Category Archives: Acute Kidney Injury

My wife is 51 years old. Her creatinine level was always below 0.97. On 18 April, her creatinine level rose at 1.41 and gfr was at 51. On 25 May her creatinine level was 137.6 umol/L and gfr went down to 37. In the 1st investigation period she was having fever and in the 2nd investigation period she had coughing. Now her creatinine level is 1.55 even though she is on 30gm protein level diet plan. What is the cause of quick drop of her gfr?

I am unable to make a specific diagnosis based on the information that you present.  This appears to be something that is causing acute kidney injury.  I recommend consultation with your physician and further testing as to why she is … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diet/Nutrition, GFR, Kidney Failure, Kidney-Related Health Questions, Symptoms and Side Effects

I have a concern in regards to protein supplements in tube feeding. I have a cousin on tube feeding due to cardiogenic shock and acute kidney injury. Hemodialysis (daily once) since yesterday. He is put on Nepro high protein supplement every hour with 30cc. Question: post dialysis should he be put on low protein and only during dialysis on high protein or until daily hemodialysis, should he be on Nepro high protein?

Nepro is the brand name for a high protein and low potassium with low phosphorus tube feeding supplement.  It is designed for patients who are acutely ill.  During acute illness, there should be encouragement (rather than limitation) of protein intake. … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Diet/Nutrition, Kidney-Related Health Questions

Can we increase the GFR level if it is less than 15?

That depends on the cause.  It may be possible to improve kidney function, if the cause is acute kidney injury (AKI).  If the cause is chronic kidney disease (CKD), then improvement is less likely.  The kidney has the capacity to … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Chronic Kidney Disease, GFR, Kidney-Related Health Questions, Laboratory Testing

My Husband has CKD stage 4. Last May 2016, he had a UTI and was prescribed trimethoprim. After 4 days he was admitted to hospital with hyperkalemia (6.4) and an acute on chronic kidney injury. He is now on a diet to keep his potassium levels satisfactory. Today his local GP has diagnosed that he has a chest infection and has prescribed amoxicillin 500mg capsules for 7 days. Is this a suitable prescription for a patient with CKD stage 4. Would it be necessary or a worthwhile procedure to have a blood test taken when he has completed the 7-day course to identify if his potassium levels have been affected? What symptoms should one look out for or what tests should be done to check if he is diabetic.

Trimethoprim is known to cause high blood potassium because it interferes with the kidney elimination of potassium.  Penicillins such as amoxicillin do not usually cause potassium problems.  Your husband’s physician should be able to determine if he is a diabetic … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Chronic Kidney Disease, Diabetes, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Medication and Kidney Function, Symptoms and Side Effects, Treatments, Urinary Tract Infection/Pyelonephritis

I have recently been diagnosed with acute kidney disease. My GP has taken me off my anti-inflammatory Voltaren 75mg slow release. Before this I had been popping advil. I have a lot of arthritis and other inflammation going on and her offer of Tylenol does nothing for me. I have ordered a joint formula called Pro Flex by Naka, which does contain a form of curcumin. My doctor is not willing to discuss herbal therapy at all but a pharmacist told me I should stop taking the tumeric capsules I had started on. So I am kind of confused as to whether I can take this joint formula. I have been referred to a kidney specialist but it could take forever to get in. I also have high cholesterol but went off the drugs a couple years back due to muscle pain and cramps. Could high cholesterol cause elevated creatinine readings? I am finding it difficult without the anti-inflammatories and hope I can take this joint formula at least. Any advice would be appreciated.

Non-steroidal anti-infammatory drugs (NSAID’s) such as Advil and Votaren are associated with kidney disease and should be stopped.  Your kidney function may improve off of these NSAID’s and your physician likely wants to remeasure your kidney function off of all … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Medication and Kidney Function, Symptoms and Side Effects, Treatments

7 years ago my husband got MRSA after a hip replacement. It came back in form of a tennis ball sized mass at surgical site. Doctor put him on antibiotics for past 2 1/2 years ago. His kidneys functioned at 80 precent. Now at 50. What kind of diet should I get for him?

A change in diet will not be helpful in this case.  Acute kidney injury requires good nutrition and I do not recommend any dietary restrictions in someone with acute kidney injury.  In order to recover kidney function, adequate amounts of … Continue reading

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

Does having ARF [Acute Renal Failure] at youth increase the odds for CKD at maturity and elder stages?

Acute kidney injury (AKI) or acute renal failure (ARF) can result in chronic kidney disease (CKD) later in life.  This is more commonly seen as we are able to treat AKI and allow patients to survive into adulthood.  

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

My kidney function 47.2 on CKD-EPI. My doctor said it was third stage. My question is this: could this be because I was dehydrated. If so how long, or am I thinking wrong? Would another blood test like seven days down the road show a good result? He says no but I wonder. What would say about it. I am 1700 hundred miles from home and I do not know what to do. Should I go home or is there something else I could do?

I am unable to make a specific diagnosis based on the information that you present.  I cannot tell if this is chronic kidney disease (CKD) or acute kidney injury.  A repeat test may show improvement if you are now well … Continue reading

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

My aunt had stomach cancer surgery 2 weeks ago and developed complications, one of which is her kidneys are not functioning properly. They are talking about dialysis. How many treatments would be standard and would she have to be on it the rest of her life? Right now she is not aware enough to make the decisions for herself. We were also wondering if the kidney function would be part of the problem making her incoherent. Any advice you could give would be greatly appreciated.

In this situation, you must consult with the physicians who are caring for your aunt.  I am unable to provide a prognosis or recommendations for treatment without knowing the complete medical history of your aunt and performing a complete examination. … 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, Nephrectomy / One kidney, Nephrologist, Treatments

I have diabetes and hbp; kidney function was at 90 one year ago. I just went to the doctor for routine tests and gfr is now 50; of course I am very anxious to do what is needed to improve. If I really exercise and eat super – correctly can the gfr improve?

In most cases, once kidney function is lost, it cannot be recovered.  This is true for chronic kidney disease (CKD) but in some cases acute kidney injury can be reversed.  I suggest that you consult with your physician and follow … Continue reading

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