Category Archives: Anemia

I am a 68 y.o. white female. I have one kidney (not sure how long the other one was atrophied, as it was noticed incidentally on a sonogram) and there is a mass on it thought to be benign because it has shrunk in the past. My GFR was 49 in April, 49 in June, 41 in August and now 49 in September. My BUN was 19, 19, 31 and 24 , Creatinine 1.15, 1.10, 1.30 and 1.12. These tests were performed by my hematologist who is following me for this, as well as anemia. My hemoglobin in now up to 11 (no meds). My BP is well controlled averaging 120/70 (on Avapro and Amlodipine). I am not overweight (5’6, 136 lbs.). I did take Nexium in the past for about 10 yrs and am now trying to control acid reflux with Zantac prn. I have had idiopathic peripheral neuropathy (lower legs and feet) for about 18 yrs. I am not diabetic. My Hematologist and Internist both agree that this is nothing to be concerned about and that I just need to recheck this in about 3 months. I am told that my GFR is low partly because of my age. I’d like your opinion of this assessments, as I want to do all that I can to keep my kidney function normal. Thank you.

You appear to have early Stage 3 chronic kidney disease (CKD) based on the testing that you provide. I cannot tell why you have CKD. The creatinine testing and estimated glomerular filtration rates (eGFR’s) that you describe are probably not … Continue reading

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

I have had Stage 3 kidney disease for 5 years and recently was able to donate blood and I did it twice within the allowed time frame. I seen my PCP today for some weight gain that was fluctuating past 3 weeks of up to 3 or 4 pounds overnight. I donated last 4 weeks ago. I had a full exam and no solid answers as to the gain, barely any edema, rings tight but mainly abdomen bloated and full feeling. I told my PCP I had donated twice recently and he stated that was probably the reason for the gain. He explained that the fluid shifts would not be normal for me with the kidney disease. He offered to repeat my kidney labs but I just had that done last month and seen my Doctor also and all was stable. I then did some research and some places said those with kidney disease should not donate and it can change your stage of disease. I am now wondering if I should have my labs rechecked. Any thoughts?

The reason for not donating blood for patients with chronic kidney disease (CKD) is related to the anemia that is commonly seen in patients with late Stage 3 or Stage 4 CKD. If you are not anemic, then donating blood … Continue reading

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

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