Author Archives: The National Kidney Foundation

After watching a few of my friends go through really bad kidney problems (and thankfully recover though some of them came close to needing a transplant) I thought to myself, I would donate a kidney to someone who really needed it. I’m in good health and all of that and I know there’s a huge need for kidney donors out there. Is there a way to just go somewhere and say “here take my kidney and give it to someone on a list” or is it far more complex than that?

People who donate a kidney in a non-directed fashion such as you propose are known as altruistic donors. Being a kidney donor can be a bit more complex than just deciding to donate a kidney. You must be in excellent … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Living Donation

My Dad has stage 4 kidney disease and lives in Atlanta. They have decided to have his arm prepared for likely dialysis. His kidney doctor told him it would probably be best to move near me for support. I live in Denver, a mile high. He has not had shortness of breath, but I understand that is a symptom of stage 4, which could come. He is anemic. What do you think about moving an 85 year old man in this condition to Denver? He does drive, travel, exercise, shop and cook still. His symptoms are he gets cold and itches. Is a blood transfusion an option for increasing red blood cells which would help with oxygen?

There are treatments for anemia if your father has a hemoglobin less than 10 grams per deciliter (gm/dl). Use of erythropoiesis stimulating agents (ESA’s) can be used to treat his anemia and kidney disease without administering a blood transfusion. You … Continue reading

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

My father who is 74yrs old, has a kidney stone that won’t pass. He is on blood thinners for a previous CVA 3 yrs ago and also has a small aneurysm. They want him to go off his blood thinners for the surgery. Last night they took him off the blood thinners and he had a TIA. So is there anything that can be done without going off them. Is it time too look for a second opinion? Thank you.

You ask a very complex question. Blood thinners are a very difficult treatment to manage and the decision to go off of blood thinners requires a consideration of the risk versus the benefit. The problem with the kidney stone is … Continue reading

Posted in Ask the Doctor, Kidney Stones, Kidney-Related Health Questions, Medication and Kidney Function, Nephrologist, Urological Issues

I am 68 year old Indian female. My creatinine readings in past 3 months have been 1.2, 1.1,1 and .9. My eGFR readings have been 43,49, 55 and now 62. My kidney lengths are 8.5 and 8 cm. All my kidney results were normal except latest result showed 5.1 potassium (high) and 6.3 protein ( low). I also suffer from silent acid reflux. My GP says I am fine but when I consulted a nephrologist he said I have CKD but provided no guidelines except a retest after 6 months. I am worried about my high potassium and low protein in blood. I am totally confused as to what should I do? I take Covance 50 mg and my blood pressure is well controlled and I have Roosevelt 10 for cholesterol. I walk 5 km at least 4 times a week. Please guide me, especially about potassium levels. Thank you.

A normal potassium in the blood is between 3.5 and 5.5 milliequivalent per liter. Hence, your level of 5.1, I would consider as normal. You may have very early chronic kidney disease (CKD) since your estimated glomerular filtration rate (eGFR) … Continue reading

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

If wife is suffering from kidney disease. Does husband get affect the with same disease? Can both have sexual relation or not? Could you please advise. Her creatinine is 1.7 and its increasing month on month.

It is not possible to catch kidney disease from your wife by having sexual relations.  I suggest that you discuss your concerns with your primary care physician.  I do not believe you have anything to be concerned about regarding catching … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions

Hello. I’m 51 yrs old and weigh 73 kg. I had two transplants. 1st in 1994 and 2nd in 2009. Initially, my level after transplant was okay but now my creatine level has started increasing. My latest blood test reports on March 13, 2018 was Creatinine- 1.16 mg/dL BUN/Creat ratio- 18.10 Uric Acid- 9.3 Haemoglobin- 10.8 And this time some of my liver profile parameters are also high. On January 16 2018 was Creatinine- 1.24 Bun/Creat tatio- 10.48 Uric Acid- 6.8 Haemoglobin- 10.7. On August 10 2017 my Tacrolimus- 7.99 Creatinine- 1.08 Uric Acid- 7.8 BUN/Creat ratio- 9.23. Now I’m worried that this is the sudden increase in uric acid because of kidney not functioning properly or maybe because of immunosuppressive drugs or some other reason. And what preventive measures should I take to lower it down. Is this thing reversible? Like can I bring it back to normal level? What are the reasons of such fluctuation in creatinine level?

There is always some variability of the laboratory measurement of the serum creatinine. It is normal laboratory variation for the serum creatinine to change by 0.2 milligrams per deciliter (mg/dl) from day to day. Hence, the variation that you notice … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Serum Creatinine, Transplantation

Hi, My Urine analysis report says occassional epithelial cells, occassional pus cell, no protein, ph is 6, no bacterial growth. What does this mean?

I do not find any abnormalities in the urinalysis report that you provide. I suggest that you ask your physician for an interpretation of your testing.

Posted in Ask the Doctor, Kidney-Related Health Questions

My mother and I both have Nail-patella syndrome and the fatal part of it is kidney failure. My mom was just diagnosed with stage 4 chronic kidney disease and also AKI. Her creatinine levels are a 3.0 and I wanna know is she gonna have to start dialysis? I’m at a stage 2 at 34 and she’s 74. With Nail-patella syndrome, there’s nothing you can do to stop the progression. It is just part of the syndrome. So how quickly will it advance? She’s all I got left and I’m worried sick.

Nail-patella syndrome is a congenital (you are born with the disease) kidney disease that is associated with abnormalities of the finger nails, knee caps and malformed bones in the arms and legs. Some individuals also have abnormalities of hearing and … Continue reading

Posted in Ask the Doctor, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Nephrologist

My 61 year old father was told last week he needs to go on dialysis or get a kidney transplant. I am 41 and in excellent health. However, 4.5 years ago I was diagnosed with Stage 1 invasive breast cancer. It was 6mm. I had a lumpectomy and all of the cancer was removed. It had not spread to my lymph nodes. I also did 6 weeks of radiation. Since then all of my regular breast check ups have been fine. I know there is a lot of testing involved in being a donor, but I would like to know if having had cancer is an automatic disqualifier.

In most situations like this, a transplant center will require that you are cancer free for at least 5 years before allowing you to be a kidney donor. Each transplant center has policies and procedures that are followed in order … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Living Donation, Transplantation

Started diet plan and other treatment to lower creatinine. Is that possible to lower creatinine level? Confused on many things. Please help, thank you.

I do not know of any diet that will lower the serum creatinine. I suggest further consultation with your physician for a specific diagnosis and treatment plan in regards to your kidney disease.

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