Category Archives: Acute Kidney Injury

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

What is 1.60mg/dl reference range 0.7-1.5means? I am at stage 3?

I will assume that you are asking about a serum creatinine result. I cannot make any specific diagnosis based on the information that you present. The serum creatinine would appear to be abnormal but I cannot tell if this is … Continue reading

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

My creatinine was 2.2 last month. Now it is 3.5. What should I do?

You should consult with your physician for examination as to why you are have acute kidney failure.  These test results would suggest that you have acute kidney injury and you should consult with your physician.

Posted in Acute Kidney Injury, Ask the Doctor, Kidney-Related Health Questions, Symptoms and Side Effects

I was recently diagnosed with AKI from heat exhaustion. Since then my kidney function has gone back to normal. It has been 2 months since the incident. I’m still have left back pain, dizziness, fatigue, lack of sleep, only 6 hours per week, headaches, but my doctor is ready to release me back to work because my kidney function are normal now. Do you think I could perform at work?

I am not able to provide an opinion about your fitness to work without performing a complete history and physical examination.  I am unable to provide a specific diagnosis based on the information that you present.  The Acute Kidney Injury … Continue reading

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

There has been recent studies proving that air pollution can cause Chronic Kidney Disease. It is my understanding that exposure to PM 2.5 overtime can damage the kidneys leading to CKD. But can air pollution also cause Acute kidney failure?

I have not seen any reports of air pollution that has been implicated in a case of acute kidney injury. I recently reviewed the subject of environmental associated kidney disease on our web site. You can review that blog post … Continue reading

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

When my gfr has increased, does that mean my actual kidney function has improved? Is it possible for kidney function to improve?

The estimated glomerular filtration rate (eGFR) is an approximation of your kidney function. There can be changes in your serum creatinine whereby the eGFR is estimated as going up and down, but this merely represents laboratory variation. If there has … Continue reading

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

Dear Doctor, While in the army in 1987 I had 2 Intravenous Pyelogram (IVP) using iodinated contrast dye. These tests were to look for a hematuria in my kidneys. I donated a unit of blood several times each year and in the fall of 1991 I was rejected as a blood donor because of high blood pressure. My height and weight and physical activity has always been good. I was treated for high blood pressure then for many years. I began to loose kidney function and went into End Stage Renal Disease the Summer of 2007. After 6 months of dialysis, I have now had a successful kidney transplant for nearly 11 years. The question I have is: has there ever been a link to IVP and kidney disease with the dyes used back in 1987? I believe the kidney disease caused my high blood pressure. Thank you.

As far as we know, contrast (dye) associated kidney disease is an acute injury and not a progressive chronic injury. Hence, we do not have any research that suggests that remote exposure to contrast is associated with chronic kidney disease … Continue reading

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

Hello, Doctor. I am from Ethiopia. Yesterday, the doctors told me that I have a big kidney problems. So, I don‘t know what I should do? If you can, please say something?

Since you have been told that you have kidney disease, it is first important to know if this kidney disease is acute or chronic. Acute kidney disease or acute kidney injury, can generally be treated and may be reversed in … Continue reading

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