Category Archives: Acute Kidney Injury

I have biopsied IgA Nephropathy. My recent blood and urine tests show that among other out of range values my BUN has increased to over 30. In addition, I show small reductions in my red blood count and hematocrit which are now out of range. I have been on Coumadin for 10 years and wonder if it has contributed to these recent developments. There has been a recent study which shows that all of the various blood thinners contribute to worsening kidney function if one already has impaired function. My current gfr is 42 whereas a year ago it was 49.

Coumadin (warfarin) can cause episodes of acute kidney injury (AKI) in patients with underlying chronic kidney disease (CKD). This happens when the dose of Coumadin is excessive and the blood become too thin.  I am not aware of any studies … Continue reading

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

I AM 50 YRS. MY S-UREA IS 1.1 mmol/L, C-CREATININE 71 umol/L, eGFR (CKD-EPI OVER 89 ML/MIN, S-CHOLESTEROL 5.0 mmo1/L AND S-LDL CHOLESTEROL 3.5 mmol/l. Random glucose 10.7 NORMAL RED CELL INDICES, ABSOLUTE LEUCOCYTE VALUES ARE NORMAL AND PLATELETS ARE ADEQUATE.URINE ++++, NO PROTEIN IN URINE, PH 6.0, SPECIFIC GRAVITY 1.015, LEUCOCYTES UNDER 5 UL AND ERYTHROCYTES UNDER 5 UL AND BACTERIA +++. BLOOD PRESSURE 130/73.

The laboratory testing that you report shows an elevated LDL or bad cholesterol and an elevated blood glucose.  I do not identify any kidney disease although I cannot interpret the meaning of the 3+ bacteria noted in the urine testing. … Continue reading

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

I’m a 74 yr old white woman. On 6-9-19 my gfr was 60. In late June I started taking Hyzaar. The gfr declined to 55 on 7-11. The Hyzaar was increased in mid-July. The gfr declined to 52 on 7-29. The gfr declined to 49 on 10-30. The doctor says this is stable. I don’t understand how an 11 point decline in gfr is considered stable. Could you help me understand this? Should I stop taking Hyzaar?

 High blood pressure is injurious to the kidney.  Hence, if your blood pressure was greater than 130/80, then your estimated glomerular filtration rate might be higher as a result of the high pressures but over the course of time, progressive … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Chronic Kidney Disease, GFR, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Medication and Kidney Function

Hi Doc. My brother just got diagnosed with stage 5 renal failure after pneumonia Creatinine of 9.12 and eGFR of 7mls/min. After recovering we did creatinine recheck and it’s 4.5 eGFR of 17. Should we still go ahead with dialysis or try home remedies 1st to improve the condition. Is the condition reversible at this stage? Thank you!

I do not know of any home remedies that reverse acute kidney injury.  From what you describe, your brother may have acute kidney injury but I cannot make a specific diagnosis as to the cause, based on the information that … Continue reading

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

My bloodwork shows a creatinine level of 2.21 and GFR of 22. I can’t get in to a nephrologist until the end of November. Should I be concerned about waiting 6 weeks for an appointment? Thank you.

Your primary care physician (PCP) should be the best person to advise you in this regard.  This would depend on whether the changes in your kidney function have been rather sudden (such as acute kidney injury) or whether the changes … Continue reading

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

I had severe cerebral malaria faliciparum last year with acute kidney injury (at one point below 10%). The last time I had my kidneys checked they were within the normal range for both creatinine and glomerular filtration rate. What is your advice for continued follow-up and prevention for future kidney injuries? By the way, I was very strict about my kidney diet and did not have any other morbidities so I think that helped me.Thanks!

