Category Archives: Acute Kidney Injury

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

I’m in remission from cancer. But cancer treatment caused high kidney creatinine levels. And recently my creatinine after at least a few months apart each time has gone anywhere from 2.8 to 3.5 to 2.8 to 3.1. I need help on how to keep my creatinine stable. What can I do?

Once kidney injury has occurred, it is unlikely that you can reverse the damage.  It is best that you consult with your nephrologist and try to maintain your current kidney function.  Damage from chemotherapy drugs is generally not reversible.  You … Continue reading

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

My husband is 61 years old and until recently has been in good health, overweight but basically good health. For the past three months he has been having severe swelling in his lower extremities, lower legs and feet, he has been back and forth to the Doctor and put on several types of “water pills” most recent being Lasix 40 to 80 mg BID. At his last visit he was diagnosed with Acute Renal Failure he will be seeing a Nephrologist on 8/10/16 soonest appointment I could get. How serious is all this? What can I do as his wife to help him? He does not take care of himself and he has Bi-Polar disorder, so I have to try and keep him calm, I have not told him this is what the Doctor said it is. He has had kidney stones once years ago but no problems since. I was told this usually happens when there is a blockage somewhere? What tests should I ask to be done? Thank you in advance for your input, I appreciate it. Just as an FYI I am a Medical Assistant and have been in the medical field for over 30 years so I do understand medical terms, but I have always been in OBGYN or Pediatrics.

Acute renal failure (or usually said to be acute kidney injury) is a sudden decrease in kidney function that occurs unexpectedly and in a relatively short period of time.  I am unable to make a specific diagnosis based on the … 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, Medication and Kidney Disease, Medication and Kidney Function, Nephrologist, Symptoms and Side Effects, Treatments

I went to see my primary care doctor May 10. I was on May 20th, I went back for my results. They diagnosed me with stage 3 kidney disease. My levels were 5.8. I wasn’t feeling well. I went to the emergency room May 28 and today I was diagnosed with acute kidney failure. Is that possible?

I am unable to make a specific diagnosis based on the information that you provide.  It is possible to have acute kidney injury.  I suggest that you should have further testing in regards to your kidney disease.  

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

I am a post Transplant patient. My transplant date was 04-05-2011 & my heart bypass surgery was in 13/10/2015. Please tell me about my creatinine because my creatinine is 2.0 after the bypass surgery and the present creatinine is 2.4. So please tell me about my creatinine levels?

Kidney injury after heart bypass surgery is very common and it is not reversible.  It may take several months for the kidney to recover.  Since your surgery was more than 6 months ago, the damage done to your kidney transplant … Continue reading

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