Category Archives: Blood/Urine Testing For Kidney Disease

At my most recent check up, my microalbumin levels were very elevated. My level was 33. My creatinine was normal, and my ratio was normal. However, I am concerned about the high level of albumin. I do not have diabetes or high blood pressure, but I am overweight. Do I have kidney disease?

I am unable to provide a specific diagnosis of chronic kidney disease (CKD).  If the urinary ratio of albumin to creatinine in the urine is normal, then an elevated albumin concentration in the urine is of no significance.  I suggest … Continue reading

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

I am a 39 years old. Kindly interpret my result: sugar and protein negative Rbc 2-5 (1+) Pus cells 0- 1 occasional. All were blank except for amorphous urates and squamous cells which are occassional and bacteria few. Thank you.

The information that you supply suggests that this is a urinalysis result.  There are a small number of red blood cells in the urine, but I am unable to make a specific diagnosis based on this information.  I suggest that … Continue reading

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

I was born with one kidney so I tend to pay close attention to its health. My main concern is after exercising I develop proteinuria and I prove this by using the urine-analysis strips. Depending how intense the exercise was, it will determine the protein level in my urine, for example after doing lots of heavy weight lifting, I have seen protein levels as high as 60-100 mg/dL. So with that is the exercise induced proteinuria going cause my kidney function to fail prematurely or lead to kidney issues? Am I more susceptible to exercised induced proteinuria with only having one kidney?

Exercise induced protein in the urine (proteinuria) is also known as orthostatic proteinuria.  If the protein disappears from your urine with rest and after sleeping all night, then this is likely normal.  Some children have this finding and grow out … Continue reading

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

Hello, My 9 year old son recently had an renal ultrasound to look for kidney stones, etc. We don’t follow up with the nephrologist for over a month, and I’m curious about ultrasound report. The nurse told me on the phone that he didn’t have kidney stones, and this is what the report actually says: 1. Mild right pelviectasis in the prone position only (7 mm). 2. Otherwise normal sonographic appearance of the kidneys. No definite calcifications are seen. In the prone position only, there is mild right pelviectasis (SFU grade 1 bordering on 2) with AP diameter of the pelvis measuring 7 mm. I assume the pelviectasis isn’t serious since the nurse didn’t bring it up on the phone, but never having heard the term before, I tried to research it. The only references I can find refer to fetal pelviectasis, and I can’t find anything about this condition in a 9 year old child. I’m also curious about it only being seen in the prone position. Does this point to the possibility of some sort of blockage, or is it likely just a physiological finding? Is it unusual in a child his age?

Pelviectasis (also called pelvocaliectasis) merely means a separation of the collecting system or pelvis of the kidney detected by the ultrasound device.  It does not suggest any disease, unless there are symptoms or signs of blockage and none are described. … Continue reading

Posted in Ask the Doctor, Birth Defects/Urinary Tract Abnormalities, Blood/Urine Testing For Kidney Disease, Kidney Stones, Kidney-Related Health Questions, Laboratory Testing, Nephrologist, Pediatric Issues, Pregnancy / Kids

I have stage 4 CKD and I now need a drug that’s safe to take for controlling my heart beat. The Duke hospital put me on Amiodarone HEL, 200 mg. Just a week I started a red rash on my body and legs so I will have to stop the drug. What other drug is safe to use? Thank you for you time and attendance to this request.

I am not a cardiologist and cannot recommend drug treatment without performing a complete history and physical examination.  There are other drugs that can be used, but this would depend on why Amiodarone was used and the heart disease they … Continue reading

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

Hello, I recently had an Renal ultrasound scan and I see from a copy of the report I received that I have a thin walled simple cyst on my left kidney arising from the upper pole. What is alarming me is the size of it, it is shown as 80mm x 74.6mm x 84.7mm, this seems very big, unless they have typed it wrong. Your opinion would be appreciated.

If the report calls this a simple cyst, then this is a benign cysts.  About 40% of people develop a simple cyst in their kidney as they age.  The size is not particularly unusual.  If you confirm that this is … Continue reading

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

I was diagnosed with an angiomyolipoma on my left kidney after it ruptured in June, 2016. It was emobilized, I still have pain in my side/abdomen/back. What questions do I need to ask? What should I be looking for? The intervention radiologist released me in October. I still had some blood in my abdominal cavity so was assumed that was causing the pain. I just had another CT with and without contrast and have appointment next week to get results. I was only told to watch for blood in urine and new pain. With constant back/side pain, I’m wondering if it’s from my kidney. Any help would be greatly appreciated!

If you had bleeding into an angiomyolipoma 8 months ago, it is unlikely that this is still causing abdominal or back pain.  I would suggest a complete history and physical examination to look for other causes of your pain and … Continue reading

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

My Father is suffering kidney disease from last 5 years, his current creatinine is 4.52 (tested on Jan 31 2017) and was 4.25 (on Jan 14 2017). In this moment his local doctor gave him some medicine (Amlocal, prajopies, renvela, Dicaltol, Tigiror, Fusict,Feyofax,viscotin etc). Among those Renvela & Viscotin is newly suggested. Doctor suggest us to observe him for 7 days with those medicines, then Hospitalize our patient. After hospitalization, they will give him antibiotic. I have calculated GFR in online and found its already 13mL/min/1.73 m2. By judging the above information, can you suggest me about my father’s treatment?

