and other forms of nephritis. In some cases, … Continue reading

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

Hello Doctor, My brother has been diagnosed with hypertension and GFR 58-69 for 5 years (routinely do blood test every 3 months). There is no albumin or blood in his urine. He then has been taking oral medications. My concern is the long term consumption of PRORENAL. His internist said that Prorenal is just a supplement for his renal and my brother may use it during his course of life. However, I read some articles that essential ketoacid shouldn’t be used for years. Is it safe to take Prorenal for more than 5 years? I look forward to hearing from you. Thank you, Doctor.

Prorenal is a supplement that can be used by patients with chronic kidney disease (CKD). There should be no harm in using the supplement in the long term. Your brother should also consume a low salt healthy diet in addition … Continue reading

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

Is Kidney Disease reversible?

Acute kidney disease can be reversible. Chronic kidney disease (CKD) is generally not reversible. CKD is generally treated to prevent further loss.

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