Daily Archives: February 7, 2019

I have stage 3 kidney disease. Can I still drink the recommended 2 liters of water for women?

Yes. Drinking appropriate amounts of water is important in patients with Stage 3 chronic kidney disease (CKD). In some cases, water drinking may be limited if your blood sodium is low, but this is unusual. You should check with your … Continue reading

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

I suffer from kidney disease. In July I had my right kidney removed. I now suffer from anemia and my iron level is 3%. They want to do an iron infusion and I am not sure I want to do this. Your assistance is appreciated. Thank you.

I commonly recommend iron infusions for patients with iron deficiency and anemia with kidney disease. Patients with chronic kidney disease (CKD) often cannot absorb iron very well and infusion of iron is the most appropriate treatment in this situation.

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

I got my 2nd chest catheter (1st didn’t work) and now have done some research which indicates it should only be temporary. My doctor never mentioned this. I don’t think a fistula is feasible as my veins are poor. The doctor is insisting that we try home dialysis as there is too much chance for an infection at a center. My wife is overwhelmed by this. I am 80 yrs old. Need your opinion.

I agree that a chest or tunneled hemodialysis catheter should only be used for temporary hemodialysis access. A fistula has much less chance of resulting in a serious infection on dialysis. Home peritoneal dialysis is an option and does not … Continue reading

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

I am wondering about the use of digestive enzymes and nutritional supplements with CKD stage 3. I would like your advice as to the use of the dietary supplements, betaine hcl, digestive enzymes and probiotics.

  I have no first hand experience with the use of enzymes and probiotics in patients with Stage 3 chronic kidney disease (CKD). I have read about recommendations for these supplements but I know of no scientific studies that support … Continue reading

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