Category Archives: Chronic Kidney Disease

My creatine and eGFR are in the mild impairment range. I have read numerous articles about how baking soda and apple cider vinegar can prevent and possibly reverse kidney damage. Is there any harm in trying these products to see if they can help me from further kidney damage? I’ve already given up soda and I’m working on lowering my sodium level which is high. Thank you.

Baking soda is used to treat acid accumulation in patients with chronic kidney disease (CKD) and is used to maintain the bicarbonate level in the blood at or above 22 milliequivalent per liter (mEq/L). I do not know of any … Continue reading

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

My father had a kidney problem with his creatinine being 6 with Bp and diabetes. We have a consulting doctor, he had suggested an injection Darba for four weeks. How useful would it be?

I am not familiar with a drug known as “Darba”. It could be Darbepoietin injection which is used to treat anemia in patients with chronic kidney disease (CKD). I am unable to comment on this particular drug for treatment of … Continue reading

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

I am a bit confused about analgesics. Are the following analgesics: aspirin, acetaminophen, ibuprofen, ketoprofen and naproxen sodium? My creatinine level is too high. Do I need to avoid these items? What can I take for headaches?

All of the compounds that you name are analgesics. That means that they relieve pain. Patients with chronic kidney disease (CKD) should avoid certain non-steroidal anti-inflammatory drugs (NSAID’s). Of the drugs that you mention, ibuprofen, ketoprofen and naproxen should be … Continue reading

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

My mother is a polycystic kidney disease patient. I would be very grateful for advice as to whether Kyolic tablets contain far too high potassium levels? Kyolic tablets have given increased energy and initially lowered blood pressure, but she is concerned that it may now be causing heart rythm problems. This may be due to her total potassium intake, but it is vitale to know of Kyolic is too concentrated in potassium. Thank you.

I have no experience with Kyolic tablets. I am not aware of what is contained in Kyolic tablets, nor am I aware of the use of Kyolic in patients with chronic kidney disease. I suggest that she consult with her … Continue reading

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

I am a kidney patient.What should be my daily nutrition supplement?

Rather that using a nutrition supplement, I am an advocate for a healthy diet. I believe that a low salt DASH diet is the best diet for patients with chronic kidney disease (CKD) as long as their blood potassium levels … Continue reading

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

Hi. I have some questions about chronic kidney disease patients. 1.Are there any boundaries to taking tetracycline, doxycycline, pirprofen, aminopterin, ibuprofen and amiodarone in this people and why? 3. If there aren’t any boundaries, how much of these drug doses are usually used? 2. Is there any document that proves these drugs increase erythropoietin level in blood?

There are many considerations when dosing drugs in patients with chronic kidney disease (CKD). Physicians are trained to know how drugs are eliminated by the body. Most drugs have some clearance through the kidneys. Hence, the level of kidney function … Continue reading

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

Dear sir, I have an issue with my kidney. bilateral small kidney with grade ii-iii parenchymal changes. right – 82×35 mm left: 60×46 mm urea = 109 creatinien = 7.4.

You appear to have advanced chronic kidney disease (CKD). I am unable to make any other specific diagnosis based on the information that you present. You will need to consult with a nephrologist.

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

My sweet husband is in stage 4 kidney disease and has just turned 80 yrs. He was dx with type I Diabetes almost 50 yrs. ago. He also has congestive heart failure, an unresolved pleural effusion, RA, chronic atrial fibrillation, and bronchitis. (he has never smoked). He has begun to suffer with kidney disease particularly with fatigue, de-conditioning, and dyspnea. I know it is difficult to predict his longevity, but can an experienced MD offer any thoughts for the remainder of his life? We need to plan for the future regarding his care needs, equipment etc. His memory is not bad, but abstract reasoning is more difficult. He is not a good candidate for Dialysis or transplant. Thank you.

In these situations, I find that the primary care physician (PCP) who has been caring for your husband, is the best person to contact about frank discussions such as the one that you are proposing. Prognosis and end-of-life discussions are … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, End of Life Issues, Kidney-Related Health Questions

Hello, I was diagnosed with Stage 3 CKD – my GFR is 51. I only see a GP – should I go to a renal dietician and see a nephrologist? My doctor didn’t act like this is serious and he didn’t say anything about a special diet, but I have learned a lot from the internet. I have Type 2 Diabetes also and take blood pressure medication – I am very concerned. I’m a 59 yr. old female – Is it possible for the GFR number to go up? Thank You

It appears that you have early Stage 3 Chronic Kidney Disease (CKD). In most cases, primary care physicians (PCP’s) are very well able to care for Stage 3 CKD. As far as diet, I am a strong advocate for a … Continue reading

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

Can you direct me to where I can read about what the LOWER systolic limits would be for a person with stage 3 CKD? In order to keep most of my readings at 130 or lower, I get readings in the 110-120 range for systolic. I take my BP readings four times a day with each an average of 3 tests done 2 minutes apart. Early morning give lowest readings with early afternoon the same or slightly higher. Early evening sees low 120’s with midnight readings closer to 130. Occasionally I get readings above 130, usually later in the day/evening. Thank you.

Your observations are very comprehensive. The guidelines for blood pressure control in chronic kidney disease suggest that the average blood pressure should be maintained at less than 130/80. These guidelines are not based on the frequency of blood pressures that … Continue reading

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