Category Archives: Acute Kidney Injury

I’m 18 years old and I have nephrotic syndrome and I also have just one kidney. What future complications can occur?

The nephrotic syndrome is a form of kidney disease that results in loss of excessive protein in the urine and is usually greater than 3.5 grams of protein loss per day. The nephrotic syndrome also results in edema or swelling … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diet/Nutrition, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Nephrectomy / One kidney, Nephrotic Syndrome

I am 54 & have only one kidney since 1984 (removed due to shriveled up and nonfunctional from chronic infections as kid). Just diagnosed with breast cancer and they want me to take Neulasta with the dose dense AC chemo. I am concerned with the side effects of the Neulasta with only one kidney on top of the heavy chemo. Any idea on how likely it would cause damage to end up on dialysis. Right now my CMP shows GFR >60, other values WNL.

Neulasta (Pegfilgrastim) rarely causes kidney injury from allergic reactions or stimulation of your immune system. These are rare events. I would be more concerned about chemotherapy drugs which can cause toxicity to the kidney. These reactions are also rare. I … Continue reading

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

I recently had my annual physical and my GFR was 53. One week prior to my physical, I had nausea and vomiting. Could dehydration be the cause of this result? I’m due for a follow up blood test in about 2 weeks. I’m very surprised and concerned about this result. I do not have high blood pressure, my blood sugar is normal and no history in my family. Thank you.

It is certainly possible that dehydration contributed to a reduction in your kidney function. This would be an episode of acute kidney injury that then could show recovery. I agree with repeating the testing and see if this is reversible.

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

Hello Dr. My father in law is aged 77 years, has diabetes and blood pressure. His creatinine level is between 3.6 and 3.8. Has high levels of urea (129). There is high levels of albumin in the urine, too. He was admitted to the hospital following no urine output. The doctors have placed a catheter and observing the output. The output is still low. However, we are not getting further updates on what needs to be done. Does he need dialysis? Is this an indication of CKD? What could be the stage if it is CKD? Please help us understand. Thank you very much.

I am not able to make a specific diagnosis based on the information that you present. I cannot tell if this is acute kidney injury or chronic kidney disease (CKD) based on the information that you provide. CKD requires that … Continue reading

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

Please, I have abnormal rhabdomyolysis for 9 years causing screaming ambulance rides and 3 hospitalizations. I need a nephrologist who likes a challenge. It is involving my G.I. system which isn’t supposed to happen. The attacks are absolutely wild.

I do not have any suggestions. Rhabdomyolysis is a muscle deterioration that can result in acute kidney damage. There are a number of causes of rhabdomyolysis that may be genetic, drug induced, heat illness, exercise induced, and associated with trauma … Continue reading

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

My mother has diabetes and hypertension. She feels nausea and vomiting. When tested for creatinine, her creatinine level is 7.2. And she was admitted to the hospital and treated by the physician. Now her creatinine level went down to 4.5. How about her condition with CKD? Does she need dialysis or transplant? If she can not afford the dialysis cost, how will her condition continue? Can I get advice?

Your mother appears to have advanced kidney disease. I cannot tell if this is acute kidney injury (AKI) or chronic kidney disease (CKD) based on the information that you provide. The cost for dialysis can be quite expensive. I can … Continue reading

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

My father has done heart stenting just 2 and a half months back. Before the stent, his creatinine was 1.8. But now it is increasing rapidly and yesterday we did blood test and it shows creatinine 10.4. There were no symptoms. But now dad has taken stress due to high creatinine and now he feels nausea all the time, weakness and cramps. Please help. What should we do?

From your description, it appears that you father has suffered an acute kidney injury episode related to his heart procedure and the dye that was administered during that procedure. You will need to consult with a nephrologist about the need … Continue reading

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

At what stage is kidney disease irreversible?

Kidney disease that involves acute injury to the kidney can be often be reversible. Chronic kidney disease (CKD) that is related to chronic illness is generally not reversible. CKD can be slowed and stabilized but generally not reversed.

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

Hello Dr. Spry, We are Thai. But, my father is in Thailand. He is 76, diagnosed with CKD in January this year from blood test; he did know the symptoms of being untreated about his urinary problems for about 10 years before. Now, he is stage 3a, GFR = 53/Cr. 1.3 (last result from July 8th) and due to check up again on August 19th. He will have to do CT scan for prostate cancer on August 27th which he will have to inject contrast dyes into his vein. He has some pills to take for 2 days before the CT procedure. (I don’t know the details of those pills) His Dr. said. My father will have a chance to get kidney failure by injecting this contrast material! My question: 1.) What is the percentage of chance to get kidney failure? Sounds very scary. Will his kidney fall to stage 4 or 5 and start dialysis after injection contrast? 2.) What else can we do so that his kidney does not get worse? Because he needs CT scan for the next treatment of prostate cancer. So far this is what I could think to ask you, hoping that can help my dad. Thank you so much in advance for your answers.

I am unable to offer a prognosis without performing a complete history and physical examination on your father. It is true that there is some risk of contrast dye used for computerized tomography (CT) scanning. The risk can range from … Continue reading

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

I am a 50 year old female with an illiostomy, hyperparathroidism and a history of UTI’s and sepsis. Normally I get short of breath and fatigued and when I present to the hospital my tests show Sepsis caused by UTI. This presentation has been different. I have been told my kidney function is impaired at 44 and I have acidosis which is improving and a raised rash on my back left side. My hemoglobin is 157. I’ve been given fluids and my blood tests and kidney levels are improving. Is this kidney disease? I have no other symptoms. I have surgery in 2 months for my parathyroid but should I try to get it done sooner. Thanks.

I am unable to provide a specific diagnosis based on the information that you present.  I cannot tell if you have acute kidney injury or chronic kidney disease. The infection and the ileostomy both contribute to the potential for acute … Continue reading

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