Category Archives: Blood/Urine Testing For Kidney Disease

I had adrenal corticol carcinoma in 2011 my left kidney was removed as a result. Now I’ve been told I have 3rd stage renal failure in my remaining kidney. I’ve heard 2 different opinions to my question and it is; is 3rd stage kidney failure worse symptomatically and otherwise, for a person with 1 kidney vs a person with 3rd stage renal failure with 2 kidneys?

The stages of chronic kidney disease (CKD) are based on two factors.  First, is there evidence of kidney damage such as a missing kidney, abnormal findings in the urine, or abnormal radiology studies.  If any of these are present for … Continue reading

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

My BUN/Creatinine ratio is high. What does this mean?

If your serum creatinine test and your blood urea nitrogen (BUN) test are normal, then an elevated BUN/Creatinine ratio does not signify anything.  It is a calculated value and does not make any diagnosis.  

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

My mother’s biochemistry reports says that she is having blood urea around 42.0 mg/dl and serum creatinine around 0.6 mg/dl. So I just want to know about it. What does it mean?

I cannot determine a diagnosis based on the information that you provide.  You can use this information to calculate her estimated glomerular filtration rate (eGFR).  You can enter the information on her blood testing into an equation that will calculate … Continue reading

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

My boyfriend is 41 years old and was addicted to meth for about 6 or 8 months. He was injecting it. For about the past 3 weeks he has a rash on both of his sides and on both inner thighs. I was told that it could possibly be his kidneys shutting down. He doesn’t have foamy urine or blood or any discoloration of his urine. He said the rash doesn’t itch. It just feels like a sunburn. His back was hurting about a week and a half ago but doesn’t hurt now. I have been trying to find pictures of kidney failure but can’t please help me with this issue. Thank you for your time and consideration.

I am unable to provide a specific diagnosis based on the information that you provide.  Your boyfriend needs to be examined by a physician.  I cannot identify a specific kidney disease based on your description. For more information on CKD … Continue reading

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

My father has diabetes but it is controlled now. His creatinine level was 5.4 four months ago. Now it is 4.2 after taking treatment. Is it a sign of improved kidney functioning than before? But this protein level is now 150 which was 52 before. Potassium level is 5.9 now. He is 57 years old. I want to know that is it possible to reverse this process to normal stage?

I am unable to make a specific diagnosis based on the information that you present.  Your father should be carefully monitored by his physician.  There may be some room for improvement, but I cannot provide a prognosis based on the … Continue reading

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

I am a 47 year-old white male, non-smoker since 1997, occasional drinker, BP controlled w/5Mg lisinopril and no diabetes. On January 31, 2017 I had a checkup. My bloodwork revealed a 2.3 Creatinine level with a 36 BUN and microscopic hematuria. I was on a higher protein diet for the 30 days previous to this test. I returned a week later (after moderating my protein intake) for a retest and my numbers had dropped to 1.8 creatinine and 26 BUN. A subsequent test yesterday revealed a Creatinine level of 1.7 and Bun of 38. Dry CT (no contrast since my GFR was 43) of abdomen and pelvis revealed a thickened bladder. Having a cystoscopy in the near future. Is there hope to be found in the fact that my creatinine levels keep declining? If I have an underlying bladder obstruction/issue that is resolvable, is it possible that my kidney function could improve? Or are they simply damaged to the point they are now and I need to nurse them through the rest of my life? UPDATE: Cystoscopy checked out normal, Renal Ultrasound checked out normal, but cytology showed atypical cells in urine. Provided a “1st morning” urine sample today for additional testing. Question: If my kidneys are checking out as normal on these tests and my urinary tract appears clear, why is my GFR so challenged? Nephrologist appointment on 3/20, but I am itching for answers.

I am unable to provide a specific diagnosis based on the information that you provide.  The blockage that may have been present could have caused kidney injury that can take some time to resolve.  I suggest that you wait for … Continue reading

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

My father-in-law was diagnosed with benign prostatic hyperplasia, urolithiasis, chronic kidney disease secondary to obstructive uropathy. He has been experiencing recurrent UTI, and keep complaining of pain at hypogastric area. He became drug dependent to Tramadol that leads him to hallucination and delerium. His bladder cannot hold lots of urine due to bladder inflammation. We already did what the doctors says but still no improvement. The problem still the same and my father is still suffering from his condition. Please help us and give us recommendation.

The problem that you describe is a urological condition.  I am a nephrologist.  I have no expertise in diseases of the bladder and urinary tract.  I suggest that you discuss this with a urologist. For more information on Uti’s click here:

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Treatments, Urinary Tract Infection/Pyelonephritis, Urological Issues

I just went for a CT scan and the report said that: What does it mean when the report says : No focal abnormality is seen in the pancreas and spleen. The adrenals are not enlarged. Focal renal scarring is seen in the right inter-polar region. Bilateral tiny sub-centimeter hypo-densities in the kidneys are too small to be characterized. There is no hydronephrosis. What can I do for preventing it getting worse?

The description that you provide sounds like minor changes in the kidneys.  I do not identify any specific kidney disease based on the description that you provide.  I suggest you discuss the findings with the physician who ordered the testing. … Continue reading

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

Hi Doctor, My partner was diagnosed 5 years ago, at the age of 26, with a rare Kidney disease called mesangial capillary glomerulonephritis. He has been on steroid treatment and also cholesterol, blood pressure and other pills. He has suffered with many side effects including depression, mood swings, frequency of urination, dizziness, blurred vision and most recently the beginnings of osteoporosis. I have heard of Chinese Medicine Osmotherapy and read about some studies on www.ncbi.nlm.nih.gov and it seems very effective in treating patients with IgA nephropathy. I was wondering if you think this might work for my partner too? and whether it could be used in conjunction with his current medications? My second question is how likely do you think it would be for us to pass this disease down to a child? Thank you for any help you might give us… I worry about our future family and hope that someone will find a cure soon.

Mesangiocapillary glomerulonephritis (MCGN) is an uncommon kidney disease.  There are many different forms of MCGN that have been described.  Chinese medical osmotherapy is of no benefit in any kidney disease that I am aware. I cannot comment on whether you … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Glomerulonephritis, Hypertension/High Blood Pressure, IgA Nephropathy/IgA Dominant Glomerulonephritis, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Nephrologist, Pregnancy / Kids, Symptoms and Side Effects, Treatments

Hello Dr. I am sitting here at our local imaging office just down stairs from my cardiologist for a CT scan with the dye so they can examine both my Coronary Arteries. The CT has been cancelled for now because my kidney function is too low. It’s at 30 and they won’t test under 40. I’m 46 year old woman born with heart defect (regurgitation). No Doctor has wanted to repair it. Most don’t even believe me. They say I’m too young for heart disease. In 2016, within 4 months, I suffered 2 TIA strokes. My question is, because I was already born with the 2 issues, which I just found out affect each other, would that affect my kidney function and is this a sign I’m only gonna get worse?

Heart disease and kidney disease commonly exist together in the same person.  Heart disease makes kidney disease worse and kidney disease makes heart disease worse.  I am unable to provide a specific diagnosis based on the information that you present. … Continue reading

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