Category Archives: Chronic Kidney Disease

My 88 year old father suffers from CKD with eGFR of 30-35 which has remained steady for 4 yrs. Otherwise, besides high blood pressure, he is in good health. His kidney specialist (just retired) used 3 BP meds to keep the BP well managed. Namely Diovan, Monopril and 5 mg of Norvasc. My father was hospitalized for elective surgery and the Doctor in charge discontinued the first 2 medications while increasing the Norvasc to 10 mgs. He claimed that Calcium channel blockers are more efficient at regulating BP and BP measurements in the weeks following his release have proved him right. However I was under the impression that ARB and ACE drugs had their use in CKD irrespective of BP use. Please give us your input because as mentioned our kidney specialist is not available. If I can get the Doctor to reintroduce one med, would either the ARB or ACE class of drug be preferable?

It is true that either an ACE-inhibitor or an ARB agent is used to treat and slow the progress of chronic kidney disease (CKD). Currently, the use of both an ACE-inhibitor and an ARB agent is not a recommended treatment … Continue reading

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

I am a Vietnam VET. The VA rates 100% disabled due to exposure to Agent Orange while serving in Vietnam. I have been diagnosed with CKD. Is there a possibility of recovery ?

The Veterans Administration (VA) does not list chronic kidney disease (CKD) as one of the known associated diseases with Agent Orange. This does not mean you can’t apply, but if the disease is not on the list, then the VA … Continue reading

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

I am a 73 yrs old female. Have early stage 3a kidney disease. Have chronic sinus inflammation. Can I take short does of prednisone? Thank you so very much.

Short courses of prednisone should not cause any concern for chronic kidney disease (CKD). If you have diabetes, this could make your diabetes more difficult to control in the short term. You should also monitor your blood pressure while you … Continue reading

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

I have high B/P and I am taking the drug Losartan. This drug is high in Potassium. All data indicate that a person with kidney disease should reduce their intake of Potassium. This drug works well for me. Should I change my B/P drug to one that has less potassium?

I believe that you are referring to the fact that Losartan is provided as a potassium salt of the drug. The amount of potassium that is in each pill is very small. The amount of potassium in the largest (100 … Continue reading

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

I just found out the other day my kidney function is at 40 %. I have high blood pressure controlled by med. My stomach is swollen. What risks am I facing?

High blood pressure and chronic kidney disease (CKD) are usually two diseases that do not have symptoms. The fact that you are having stomach swelling cannot easily be explained by high blood pressure or CKD. I suggest you see your … Continue reading

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

I was told I have stage 2 kidney disease. Three years ago my results were 60 and now 85. What is this result for? Thank you.

I am unable to make any specific diagnosis based on the information that you present. If the values you are reporting are the estimated glomerular filtration rate (eGFR) then normal is greater than 60 milliliters per minute per 1.73 meters … Continue reading

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

My 18 year old son was diagnosed with Alport Syndrome in February. He is now on med’s to maintain kidney function. I was recently identified as the carrier. I have had level 1/2 kidney disease forever (I’m 50 now). My question is: Can we eat keto (& intermittent fast)? I have been doing keto & intermittent fasting (8 PM to 12 PM) for 2 months, lost needed weight & feel good. I have read that keto & fasting has been beneficial for diabetic & dialysis patients. There are a lot of high potassium foods that are typically on keto lists such as avocado, nuts, dairy. What high fat foods can I eat that are not high in potassium? Thank you in advance for any insight.

I am not an expert in diet. I do not recommend high protein keto diets for patients with chronic kidney disease (CKD). High protein diets have been shown to hasten kidney disease. I suggest that you consult with a dietitian … Continue reading

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

Hello Dr. Spry, my 5 yo daughter has mild hydronephrosis (right kidney) and vomiting episodes where she quickly becomes acidotic. Her urologist ordered a Mag3 test to be completed soon to find out more. The urologist as well as the hematologist weren’t sure if the hydronephrosis could be contributing to my daughter’s unexplained ongoing normochromic/normocytic anemia, so I wanted to reach out to get your thoughts to see if the two could be possibly connected. Her erythropoietin level was at 8 which was lower than expected for a hemoglobin of 9. Thanks.

I do not know of any association between blockage of the kidney (hydronephrosis) and anemia. If the kidney damage was present in both kidneys and there was associated kidney failure, then anemia related to kidney failure could be present. The … Continue reading

Posted in Anemia, Ask the Doctor, Chronic Kidney Disease, Hydronephrosis and Hydroureter, Kidney Failure, Kidney-Related Health Questions, Pediatric Issues

Hello, my NP says that I am in stage 3 and stage 4 kidney failure, but, he says if I go to a nephrologist they will just send me back to him. I think that it is time for me to see a specialist. What is your opinion? Thank you.

I typically encourage nephrology consultation for Stage 4 chronic kidney disease (CKD). This means that if your estimated glomerular filtration rate (eGFR) is less than 30 milliliters per minute per 1.73 meters squared and has been present for more than … Continue reading

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

What about contraceptive pill? Does this have bad affects on kidney and liver?

Oral contraceptive pills (OCP’s) can cause an elevation of blood pressure, which can complicate chronic kidney disease (CKD). OCP’s can also be associated with blood clotting abnormalities. I am not aware of any liver problems. I suggest you review any … Continue reading

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