Daily Archives: March 25, 2019

I am 63 and I am doing PD dialysis at home. It is going well. I have been evaluated for a kidney transplant. What is the difference between PD dialysis and transplant as far as life expectancy?

In general terms, a successful kidney transplant will roughly double your life expectancy compared to you life expectancy with dialysis. Advertisements

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

I have been on PPI’s for about ten years. I have been on omeprazole for about the last five years. I am a 66 year old white male, with a slightly elevated glucose level (110). I am 5’9″ and weigh 150. I was placed on PPI’s secondary to gastric ulcers and early Barrett’s; I was also diagnosed with polycythemia 8 years ago which is presently controlled with phlebotomies and daily aspirin (another reason PPI’s were suggested). Recently my creatinine has risen to 1.5 and GFR fluctuated between 57 and 44, and I just began seeing a nephrologist. Should I stop taking the PPI?

There is clearly an association between chronic kidney disease (CKD) and the long term use of proton pump inhibitors (PPI’s) such as Omeprazole and others. An association does not necessarily mean a causation, however. I suggest that you review this … Continue reading

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

I developed a sharp abdominal pain below the right ribs and sometimes at the back. I sweat a lot. Creatinine is 1.5. Blood test as follows: Sodium 138, potassium 4.0, chloride 102, urea 24 and bicarbonate 22. Urine test as follows… WBC 0-2 RBC… NILL CAST…NILL CRYSTAL..NILL SCHISTOSOMIASIS… NILL T. VAGIN… NILL CULTURE…. YIELD NO GROWTH. C.T SCAN REVEALED (GRADE 3 HYDRONEPHROSIS). Differential includes, blood clot, stricture and calculus. No difficulties in passing urine, yellow urine not blood urine. Please, what’s the possible cause of the pain, and hope nothing is gone wrong with the kidney? In contrary, can everything still be okay including the kidney? Can it still function very well and effective? Thanks as I anticipate your swift responses.

I am unable to make a specific diagnosis based on the information that you present. The problem that you describe is a urological problem. You should be consulting with a urologist for appropriate diagnosis and treatment. Further examination by the … Continue reading

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

My friend was diagnosed with collecting duct carcinoma and recently had her kidney and a nearby lymph node removed. Her Doctor hasn’t seen a case of CDC in 20 years. She will get a 2nd opinion at the Mayo soon. Do you have any recent information or know any doctors in our Minneapolis area who has experience with this condition? She is waiting for results of her PET scan from Tuesday, which seems like it is taking too long considering her condition. Any help you could provide would be appreciated. She is 65 and is strong. Thanks.

I am a nephrologist and do not deal with cancers of the kidney. I have never seen a collecting duct carcinoma. The collecting duct is one of the unique cell types of non-clear cell carcinomas of the kidney but I … Continue reading

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

My crea/alb ratio became less to 0.20mg/24hrs last month but now it’s 0.27. I got desperate about my treatment. It seems ineffective. Is there any more efficient treatments? (I reduced sodium intake including table salt) What should I do??? Please RASAP!!!

I am not sure of the nature of the laboratory results that you are providing. The result that you provide is an creatinine to albumin ratio. The test is usually provided as an albumin to creatinine ratio. I have not … Continue reading

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

Hello sir. My father is a kidney patient. We got to know about his problem before 6 months. He is getting treatment from the Delhi hospital. But now his creatinine level is increasing (4.86). Being a daughter, I am very insecure about my father. We do not have good financial condition. Please help us. What should we do now?

Your father should be consulting with a nephrologist in his local area. A nephrologist will assist your father in making the best decisions he can make about options for treatment. It is important that the nephrologist make a specific diagnosis … Continue reading

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

I’m trying to build muscles and I’ve read that in order to do that, I need to ingest 1g to 1.5g per pound of my lean body mass. That translates to about 150g to 200g of protein a day. Can my kidney (sonar shows very small kidney stones, but otherwise healthy) handle that amount of protein?

I do not recommend this type of diet. The typical Western diet is between 1.0 to 1.5 grams of protein per kilogram of body weight (not pound) and for patients with chronic kidney disease (CKD), I recommend 0.8 to 1.2 grams … Continue reading

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

My boyfriend was recently diagnosed with stage 5 kidney disease as well as heart failure (had a heart attack). Due to his blood pressure, it is delaying dialysis. I have concerns as to how the delay will effect him and when is the wait too long. He has had congestion for some time, even before the diagnosis and remains stuffy and breathing seems to be labored. His blood pressure still has not come down as they would like. He has had a lot of weight loss and I am noticing his skin being slightly darker. He is also getting mixed instructions on what he should and shouldn’t eat. Not sure if it is because they are dealing with three issues, the heart, blood pressure and the kidney failure.

I am not able to make a specific diagnosis based on the information that you present. I am not able to provide medical treatment suggestions without performing a complete history and physical examination. Your boyfriend sounds very ill and he … Continue reading

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

My Wife had a 2nd PCNL surgery after 5 years gap for reformed stone in left kidney. There was a stent placed post surgery for 6 weeks. There was blood in her urine during the stent and even after 2 weeks of the stent removal. It is not always; but once or twice during the day, during urine passing. Doctor is also surprised to see this symptom after 2 weeks and asked to wait for some more time. Please advise what could be the issue and what is the suggested solution?

The question that you ask is a urological question and has to do with “percutaneous nephrolithotomy” (PCNL). I am a nephrologist and I have no surgical expertise. I have no experience with PCNL and do not have any experience with … Continue reading

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

Hi, I am a 57 yo Female and just had my routine blood work done. It shows a BUN/Creatinine of 25, trace ketones and cloudy urine. I have had many UTI’s over the years but now have one a year. I also take Linzess for Chronic Constipation. This has caused severe diarrhea so I have seen a gastroenterologist and he recommended I reduce the dosage. I am currently taking one every other day. Should I be concerned about kidney disease? What questions or tests should I request from my Doctor? Thank you for your time.

I am not a fan of the Blood Urea Nitrogen (BUN) to creatinine ratio. I think it can be rather misleading. If your creatinine and BUN are both normal, I do not think this indicates any kidney disease. In most … Continue reading

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