Daily Archives: April 18, 2019

Dear Sir, I have CKD patient since Feb 2019 and depend on dialysis. Kidney Biopsy report: Diagnosis Diffuse Global Glomerulosclerosis. A recent report RBC 4.4, HB 9.7, Packed Cell Volume 30.10, MCV 68.41, MCH 22.05, RDW-CV 22.3 Urea 130.88, Creatinine 6.61 Potassium 61.11. Please advise.

The kidney biopsy report suggests that you have advanced scarring of your kidney and it is not likely to reverse. If you are on dialysis, you should explore the possibility of doing dialysis at home or kidney transplantation. I am … Continue reading

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

I have been taking Lisinopril 10 12.5 for past 25 yrs. Stage 4 failure and was taken off and creatinine went from 7.5 down to 6.2. Should I continue or find another med for hbp control?

The elevation of the serum creatinine is a normal response for use of ACE-inhibitors such as Lisinopril. By lowering the pressure inside the filters (glomeruli) of the kidney, this causes some decrease in the estimated glomerular filtration rate (eGFR) and … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, GFR, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Serum Creatinine

Hello, I am a male of 23 years, without being diabetic or hypertensive. I had a rise in creatinine back from the holidays of 1.05 when it has always been at 0.85, after about 3 weeks low to 0.92 and has remained so for 3 months. I did a creatinine / albumin ratio test, I had 38 of isolated albumin and a creatinine of 338.1 that when doing the ratio I got a quotient of 11. This is of concern? My doctors have told me no, and my last abdominal ultrasound showed all my organs, including the kidneys, well. This small rise in creatinine is causing me terrible anxiety when I think I may have chronic kidney failure.

Normal laboratory variation for the serum creatinine test is plus or minus 0.2 milligrams per deciliter (mg/dl). The variation that you are seeing the serum creatinine test is the variation we see with testing from day to day and does … Continue reading

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

Why would someone have high serum creatinine but have a normal 24 hour creatinine clearance?

This commonly occurs in people who have a large muscle mass, such as body builders and professional athletes. This individuals have an increased creatinine generation rate which results in an increased serum creatinine but the creatinine clearance remains normal.

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

Hello Doctor, I am 62 years old man having serum creatinine 1.56mg/dl, micro albumin 108.8 mg/l, Creatinine clearance in 24 hours urine is 54.50ml/min/1.73m2, Uric acid serum 6mg/dl, K4.8mmol/L. There is no symptoms of CKD. Ultrasound of Kidney & Renal Doppler is normal. I am concerned for raised creatinine level and microalbumin in urine. I am not diabetic and hypertension being take care of by Losar 50 and its controlled well. I need your advise for: 1) How to slow down the progression of CKD? 2) How serious it is? 3) How long will it take to reach stage 5? 4) Line of treatment?

Based on the information that you present, you appear to have early Stage 3 chronic kidney disease (CKD). The Losartan that you are taking should keep your blood pressure less than 130/80 and preferably less than 120/75. You should not … Continue reading

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

If a person was born with only one kidney, and is a diabetic, with the kidney only functioning at 28%, where would that place them at risk factor? Would this be at severe or would it be less?

An estimated glomerular filtration rate (eGFR) of 28 milliliters per minute per 1.73 meters squared would suggest Stage 4 chronic kidney disease (CKD). Patients with a single kidney may experience more rapid loss of kidney function over time. I suggest … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diabetes, GFR, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Nephrectomy / One kidney

Hello doctor. How are you doing? Well I have a doubt regarding my recent ultrasound report. The concerned pathologist said that I have 4 to 5 small kidney stones of the size of approx. 2.8-3mm. I searched Google about the home remedies to cure kidney stones and I came to know about the daily consumption of apple cider vinegar. Can you kindly tell me whether I should start taking apple cider vinegar on an empty stomach every morning just by reading about it on Google? Like is it advisable by doctors as well? Thanks in advance.

The best diet to prevent kidney stones is the DASH diet. I also suggest a low salt diet. You can review the DASH diet at:  https://www.nhlbi.nih.gov/health-topics/dash-eating-plan Apple cider vinegar has been advocated by some to prevent kidney stones by changing … Continue reading

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