Category Archives: Acute Kidney Injury

I am 62 year old Type 1 diabetic with Stage 4 CKD. My eGFR is currently 23. I am an amputee and have a hex of CHF, sepsis, ARDS, acute renal injury x’s 3. I was on an ACE inhibitor but was taken off of it by my new nephrologist. From what I have read, an ACEi is standard treatment. Your thoughts?

Drugs such as Angiotensin Converting Enzyme Inhibitors (ACE-I) and Angiotensin Receptor Blockers (ARB) agents are used to try and preserve kidney function in diabetics with protein in the urine. In your case, your nephrologist may have evaluated the risks or … Continue reading

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

Is Kidney Disease reversible?

Acute kidney disease can be reversible. Chronic kidney disease (CKD) is generally not reversible. CKD is generally treated to prevent further loss.

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

What are “normal” creatinine, BUN and eGFR numbers for a patient with one kidney. My husband went to the ER to be treated for dehydration. His BUN was 46 and creatinine was 1.58. They said he had Stage III kidney disease which obviously was not true. Thank you.

Stage 3 chronic kidney disease (CKD) requires that the estimated glomerular filtration rate (eGFR) be between 30 and 59 milliliters per minute per 1.73 meters squared and it be present for at least three months.  Since you husband was treated … Continue reading

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

My father, age 73, has been operated twice last month. He had acute intestine obstruction and had laparotomy. After the surgery, his Urea increased to 94. But gradually it decreased to 50. But now, after 20 days of his surgery, he has stopped urinating. Even the urine bag has been fixed but it is empty even after 2 days. He is feeling pain in his chest. His bladder is felt empty. The creatinine has increased to 4.6 mg/dl and urea to 70 mg/dl. Sodium is 134 mmol/L Potassium 4.5 mmol/L nd chloride 99 mmol/L He is not urinating since 3 days. Please tell me what cause can be and what should be done? Thanks in anticipation.

Your father appears to have acute kidney injury as a complication of the surgery. I am unable to make a specific diagnosis as to the cause of the acute kidney injury. In most cases, this requires dialysis until the kidney … Continue reading

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

Hi. I am 31 F. I have been feeling rotten recent month. Then had an infection so had my bloods done. They showed an iron deficiency, anemia as well as infection. My Hgb was 10.3 ferritin 6.9. I have been taking oral iron before this too. My creatinine was 1.61, Ur 11.7, eGFR 40. Thinking is likely to be IgA nephopathy. They thought would be periods, although mine are light and short. Last had check, last year my Hgb was 13.5. Do you think it is relevant to the kidney check and what options are there to improve the anemia? Thanks.

Kidney disease and anemia commonly occur together. The kidney is responsible for making a hormone known as erythropoietin. This hormone helps to make red blood cells. In patients with acute or chronic kidney disease, anemia is very common. It is … Continue reading

Posted in Acute Kidney Injury, Anemia, Ask the Doctor, Chronic Kidney Disease, IgA Nephropathy/IgA Dominant Glomerulonephritis, Kidney Biopsy, Kidney-Related Health Questions

Hi. I was just diagnosed with stage 3 CKD. My GFR is 44.5. On 5-24-17 it was 79.9. Is this a rapid onset of the disease? How does CKD generally progress (it’s rapidity) from this point? I’m sure it varies from one person to the next but what can I expect? The only contributing factor I have is high B/P which about a month ago was brought under control with meds. Thanks.

The rapid decline in the estimated glomerular filtration rate (eGFR) is greater than I would expect for most patients with chronic kidney disease (CKD). Hence, I would be concerned that this is more likely acute kidney injury for reasons that … Continue reading

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

Can the GFR ever increase after it has dropped?

Yes. We need to differentiate between acute kidney injury (AKI), where the estimated glomerular filtration rate (eGFR) can drop suddenly, but the kidney is able to recover and eGFR will then increase. In the other instance, chronic kidney disease (CKD) … Continue reading

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

My uncle is a 73-year old man with multiple myeloma and, as a result, opioid-induced bowel dysfunction. He had surgery recent (resectioning of small intestine). Along w/being on a ventilator, he’s now in renal failure. Actually, his kidneys were probably already failing before surgery. Zero kidney function. Doing dialysis daily. Our concern is that he is SEVERELY swollen. Hands, feet, arms, knees. He looks like he’s going to pop! Several liters of fluid are being removed from his system daily, but it doesn’t seem to be helping. Questions: How much swelling can one body take? And are there additional ways of removing fluid more effectively? The rural hospital he is in does not offer CRRT and we don’t even know if such would make that much of a difference and until now, he was too critical to be a candidate for transfer. His nephrologist and cardiologist don’t seem to exactly agree on the best approach. We are at a loss about all this and wondering whether he’s getting the most thorough care that he should be. Please help!

I am not sure how I would help. In cases of acute kidney injury, dialysis is commonly done daily for fluid removal and removal of toxic products. For patients in the intensive care unit (ICU), continuous renal replacement therapy (CRRT) … Continue reading

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

Tell me the condition of a patient, if his creatinine 7.63 and blood urea is 63. Is he in serious condition?

I am unable to make a specific diagnosis based on the information that you present. The creatinine and blood urea nitrogen (BUN) that you present suggests advanced kidney disease but I cannot tell if this is acute kidney disease or … Continue reading

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

Dear Dr. Spry, My cousin brother has been diagnosed with MSK in China. After the doctor did surgery of kidney stone removal, they said his kidney is not able to work again. His creatinine has risen up to 2000+, and now he is under Hemodialysis treatment. I want to know if there is any advance treatment can help this situation. The kidney failure started last week. In China, the doctor says the process is irreversible and he has to live his life with Hemodialysis or perform kidney transplant. It is so sad and my cousin brother is only 29 years old. Thank you for all your help.

Medullary Sponge Kidney (MSK) can cause kidney failure but it is unusual. I am not able to make a specific diagnosis with the information that you provide. I am unsure if this is permanent kidney failure or acute kidney injury. … Continue reading

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