Category Archives: Chronic Kidney Disease

Hi Doctor. I am a 56 year old male who works out with weights 3-4 days a week and do not smoke or drink. I have been on a high protein, low carb diet for years. I also took Sudafed for headaches and sinus pressure almost daily for many months which probably did not help my blood pressure. I was recently diagnosed with high blood pressure and CKD. My last labs in June 2017 showed a 60 GFR. This past December 2018 it was 45. I immediately modified my high protein diet and began taking blood pressure medication as prescribed. (Losartan 25Mg) A week later my blood pressure was normal and GFR increased a point to 46. I am trying to get in to see a nephrologist but he is booked up for a couple weeks. Is it possible through diet and blood pressure control to raise GFR to get me up into a stage 2 or better yet a stage 1 condition? Please let me know? Also is taking the supplement creatinine harmful to kidneys? I had been taking it to build muscle mass but discontinued immediately upon my diagnosis. I still have to take the 24 hour urine test and also to schedule a kidney ultrasound as recommended by my GP. This is scary stuff! I appreciate you answering my questions and hope this diagnosis can be reversed! Thank You! Sincerely.

High blood pressure is the most common cause of kidney disease in the world today, followed by diabetes. Untreated high blood pressure results in damage to the kidney that usually cannot be reversed. Hence, the goal is to avoid further … Continue reading

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

Sir, One of my friends has e-gfr 50 in the left kidney & 3 in the right kidney. His blood pressure is ranging from 136-84 to 145-100. Is it CKD? Please give the possible cause for high blood pressure?

I am unable to provide a specific diagnosis based on the information that you present. In order to qualify as chronic kidney disease (CKD) Stage 3, the estimated glomerular filtration rate (eGFR) must be less than 60 milliliters per minute … Continue reading

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

I also want to know if there is a nutritional structure regarding the management of patients with kidney problems and regarding the protein and carbohydrate counting. If it is already structured, what is the manual?

I am a strong advocate for the DASH diet in patients with chronic kidney disease (CKD). I recommend the DASH diet for patients up to and including Stage 3 CKD. For Stage 4 and 5 CKD, some modifications may be … Continue reading

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

This is being written just having been diagnosed with Chronic Kidney Disease Stage 3 Glomerular Filtration Rate. I have gas coming from my vagina for several months. At the time I first noticed it, I just discounted it. I have just gotten Internet this past month and started to look up ’gas in urine’ and was surprised to learn this is for real. I also have yeast infection. On that note, I had been well since before July 2018. Unusual amounts of rain flooded my basement this past year. Mold/fungi developed and air quality tests showed aspergillus and basidispores very prevalent in my house. I needed to move out but five months too late. Remediation has taken place where I lived before. Health issues developed skin, rash, watery eyes, and much more. This was the time when urinating bubbles/foam appeared in the toilet. This recent diagnosis CKD Stage 3 needs health care. I need advise as to who knows how to treat this and also the provider be aware of the fungi that I breathed for 5 months. Thank you for this opportunity to express myself on this matter.

Your primary care physician (PCP) should be the first person to review your history and provide a complete examination. You should also have a urinalysis performed to confirm if this is air coming out in the urine or are the … Continue reading

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

Assuming the average person doesn’t weight train, I am led to believe that we lose muscle mass with aging. Does this mean that blood creatinine levels also decline as we age? As GFR is calculated from serum creatinine and is inversely proportional to serum creatinine, does this mean that as we age and creatinine declines our GFR slowly increase? Or since kidney function also declines with age, the two effectively cancel each other out and GFR essentially stays in a narrow range as we age? I assume the CKD- epi equation is configured to reflect this? Are the rates of decline in kidney function and creatinine levels similar or is one faster than the other? Will GFR keep declining with age even with declining serum creatinine levels?

You are correct that as we age, our muscle mass decreases and hence our ability to generate creatinine is also  decreased as you age. We usually say that your creatinine generation rate declines with aging and hence the total amount … Continue reading

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

My GFR goes between 27 to 29, so I know I have stage 4 kidney disease (for a short time it even went up to 32). I have three questions. Why don’t I swell much in my feet and legs with stage 4? I have just a bit of swelling if my feet are down. Also, about how long does it take to progress to stage 5 if I don’t take any precautions? Are low grade fever and stomach bloating symptoms of kidney failure? Thank you.

The swelling that is experienced in kidney disease can have many causes. These include a high salt diet, the nephrotic syndrome (spilling large amounts of protein into the urine) and heart disease, just to name a few. I am unable … Continue reading

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

Hello Doctor, My brother has been diagnosed with hypertension and GFR 58-69 for 5 years (routinely do blood test every 3 months). There is no albumin or blood in his urine. He then has been taking oral medications. My concern is the long term consumption of PRORENAL. His internist said that Prorenal is just a supplement for his renal and my brother may use it during his course of life. However, I read some articles that essential ketoacid shouldn’t be used for years. Is it safe to take Prorenal for more than 5 years? I look forward to hearing from you. Thank you, Doctor.

Prorenal is a supplement that can be used by patients with chronic kidney disease (CKD). There should be no harm in using the supplement in the long term. Your brother should also consume a low salt healthy diet in addition … Continue reading

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

Is Kidney Disease reversible?

Acute kidney disease can be reversible. Chronic kidney disease (CKD) is generally not reversible. CKD is generally treated to prevent further loss.

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

I am a 64 year old Canadian male, no diabetes, with well controlled hypetension 117/70-75 with Losartan and Norvasc. 14 years ago, my kidney function went from 62-64 to 56-57. My PCP said no problem but I insisted on a nephrologist consult. All bloodwork, urinalysis, and ultrasound were deemed normal. Since that time my GFR fluctuated between 57 and 64. Last year, my GFR suddenly showed a decline to the 53-58 range. Again, my PCP said normal aging (as aging is a component of the GFR calculation and GFR declines with age) but again I asked for a nephrologist consult. My 24 hour urine and urinalysis and a detailed bloodwork analysis were again deemed normal for protein, electrophoresis, etc. My nephrologist said my PCP was right. The decline can correctly be referred to as aging decline. She noted that in the last fourteen years my creatinine varies between 114 and 126 umol/L and this is reflected in the GFR fluctuation. I asked her if this is classified as CKD and she said by the strict KDIGO guidelines, that would be true. I follow a strict low salt diet, similar to DASH. I monitor my BP bi-weekly and ensure I don’t overeat. I don’t smoke and have the rare glass of wine. I maintain my body weight carefully (I am 5 foot 5 inches and weight 132lbs). My question, is it normal for creatinine to fluctuate in such a range? Can my GFR decline correctly be referred to as caused by aging?

The estimated glomerular filtration rate (eGFR) is used to classify the Stage of chronic kidney disease (CKD) but it cannot make a specific diagnosis as to the cause of CKD. In your case, you would technically be at Stage 3a … Continue reading

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

Hi, Dear Dr, I am 64 years old male living in Sri Lanka (Asian). I have been using Diamacrone SR 30 mg daily (Gliclazide) more than 5 years. My HbA1c is 5.1.%. My serum creatinine = 0.90 mg/dl, eGFR=89.94 ml/min/1.73sqm, Urine microalbumin/Creatinine =11.88 mg of Al/ g Creatinine. Please be kind enough to see this and let me know whether there is any signs of CKD?

The laboratory results that you describe are within the normal range and would not suggest chronic kidney disease (CKD).

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