Category Archives: Chronic Kidney Disease

Dr. Spry, can Vitamin D help improve kidney function? Does Vitamin D help the kidneys?

Vitamin D is sometimes used to treat the complications of chronic kidney disease (CKD) such as secondary hyperparathyroidism with bone and mineral disease.  The vitamin D is not used to increase kidney function or treat the CKD.  

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

A nephrologist says a person with a high risk of bleeding can’t have dialysis because they will bleed to death. Bleeding complications that leads to death. No treatment can stop it. In this case what does the CKD patient do?

I am unable to offer a specific diagnosis based on the information that you present.  I suggest that you ask the nephrologist for clarification as to why the bleeding is occurring and why dialysis is not an option.  

Posted in Ask the Doctor, Chronic Kidney Disease, Dialysis, Kidney Failure, Kidney-Related Health Questions, Laboratory Testing, Treatments

I am concerned about my kidney function. I am a 56 years old, white male in seemingly good health. About three years ago the doctor measured my GFR at 93. A year ago, my GFR had dropped to 82. I also had a kidney stone removed at that time. My GFR is now at 83. I’m concerned that my creatine levels increased so abruptly. How concerned ought I be about this? Should I have more tests run? What should I do now? FYI: I am generally healthy, except for occasional bouts with constipation (especially on weekends and long holidays). All of my other serum levels are normal (see below). My doctor is tells me I’m healthy, but based on what I found here (looking up GFR), it looks like I have Stage 2 kidney disease. My diet is very similar to the DASH, except that my wife likes to cook with a little more salt than I wish. My weight is good (I’m 5’8″ and 135-145 lbs). Also, my GI doctor had me on Nexium for nearly 3 months for gastritis. Recent Serum levels: SODIUM 137 POTASSIUM 4.5 CHLORIDE 102 GLUCOSE 80 UREA NITROGEN 9 CREATININE 1.01

I do not identify any kidney disease based on the information that you present.  There is some variability to the estimated glomerular filtration rate (eGFR) and the two levels that you mention are within the usual range of variability for … Continue reading

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

I have recently been diagnosed with acute kidney disease. My GP has taken me off my anti-inflammatory Voltaren 75mg slow release. Before this I had been popping advil. I have a lot of arthritis and other inflammation going on and her offer of Tylenol does nothing for me. I have ordered a joint formula called Pro Flex by Naka, which does contain a form of curcumin. My doctor is not willing to discuss herbal therapy at all but a pharmacist told me I should stop taking the tumeric capsules I had started on. So I am kind of confused as to whether I can take this joint formula. I have been referred to a kidney specialist but it could take forever to get in. I also have high cholesterol but went off the drugs a couple years back due to muscle pain and cramps. Could high cholesterol cause elevated creatinine readings? I am finding it difficult without the anti-inflammatories and hope I can take this joint formula at least. Any advice would be appreciated.

Non-steroidal anti-infammatory drugs (NSAID’s) such as Advil and Votaren are associated with kidney disease and should be stopped.  Your kidney function may improve off of these NSAID’s and your physician likely wants to remeasure your kidney function off of all … Continue reading

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

My 88 year old husband has just been diagnosed with impaired kidney function (raised creatinine level on blood/urine testing). He has been advised that he needs a referral to a Nephrologist but there is a delay in this happening. In the meantime, he is suffering attacks of diarrhea on most days. I am currently modifying his diet in line with the advice on your website but, in the meantime, would you consider his diarrhea is related to his kidney impairment or should we seek urgent advice regarding this? He is losing weight, muscle, tone and strength too. Multiple myeloma has been ruled out by the Oncologists. Many thanks, in advance, for any advice you can give me whilst waiting for his referral.

Diarrhea is sometimes seen in late stage chronic kidney disease (CKD), but it not a typical finding in earlier stage chronic kidney disease.  Diarrhea can lead to dehydration which can make CKD worse and may lead to acute kidney injury … Continue reading

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

I am taking blood thinners for a clot in my leg. I have stage 3 kidney disease. What are the risk?

