Category Archives: Blood/Urine Testing For Kidney Disease

I am concerned about my kidney function. I am a 56 years old, white male in seemingly good health. About three years ago the doctor measured my GFR at 93. A year ago, my GFR had dropped to 82. I also had a kidney stone removed at that time. My GFR is now at 83. I’m concerned that my creatine levels increased so abruptly. How concerned ought I be about this? Should I have more tests run? What should I do now? FYI: I am generally healthy, except for occasional bouts with constipation (especially on weekends and long holidays). All of my other serum levels are normal (see below). My doctor is tells me I’m healthy, but based on what I found here (looking up GFR), it looks like I have Stage 2 kidney disease. My diet is very similar to the DASH, except that my wife likes to cook with a little more salt than I wish. My weight is good (I’m 5’8″ and 135-145 lbs). Also, my GI doctor had me on Nexium for nearly 3 months for gastritis. Recent Serum levels: SODIUM 137 POTASSIUM 4.5 CHLORIDE 102 GLUCOSE 80 UREA NITROGEN 9 CREATININE 1.01

I do not identify any kidney disease based on the information that you present.  There is some variability to the estimated glomerular filtration rate (eGFR) and the two levels that you mention are within the usual range of variability for … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diet/Nutrition, GFR, Kidney Stones, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects

I am a kidney donor. I have pain in my upper right side. The doctor did a US abdomen. He says I have some kidney swelling. Would a CT (I’m allergic to iodine dye) or an MRI be a better exam for me.

I am unable to recommend medical testing or management without performing a complete history and physical examination.  Testing with computerized tomography (CT) scanning or magnetic resonance imaging (MRI) is done for specific reasons.  I suggest that you consult with your … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Living Donation, Symptoms and Side Effects, Treatments

My 88 year old husband has just been diagnosed with impaired kidney function (raised creatinine level on blood/urine testing). He has been advised that he needs a referral to a Nephrologist but there is a delay in this happening. In the meantime, he is suffering attacks of diarrhea on most days. I am currently modifying his diet in line with the advice on your website but, in the meantime, would you consider his diarrhea is related to his kidney impairment or should we seek urgent advice regarding this? He is losing weight, muscle, tone and strength too. Multiple myeloma has been ruled out by the Oncologists. Many thanks, in advance, for any advice you can give me whilst waiting for his referral.

Diarrhea is sometimes seen in late stage chronic kidney disease (CKD), but it not a typical finding in earlier stage chronic kidney disease.  Diarrhea can lead to dehydration which can make CKD worse and may lead to acute kidney injury … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Treatments

After removal of stone from my left kidney naturally, I observed frequent drops of pus. I consulted with kidney specialists at SIUT Karachi Pakistan. They, after a series of tests declared that my left kidney has got infection, according to report, Daie Cell observed 0.3%, Tissues 0.2%, Creatinine 2.9, Pus18%, Platelets in blood reduced to 2200, Ultrasound revealed that left kidney collapsed by 0.3 cm. I am feeling pain and pus+ blood mixed drops are continuously discharging. The tests also revealed the presence of infection in cum-discharge. Doctors suggests two options to me. One to immediately remove this infected kidney, the body will be maintained on one kidney which is healthy. Second to undergo Laser Cystoscopic Surgery, in which infected part of your kidney will be cut-cleaned and cured for infection, the option being not available in Pakistan. I was advised to go UAE for this operation. My question to this worthy forum is to suggest me if the treatment of infected kidney is better option or the simply removal of kidney is good one. I am in doubt if this infection may re-occur even after having Laser Surgery..? An early reply is appreciated, please.

The question that you ask is a urological question.  I am a nephrologist and have no expertise in surgery or surgical treatment of kidney disease.  I suggest that you consult with your urologist, who is a kidney surgeon. If you … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Nephrologist, Symptoms and Side Effects, Treatments, Urological Issues

I am 78 years old and just had my 6 months physical. I looked on the portal and has stage 3 chronic kidney disease that my doctor never told or talked about it. I called 2 times for explanation. The first call I got a assistant that told me that was all before so I called again and they will not call me back. I just want an explanation for whats wrong. Do I need medication or what or a new doctor?

I am unable to provide a specific diagnosis or recommend a treatment based on the information that you provide.  I suggest you make another appointment with your physician and discuss your concerns at the appointment.  

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects

I am a female, age 58, no diabetes, or high blood pressure, recently tested GFR 48, down from GFR 68 twenty days ago. I have fluid retention and a lot of back pain with fever 100 – 102. No UTI (but suprapubic pain). Urinalysis: No protein, Leukocyte (70), hemoglobin small, all other normal. Doctors point at creatinine level (1.17) and believe due to dehydration and other symptoms not related to kidney. No referral to urologist, no diagnosis of kidney disease, no treatment offered for symptoms. Any recommendations to treat symptoms — now can’t work/function. Thanks. (p.s. I know need to push for more tests).

I am unable to make a specific diagnosis based on the information that you present.  I agree that you need further testing.  I suggest that you consult with your primary care physician for further testing or referral.  An ultrasound examination … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Diabetes, GFR, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Urinary Tract Infection/Pyelonephritis

My daughter has been on dialysis for nearly 17 years with several different complications. She is 35. We never thought she could get pregnant. That seems the possibility now. I can’t find any data on that for her time in ESRD. I’m in shock. What are her chances of survival? The baby’s?

The chances of successful pregnancy for a patient on chronic hemodialysis treatments is very poor.  Successful pregnancy has been reported but dialysis treatments must be increased.  Dialysis treatment times may have to be increased to more the 30 hours per … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Dialysis, Kidney-Related Health Questions, Nephrologist, Pregnancy / Kids, Symptoms and Side Effects, Treatments

I have eye lid twitching, poor urination, weak stream, vibration sensation in area of left kidney, erectile dysfunction. Is this kidney disease?

I am unable to make a specific diagnosis based on the information that you present.  I recommend that you consult with your physician.  Many of the symptoms that you mention are not specific to kidney disease.  You need an complete … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Kidney-Related Health Questions, Symptoms and Side Effects

I had a kidney transplant 33yrs ago. I have only one which is my Mother’s. I had a kidney infection 3 yrs ago, which I had no clue, went to Doctor about severe neck pain which was making me vomit. Now I have smelling/cloudy urine and my neck pain is getting bad again. I’m unsure as to what to do being I have no insurance or money.

You must see your physician for evaluation.  Infection in a kidney transplant can be very difficult to diagnose because it does not have the usual symptoms that are associated with kidney infection.  The kidney does not have the sensation because … Continue reading

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

Kidney function at 40 and have chronic diarrhea due to gastric bypass. Have taken massive amounts of Imodium to control bowels. Was suggested by family doctor as safe. Now I find out that this can damage kidney function. What OTC medication for diarrhea is safe for my kidneys?

Imodium (loperamide) is safe for patients with kidney disease.  I am unaware of any damage that Imodium causes to kidneys.  Patients who have gastric bypass and diarrhea are prone to kidney stones and also can have kidney damage from oxaluria … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Kidney Stones, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Symptoms and Side Effects, Treatments