Daily Archives: July 8, 2021

I’m 55 years old. Recently I was told I have CKD Stage 3a (eGFR of 53). I’m having difficulty accepting the news and have been wondering if its possible that the anti-depressants I’ve taken continuously for 18 years could be contributing to a growing creatinine level. About five years ago I was tested and my eGFR was 65. Although I intend to follow the recommendations of the nephrologist I’m scheduled to see in three months, I can’t help but wonder if either the Paxil or Wellbutrin could be contributing to the increased creatinine in the blood. Do you have any thoughts on this? Thanks.

Many drugs can cause kidney damage and it is hard to know if any particular drug can be causing kidney disease. Paxil and Wellbutrin have not been prominent in the types of drugs commonly associated with chronic kidney disease (CKD). … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function, Nephrologist | Comments Off on I’m 55 years old. Recently I was told I have CKD Stage 3a (eGFR of 53). I’m having difficulty accepting the news and have been wondering if its possible that the anti-depressants I’ve taken continuously for 18 years could be contributing to a growing creatinine level. About five years ago I was tested and my eGFR was 65. Although I intend to follow the recommendations of the nephrologist I’m scheduled to see in three months, I can’t help but wonder if either the Paxil or Wellbutrin could be contributing to the increased creatinine in the blood. Do you have any thoughts on this? Thanks.

I have a daughter who has been diagnosed with severe kidney disease including extra-renal calyx (1 of 50 cases world wide), why would her disease not be considered rare?

Extra renal calyx or extra renal pelvis are part of a large number of Congenital Abnormalities of the Kidney and Urinary Tract (CAKUT). I am a nephrologist and do not have particular expertise in this area. This problem is generally … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Dialysis, Kidney-Related Health Questions, Nephrologist, Pediatric Issues, Urinary Tract Infection/Pyelonephritis, Urological Issues | Comments Off on I have a daughter who has been diagnosed with severe kidney disease including extra-renal calyx (1 of 50 cases world wide), why would her disease not be considered rare?

My nephew had been on dialysis since, September of 2016. When he first began he was urinating fine. Around the middle of the year, he stopped urinating, and now he only urinates maybe twice a week and it’s only drops. His feet, legs, and other parts of his body swells. It’s always hard for him to breathe, and this is after he comes from dialysis and when he goes to dialysis. The only time the fluid comes off is when he goes to the hospital. Please help, he is my only blood living nephew, at the age of 36. He has one son that really loves his dad dearly. My nephew cries and says “I will never give up; I got my son to live for”. I hope you can give me some kind of answer. Thank You!

I am unable to provide a specific diagnosis based on the information that you present. Your nephew is very young and he should be listed on a transplant waiting list. A kidney transplant should be the goal of any young … Continue reading

Posted in Ask the Doctor, Dialysis, Diet/Nutrition, Kidney-Related Health Questions, Nephrologist, Symptoms and Side Effects, Transplantation | Comments Off on My nephew had been on dialysis since, September of 2016. When he first began he was urinating fine. Around the middle of the year, he stopped urinating, and now he only urinates maybe twice a week and it’s only drops. His feet, legs, and other parts of his body swells. It’s always hard for him to breathe, and this is after he comes from dialysis and when he goes to dialysis. The only time the fluid comes off is when he goes to the hospital. Please help, he is my only blood living nephew, at the age of 36. He has one son that really loves his dad dearly. My nephew cries and says “I will never give up; I got my son to live for”. I hope you can give me some kind of answer. Thank You!

Hi, I lost a lot of weight from 155lbs down to 110lbs and became unwell. My blood test shows creatinine at 85 mmol/l; eGFR at 81. My doctor told me my kidney function looks okay, but I’ve found out by looking online that because I’m underweight at 115lbs the result would not be that accurate. I found websites with calculations that take weight into account and they all show that my eGFR is nearer to 63. My doctor thinks my results look okay, but the eGFR calculation they are looking at is for someone weighing approx 147lbs. Should I be concerned? I’ve asked for a 24hr urine test for protein, but they’ve told me I can only have one urine sample done not a 24hr test. Is a one off spot test as good as the 24hr test? I first lost a lot of weight and became unwell approximately 5 years ago; numbness in hands and legs, feeling very tired, confused and anemic. I was diagnosed with low b12 and low thyroid. I also had a white tongue ulcer appeared which I had a biopsy on at that time. Some of my recent symptoms are: foods making me feel unwell, racing heart rate, out of breath, easily tired, very bad lower back pain especially when I wake in the mornings. Smells make me feel unwell; perfume, smoke, car fumes, paints, washing powders. Aches and pains in my joints if I eat wrong foods, like sugar, bread, potatoes. Muscle cramps, calf muscles in lower legs have constant twitching/shaking. I get mental confusion and start stuttering words when I get ill. I have a white tongue ulcer that turned reddish which is painful and I had a biopsy on July 2nd 2021.

I am not able to provide a specific diagnosis based on information that you present. The normal for an estimated glomerular filtration rate (eGFR) is greater than 60 milliliters per minute per 1.63 meters squared.   I do not recommend … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, GFR, Kidney-Related Health Questions | Comments Off on Hi, I lost a lot of weight from 155lbs down to 110lbs and became unwell. My blood test shows creatinine at 85 mmol/l; eGFR at 81. My doctor told me my kidney function looks okay, but I’ve found out by looking online that because I’m underweight at 115lbs the result would not be that accurate. I found websites with calculations that take weight into account and they all show that my eGFR is nearer to 63. My doctor thinks my results look okay, but the eGFR calculation they are looking at is for someone weighing approx 147lbs. Should I be concerned? I’ve asked for a 24hr urine test for protein, but they’ve told me I can only have one urine sample done not a 24hr test. Is a one off spot test as good as the 24hr test? I first lost a lot of weight and became unwell approximately 5 years ago; numbness in hands and legs, feeling very tired, confused and anemic. I was diagnosed with low b12 and low thyroid. I also had a white tongue ulcer appeared which I had a biopsy on at that time. Some of my recent symptoms are: foods making me feel unwell, racing heart rate, out of breath, easily tired, very bad lower back pain especially when I wake in the mornings. Smells make me feel unwell; perfume, smoke, car fumes, paints, washing powders. Aches and pains in my joints if I eat wrong foods, like sugar, bread, potatoes. Muscle cramps, calf muscles in lower legs have constant twitching/shaking. I get mental confusion and start stuttering words when I get ill. I have a white tongue ulcer that turned reddish which is painful and I had a biopsy on July 2nd 2021.

My husband has kidney disease due to chemotherapy in the 80’s. Will sucralose harm his kidneys? He also has type 2 diabetes.

Sucralose is an artificial sweetener that is non-caloric. When used as a sugar substitute, it has generally been found to be safe. There is no evidence of any harm to kidneys from sucralose.

Posted in Ask the Doctor, Diabetes, Diet/Nutrition, Kidney-Related Health Questions | Comments Off on My husband has kidney disease due to chemotherapy in the 80’s. Will sucralose harm his kidneys? He also has type 2 diabetes.