Category Archives: Chronic Kidney Disease

I have been taking Lisinopril 10 12.5 for past 25 yrs. Stage 4 failure and was taken off and creatinine went from 7.5 down to 6.2. Should I continue or find another med for hbp control?

The elevation of the serum creatinine is a normal response for use of ACE-inhibitors such as Lisinopril. By lowering the pressure inside the filters (glomeruli) of the kidney, this causes some decrease in the estimated glomerular filtration rate (eGFR) and … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, GFR, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Serum Creatinine

Hello, I am a male of 23 years, without being diabetic or hypertensive. I had a rise in creatinine back from the holidays of 1.05 when it has always been at 0.85, after about 3 weeks low to 0.92 and has remained so for 3 months. I did a creatinine / albumin ratio test, I had 38 of isolated albumin and a creatinine of 338.1 that when doing the ratio I got a quotient of 11. This is of concern? My doctors have told me no, and my last abdominal ultrasound showed all my organs, including the kidneys, well. This small rise in creatinine is causing me terrible anxiety when I think I may have chronic kidney failure.

Normal laboratory variation for the serum creatinine test is plus or minus 0.2 milligrams per deciliter (mg/dl). The variation that you are seeing the serum creatinine test is the variation we see with testing from day to day and does … Continue reading

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

Hello Doctor, I am 62 years old man having serum creatinine 1.56mg/dl, micro albumin 108.8 mg/l, Creatinine clearance in 24 hours urine is 54.50ml/min/1.73m2, Uric acid serum 6mg/dl, K4.8mmol/L. There is no symptoms of CKD. Ultrasound of Kidney & Renal Doppler is normal. I am concerned for raised creatinine level and microalbumin in urine. I am not diabetic and hypertension being take care of by Losar 50 and its controlled well. I need your advise for: 1) How to slow down the progression of CKD? 2) How serious it is? 3) How long will it take to reach stage 5? 4) Line of treatment?

Based on the information that you present, you appear to have early Stage 3 chronic kidney disease (CKD). The Losartan that you are taking should keep your blood pressure less than 130/80 and preferably less than 120/75. You should not … Continue reading

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

If a person was born with only one kidney, and is a diabetic, with the kidney only functioning at 28%, where would that place them at risk factor? Would this be at severe or would it be less?

An estimated glomerular filtration rate (eGFR) of 28 milliliters per minute per 1.73 meters squared would suggest Stage 4 chronic kidney disease (CKD). Patients with a single kidney may experience more rapid loss of kidney function over time. I suggest … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diabetes, GFR, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Nephrectomy / One kidney

Hello doctor. How are you doing? Well I have a doubt regarding my recent ultrasound report. The concerned pathologist said that I have 4 to 5 small kidney stones of the size of approx. 2.8-3mm. I searched Google about the home remedies to cure kidney stones and I came to know about the daily consumption of apple cider vinegar. Can you kindly tell me whether I should start taking apple cider vinegar on an empty stomach every morning just by reading about it on Google? Like is it advisable by doctors as well? Thanks in advance.

The best diet to prevent kidney stones is the DASH diet. I also suggest a low salt diet. You can review the DASH diet at:  https://www.nhlbi.nih.gov/health-topics/dash-eating-plan Apple cider vinegar has been advocated by some to prevent kidney stones by changing … Continue reading

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

On my labs (3 months ago) my GFR NON AFRICAN AMERICAN was 53 ml/min/SA and GFR AFRICAN AMERICAN was 64 ml/min/SA. Is Famotidine 20mg twice a day safe for your kidneys for an extended time? Are there any other H2 Blockers safer than others for an extended period of time? Are medications that decrease stomach acid production not safe at all? Thank you.

The histamine receptor two (H2) blockers are generally thought to be safe for patients with chronic kidney disease (CKD). Famotidine is an example of an H2 blocker. Most H2 blockers are equivalent, except for cimetidine, which can cause an elevation … Continue reading

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

Sir, My friend’s creatinine level is 5.86 mg/dl, Urea 95.4 mg/dl. What should be the treatment at present and is it possible to recover from it without kidney transplantation? Please give your valuable suggestion in this regard. With regards.

I am unable to make treatment recommendations without performing a complete history and physical examination. Your friend should be consulting with a nephrologist in his or her country. Treatment needs to be based on a specific diagnosis and this requires … Continue reading

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

Dear Doctor, I lost my father, 73 years of age, 4 months ago. He was diagnosed with CKD about 11 years ago and his creatinine level was between 2 to 3.5 for most of this item and increased to 4.5 in December 2017. He started dialysis in May 2018 and passed away in Dec 2018 due to upper GI bleed. I have been wondering why he was not recommended for preemptive kidney transplant. He did not suffer from any other co-morbidity. After entering into stage 5, he had a bout of pneumonia and COPD and was suspected of having TB later on. I feel he would have been qualified for transplant before entering into Stage 5 of CKD. Please throw some light on the subject.

Preemptive kidney transplantation is an option for patients who have progressive kidney disease and who have potential living donors. Tuberculosis (TB) and lung disease can be contraindications to transplantation, if these are active. Getting a cadaver donor can be a … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, GFR, Kidney-Related Health Questions, Living Donation, Transplantation

Dear Dr., Greetings!! I want to know, whether some medicines are newly available to stop kidney damages or reverse it for CKD patients in stage 3? Or is a simple diet and lifestyle control helpful? If yes, what are those medicines? Best regards.

There is no new drugs for the general treatment of chronic kidney disease (CKD). Lifestyle changes including a low salt diet, exercise, achieving a normal blood pressure and maintaining a healthy body weight remain the goals for the general treatment … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Hypertension/High Blood Pressure, Kidney Biopsy, Kidney-Related Health Questions

I had a Ileostomy on May 2, 2017. My check up in January 31, 2019 stated I have decreased kidney function. I am concerned that my kidneys will be damaged because I only expel 6 or 8 oz. at a time. The fluid goes straight to my ileostomy. Do you have any advice and how long will my kidneys work under these conditions?

I am unable to make a specific diagnosis of kidney disease based on the information that you present. If this is a problem of dehydration related to increase water and fluid losses from your ileostomy, then drinking sports drinks such … Continue reading

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