Category Archives: Acute Kidney Injury

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

My Father is 57 years old. He has no past medication for kidney suddenly he got high blood pressure of over 260. After blood test doctor said he has CKD 5 stage. What should we have to do to lower creatinine level.

Your father may have very advanced chronic or acute kidney disease.  I cannot make a specific diagnosis based on the information that you present.  Your father should consult with a nephrologist and determine the cause of the kidney disease.  The … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Blood/Urine Testing For Kidney Disease, GFR, Hypertension/High Blood Pressure, Kidney Failure, Kidney-Related Health Questions, Laboratory Testing, Nephrologist

Good morning doctor. My mother is suffering from acute kidney failure since 2012. In February this year she developed calciphylaxis in both her legs. Doctors here gave her pomonarate to localize the ulcer. It is healing but at a very slow rate. It is very painful. Now my concern is that she has calcification in her thighs, under her naval and near her left breast. Is there anyway to remove the calcium deposits from these areas? She is on Cinacalcite and Renagel…but is there anything other than that. The calcification is towards the upper layes of the skin. Awaiting your response.

Calciphylaxis of the skin is a relatively rare, very painful and serious complication of kidney failure and dialysis patients.  There are no standardized treatments that are universally recommended for this disease as it is so uncommon.  Surgical removal of the … Continue reading

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

Dr. Spry: 76 year old male with CKD stage 3. Creatinine 1.8, 37 GFR. I am suppose to get a angiogram to confirm heart issue after failed stress test. This test uses a dye that is a problem for CKD patients. Is my kidney function too low to have this test?

I cannot give medical advice without performing a complete history and physical examination.  It is true that contrast administered for a heart catheterization can cause kidney injury.  There are preventative treatments that can be used safely to decrease the risk … Continue reading

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

My son was born 3/23/16 with pre-diagnosed jegunal attesia. At birth he was actively bleeding from his umbilical chord, he had an extremely low blood count and received multiple transfusions. Due to this blood loss and exposure to gentamicin he suffered AKI. His creatinine topped out at 4.98. Finally on 4/21 the Dr’s decided to go ahead with his surgery to correct the atresia even though his creatinine was still in the high 3 point range, his liver was failing faster than his kidneys were healing. I must mention that during this first month he also had some kind of sickness that caused low grade fevers. He finally was discharged on 6/23. I decant his 60/40 formula and my breast milk with kayexalate. He is now 4 months old and still has a createnine of 1.1 (consistent for past month). We are due for a repeat ultrasound and check up next week on 8/10 with his Nephrologist and GI specialists. Any hope that he can/will recover? Any thoughts on alternative treatments to facilitate healing?

I am an adult nephrologist and do not have any expertise with infants or children.  I recommend that you continue to consult with your pediatric nephrologist.  Your son has some very complex medical problems and many physicians will be required … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Birth Defects/Urinary Tract Abnormalities, Kidney-Related Health Questions, Nephrologist, Pediatric Issues, Pregnancy / Kids, Treatments

I was hospitalized about 3 months ago due to high creatinine levels. I went to the ER due to severe back pain, abdominal pain, loss of appetite, extreme fatigue, and diarrhea. They checked my blood and informed me that my creatinine level was at a 4.2 ( Just some info about myself, I am a 21 year old female who has a history of UTI’s and kidney stones. I’m not sure if this makes a difference, but I also have epilepsy.) Anyway, the doctor told me that it was most likely due to dehydration. After many fluids and antibiotics, my level went back down to a 1.5 after 3 days in the hospital. Now, I am having the same symptoms. My lower to mid back is in pain, I am nauseous , EXTREMELY fatigued, and have diarrhea. Could this be something different, or should I go back to the ER? Also, does this sound like kidney disease, and not just dehydration?

Recurrent attacks of acute kidney injury (AKI) can also cause long term damage to the kidneys and result in chronic kidney disease (CKD).  I am unable to provide medical advice without performing a complete history and physical examination.  I suggest … Continue reading

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

My sister has what is referred to as MAC infection in her lung. She is 50 and a runner and in good health with no alcohol or drug use. Her ID doctor prescribed three drugs to treat the MAC. Last Saturday, she went into Acute Renal Failure as a result of taking the drugs. She was in the ER for a few days. She is now up walking eating but still in the hospital and undergoing her third dialysis treatment. After dialysis, she has been tired with a headache. What is the likelihood of her kidneys recovering? Her urine output is there and slowly increasing but minimal. The doctors are talking about a kidney biopsy if urine out put does not increase after today’s third dialysis.

In most cases, acute kidney injury (acute renal failure) should recover but it is not possible to predict when that will  occur.  The fact that she still has a good urine output is also a good sign that kidney recovery … Continue reading

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