Category Archives: Chronic Kidney Disease

Hi, I am 55 years old and 225 pounds. I was just diagnosed with Hyperparathyroidism and had two glands removed. However, I found out my doctor failed to tell me I had this disease 6 years ago. My calcium was high at 10.7, 6 years ago and then spiked to 11.8 just before surgery. I felt ill for so long. I also have fatty liver as a result of over-eating to deter my feelings of depression and tiredness over the years. My gallbladder is full of stones. My GFR is 59. Can I live a normal and long life with a GFR of 59?

An estimated glomerular filtration rate (eGFR) of 59 milliliters per minute per 1.73 meters squared is very early Stage 3 chronic kidney disease (CKD), if has been present for at least 3 months. I am unable to offer a prognosis … Continue reading

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

What type and brand of vitamins should I take? I have stage 4 ckd. Creatinine is 1.8 gfr is 28.9. And can the vitamins be bought over the counter? Thank you.

I have no recommendations for a multivitamin that should be used by all patients with chronic kidney disease (CKD).  If you eat a healthy diet, then a multivitamin may not be necessary. I am a strong advocate for the DASH … Continue reading

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

Hello. I’m male aged 56 years old. I have creatinine value 5, eGFR value 15 and am NOT on dialysis. I intend to go for renal transplant but came to know that I need angiography. My question is should I get a fistula made before the procedure? Also is there some form of angiography for CKD patients which does not (or at least reduces) risk further deterioration of my kidneys?

All forms of contrast used for angiography is potentially toxic to patients with advanced chronic kidney disease (CKD). There is no safe dye (contrast). You should discuss the placement of a fistula with your nephrologist and also seek guidance as … Continue reading

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

Dear Doctor, While in the army in 1987 I had 2 Intravenous Pyelogram (IVP) using iodinated contrast dye. These tests were to look for a hematuria in my kidneys. I donated a unit of blood several times each year and in the fall of 1991 I was rejected as a blood donor because of high blood pressure. My height and weight and physical activity has always been good. I was treated for high blood pressure then for many years. I began to loose kidney function and went into End Stage Renal Disease the Summer of 2007. After 6 months of dialysis, I have now had a successful kidney transplant for nearly 11 years. The question I have is: has there ever been a link to IVP and kidney disease with the dyes used back in 1987? I believe the kidney disease caused my high blood pressure. Thank you.

As far as we know, contrast (dye) associated kidney disease is an acute injury and not a progressive chronic injury. Hence, we do not have any research that suggests that remote exposure to contrast is associated with chronic kidney disease … Continue reading

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

This morning my UREA/SUM LEVEL WAS 8.09, CREATININE 137umol/L, glomerular filtartion rate 48. How bad is this?

This would be consistent with Stage 3 chronic kidney disease (CKD). This level of estimated glomerular filtration would need to be present for at least three months in order to qualify as CKD. You can learn more about the Stages … Continue reading

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

Hello, Doctor. I am from Ethiopia. Yesterday, the doctors told me that I have a big kidney problems. So, I don‘t know what I should do? If you can, please say something?

Since you have been told that you have kidney disease, it is first important to know if this kidney disease is acute or chronic. Acute kidney disease or acute kidney injury, can generally be treated and may be reversed in … Continue reading

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

Must one always get treated for Hep C if you have CKD STAGE 3a? ALT and AST are normal. Creatinine normal. Protein normal. I am reading 100’s of people ending up dying of liver cancer and gaining on the average of 10-30 lbs after being treated with Harvoni.

If you have chronic Hepatitis C, I do recommend treatment. Studies have shown that patients with chronic Hepatitis C have a high rate of liver cancer if the virus is not treated. The longer you carry the virus, the more … Continue reading

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

My most recent creatinine level was 2.0 and two Fridays ago I was diagnosed with osteoporosis. My gynecologist wants me to take prolia injections. I do not want to take them and am begging for natural alternatives!

Prolia (Denosumab) is safe for patients with chronic kidney disease (CKD). It is a monoclonal antibody and does not require dosing change in patients with CKD. Many other drugs such as bisphosphonates require dose changes or cannot be used in … Continue reading

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

Hello. My dad has kidney disease. He was recently discharged from the hospital for treatment of cellulitis and high creatinine level. After he came, his stomach become bloated. Today his legs started swelling. He has decreased his water intake as per the instructions of the doctors. He is passing less urine than before whether from decreased water intake or some other more sinister reason, I am not sure. His lab report showed that the creatinine level has increased from 4 to 6. My question is why are his legs swelling? If we take him to the doctor again, are they going to insert a tube? My father does not want to be admitted into the hospital again especially after his 7 day stay. He is taking medication.

Your father appears to have severe kidney disease, but I cannot tell if this is acute or chronic kidney disease (CKD). It will be important to know if this is acute reversible disease or acute on CKD. Your father will … Continue reading

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

I have pain in my back that continues to get worse. I went to the clinic and they said my tests seem normal and sent me home. My GFR was 97 a year ago and is 64 today. I know that it’s still within “normal” ranges but seems to have declined significantly. I don’t want to wait until it’s way bad if it is my kidneys. Is this something I should be concerned with? It was 94 in March and 88 in April and now down to 64.

The estimating equations that we use to estimate the glomerular filtration rate (eGFR) are not very accurate for eGFR’s greater than 60 milliliters per minute per 1.73 meters squared. Hence, numbers greater than 60 are subject to considerable variation from … Continue reading

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