I am not able to recommend medical treatment without performing a complete history and physical examination. Your father appears to have advanced chronic kidney disease (CKD). I suggest that you continue to consult with your father’s physician as to appropriate … Continue reading

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

Good day. I live in West Africa and I suspect I might have kidney issues. I am sorry for writing, I know your organization operates in your country alone, but I am compelled to write, as we do not have such organizations over here. I have had series of tests conducted with fluctuating results, this coupled with strange symptoms have me very worried to the point of sickness. I lost my brother to ESRD in April last year, which was mostly due to scarring in his kidneys from unknown sources, as we have no family history of the disease. When my brother had a heart attack that led to his death, I attempted CPR, which was unsuccessful. A weeks days later I noticed I had become unwell and was prescribed ciprofloxacin by my doctor. Over time I noticed I urinated more often, never used to initially, but started waking once at night to urinate, had whitish sediments in my urine and felt a weird flowing sensation in my hands and legs, with Numbness/Pins and Needles also being experienced. Later I started having foamy urine which will go away on its own after some days. . . Has just started occurring again. Urinalysis always says no protein, blood or leukocytes. I am not diabetic or hypertensive either. I talked to my GP about it and he said nothing was wrong. But based on gut feelings I decided to go ahead and see a nephrologist who asked me to get a renal function test done. Since then I have had four Renal function tests + urinalysis done and one liver function test, a CT-scan and I am still confused about what is going on. Despite my urinalysis stating no protein repeatedly. Overtime, I have found that on ingesting any form of protein ( Egg whites,165 of milk, etc), my urine becomes very frothy for a day and its been giving me a lot of worries, my urine dipstick home test kit shows normal values, yet I am in doubt of its accuracy. Below is a list of my tests and results arraigned in chronological order. 21/07/2016 Sodium 140mmol/L Potassium 3.9mmol/L Bicarbonate: 27mmol/l Chloride: 101mmol/l Urea: 2.3mmol/L Creatinine 78umol/L Urinalysis: Perfect order No STI’s 02/09/2016 Sodium 138mmol/L Potassium 4.0mmol/L Bicarbonate: 30mmol/l Chloride: 102mmol/l Urea: 3.2mmol/L Creatinine 101umol/L Urinalysis: Perfect order No STI’s 15/11/2016 Sodium 137mmol/L Potassium 3.7mmol/L Bicarbonate: 28mmol/l Chloride: 98mmol/l Urea: 2.4mmol/L Creatinine 110umol/L Urinalysis: Perfect order No STI’s 26/01/2017 Sodium 137.2 mmol/L Potassium 3.2 mmol/L Bicarbonate: 20.6 mmol/l Chloride: 92.2 mmol/l Urea: 3.7 mmol/L Creatinine 168 umol/L Urinalysis: Perfect order No STI’s Doctor requested a re-run a week later 02/02/2017 Sodium 144 mmol/L Potassium 4.1 mmol/L Bicarbonate: 18 mmol/l Chloride: 109 mmol/l Urea: 1.66 mmol/L Creatinine 115 umol/L Urinalysis: Perfect order No STI’s Liver Function Tests Bilirubin(Total) 0.83mg/dl Bilirubin(Direct) 0.11 mg/dl Bilirubin(Indirect) 0.72 mg/dl SGOT(AST) 27.38 U/L SGPT(ALT) 21.79 U/L Alkaline Phosphatase 46.99 U/L GGT 30.78 U/l Total Proteins 7.6 g/dl Albumin 4.5 g/dl Globulin 3.10 g/dl A/G Ratio 1.45 g/dL I have attached a copy of the CT scan report for your perusal. Note, I am 6ft tall and weigh 72kg Thanks and have a great day Regards.

I am not able to make a diagnosis of chronic kidney disease based on the information that you present.  Your symptoms are not typical of kidney disease.  Because you have a family history of kidney disease, I suggest that you … Continue reading

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

My GFR went from 56-45 in less than a year and blood level from 1.23-1.49. I had a knee surgery and a laparoscopy of my uterus in that time. I am wondering if that’s why the numbers got to much higher. I also got my blood checked on the 26th of this month and it was 1.43 and on the 30th checked it again cause I thought I was too dehydrated. When I took test earlier and after drinking over 2 liters of water it went up to 1.49 in four days? How? I changed my diet to eat less protein, sodium, potassium and phosphorous foods, I recently lost about 15lbs. Is it my diet? My sodium intake under 600mg and about 45-50g of protein a day. Potassium under 1500. I’m 36 yrs old with high blood pressure (148/96 was last reading) Im 5’5 165lbs. Please let me know what types of foods are good and what else I should be doing to better my chances of not progressing.

It sounds like you are doing all of the right things.  I would recommend that you continue to consult regularly with your physician and follow his or her advice.  There is always some variability to the serum creatinine from time … Continue reading

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