Category Archives: Anemia

I am an 83 year old man. I have dropped to late stage 3 ckd over the past 20 years. I do not have heart disease or diabetes. My creatinine is 1.73 and gfr 38. Recently I have been diagnosed with anemia due to a decrease in hemoglobin red cells level to 11.1 because my bone marrow is not producing enough erythropioetin hormone and when it drops to 9.5, I will have to get injections of synthetic epo. My question is do you think my good creatinine and gfr levels will also drop sharply. I am hoping that the injections will keep my hemoglobin levels around 11.1 and my good creatinine and gfr levels will not drop drastically because of this hemoglobin problem and that I will be able to avoid dialysis for a couple of years more.

I am not able to provide a prognosis without performing a complete history and physical examination.  Each person progresses with chronic kidney disease (CKD) at a unique pace.  The pace of deterioration of your kidney function is best judged by … Continue reading

Posted in Anemia, Ask the Doctor, Chronic Kidney Disease, GFR, Kidney-Related Health Questions, Laboratory Testing, Nephrologist

The anemia that your father manifests could clearly be a result of his chronic kidney disease (CKD).  CKD is commonly associated with anemia.  Your father also has iron deficiency anemia based on the testing that you describe.  Iron deficiency anemia … Continue reading

Posted in Anemia, Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, GFR, Kidney-Related Health Questions, Laboratory Testing, Treatments

I just had a colonoscopy, hip replacement, hernia strangulation surgery all with in a week and an half span. Recently I was in hospital for bowel obstruction twice. I was just informed that I am anemic. I am in end stage renal failure. My level is at 12 right now. It bobs back and forth between 10 and 12. What should I do? I am waiting for a call from a nurse. But I am sick. I have all the classic anemic signs.

In patients with End Stage Kidney Disease, we strive for a hemoglobin between 10 and 11 grams per deciliter (g/dl).  If your hemoglobin is normally 12, then you are very fortunate.  I suggest that you consult with your nephrologist. For … Continue reading

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

Dr, My father has been a diabetic patient for over 25 years and now he has developed diabetic Nephropathy. He was on medicines till recently and underwent one hemodialysis last month. Now he is experiencing severe anemia and has to undergo blood transfusion every week. Is there a cause and treatment for the anemia. His hemoglobin levels drops suddenly and even after the blood transfusion its lasting for only a week. He had his intestines checked for bleeding which came out negative. What else can we try?

Anemia is very common in advanced chronic kidney disease (CKD).  The kidney is responsible for producing erythropoietin (EPO) that is a hormone that promotes the growth and production of red blood cells.  In patients with advanced CKD and who are … Continue reading

Posted in Anemia, Ask the Doctor, Chronic Kidney Disease, Diabetes, Dialysis, Kidney-Related Health Questions, Laboratory Testing, Nephrologist, Symptoms and Side Effects, Treatments

My uncle is suffering from kidney disease. He does dialysis three X a week, but hemoglobin is very low 6. Doctors give blood bags ….but blood level does not increase What will we do?

I suggest that your uncle be tested for iron deficiency and if present, iron deficiency should be treated with intravenous iron therapy.  If iron levels are normal, your uncle should then be treated with erythropoietin (EPO) therapy.  This is an … Continue reading

Posted in Anemia, Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Medication and Kidney Disease, Symptoms and Side Effects

I have CKD stage 3. I have been struggling with anemia for about a year now. Iron supplements were helping but seem to have no benefit anymore as my levels are dropping rapidly. Is this the correct time to have my erythropoietin levels checked? My Primary has referred me to a Hematologist.

If your iron levels are normal and your anemia remains unchanged with a hemoglobin less than 10 grams per deciliter (g/dl) then you may benefit from treatment with erythropoietin.  It is not usually necessary to measure an erythropoietin level but … Continue reading

Posted in Anemia, Ask the Doctor, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Function, Treatments

I have anemia with kidney disease (stage 3). After 5 iron infusions, my HGB dropped to 9.9. Hematologist advised Procrit. I have cardiovascular diagnosis. What are my odds at getting a stroke. My blood pressure is 120/70. I have osteoporosis and have been prescribed Prolia, which should be administered at this time. What are contra-indications on taking both drugs at same time?

Procrit (erythropoietin or EPO) helps to improve your hemoglobin if your iron levels are normal.  The goal of treatment should be to prevent blood transfusions and keep the hemoglobin no more that 11.0 grams per deciliter.  The drug should be … Continue reading

Posted in Anemia, Ask the Doctor, Kidney-Related Health Questions

I am 75 year old male with stage 3 kidney disease (eGFR=39, Creatinine=1.7.) My latest lab results show hemoglobin=12.2, Hematocrit=37.2, RBC=4.2 Do the 12.2 and 37.2 indicate anemia from my stage 3 kidney disease?

Chronic kidney disease (CKD) is a cause of anemia.  You must be tested for other causes including iron deficiency anemia, vitamin B12 deficiency and folic acid deficiency.  If other causes of anemia are excluded, then your anemia could be from your … Continue reading

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

I recently moved from India to USA. I am 75 years old woman. Both of my kidneys have shrunk. I control my blood pressure with medicine and it is under control. But, recently I have started experiencing chills all day and some blisters on my lips. I have no other symptoms – no fever or cold. I am also very sleepless. In India, I was advised not to eat Proteins and Potassium rich diet so I don’t eat green leafy vegetables, beans, tofu. Could you advise me of a diet as well as recommend how to fix chills? I took a hemoglobin shot just last month – so I am not sure if it is because of low hemoglobin.

I cannot make a diagnosis based on the information that you present.  I also cannot advise medical treatment without seeing you and performing a completed history and physical examination.  I suggest that you see a physician in this country for … Continue reading

Posted in Anemia, Chronic Kidney Disease, Symptoms and Side Effects

My mother is in stage 3 kidney disease along with problems with her pancrcas. Problems we keep running into is that she keeps losing blood and they can’t use the dye as it would shut her kidneys down. But we need to find where she’s losing this blood. So we can fix the problem. Has this not happened to other people and what options did they use. She passed out yesterday so she’s in the hospital now they had to give her two units of blood and iron infusions. She will be 80 in October.

I am unable to provide a diagnosis based on the information that you provide.  If there is blood loss anemia, evaluation by a gastroenterologist may be needed to determine if she has bleeding in her bowel.  This sounds like a … Continue reading

Posted in Anemia, Chronic Kidney Disease, Kidney-Related Health Questions