Category Archives: Chronic Kidney Disease

Does having epilepsy or a history of seizures exclude a person from being a living donor? I continue to have abnormal EEG readings and am required to stay on Keppra permanently.

Someone who has well controlled seizure disorder could be considered for a kidney donor.  Each individual transplant center has the option to choose who can and who cannot be a kidney donor.  If you wish to be considered for kidney … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Living Donation, Medication and Kidney Function, Symptoms and Side Effects, Transplantation, Treatments

Hi, My boyfriend used to do dialysis but has not in two years or taken medicine and has told me he can’t have kids because of that, but I am pretty sure I’m pregnant. Is it possible?

Men with chronic kidney disease (CKD) can father children.  Men commonly have low sperm counts, but can still father children.  

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

My wife is suffering from unilateral renal agenesis. Her kidney function test report is ok but just chloride is slightly high and it’s 109. Now I need to know it’s a serious matter or normal. What are the precautions and treatment?

I am unable to provide a specific diagnosis based on the information that you present.  An elevated serum chloride test does not provide a specific diagnosis that I can make.  I suggest that you discuss this with your wife’s physician. … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Function, Symptoms and Side Effects, Treatments

Hi! My husband has only one kidney at his left side because he is a donor before, but he feels pain now at his back and his operation, he feel pain. What can I do to help him?

I am unable to make a specific diagnosis based on the information that you present.  I suggest that your husband be examined by his physician and have a complete history and physical examination.    

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

Had a CT Urogram which showed both ureters are dilated to the bladder which may relate to distal urethral stricture formation. Then had a Mag3 with Lasix Nuclear scan with no evidence of obstruction. My urologist wants to do a uroscopy to check for stones or tumor. Why would I need this procedure when the Nuclear scan shows nothing?

The question that you ask is a urological question.  I am a nephrologist and do not perform surgery or cystoscopy.  You should ask your urologist about this problem.  A urologist is a surgeon and deals with obstruction of the kidney … Continue reading

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

Can high amounts of salt at a early age be a factor in getting CKD? In the military, we were encouraged to take large amounts of salt tablets. Could that have been a factor in me having CKF?

A high salt intake can make blood pressure higher and result in more resistant high blood pressure.  High blood pressure can result in chronic kidney disease (CKD).  I do not know if taking salt tablets would ultimately result in kidney … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Treatments

In three consecutive measurements each several months apart, my ACR kept getting considerably lower and lower. While the u-albumin stayed essentially the same, the u-creatinine kept getting higher and higher. How can you interpret this? Is this a favorable development?

I am unable to make a specific diagnosis on the basis of a changing urinary albumin test.  Urine albumin can vary from day to day and may not reflect any change in kidney function.  I suggest that you discuss the … Continue reading

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

Hi Dr. Spry, I have a question regarding dehydration and the progression of chronic kidney disease. I know that BUN lab could also be affected by dehydration. How do you distinguish true dehydration and worsening of the disease in renal patients based on the lab values like BUN, BCR, serum creatinine, GFR or serum Na?

The blood urea nitrogen (BUN) may reflect kidney function but is affected by many other things other than kidney function.  The best test to estimate kidney function is the estimated glomerular filtration rate (eGFR).  The BUN to creatinine ratio (BUN/Creat) … Continue reading

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

My husband has found his creatinine is 3.0. In 2013 it was 1.2. He had a kidney stone in August the same year. The rest of his blood work was good. No high blood pressure, no diabetes, high cholesterol, nothing to stand out. He had more blood work and urinalysis May 1. He had a CT scan May 8. Don’t see doctor back till June 7. The anticipation is killing me. Can you give me a ray of light.?

I am unable to make a specific diagnosis based on the information that you present.  The serum creatinine is abnormal but that is the only comment I can make. I suggest that your husband consult with his physician and see … Continue reading

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

I am male, 30 years old and I have Proteinuria. Doctors suspect some kind of Glomerulonephritis. One doctor thinks is IgA Nephropathy. And I am really confused and worried. I decided to do a biopsy to find out in about a month from now. The laboratory results are confusing me a bit as they use different measurements. All are urine test results here. January 2017: Urinary Micro Albumin: 1132 mg/L Urinary Creatinine: 1.25 gm/L Albumin Creatinine Ratio (ACR) 905.0 mg/gm February 2017: Urinary Micro Albumin: 590 mg/L Urinary Creatinine: 0.60 gm/L Albumin Creatinine Ratio (ACR) 983.0 mg/gm May 2017: Urinary Albumin: 109.2 mg/dL Urinary Creatinine: 0.08 g/dL Albumin Creatinine Ratio (ACR) 1365 mg/g (Different laboratoy than the 2 previous) I will appreciate a lot if you kindly would give me your feedback.

The only result that you quote consistently is the urinary albumin to creatinine ratios.  The other results reflect the concentration of the urine and are not significant.  The urinary albumin to creatinine ratios are between 905 and 1365.  These numbers … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Hydronephrosis and Hydroureter, IgA Nephropathy/IgA Dominant Glomerulonephritis, Kidney Biopsy, Kidney-Related Health Questions, Laboratory Testing, Nephrologist