Category Archives: Chronic Kidney Disease

My sister-in-law was recently diagnosed with CKD stage 3. She also has GERD. Are you aware of any studies that indicate probiotics are beneficial for someone with CKD? Any specific strains of probiotics? Are there any contraindications to a patient with CKD taking a probiotic? Thanks.

I am not aware of any benefits or contraindications for patients with Chronic Kidney Disease (CKD) and use of probiotics in general. There are many different formulations of probiotics and I am not aware that any one of them is … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, Kidney-Related Health Questions

I was recently diagnosed with a GFR level of 40.5 and 40.3. Besides dialysis what are other treatment options? Are there medicines I can take? Can GFR levels be raised by diet, or medicine?

Treatment of chronic kidney disease (CKD) requires a specific diagnosis and this leads to specific treatment of the underlying disease. I am unable to make a specific diagnosis based on the information that you present.   Things that you can … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diabetes, Diet/Nutrition, Exercise, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function

My Mom’s BUN has gone from 25 to 45 and her Creatinine has gone from 1.7 to 2.1. At what point would we be looking at dialysis?

The decision to perform dialysis treatments is not based on any number. It is based on the presence of kidney disease and progressive symptoms that would be benefitted by performing dialysis treatments. The decision to perform dialysis is based on … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Dialysis, GFR, Kidney-Related Health Questions, Nephrologist

If I ask my nephrologist to test my Cystatin C level (as a dialysis patient) must he do so if I am willing to cover it if insurance does not?

The Cystatin C test is used to test for kidney function and is used with the serum creatinine to provide a better estimate of the glomerular filtration rate (eGFR). If you are already on dialysis the Cystatin C test and … Continue reading

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

Recent blood test shows Non-AA GFR low at 44.8. 73 year old female. Should I consult a kidney specialist?

The normal for an estimated glomerular filtration rate (eGFR) is greater than 60 milliliters per minute per 1.73 meters squared. Your test appears to be lower than normal for some reason. I would first suggest that you address this with … Continue reading

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

Good morning Doctor. Yesterday I had back pain through my left hip to my leg. This pain didn’t allow me to turn, sit or walk. I was never admitted to the hospital but at public clinic they recognized I had a problem and didn’t do anything about it. Is it the kidneys?

I am unable to make a specific diagnosis based on the information that you present. Pain is a very uncommon way for kidney disease to present, but kidney stones, kidney infection or blockage of the kidney may present with pain. … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Hydronephrosis and Hydroureter, Kidney Stones, Kidney-Related Health Questions, Urinary Tract Infection/Pyelonephritis

Thank you for info about safe prep for colonoscopy in people with CKD but what about the drugs given during the procedure – which are best and which should be avoided? Also, what drugs are good/bad for oral surgery for dental extractions? Thank you.

The drugs given during a colonoscopy procedure and are usually opiates as pain killers and benzodiazepines or propofol as sedation. These drugs are all safe in patients with chronic kidney disease (CKD). The only exception to this is the opiate … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Medication and Kidney Function

I only have 1 kidney after undergoing a nephrectomy 2 years ago for renal cancer. Prior to surgery, I had no signs of CKD and in the 2 years post surgery my urine has always been normal and my eGFR has averaged around 75. My question is this, I am interested in body building and I’m curious if I should limit protein intake? Since my kidney numbers are normal and I don’t have any signs of CKD, would a protein intake of 1g/lb of bodyweight be ok? I weigh 175lbs and have a lean body mass of 150lbs so would 150-175g of protein be acceptable?

I do not advise a high protein intake for someone with one kidney. I am not aware of any studies in humans with a single normal kidney but certainly in animals and in humans with underlying kidney disease, a high … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, Kidney-Related Health Questions, Nephrectomy / One kidney

Hi there! I have a question about my results. I’m an African-American female in my mid-30s and my GFR is over 60 and my Creatinine is 1.19. Are these results normal?

The normal for an estimated glomerular filtration rate (eGFR) is greater than 60 milliliters per minute per 1.73 meters squared. From your question it would appear that your eGFR is in the normal range. However, I do suggest that you … Continue reading

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

My dad was recently diagnosed with stage 4 kidney disease; likely due to his prolonged, uncontrolled diabetes. Is it possible for him to still live a long, healthy and happy life if he takes the necessary steps to control this disease? He has made a complete diet change to mostly plant-based with small quantities of meat and carbs and he is now exercising daily. His blood sugars have been great for the past two weeks. Please tell me that there is a lot of hope and that this disease is not a death sentence. Thank you so much.

I am unable to offer a specific diagnosis or prognosis without performing a complete history and physical examination on your father. Diabetes is a very common cause of chronic kidney disease (CKD) and will cause progressive kidney disease. However, improving … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diabetes, Diet/Nutrition, Exercise, Hypertension/High Blood Pressure, Kidney-Related Health Questions