Daily Archives: March 13, 2019

Hello, I have been getting some tests done. I could tell that something was not right with my body. After two rounds of tests, my microalbumin is now at 929, Ratio with creatinine is 664, Urine creatinine is at 140. Bun is high, GFR is at 53. I have some very large kidney cysts on both kidneys. The test figures are worse now than they were. I guess I am very concerned, but the Doctors don’t act like it is a big deal. Exactly how worried should I be? I went to see a nephrologist, and he did not seem to think there was much of a problem. I think differently.

The normal for a microalbumin to creatinine ratio is less than 30 micrograms per milligram of creatinine. Hence, this value is abnormal if the laboratory units are correct and the cysts on your kidney could be of concern. This could … Continue reading

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

My last three blood tests have had consistent increases in BUN and Creatinine. My creatinine levels have increased from 1.4 in September to 1.54 in February to 1.7 in March. My most recent BUN is 27 and the prior two were 21 and 23. I had a STD urine test and they did a dipstick test and did not find any protein in my urine last month. (good sign)(but not extensive enough). I am experiencing a bit of discomfort/minor pain in my left abdomen/side and it seems to move around even going towards my groin. This recently started and I’m unsure if this is kidney pain or anxiety/constipation but its been over a week and I went to the bathroom and it is still present. My ultrasound came back around normal with a right kidney of 10.9 and a left kidney of 10.7 (good sign but is not a good determination of kidney disease and things can be missed.) I am not sure if there is kidney disease that runs in my family. Nothing I or my mother are aware of other than my grandmother’s sister losing a kidney late in life. I am a bodybuilder and am 5’8″ and 174 pounds. I lost a lot of weight due to knee surgery back (mcl reconstruction) in September; I used to be 185lbs. I have eaten over a gram of protein per lb of body weight for years. I eat around 7 meals a day and I had been taking high amounts of protein supplements for years; 1 a day and about 3 scoops of protein a day for the last year. Started using bcaas and creatine as well about 6 months ago. I stopped after surgery then started back up in December 2018. I just stopped taking the supplements after I had the second lab test of 1.54 in February. Hoping creatinine would decrease but it didn’t; as I cut back on working out and protein supplementation creatinine increased to 1.7. But I did not decrease my protein intake and I did eat a meal about 3 hours prior to the blood test. So I am unsure if the Accutane and meal before the test increased my levels but from what I have researched it is potential but doubtful. I had a normal ultrasound as well. I went to a nephrologist yesterday and he told me he was not worried and optimistic that this isn’t kidney disease. He did a urinalysis and I had no protein or blood in my urine. My creatinine was MG/DL (U) was 110.80.

I am unable to make a specific diagnosis based on the information that you present. You have a number of issues related to high protein intake that may be affecting your serum creatinine. In some cases, a 24 hour urine … Continue reading

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

Hello, doctor. I’m a mother with a 2 month old baby. I was diagnosed of IgA nephropathy since 2010. Will it still be okay to breastfeed my baby though I’m drinking prednisone and furosemide? I know it will affect my milk, and if so, will I ever breastfeed her again? Or once I stop my medications can my baby still drink my milk?

Prednisone should not pose any risk to your infant as long as you are not on high doses of prednisone. Furosemide is more of a problem. I suggest that you visit with your pediatrician about this and determine what is … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Medication and Kidney Function, Nephrologist, Pediatric Issues

My father is suffering from kidney disease and pleural effusion 3 times after inspiration. His lower part of body has swelling although he is taking Dytor 100 and his blood pressure was high. But few days his blood pressure is lowering. Please respond. I am in trouble.

I am unable to make a specific diagnosis based on the information that you present. Your father sounds like he is very ill. Further consultation with his physicians will be required. His physicians are able to examine him and make … Continue reading

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

MRI of lubar spine without contrast revealed T2 hyperintense right renal lesions (perhaps renal cysts?), and right hydronephrosis measuring 1.9 cm. Is this significant enough to see a nephrologist? Thank you.

A Magnetic Resonance Imaging (MRI) scan is a very difficult scan to interpret for cysts of the kidney. I suggest consultation with a urologist. A urologist is best trained to evaluate both the obstruction and the question of a lesion … Continue reading

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

If I have been in Stage 3 kidney failure with hydronephrosis off and on for five years and have one kidney that is duplicated and have lost 10ml function in October last year and now in February another 10ML of function putting me at 26 GFR and 1.75 Creatinine. I am now in Stage 4a, is there any hope of recovering the function I have lost because of infection the last 6 months that was only discovered/treated this last month with five days Omnicef?

I am unable to make a specific diagnosis based on the information that you present.  If you are losing function, you need to have a specific diagnosis to determine if your obstruction is getting worse or if this is the … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, GFR, Hydronephrosis and Hydroureter, Kidney-Related Health Questions, Nephrologist, Serum Creatinine

Question for you? I have an AV fistula in my left arm and I have dialysis that I do and I want to know what it means when it starts burning when I’m not at dialysis?

You should ask to be examined by your nephrologist. I would be concerned about the possibility of infection. You should bring this to the attention of your dialysis nurse at your center.

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

Age 77, Diabetes but taking insulin for 20 years. MODD including heart, brain. Now B.P. 100 after treatment in a multi specialty hospital in India. Dialysis done. Can he recover?

I am unable to offer a prognosis without performing a complete history and physical examination. I am not familiar with the acronym “MODD”. This is not a common abbreviation that I use or are familiar with. I suggest that you … Continue reading

Posted in Ask the Doctor, Diabetes, Dialysis, Hypertension/High Blood Pressure, Kidney-Related Health Questions