Category Archives: Acute Kidney Injury

My brother has nephrotic syndrome and has developed nephritis. As far as I can see his medications are not working anymore. Any recommendations? Would love to hear from you.

In most cases, a kidney biopsy will be necessary in order to establish a specific diagnosis as to the cause of your brother’s nephritis. Once you have a specific diagnosis, then treatment can be recommended.  

Posted in Acute Kidney Injury, Ask the Doctor, Chronic Kidney Disease, Kidney Biopsy, Kidney-Related Health Questions, Nephrotic Syndrome

I was diagnosed by Nephrologist with Stage 3a kidney disease. My oncologist and pcp knew for 2 years before they told me. Among the shock I am trying to prepare for a colonoscopy. I would like a doctor to tell me what prep is safe for me but does not require drinking a gallon of prep solution in 4 hours. I have failed that attempt 2 times before. Would you name specifically one of the new preps that are supposed to be easier to manage but safe for CKD patient? Not much help so far from my doctors. I am 72 yrs old and had a pre-cancerous polyp 5 years ago. Thanks.

The goal of bowel preparation for colonoscopy is to cleanse the large intestine so as to facilitate the inspection of the bowel and identify any polyps or other abnormal findings without interference of retained stool. The second goal is to … Continue reading

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

I found out by accident from my gastroenterologist in July 2019 that I had some kidney damage after being in the ER at Baylor for an unknown condition that turned out to be gastric ulcers. I looked on some previous medical records and in July 2016 my GFR was 60. Since then I had some blood work done and my GFR was 55.3, BUN 20, Creatinine 1.1. I also had a trace Ketones, trace of Micro-Epith, some rare abnormal micro-bacteria, along with abnormal crystals, casts, and mucous. I am a 66 year old white female without any other chronic medical conditions. My PCP did not even mention this to me. When I saw the nephrologist at Baylor, he also spoke as though this is no big deal. I asked if I needed to change my diet and he said no to eat what ever I wanted and that alcohol was ok. However, everything I have read about CKD, which according to him I am Stage 3 A, suggests being on a diet that includes lots of fruits, vegetables and water. So, I am confused. I want to take care of myself and have the best possible outcome. I am just wondering if I need to look for another nephrologist as everything I have read suggests a kidney friendly diet to help avoid progression of the disease. My blood pressure ranges from 120-145 and the bottom number 75-90. He suggested I have additional blood work and come back in a month. Thank you for your help.

In early Stage 3 chronic kidney disease (CKD), it can often be difficult to establish a specific diagnosis as to the underlying cause of the disease and rate of progression. This is especially true in females. Hence, the initial treatment … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diet/Nutrition, GFR, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Nephrologist, Serum Creatinine, Urinary Tract Infection/Pyelonephritis

My creatinine level is 21 and urea is 200 and my vein is 1.5 mm. Is it possible to make fistula? The most important thing is I don’t have any symptoms of CKD either weakness.

A vascular surgeon must evaluate your veins and see if a fistula can be created. The 1.5 millimeter (mm) vein is rather small but a skillful vascular surgeon must evaluate the entire vein system in your arm to determine if … Continue reading

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

In 2016, proteinuria and neutropenia was found during routine lab work in my African American teen. Orthostatic was ruled out with multiple urine and 24 hrs test. Hem/onc work negative and ANCA and complements negative. Biopsy 3 years later states acute tubular injury. What are we missing?

Protein in the urine (proteinuria) is not usually a component of acute tubular injury.  The kidney biopsy provides the diagnosis but does not necessarily explain the protein in the urine. In some cases, further observation and time will provide clarification … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney Biopsy, Kidney-Related Health Questions, Laboratory Testing, Proteinuria, Urinary Tract Infection/Pyelonephritis

Does cortisone shots affect kidneys functions?As my husband had acute kidney failure last October and stayed in a hospital for 4 days,the creatinine level was 4.61. And fortunately, his kidneys were regenerated and recovered after 4 days IV and was down to 1.2. Since he was back home, he has blood work every 3 months and back to 1.58. All of a sudden 3 weeks ago, his blood work showed 1.76 that scared us. But he had 3 cortisone shots on his hand 2 weeks before the blood work.Would that cause the number up? Please advise and your prompt attention would be greatly appreciated!

I do not believe cortisone injections should have any effect on the serum creatinine.  Cortisone injections can cause some fluid retention but should not make any changes in the serum creatinine or the estimated glomerular filtration rate (eGFR).  

Posted in Acute Kidney Injury, Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, GFR, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Serum Creatinine

I am an anorexic who has a history of acute renal failure and reoccurring pyelonephritis. My GFR has been 45,60, and 54 since April 2019 and my most recent creatinine 1.18 (which has lowered). Is it more challenging to diagnose CKD in Anorexia Nervosa patients? I currently am experiencing fatigue and frequent urination at night. My US/ CT revealed stones, cysts, and an enlarged lymph node in the left renal hilum with renal scarring. My Urologist at the time seemed unimpressed and treated me for a stone and infection at the time and dismissed me. I’m afraid kidney disease is being overlooked.

Patients with Anorexia Nervosa can still get chronic kidney disease (CKD) but the diagnostic criteria remain unchanged. Recurring episodes of acute kidney injury and infection may cause CKD. The treatment should be to avoid episodes of acute kidney injury and … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Chronic Kidney Disease, GFR, Kidney Cysts, Kidney Mass, Kidney Stones, Kidney-Related Health Questions, Serum Creatinine, Urinary Tract Infection/Pyelonephritis, Urological Issues

I have been on a mix of numerous antidepressants,with some antipsychotic medications, mood stabilizers (no lithium) and antianxiety medications (chiefly BuSpar and Vistaril) for nearly 20 solid years now for severe recurrent depression. My psychiatrist isn’t aware of me being on anything that is known for nephrotoxicity. Could years of continuous multidrug treatment for depression cause some damage to the kidneys?

I am not aware of depression or treatment of depression, outside the use of lithium, to be associated with toxicity to the kidney. Patients with chronic kidney disease are often depressed and require treatment. Patients who are on some of … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function

Sir, my father is suffering from kidney problem.His salt level is 8.1. How to reduce the salt level from the body to stop on further damage without going dialysis?

I am unable to make a specific diagnosis based on the information that you present. In order to recommend treatment, it is necessary to perform a complete history and physical examination. Once a specific diagnosis is made, then proper treatment … Continue reading

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

I was diagnosed with hydronephrosis and chronic prostatitis. I would like to know, is there any way like medication or surgery to cure what was diagnosed to my prostate and kidney? I am currently experiencing a urine retention and it really scares me that it might damage my kidney further. I wish you could help me with this problem.Thank you so much and God Bless!!!

The problem that you describe is a urological problem and should be evaluated by a urologist. I am a nephrologist and do not have any expertise for the bladder or the prostate. I would suggest consultation with a urologist.

Posted in Acute Kidney Injury, Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Medication and Kidney Function, Nephrologist, Urological Issues