Category Archives: Chronic Kidney Disease

I had adrenal corticol carcinoma in 2011 my left kidney was removed as a result. Now I’ve been told I have 3rd stage renal failure in my remaining kidney. I’ve heard 2 different opinions to my question and it is; is 3rd stage kidney failure worse symptomatically and otherwise, for a person with 1 kidney vs a person with 3rd stage renal failure with 2 kidneys?

The stages of chronic kidney disease (CKD) are based on two factors.  First, is there evidence of kidney damage such as a missing kidney, abnormal findings in the urine, or abnormal radiology studies.  If any of these are present for … Continue reading

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

I had a kidney tumor removed (partial nephrectomy) – was clear cell renal carcinoma limited to the kidney – grade 1 (2.4cm) but stage 4 (WHO/ISUP 4) with clean margins. Pathology said it had sarcomatoid differentiation (95% sarcomatoid element) and extensive necrosis, extreme nuclear pleomorphism, multinucleate giant cells and /or rhabdoid sarcomatoid differentiation. Adrenal gland not identified and regional lymph noded pnx (could not be assessed. Pt1a grade. 5 questions: 1. Because it was grade 4 my doctor is recommending full removal of the kidney in 6 weeks. Is that the recommended course of action – is it likely that recurrence would be at that kidney again and removal lessens my chance of recurrence? 2. Should I have a PET scan, brain scan, bone scan, etc now since it was grade 4? They are saying just a chest CT is required now? 3. Is my likelihood of recurrence or distant metastes high because it was grade 4 even though it was very small stage 1a? Lots of conflicting information? 4. If the tumor was removed am I considered disease free and now just need aggressive regular surveillance? 5. How would I know if there was microvascular invasion and is the necrosis and sarcomatoid indicators of a recurrance? I’m quite scared so thank you so much for answering my questions!

The questions that you ask are surgical questions and must be asked of a urologist.  I am a nephrologist and do not have any surgical expertise in regards to kidney cancers.  If you have concerns about the opinions of your … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney Cancer, Kidney-Related Health Questions, Nephrectomy / One kidney, Treatments, Urological Issues

Dear Dr. Spry, I am 31 years old. I am a man. I have glomerulonephritis and FSGS for 7 years. Now I take my medicine (Neoral sandimmun 4*25, Prednol 4mg/ day, Olmetec 20mg/day, Drisentin1*1) regularly but last 6 months I had problem with edema around my ankle. Besides edema I have muscle weakness and tiredness. I can’t move as I want to do. I am doing sport but It effects me very much. I can not go on long. I want to ask you how long I should take this kind of treatment? Is there any other treatments for this disease? I am desperate about my future.

Focal segmental glomerulosclerosis (FSGS) is a very difficult disease to treat.  In many cases, the disease is not cured but rather controlled.  If you have concerns about your treatment, this should be discussed with your nephrologist.  I am unable to … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, FSGS, Glomerulonephritis, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Function, Nephrologist, Treatments

Sir, I am feeling pain in right and left of spinal column for some days. I also feel pain in my flanks when I wake up, for sometime. Please help me find if it is related to kidney problem and suggest me the way to cure it. Thank you.

Pain is an uncommon way for kidney disease to present, unless you possibly have a kidney stone.  I am unable to make a specific diagnosis based on the information that you provide.  I suggest that you consult with your physician … Continue reading

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

My mother’s biochemistry reports says that she is having blood urea around 42.0 mg/dl and serum creatinine around 0.6 mg/dl. So I just want to know about it. What does it mean?

I cannot determine a diagnosis based on the information that you provide.  You can use this information to calculate her estimated glomerular filtration rate (eGFR).  You can enter the information on her blood testing into an equation that will calculate … Continue reading

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

Renal tiny 2 mm calculi noted in left kidney. Please guide me how to cure this? I am from India.

The small stone that you describe should not cause any problems.  This is a very small stone.  I suggest that you follow a low salt diet and a DASH diet.  This should help to prevent further stone formation and may … Continue reading

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

My boyfriend is 41 years old and was addicted to meth for about 6 or 8 months. He was injecting it. For about the past 3 weeks he has a rash on both of his sides and on both inner thighs. I was told that it could possibly be his kidneys shutting down. He doesn’t have foamy urine or blood or any discoloration of his urine. He said the rash doesn’t itch. It just feels like a sunburn. His back was hurting about a week and a half ago but doesn’t hurt now. I have been trying to find pictures of kidney failure but can’t please help me with this issue. Thank you for your time and consideration.

I am unable to provide a specific diagnosis based on the information that you provide.  Your boyfriend needs to be examined by a physician.  I cannot identify a specific kidney disease based on your description. For more information on CKD … Continue reading

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

I just received my MRI results for my lower back. Included in the report a notation about cortical cysts on right kidney. I have had fatigue, raised blood pressure, currently on medication for diabetes and other related symptoms to PKD. I am the daughter of a positive hep c paternal father who infected my mother and carried to fetus. I have never been tested. I have had two surgeries to remove bladder cysts, they were benign but I was still given an interferon wash internally. In a previous sonogram I learned that I had an enlarged liver. Dr. did not seem alarmed at that time. I do not know where to begin first. I am very scared and lost.

I am unable to provide a specific diagnosis based on the information that you provide.  I suggest that you contact your primary care physician (PCP).  When there are a number of issues to deal with, I find it best to … Continue reading

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

Hello Doctor, My query is for my Mom. She is around 55 yrs of age, having diabetes and BP. Recently we took CT scan, and we came to know that she is having kidney stone in her left side. The report says “39×28 mm sized large branching calculus is seen in left renal pelvis, extending into lower calyx. Upper and middle calyxes are dilated and clubbed.” My query is what type of treatment required to remove it? Is it possible to remove the stone using “Lithotripsy”? Pls comment on it. She is diabetic but due to a controlled diet she is having 128 value after 2 hrs of breakfast. Though sugar is under control, would like to avoid going to surgery or Tunnel Surgery (Percutaneous Nephrolithotomy). Advance thanks for your reply.

The question that you ask is a urological question.  I am a nephrologist and have no expertise in regards to the surgical treatment of kidney stone disease.  I suggest that you consult with a urologist, who is a surgeon. For … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diabetes, Kidney Stones, Kidney-Related Health Questions, Laboratory Testing, Nephrologist, Treatments, Urological Issues

When somebody has kidney disease, how is the feeling in the body?

In most cases, there are no symptoms of chronic kidney disease (CKD).  Most people will have no unusual feeling if they have CKD.  This is why it is important to have blood and urine testing for CKD.  You can learn … Continue reading

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