Patients with Stage 3 chronic kidney disease (CKD) can take blood thinners but they should be carefully monitored with blood testing and monitored for bleeding.  Most blood thinners are approved for use in Stage 3 CKD.  You should discuss your … Continue reading

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

Hi, the patient has pain on her back, got done many tests and finally went for biopsy test, below is the test report. The doctor said nothing to worry just control blood pressure and stress and use less salt in food. But I consulted few other doctors, they said it is benign condition and can lead to kidney disease after 10 or 20 years but it is rare. It is a chronic kidney condition and has no treatment. Maybe after 20yrs, if unlucky can lead to end stage kidney disease. Another doctor says might the kidney have only 10yrs of life. Histopathology Report Clinical Data: Patient has microscopic hematuria, Negative family history. Specimen: A Light microscopy in formaldehyde. B. immunofluorescence in Michel’s medium. Diagnosis: IgA nephropathy with mesangial proliferation. Oxford classification score (M1E0SIT0). Interstitial fibrosis and tubular atrophy constitutes 20% No activity and mild chronicity Description: H&E, PAS, and trichrome stains. The biopsy consists of renal cortex containing 10 glomeruli. Seven glomeruli show segmental mesangial hypercelluarity (M1), without endocapillary proliferative lesion ( no celluar cresentsand no fibrinoid necrosis) (E0). Segmental sclerosis and adhesions to Bowmans capsule is seen in one glomerulus. (S1), no globally sclerotic glomeruli is seen. Thrichrome stains demonstrate segmental small mesangial red deposits. Blood vessels show mild degree of arteriolosclerosis. Interstitial fibrosis and tubular atrophy involves 20%of the cortex (T0) Immunofluorescence Microscopy (IF): Insufficien, renal medulla only. If stain performed on paraffin embedded tissue and show a cortex with 7 glomeruli. IgG: Glomeruli, negative. Tubules, 1+protein resorption droplets. IgA: Glomeruli 3+ granular mesangial staining. Tubules, negative, IgM: Glomeruli negative, Tubules, negative. C3: Glomeruli negative. Tubule: negative. C1q: Glomeruli, negative Patient Details : Female 26. Please give a Good Opinion on this report. I’m so confused and lot worried.

IgA nephropathy is a relatively common type of glomerulonephritis and has a variable course.  Some patients have only blood in the urine.  Others have protein and blood in the urine.  I am unable to give a prognosis without performing a … Continue reading

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

After removal of stone from my left kidney naturally, I observed frequent drops of pus. I consulted with kidney specialists at SIUT Karachi Pakistan. They, after a series of tests declared that my left kidney has got infection, according to report, Daie Cell observed 0.3%, Tissues 0.2%, Creatinine 2.9, Pus18%, Platelets in blood reduced to 2200, Ultrasound revealed that left kidney collapsed by 0.3 cm. I am feeling pain and pus+ blood mixed drops are continuously discharging. The tests also revealed the presence of infection in cum-discharge. Doctors suggests two options to me. One to immediately remove this infected kidney, the body will be maintained on one kidney which is healthy. Second to undergo Laser Cystoscopic Surgery, in which infected part of your kidney will be cut-cleaned and cured for infection, the option being not available in Pakistan. I was advised to go UAE for this operation. My question to this worthy forum is to suggest me if the treatment of infected kidney is better option or the simply removal of kidney is good one. I am in doubt if this infection may re-occur even after having Laser Surgery..? An early reply is appreciated, please.

The question that you ask is a urological question.  I am a nephrologist and have no expertise in surgery or surgical treatment of kidney disease.  I suggest that you consult with your urologist, who is a kidney surgeon. If you … Continue reading

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

What happens to CKD patients who can’t have dialysis or a kidney transplant because of a high risk of bleeding during surgery? What do they do?

I do not understand the bleeding problem.  In most cases, bleeding can be controlled with treatment.  In some cases, major surgery, such as transplant surgery may not be possible, but dialysis should still be possible.  I suggest you ask for … Continue reading

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

I am 78 years old and just had my 6 months physical. I looked on the portal and has stage 3 chronic kidney disease that my doctor never told or talked about it. I called 2 times for explanation. The first call I got a assistant that told me that was all before so I called again and they will not call me back. I just want an explanation for whats wrong. Do I need medication or what or a new doctor?

I am unable to provide a specific diagnosis or recommend a treatment based on the information that you provide.  I suggest you make another appointment with your physician and discuss your concerns at the appointment.  

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