Category Archives: Chronic Kidney Disease

My eGFR is above 60 at the present time, but I have been taking 100mg of Hyaluronic acid daily (twice a day) for arthritic knee joints. Would this be harmful to my kidneys? I talked to a kidney nurse today at my Dr’s office, and she said she couldn’t find any information on it. I’m trying to take something natural for my joints because I can’t take NSAID’s. Please advise.

Hyaluronic acid has been used safely in patients with chronic kidney disease (CKD). I do not know of any ill effects on the kidney from hyaluronic acid. Advertisements

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

Ninety-seven patients (mean age, 48 years) with chronic renal failure (serum creatinine > 5 mg/dl), with a history of declining renal function for at least 12 weeks, were randomly assigned to receive, in double-blind fashion, coenzyme Q10 (CoQ10; 60 mg, 3 times per day orally) or placebo for 12 weeks. The 45 patients who were receiving hemodialysis at the start of the study were encouraged to decrease the frequency or stop dialysis if there was an increase in urine output and a decrease in serum creatinine of more than 2 mg/dl. In the patients receiving hemodialysis and CoQ10, the mean serum creatinine concentration decreased from 9.5 to 6.7 mg/dl; mean BUN level decreased from 88.2 to 79.8 mg/dl; mean creatinine clearance increased from 40 to 54.9 ml/min; and 24-hour urine output increased from 1,300 to 1,920 ml. Renal function tended to worsen in hemodialysis patients receiving placebo, and the differences in the changes between groups were significant (p < 0.01 to p < 0.001). Significant improvements in each of these parameters relative to the placebo group were also seen in the non-dialysis patients treated with CoQ10. The number of patients requiring dialysis decreased from 21 to 12 in the CoQ10 group, and remained unchanged at 24 in the placebo group (p < 0.02). Eighty-one percent of the patients receiving CoQ10 showed some response to treatment.

I am not familiar with the study that you quote. I have seen some information about the use of Coenzyme Q10 in patients with mitochondrial disease and kidney disease. I currently do not use this treatment in any of my … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Clinical Trials/Studies, Kidney-Related Health Questions, Medication and Kidney Function

Sir. My RFT is normal creatinine 0.7, urea 17. My urine test ph 7, protein nill, sugar nill, bold nill, pus cell 0-1, epithel cell 1-2, rbc nill. Am I OK or not? Ultrasound normal.

I do not identify any kidney disease based on the information that you present.

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

My labs came back and all levels are ok except my kidney function rate. I am at a 43. I am 46 with auto immune disease and high blood pressure. I am finding conflicting diets online. I am looking for a good renal diet to help improve my function.

The goal of treatment for kidney disease should be to sustain the kidney function that you have. You should know that normal aging results in the loss of kidney function at a rate of about 1% per year beyond age … Continue reading

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

Do you believe that artificial sweeteners such as Aspartame and Sucralose (Splenda) cause kidney damage and, if so, to what extent do they contribute to kidney disease?

I have not come across any information that artificial sweeteners such as Aspartame or Sucralose are directly toxic to the kidneys. There is some information about these sweeteners actually promoting weight gain and diabetes that is associated with kidney disease. … Continue reading

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

I have recently had results after two consecutive blood tests that indicate stage 3A kidney disease. I am a 65 year old female. I have been prescribed 40 mg daily of omeprazole just in the past few months for acid reflux, gastritis and an ulcer and am concerned that this has something to do with the change in my kidney function. My results were within normal range the last time I was tested.

Omeprazole and other proton pump inhibitors (PPI’s) have been associated with chronic kidney disease (CKD). Most of these associations have been with long term (more than one year) use of these PPI’s. I am unable to make a specific diagnosis … Continue reading

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

Is kidney biopsy needed if the creatinine levels didn’t go above 1.5x? Normal urine test, normal ultrasound, no symptoms?

A kidney biopsy is indicated when there is kidney disease present that cannot be explained by the usual diagnostic criteria. A kidney biopsy provides a specific diagnosis of kidney disease so the specific treatment can be recommended. I suggest that … Continue reading

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

I recently changed labs for my yearly physical. For the past 10 years my Creatinine has been 1.06-1.08. All other labs, urine and blood pressure are normal. This year the new lab has a creatinine range cutting off at 1.05. Again, all other blood tests, urine and blood pressure are normal. This is the only outlier. According this new lab I may have early kidney disease? My only meds are thyroid replacement and bioidentical HRT. Thank you.

I am not familiar with this laboratory cut-off.  I do not believe this qualifies as chronic kidney disease (CKD). I suggest that you discuss this with your physician.

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

My question is how to cure renal disease? Patient age is 57 but not passing urine. Needing some advice.

I am unable to make any specific diagnosis based on the information that you present. Treatment of kidney disease must be based on a knowledge of the specific kidney disease. I cannot make treatment recommendations without performing a complete history … Continue reading

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

I’m 18 years old and I have nephrotic syndrome and I also have just one kidney. What future complications can occur?

The nephrotic syndrome is a form of kidney disease that results in loss of excessive protein in the urine and is usually greater than 3.5 grams of protein loss per day. The nephrotic syndrome also results in edema or swelling … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diet/Nutrition, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Nephrectomy / One kidney, Nephrotic Syndrome