Daily Archives: October 18, 2019

My 72 yr old husband went to ER 8/31/19 for severe back pain, suspected kidney stone. Scans did not show a kidney stone and they thought he had passed it. Blood tests performed at that time showed Serum Creatinine 1.41; Blood Urea Nitrogen 22; MDRD GFR calculated for over 70 years of age was 1.41. Blood tests one month later on 09/30/19 showed Creatinine 1.91; Blood Urea Nitrogen 31; and MDRD GFR calculated 37. Still having back pain and saw Urologist on 10/09/19 who did an X-Ray and ultrasound and found no kidney stone. Blood tests that day were Creatinine 1.89, Blood Urea Nitrogen 37; and MDRD GFR 1.89. With the numbers on these blood tests, I wonder if he should see a kidney specialist. Another symptom (I don’t know if it’s related to the kidneys) is he has had swelling in his groin and legs the last few months and has a red rash on his legs. Swelling is now down to his feet. No one seems to know reason for the swelling. What are your thoughts?

I am unable to make a specific diagnosis based on the information that you present.  Back pain is an uncommon way for kidney disease to present.  It is possible that this represents some form of kidney disease, but I cannot … Continue reading

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

My son is 10 years post kidney transplant. His hemoglobin has been slowly declining for the past two years and he is anemic. A month ago he started taking iron, however his hemoglobin continues to decline, currently at 9.1. He is also losing weight without trying, about five pounds per month since February. I am concerned about this. It sounds like his hematologist wants him to start getting a shot, I’m sorry, but I don’t know the name of medication. I remember he had shots for anemia prior to his transplant. Can you give me some general information about what could be happening? Thank you for your time.

Progressive anemia has many causes including failure of the kidney transplant.  A hematologist should be able to tell if the anemia is from kidney failure versus some other cause.  The anemia shots are likely some form of erythropoiesis stimulating agent … Continue reading

Posted in Anemia, Ask the Doctor, Kidney Failure, Kidney-Related Health Questions, Nephrologist, Transplantation

I’m a SLE patient. I’ve been having trouble with edema (especially in my legs), high blood pressure, and weight gain. My gfr was 70 in March it dropped to 55 in August. My creatinine was 1.1 in March. Should I be concerned about nephritis?

Patients with systemic lupus erythematosus (SLE) can get lupus nephritis and should be monitored for kidney disease.  I would recommend that you have both blood and urine testing for kidney disease.  I recommend that you review this with your physician

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

My father suffering from CKD. Continue with dialysis. In previous dialysis he suffer vomiting and high fever during treatment. I become confused about this. Please help me.

I am unable to make a specific diagnosis based on the information that you present.  I recommend that you discuss your father’s symptoms with his nephrologist at the dialysis unit.  The symptoms that you describe are very common in dialysis … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney Failure, Kidney-Related Health Questions, Nephrologist, Symptoms and Side Effects, Treatments

Mild fullness of left renal pelvicalyceal system. Is it a serious problem? Kindly suggest some remedy.

I do not know what this means.  It depends on whether this was done with ultrasound, computerized tomography or magnetic resonance imaging.  I suggest that you ask the person who performed the scan to interpret this for you.  The pelvicalyseal … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects

I have a question on all my urine results which has been about 6 urine tests. All show blood in urine. Mostly says small, one shows large. Also on my urine tests, my gravity is all at 1.010 consistency. Is this normal? I have this for 7 months now.

It is never normal to find blood in the urine.  Your urine should be examined under a microscope to determine is red blood cells are actually present.  If you have red blood cells in your urine, then you require further … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Urological Issues

I’ve been a diabetic for 45 years. I’m 51. I have protein in my urine and there’s a number involved. I’m a little over 200 right now and three years ago, I was at 29? It fluctuates a lot. Is there a reason behind that? I am on a blood pressure medicine to control this. That doesn’t seem to be working very well. I am lean. I do CrossFit every day. My A-1 C is 6.8. I’m just scared I didn’t realize how bad it can get?. Is there a percentage or a time frame of when this starts to get really bad? Because right now I feel fine.

I am not sure what we are talking about.  If this is albumin in the urine, then the test is known as a “microalbumin test” and “albumin to creatinine ratio” and the units should be microgram per milligram (ug/mg) or … Continue reading

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

Dear Sir, I am from Bangladesh. Female 30 years old. I do have a para-pelvic right kidney cyst measuring 5.2 cm*2.8 cm after contrast according to the CT scan report. May I know, do I need to do surgery for it or let it like this? I’d be glad if you give me a suggestion. Regards.

A parapelvic cyst on a kidney is generally a benign condition.  However, I am a nephrologist and have no surgical expertise.  The cyst needs to be evaluated by a urologist.  A urologist is a surgeon who deals with surgery of … Continue reading

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