Category Archives: Chronic Kidney Disease

At my most recent check up, my microalbumin levels were very elevated. My level was 33. My creatinine was normal, and my ratio was normal. However, I am concerned about the high level of albumin. I do not have diabetes or high blood pressure, but I am overweight. Do I have kidney disease?

I am unable to provide a specific diagnosis of chronic kidney disease (CKD).  If the urinary ratio of albumin to creatinine in the urine is normal, then an elevated albumin concentration in the urine is of no significance.  I suggest … Continue reading

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

My father age is 67 years, wt is 49 kg . Now creatinine level fluctuates between 2 to 3.9 mg and GFR is 22.7 ml/min. I want to know that how increase in GFR. What is stage of CKD & treatment?

There are no treatments to increase the glomerular filtration rate (GFR).  Decreasing GFR is the result of chronic kidney disease (CKD) that destroys the small filters of the kidney known as glomeruli.  Once those small filter are destroyed, they cannot … Continue reading

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

What kind of pain medication can kidney patients take that is safe and won’t damage your kidneys any further?

Acetaminophen (brand name Tylenol) is safe for patients with chronic kidney disease (CKD) as long as doses are under 3000 milligrams per day.  Higher doses can cause liver injury.  Aspirin can be taken for short periods of time and not … Continue reading

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

I am a 39 years old. Kindly interpret my result: sugar and protein negative Rbc 2-5 (1+) Pus cells 0- 1 occasional. All were blank except for amorphous urates and squamous cells which are occassional and bacteria few. Thank you.

The information that you supply suggests that this is a urinalysis result.  There are a small number of red blood cells in the urine, but I am unable to make a specific diagnosis based on this information.  I suggest that … Continue reading

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

As a Nephrologist how high could you tolerate the serum creatinine number being before you would seriously consider dialysis or kidney transplant for a CKD patient?

As a nephrologist, I use the serum creatinine as an estimate of kidney function, but the decision to start dialysis requires that I listen to my patient and have them tell me what symptoms they are having and whether dialysis … Continue reading

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

Dr Spry, are there different ways of measuring egfr? Following the national foundation’s link my son’s egfr is 46 (with wt and height and 41 without wt and height). But according to his doctor it is 37. His creatinine is 2.1, age 30 and height 70 inches and wt 165.

The estimated glomerular filtration rate (eGFR) can be calculated in at least four different ways in adults and three different ways in children.  This does not include the calculation of the estimated creatinine clearance with a Cockcroft Gault equation.  I … Continue reading

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

I understand the kidneys functions are to remove toxins from the blood. This will probably sound like a very strange question, however, I have no one else to ask. If someone has injected themselves with bacteria and instead of causing an abscess it gets absorbed, does that mean that bacteria gets filtered through the kidney, and can that cause a kidney infection? Can the kidney infection then lead to cysts (which have recently shown up on ultrasound) and if so, are they likely to be considered “simple” or polycystic? Also, this person is currently being treated for kidney infections and psychiatric disorders.

Bacteria in the blood can cause infection in the kidneys, but I am not sure this will lead to cysts in the kidney.  Bacteria in the kidney causes acute pyelonephritis and this typically results in scars in the kidney rather … Continue reading

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

Respected Doctor, I am an IT professional having Diabetes Type 2 since last 7 years. My recent blood report is as below – BS(F) 155, (PP) 147, HbA1c% 6.8% , Cr 0.9 , U Acid 6.5 , LDL – 122, HDL – 38, TG 202, SGPT 59, TSH 2.28, FT4 1.16, Hb 14.8 gm %, Urine Alb +++, FOH Urine Microalbumin Creatinine Ration 269.2 ug/mg Creatinine , Random Urine 107.35 mg/dl — — Jaffe rate IDMS Std. Urine Microalbumin (R) 28.90 mg/dl Yesterday , I went to an Endocrinologist – he prescribed me Amaryl MV1 (one tab before Breakfast and another one before Dinner). And he asked me to have a consultation of Nephrologist. I met with Nephrologist with Spot Urine ACR report – Nephrologist doctor prescribed me to take TAB KETOGRACE – 2 TAB TDPC. Before starting this medicine (KETOGRACE) – I would like to have your kind suggestion here . Currently I am taking only TAB Amary MV1 – one tab before Breakfast and another one before Dinner. I would be highly obliged if you kindly help me here. On getting your kind suggestion I will continue TAB KETOGRACE.

I am unable to recommend medical treatment without performing a complete history and physical examination.  I suggest that you follow the advice of your nephrologist.  

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Nephrologist

I was born with one kidney so I tend to pay close attention to its health. My main concern is after exercising I develop proteinuria and I prove this by using the urine-analysis strips. Depending how intense the exercise was, it will determine the protein level in my urine, for example after doing lots of heavy weight lifting, I have seen protein levels as high as 60-100 mg/dL. So with that is the exercise induced proteinuria going cause my kidney function to fail prematurely or lead to kidney issues? Am I more susceptible to exercised induced proteinuria with only having one kidney?

Exercise induced protein in the urine (proteinuria) is also known as orthostatic proteinuria.  If the protein disappears from your urine with rest and after sleeping all night, then this is likely normal.  Some children have this finding and grow out … Continue reading

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

I have stage 4 CKD and I now need a drug that’s safe to take for controlling my heart beat. The Duke hospital put me on Amiodarone HEL, 200 mg. Just a week I started a red rash on my body and legs so I will have to stop the drug. What other drug is safe to use? Thank you for you time and attendance to this request.

I am not a cardiologist and cannot recommend drug treatment without performing a complete history and physical examination.  There are other drugs that can be used, but this would depend on why Amiodarone was used and the heart disease they … Continue reading

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