Daily Archives: April 15, 2019

Sir, My friend’s creatinine level is 5.86 mg/dl, Urea 95.4 mg/dl. What should be the treatment at present and is it possible to recover from it without kidney transplantation? Please give your valuable suggestion in this regard. With regards.

I am unable to make treatment recommendations without performing a complete history and physical examination. Your friend should be consulting with a nephrologist in his or her country. Treatment needs to be based on a specific diagnosis and this requires … Continue reading

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

I have been diagnosed with H Pylori some 12 days back and as of current I am on triple therapy medication. Before this, I was given Razo 40 mg plus Ulgel three times a day for around 35 days as I have acute heartburn which was later confirmed by endoscopy as bacterial infection in stomach. In the mean time, I underwent some tests like Ultrasound, KFT, and LFT. In KFT, my creatinine level shows as 1.9 when 1.2 to 2 is considered as normal. Which means I am at the borderline. I need to know is it because of my medication plus the dryness that I have in mouth because I am not able to take enough water intake as that causes stomach irritation that my creatinine level is high or something is wrong? Shall I opt to consult a nephrologist?

I am unable to make a specific diagnosis based on the information that you present. You will likely need further testing and I suggest that you consult with your primary care physician (PCP) for an examination. You will need a … Continue reading

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

My husband has kidney problems. He has low calcium. Please let me know which food he can take to increase calcium. I really appreciate it. Thank you.

Milk, dairy products, beans and kale are high in calcium. For additional information about nutrition and kidney disease, please visit: https://www.kidney.org/nutrition/Kidney-Disease-Stages-1-4

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

Dear Doctor, I lost my father, 73 years of age, 4 months ago. He was diagnosed with CKD about 11 years ago and his creatinine level was between 2 to 3.5 for most of this item and increased to 4.5 in December 2017. He started dialysis in May 2018 and passed away in Dec 2018 due to upper GI bleed. I have been wondering why he was not recommended for preemptive kidney transplant. He did not suffer from any other co-morbidity. After entering into stage 5, he had a bout of pneumonia and COPD and was suspected of having TB later on. I feel he would have been qualified for transplant before entering into Stage 5 of CKD. Please throw some light on the subject.

Preemptive kidney transplantation is an option for patients who have progressive kidney disease and who have potential living donors. Tuberculosis (TB) and lung disease can be contraindications to transplantation, if these are active. Getting a cadaver donor can be a … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, GFR, Kidney-Related Health Questions, Living Donation, Transplantation

Sir, I am feeling pain in one of my testicles for a long time. Urine discharge with burning. The pain has gone up side. A vein is little much swelled. What medicine do I have to take for it?

The problem that you describe needs to be evaluated by your physician. I am a nephrologist and I have no expertise with diseases of the testicle. You should consult with your primary care physician (PCP) or a urologist for examination … Continue reading

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