Category Archives: Anemia

My sister’s kidney failed due to birth delivery complications and couldn’t be reversed due to dialysis. Now she is on dialysis two times a week with creatinine 5+ pre-dialysis. She is continuously having hemoglobin at range of 7+ or 8+ and RBC around 3. My question is how to determine if blood transfusion is required? Is it that new blood formation is completely stopped with people who have CKD? Is it the kidney that makes blood?

Anemia is very common in chronic kidney disease (CKD) and in patients with End Stage Kidney Disease (ESKD). The kidney is responsible for making a blood hormone known as erythropoietin (EPO). This hormone is produced in normal kidneys and the … Continue reading

Posted in Anemia, Ask the Doctor, Chronic Kidney Disease, Dialysis, Kidney Failure, Kidney-Related Health Questions, Transplantation

Hello Dr. I am a 27 year old, female. I often find my urine to be colorless. I drink a litre of water a day on average. Although I try to take at least 1.5 litres. My vitamin D level is 9 ng and hemoglobin is 11, although my usual Hb level is 10. Do I have any issue with my kidneys?

I am unable to make a specific diagnosis of kidney disease based on the information that you present. Colorless urine is normal. Your vitamin D level is low and suggests that you should be taking supplements. I suggest that you … Continue reading

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

I have one kidney by birth. So my question is, can I climb Mount Everest as it is having high altitude and I have to carry lots of pounds with me? Please guide.

A single kidney will not be a factor in your ability to climb Mount Everest. As long as your kidney is functioning normally and you are not anemic, your single kidney should serve you well.

Posted in Anemia, Ask the Doctor, Kidney-Related Health Questions, Nephrectomy / One kidney

My creatinine level 2.99. Any options to lower my high level? Medications I take for my anemia, Aranesp 100mcg and paricalcitol.

The goal for treatment of chronic kidney disease (CKD) is to slow progression of the disease.  In most cases, it is not possible to reverse CKD and lower the serum creatinine.  Treatment should be directed at slowing the progression of … Continue reading

Posted in Anemia, Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Serum Creatinine, Treatments

My mother is ckd patient. She pass black stool and she’s anemia every month. I inject mircera 100 mg every month. I give 2 bag of blood but still hb level goes down. Tell me treatment? Creat level 5.0 blood urea 93 not is normal.

From your description, it sounds like your mother is bleeding in her bowel. I suggest consultation with her physician and further testing to see if she is bleeding from her bowel.

Posted in Anemia, Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Serum Creatinine, Urinary Tract Infection/Pyelonephritis

Hi. My mother is a 78 white female. She has CKD stage 4 with a gfr of 17 and creatinine of 2.5. She also has Hashimoto’s disease. She has CHF and cardiac history of a MI five years ago resulting in 2 stents. Recently, May 2019 had a full AV node ablation and pacemaker put in. For the past 6 months she has had anemia. Averaging a Hgb of 7. She has had iron infusions, blood transfusions but still struggles to maintain Hg levels. I was wondering if there is any other treatment options as the anemia has greatly impacted her quality of life. I’ve read about EPO injections, seems like there is risk/benefit issue due to the possibility of clots. Thank you for your time.

Erythropoietin alpha (EPO) is hormone used to treat anemia in patients with chronic kidney disease (CKD) and is commonly used when the hemoglobin (Hgb) is less than 10 grams per deciliter (g/dl). There are some experimental drugs call HIF inhibitors … Continue reading

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

I have stage 4 kidney disease. (Creatinine 3.43, eGFR 16). Also dealing with anemia,(Hemoglobin 8.0, Red Blood Count 2.1). I started Procrit, once per month intravenously, also an iron shot. Does Procrit increase Creatinine level, Potassium, BUN? I can ill afford to lose any more kidney function, although ultimately I know I will. It seems like I am between a ‘rock and a hard place’. I must address my anemia but am I paying a price with further decline in kidney function due to the Procrit? Thank You

Procrit or erythropoietin alpha (EPO), is used to treat anemia related to kidney disease and has not been shown to benefit or diminish kidney function.  It has been shown to decrease the need for blood transfusions and it has been … Continue reading

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

By way of introduction, I a dialysis patient in Mauritius. Been on dialysis for 6 years. My Hgb keeps training low. Despite I do Mircera 75mg twice a month, I need to do blood transfusion. Am of rare cases or 1st case in Mauritius to continuously have menstrual bleeding. Can be twice month for consecutive 15 days, then can stop 5 days and start again. On the Gyn side all tests are OK. I also get side effects and start bleeding when I do Recormon and Eprex. The government supply Recormon is free at the center but I am currently buying Mircera. Due to the recurring bleeding my Hgb is not stabilizing.Your advice would be much appreciated. With thanks and kind regards.

I am not an expert in menstrual bleeding, however, if you are having abnormal bleeding and this cannot be compensated by the Mircera, then the bleeding must be stopped. You should also have careful screening for and replacement for iron … Continue reading

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

My son is 10 years post kidney transplant. His hemoglobin has been slowly declining for the past two years and he is anemic. A month ago he started taking iron, however his hemoglobin continues to decline, currently at 9.1. He is also losing weight without trying, about five pounds per month since February. I am concerned about this. It sounds like his hematologist wants him to start getting a shot, I’m sorry, but I don’t know the name of medication. I remember he had shots for anemia prior to his transplant. Can you give me some general information about what could be happening? Thank you for your time.

Progressive anemia has many causes including failure of the kidney transplant.  A hematologist should be able to tell if the anemia is from kidney failure versus some other cause.  The anemia shots are likely some form of erythropoiesis stimulating agent … Continue reading

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

My son is active on the Transplant list due to a genetic kidney disease and is also a competitive college athlete. His coaches have said that because he is “not in shape” he cannot play. Often he has trouble keeping up in the conditioning program because he is fatigued easily. His GFR is 20 creatinine is 3.9 Is his kidney condition what is really holding him back or is he out of shape?

There have been several professional athletes that have had advanced kidney disease and still able to play professional sports.  Hence, kidney disease does not preclude physical conditioning but the anemia and the fatigue do make the conditioning more difficult.  I … Continue reading

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