Author Archives: National Kidney Foundation

Dear Doctor, I have had MPGN I since I was 13. I am now a 47 year old white male. My recent tests show that I have a 1.2 creatinine level, a 1.3 Cystacine level and a high level of 450mg of protein in my urine. The GFR was 57.2. I currently take some Enalapril and HCT. I’m scheduled to have a biopsy soon and I wondered what would be your protocols with those numbers? I’ve had this for 35 years now. Is there any new treatments you would recommend I speak with my nephrologist about? Many thanks!

Membranoproliferative Glomerulonephritis (MPGN) is currently used as a way of describing kidney injury with immune complex mediated kidney disease. Today, we do not commonly categorize the disease into Types I, II, and III. The fact that you have sustained kidney … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Glomerulonephritis, Kidney Biopsy, Kidney-Related Health Questions | Comments Off on Dear Doctor, I have had MPGN I since I was 13. I am now a 47 year old white male. My recent tests show that I have a 1.2 creatinine level, a 1.3 Cystacine level and a high level of 450mg of protein in my urine. The GFR was 57.2. I currently take some Enalapril and HCT. I’m scheduled to have a biopsy soon and I wondered what would be your protocols with those numbers? I’ve had this for 35 years now. Is there any new treatments you would recommend I speak with my nephrologist about? Many thanks!

Hello doctor, what is the full managment in front of a patient with a nephrotoxicity due to Non-steroidal anti-inflammatory drugs?

Non-steroidal anti-inflammatory drugs (NSAID’s) can cause kidney disease by either acute kidney injury or chronic kidney disease (CKD). Long term use of these drugs can be associated with progressive kidney disease. Hence, the best treatment is to absolutely avoid these … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Chronic Kidney Disease, Dialysis, Kidney Failure, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function, Transplantation | Comments Off on Hello doctor, what is the full managment in front of a patient with a nephrotoxicity due to Non-steroidal anti-inflammatory drugs?

I have stage 3 CKD. I would like to know if I can take Alli 60mg? Thanks.

Alli (Orlistat) is a weight reduction medication that should not interfere with kidney function. It can cause diarrhea, which can lead to dehydration. Alli can also interfere with other drugs that you are taking. Hence, you should still check with … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function | Comments Off on I have stage 3 CKD. I would like to know if I can take Alli 60mg? Thanks.

I have recently been diagnosed with CKD with an atrophied right kidney. I cannot take anti-inflammatory med such as Ibuprofen and Tylenol does not help much with my arthritic knees and back. Would I be safe to use CBD creams and oils?

Topical agents should not have any ill effects on your kidneys. I have no specific experience with CBD but most other topical agents should be safe to apply directly where you are having the discomfort.

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function | Comments Off on I have recently been diagnosed with CKD with an atrophied right kidney. I cannot take anti-inflammatory med such as Ibuprofen and Tylenol does not help much with my arthritic knees and back. Would I be safe to use CBD creams and oils?

I pass water about 12 times a day from 3am until bedtime approximately 9pm. Do I have an infection?

I am not able to provide a specific diagnosis based on the information that you provide. Urinary infection in a male is uncommon. Urinary frequency can be normal but it may also mean a problem is present. This partially depends … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney-Related Health Questions, Urinary Tract Infection/Pyelonephritis, Urological Issues | Comments Off on I pass water about 12 times a day from 3am until bedtime approximately 9pm. Do I have an infection?

Dear Sir, my wife (50 years old) only has one kidney. Left kidney was removed on 2013 due to cyst. She has ovarian cyst also. At this time period she feels severe pain. What should she do? Regards.

Kidney disease will not commonly present with pain. I would first recommend that your wife be examined by her Primary Care Physician (PCP) or her Gynecologist. Since these painful episodes occur with menses (period), it is much more likely that … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions | Comments Off on Dear Sir, my wife (50 years old) only has one kidney. Left kidney was removed on 2013 due to cyst. She has ovarian cyst also. At this time period she feels severe pain. What should she do? Regards.

I have been diagnosed with significant hydronephrosis with outflow tract obstruction. I have been sent to a surgeon who says I have a vein crossing the ureter, causing the obstruction of kidney flow. He has only done 15 of these surgeries and I didn’t feel confident in his presentation. How do I find another specialist who truly has done multiple surgeries? Thank you.

The problem that you describe is a urological problem. The problem that you describe is a relatively rare event, when the vein crosses the ureter and frequently causes pain and some blood in the urine. I would suggest that you … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Urological Issues | Comments Off on I have been diagnosed with significant hydronephrosis with outflow tract obstruction. I have been sent to a surgeon who says I have a vein crossing the ureter, causing the obstruction of kidney flow. He has only done 15 of these surgeries and I didn’t feel confident in his presentation. How do I find another specialist who truly has done multiple surgeries? Thank you.

I recently got my blood test results. I had fasted; my blood sugar was 154, creatinine was 1.62 and BUN was 28. I am on the following meds: Glymeperide 1 mg, Amlodopine 5mgs, Metformin 1000 bid, Lisinopril HCTZ 20-12.5, Simvastatin 20 mgms, baby aspirin 81 mgms. I am getting a renal ultrasound on Mon. May 10. After results, should I see a nephrologist? I am strictly adjusting my diet. Cutting sodium down to 1500-2000 mgms daily. I have not drank enough water for last year. Would I be able to bring down the BUN and creatinine levels? I had a large kidney stone attack in 2010 and went through two. Also on Centrum silver multivitamin, watching protein, potassium and phosphorous. Any other suggestions at this time? Thank you Doctor, Sincerely.

I recommend that you have a urine test for blood, protein and infection. You should have a urine for microalbumin to creatinine ratio (ACR) to evaluate your diabetes and any effect on the kidneys. Since you have diabetes, it is … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Diabetes, Diet/Nutrition, Exercise, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function, Nephrologist | Comments Off on I recently got my blood test results. I had fasted; my blood sugar was 154, creatinine was 1.62 and BUN was 28. I am on the following meds: Glymeperide 1 mg, Amlodopine 5mgs, Metformin 1000 bid, Lisinopril HCTZ 20-12.5, Simvastatin 20 mgms, baby aspirin 81 mgms. I am getting a renal ultrasound on Mon. May 10. After results, should I see a nephrologist? I am strictly adjusting my diet. Cutting sodium down to 1500-2000 mgms daily. I have not drank enough water for last year. Would I be able to bring down the BUN and creatinine levels? I had a large kidney stone attack in 2010 and went through two. Also on Centrum silver multivitamin, watching protein, potassium and phosphorous. Any other suggestions at this time? Thank you Doctor, Sincerely.

What can be used to prevent nausea and vomiting at night?

I am unable to recommend medical treatment without performing a complete history and physical examination. It is important to know what is causing the nausea and vomiting. In most cases, understanding the cause of the nausea and vomiting is important … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Symptoms and Side Effects | Comments Off on What can be used to prevent nausea and vomiting at night?

What foods should I consume to keep my stage 3 CKD from getting worse?

I am a strong proponent of the DASH diet. I suggest you review the DASH diet at: https://www.kidney.org/atoz/content/Dash_Diet

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, Kidney-Related Health Questions | Comments Off on What foods should I consume to keep my stage 3 CKD from getting worse?