Daily Archives: April 8, 2019

My friend’s Mom is diabetic since last 10 years, and also her creatinine level was high in past few years. Since month, her creatinine level kept on rising and now its 7.9. Can you please suggest what should we do now? Is there any thing that can bring back her creatinine level to normal or any medication or something to improve her kidney health?

I am unable to make a specific diagnosis of kidney disease based on the information that you present. Your friend’s mother should seek consultation with a nephrologist. Diabetes is a very common cause of chronic kidney disease (CKD) and generally … Continue reading

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

My father is a CKD patient; CKD stage 4, eGFR 23ml/min. Now he has been suffering from Shingles (Herpes zoster) since last five days. Can he take acyclovir (Acivir 400 DT)? The prescribed dose is Acivir 400 DT 4 times a day.

I cannot recommend doses of acyclovir without performing a complete history and physical examination. The typical dose of acyclovir recommended for treating shingles (herpes zoster) is Acyclovir 800 milligrams five times daily for seven days. The dose of acyclovir must … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, GFR, Kidney Stones, Kidney-Related Health Questions

Dr. Spry, For 80 year old female (my mother) underling cardio surgery with stage 4 CKD, eGFR: 22, Creatinine: 1.99-2.20 mg/dL, Bun: 55 mg/dL, and potential sulfa allergy, it appears there are very limited pain management/medication options available even with ERAS protocol. We have been given Tylenol Extra Strength as only option from cardiology team due to other Rx having contraindications with sulfa allergy and renal/kidney condition. Are you aware of any pain medicines or nerve blockers that we should explore/ask about? Mother also takes carvedilol and candestartan so typically need to avoid NSAIDS. Interested in your opinion about any options from better to worse for us to investigate. We know that pain management is critical to cardio surgery recovery. Thank you.

Narcotic pain medications are commonly used for surgical pain relief in patients with chronic kidney disease (CKD). Narcotics such as hydrocodone, oxycodone, fentanyl and hydromorphone are commonly used in patients with advanced CKD. I suggest that you review these with … Continue reading

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

73 years old diagnosed with stage 5 kidney failure with no symptom at all today. I had to go to urgent care for frequent urination, temp and tremor. The urine test shows UTI. My question to you Doctor, was it safe to give me a shot of Rocephin and 10 tablets of Cefdinir 300 mg one a day? I felt real good only few minutes after the shot. Thank you.

The dose of Rocephin does not change with advanced chronic kidney disease (CKD). The dose of Cefdinir changes from two per day to one per day with CKD. Antibiotics will take at least 4-5 days to be effective but you … Continue reading

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

I am a kidney patient. 2 years 6 months ago Bangladesh biopsy report; membranous nephropathy. Then treatment Solumedrol 1 gm in 3 months. Protein not controlled then. I am abroad in India. India biopsy report C3 nephropathy. Doctor suggested Cell Cept 500. 2 years not controlled in protein. Now protein 24 hours 6000.

I am unable to provide treatment recommendations without performing a complete history and physical examination. I suggest that your nephrologist compare the two biopsies for common findings and contrasting findings. You may require further testing. I specifically recommend that you … Continue reading

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

My GFR is 33 and creatinine 1.7 urea 25. Urea not passing without tablet. How many years will I live without dialysis?

I am unable to provide a specific diagnosis or prognosis based on the information that you present. I suggest you contact a nephrologist in your country for a full history and physical examination in order to offer a specific diagnosis … Continue reading

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

We are in Gujarat, India. My nephew’s son is of 14 years. His Creatinine level is 2.2. Can it be fatal anyway? What vegetarian diet can he be given to lower down the Creatinine?

I do not know of any vegetarian diet that will lower the serum creatinine. I do suggest a low salt diet. I suggest that your nephew limit his sodium intake to less than 2300 milligrams per day. I am unable … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Kidney-Related Health Questions, Serum Creatinine

Hello Sir. I’m a 37 year old male. I have high blood pressure. Recently, I found protein trace in my urine. After 24 hrs urine protein, it showed 109.5 mg/24 hrs. And spot urine protein 4.0 mg/dl and spot urine creatinine 24mg/dl. Urinary protein creatinine ratio (PCR) 0.16. I would like to know if I have CKD? Also, which level CKD do I have? Thank You.

The normal for a 24 hour urine protein collection is less than 150 milligrams and hence, your urine protein is normal. The normal for a urine protein to creatinine ratio is less than 0.20 milligrams of protein per milligram of … Continue reading

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

I am a 34 year old female. Other than 28 years of hypothyroidism, there is no other sickness. Blood pressure normal, not diabetic. Symptoms: 3 month continues shows blood (pink or brown no bubble) in urine. Tests have done below: 3 different Urinalysis Dipstick test different days all show (Blood in urine 3+, protein in urine 2+) Negative CT of abdomen and pelvis for any acute abnormality. Blood work: comprehensive metabolic panel looking at serum chemistries and kidney/liver function was normal. Urine culture: 10,000-49,000 CFU/ML. Something might not be related: My TSH is skyrocketing even though I have been taking normal dosage. I am currently breastfeeding. Have a bad habit of not drinking enough fluids. Healthy diet, no exercise. So far seeing a Urologist and GP and OB. They think I have kidney issue. What test do I need to do next to identify a diagnosis? Thank you for your time.

I am unable to make a specific diagnosis based on the information that you present. In most cases of blood in the urine, the cause is related to the lower urinary tract bleeding and is best evaluated by a Urologist. … Continue reading

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

My husband is 78 years old. His kidney functions were entirely normal until the cardiologist put him on 12.5 mg Hctz/day. When he rechecked in two weeks, his creatinine was 1.52, BUN 24, and GFR 43. Since it was obviously caused by this med and he stopped them in two weeks. Does he have a good chance of his kidney functions returning to normal? Any advise would be greatly appreciated.

I am unable to provide a prognosis without performing a complete history and physical examination. If the decrease in kidney function was directly related to the hydrochlorthiazide (HCTZ), then this should quickly recover, usually within a week. If this was … Continue reading

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