Malaria causes acute kidney injury by causing breakage of blood cells and clogging of the kidney filters with damaged red blood cell products and clogging of the kidney arteries with damage red blood cell products. In most cases, if you … Continue reading

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

In 1996 I had total organ failure from alcoholism that caused acute ascites. I went from 215lbs to 305 Lbs in 2 weeks and turned yellow. A tap was placed in the abdominal space and 65lbs of fluid was drained in 5 days. That resulted in metabolic shock and total system failure. Heart, kidneys, liver all shut down. Initial blood readings were Creatine 11.5, Bun 145, and SGOT/SGPT/GGtall well over 150. I had terrific docs and the benefit of being 29 years old. My Nephrologist did not start dialysis as most may have, instead as long as the readings improved daily no dialysis. I spent 6 months in the ICU. Recovered after 1 year and have had no issues since. My blood Creatine reading ranges between 1.9-2.9. Has been consistent for the last 23 years. 8-10 years ago in my early 40, I struggled with gout and spent 6/8 years on allopurinol once daily. Also, blood pressure was high with systemic changes to the cardiac muscle. However, as I aged, I better disciplined myself and I am now 168lbs at 70.5” and I usually eat only one meal a day with some sort of high protein snack to tied me over. Now I have been off the allopurinol for 2 years and off my blood pressure meds for two years. I feel good and at 52 my blood glucose was 80 last labs. I know if I do anything to further damage my weakened kidneys such as drink again or take NSAIDS I could cause premature kidney failure. However, if I do not damage them by bad habits or too many OTC pain killers what is the potential for my kidneys to never be an issue until I live a normal 70-80 year lifespan? If they have not worsened in the last 23 years, baring me doing damage or developing type II diabetes, can they not last another 23 years and not fail prematurely? Several doctors have limited my life to 60-65 years due to the alcoholism and the resulting multi-organ failure. Most don’t expect me to live a normal life span. I understand that if I still drank or if I was 275 lbs again with gout every 2 weeks. Yet I haven’t had those issues for several years. I know the diabetes could change everything. Yet, my blood glucose has always been 75-85. BP is now consistently 118/76 or better with pulse at 80 or below. I am a male and 52 years old. I am 5’10.5” weight consistently between 165-175. I take a baby aspirin now and that is all. The system failure occurred in 1996 at the age of 29. After a year I had all normal organ blood level readings except for the Creatine of 1.9. At 170 LBS it stays 2.0or below. When I would gain up to 275 lbs the Creatine would increase to 2.9-3.0. I have been sub 180 since I turned 50, and Creatine has been 1.75-1.9. I have had no treatment of any kind since I left the hospital in 1996. What does the future hold for my kidneys if I don’t ruin them by drink or drug? How devastating would diabetes be to someone like me? I have no pre diabetes now and since age 46 I have had blood glucose tested every 6 months with my Creatine. It has been 80 average for 6 years. Can I expect my kidneys to continue to work without a hiccup or are those many doctors correct who pegged my life span at 65 not that of an average man? Thanks doctor!

Your story is certainly an extraordinary account of severe illness that seems to have stabilized and you have adopted a remarkable change to your lifestyle. I don’t know that anyone can forecast the future with that degree of precision.  In … Continue reading

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

I am suffering from kidney problems and I have only one kidney. My current creatinine report is 2.8 and eGFR report is 24. So please advise me in regards to this. Thank you.

The information that you present suggests advanced kidney disease. I am unable to tell if this is acute or chronic disease. I suggest that you consult with a nephrologist for a specific diagnosis and treatment recommendations.

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

Hi there, my Urine (Micro)albumin test came back flagged with a reading of 3.1 (the reference range flags anything over 2.8). Unfortunately, I haven’t been able to conclude if this is caused by starvation (it has been diagnosed as anorexia), or a result of high blood pressure from a primary cause. After hospitalization for acute blood pressure crisis this last weekend (228/128) and low potassium causing irregular heart activity and chest pain/difficulty breathing/fatigue/muscle contraction… It feels confusing when the waits are so long for testing. I guess my main question is, has this high blood pressure episode caused permanent kidney damage? I am only 38 and a single mother of 2, healthy, exercise regularly, eat well, sober many years, no caffeine, I try to treat my body well and would like to live a healthy life, if you have any advice! My sincere apologies for the confusion in my statement, it has been a rough week.

I am not able to interpret your laboratory testing without knowing the units of your testing. I am not familiar with a urine microalbumin test that would have 2.8 as a normal. A high blood pressure event can cause an … Continue reading

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

Is there a reason why my GFR number would be 109, 109, 60, 60, 49, and then 91 in 4 months time? Thank you for answering my question.

The possibilities could include laboratory error, an episode of acute kidney injury or use of a medication that interfered with kidney function. I suggest that you discuss this with your primary care physician.

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