Daily Archives: June 20, 2019

I am having a colonoscopy and on peritoneal dialysis with night cycler. I took the prep. Should I do a full exchange?

I am not able to give medical advice without performing a complete history and physical examination. It will be important to call your nurse at the dialysis unit to clarify this issue. In some cases, you might be able to … Continue reading

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

My brother has “Renal pyramids are ecogenic with multiple echodense area in them, some having posterior shadowing.” Is there treatment available or not? Please help me. What can I do?

The information that you present suggests that there are calcium deposits inside of the kidneys. I am not able to suggest a specific diagnosis based on this information. There are many possibilities as to the cause. I suggest that you … Continue reading

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

Is Levaquin safe to give a ckd stage 3 patient?

The dose of Levofloxacin (Levoquin) may have to be reviewed in patients with chronic kidney disease (CKD) but it is commonly used for patients with CKD. I suggest you review this with your primary care physician (PCP).

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

I used to live in Colorado, 7200 ft, and my kidneys got bad with a 1.5 gfr; I also had heart failure. I moved to Texas 6 months after I was in hospital. My numbers have gradually gotten better in 4 years with my gfr at 36. I was thinking of moving back to Colorado but concerns after reading that high elevation causes HARS which effects kidneys. Am I looking at info about hypoxia? Not sure if I am worrying too much or would this not effect my progress or go back in the wrong direction as a possibility. I don’t need to move but would love more input to my decision.

I am not familiar with the acronym “HARS”. This does not mean anything to me. I am not familiar with any kidney disease that would be worse at altitude and better while living in Texas. I am not able to … Continue reading

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

I just purchased Alba Hawaiian sunscreen and noticed that it contains Green Tea. I know you shouldn’t drink green tea after a kidney transplant but if it is applied topically in sunscreen will that affect my new kidney?

I do not know of any ill effects of Green Tea if applied topically. Drinking Green Tea can interfere with some of your transplant immunosuppressive drugs.

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

GFR is currently the best way to test kidney function. Inulin is the best measure but it is difficult. To simplify, testing doctors use serum creatinine to measure kidney function along with an equation. That is the egfr which is used so widely and also on your site. But it needs additional factors along with it to be considered kidney disease like protein in urine, blood in urine, high blood pressure, abnormal imaging, etc. 24 hour creatinine clearance was the “gold standard” gfr test. Is 24 hour creatinine clearance the “best” and most accurate test? If no, what is?

An inulin clearance or an iothalamate clearance are currently two research standards for measurement of the glomerular filtration rate (GFR). All the rest of the tests have various issues with them and are ways of estimating the glomerular filtration rate … Continue reading

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