Daily Archives: October 9, 2019

My friend, that’s on dialysis, her Hgb always low, short of breath, tired. Always lands up in hospital. Her iron intake low. Can she have over counter iron tablets and use it daily?

Iron supplements are safe to take for patients on dialysis. In many cases, intravenous iron is given to dialysis patients in order to correct the iron deficient anemia. Oral iron supplements can interfere with other medications that your friend takes. … Continue reading

Posted in Ask the Doctor, Dialysis, Nephrologist, Treatments

I am a healthy 35-year-old woman with normal blood pressure, not obese, 5’10”, active, not an amputee, not a bodybuilder and I don’t take protein supplements. Ten months ago during routine bloodwork, they found my GFR to be 68. A nephrologist had me do a 24 urine catch, and I don’t know the numbers, but they said my kidneys were functioning in a normal range. He chalked up the low GFR to me being tall. Two weeks ago during routine bloodwork it was down to 53. My creatinine is at 1.2. I called the nephrologist’s office and the nurse pretty much blew it off. It seems like a big drop and a low number for someone my age anyway. Should I be concerned?

I am unable to make a specific diagnosis based on the information that you present.  A drop in the estimated glomerular filtration rate (eGFR) from 68 milliliters per minute per 1.73 meters squared to 53 would be a significant drop. … Continue reading

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

An MRI showed a complex kidney cyst (4.8×3.9×3.8). US showed the cyst had flow. That was a month ago. The doc asked for a CT scan. That will be done tomorrow. Blood work is all normal and there are no other symptoms. My questions are: do complex renal cysts require surgical intervention or can ablation techniques work? Can complex cysts be monitored over time? Lastly, how serious is this? Thank you

I am a nephrologist and I have no surgical expertise.  I do not perform surgery.  The problem that you pose is a urological problem and is best addressed to a urologist.  A urologist is a surgeon and deals with surgical … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Nephrologist, Urinary Tract Infection/Pyelonephritis, Urological Issues

Hello Sir. Sir, I ask a question. Sir, my all lab test are normal, ultrasound are normal. Sir, my BP are 120/70, 115/80. Sir, first time my BP are 140/75. Sir, please reply me. I am okay or not? I have not had pain.

I am unable to identify any kidney disease based on the information that you present.  The information that you provide suggests that you do not have high blood pressure or kidney disease.  

Posted in Ask the Doctor, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects

Good afternoon Doctor. Sir, I am 33 year male. I have done my rt. nephrectomy in 2010 due to PUJO and Grade III hydronephrosis. Since then, I am doing well with my left kidney. Now I want know from you, sir. My blood pressure remains always in the following range (120 to 130 Systolic and 80 to 90 Diastolic) is this good for my kidney or not? If not, then what can I do for it. Second, I often feel slight urine burning. Is this related to kidney or not?

The goal for your blood pressure control should be less than 130/80.  If your blood pressure is at goal, then you are preventing damage to your remaining kidney.  I am unable to make any other specific diagnosis regarding your burning … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Hydronephrosis and Hydroureter, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Treatments

I am a male of 55 yr. I am a diabetic and high BP patient too. Diabetes was seen 12 yr earlier and high BP was seen from last year. Currently hydronephrosis was detected in ultrasound with 10mm loss of parenchyma with left kidney swollen. X ray also shows the swollen kidney. So what do you suggest? Should I remove the left kidney or leave it as it is? Note* no kidney stone was detected in my whole life and my RFT test is normal.

I am a nephrologist and I have no surgical expertise.  A urologist is a surgeon and deals with surgical treatment of the kidney and lower urinary tract.  I suggest that you consult with a urologist about your situation.  

Posted in Ask the Doctor, Chronic Kidney Disease, Diabetes, Hydronephrosis and Hydroureter, Hypertension/High Blood Pressure, Kidney Stones, Kidney-Related Health Questions, Laboratory Testing