Category Archives: Chronic Kidney Disease

Hi, I’m considering a trip to Madagascar where malaria prophylaxis is recommended but I’m worried that these drugs are not kidney-friendly. The drugs listed by the CDC Travel Health site are: Atovaquone-proguanil, doxycycline, mefloquine, or tafenoquine. I have had one kidney removed almost two years ago (renal carcinoma totally encapsulated) and my numbers are good if a little toward the low side (GFR has climbed from 43 to 47, Creatinine improving from 1.31 to 1.21, BUN in normal range). Would I be able to take any of these or should I give up on traveling to malaria-infested countries? Thanks much!

Tafenoquine does not have any dosing information for patients with chronic kidney disease (CKD). Atovaquone/Proguanil should not be used if the creatinine clearance is less than 30 milliliters per minute. The rest of the medications that you mention do not … Continue reading

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

I was recently diagnosed with stage 3 CKD. My GFR is 42.2 and my creatinine is 1.24. Everybody tells me what not to do but are there things I can actually do to raise my numbers?

The nature of chronic kidney disease (CKD) is to cause the destruction of kidney filters known as glomeruli. There are no treatments that directly cause the kidney to build new filters (glomeruli). Once a kidney has been damaged and the … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diabetes, Diet/Nutrition, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Medication and Kidney Function

Is it safe to take Tylenol with Codine, low dose aspirin or extra strenth Tylenol for pain?

Yes. In patients with chronic kidney disease (CKD), Tylenol (acetaminophen), codeine, and aspirin can generally be safe. I do suggest that you check with your physician about taking these medications safely with other medications you may be taking.

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

Suffering from ckd 5. Is there any chance to cure the disease without transplant or dialysis?

Chronic kidney disease (CKD) Stage 5 means that there has been a permanent loss of over 85% of kidney filtering capacity. This cannot be replaced or recovered. Hence, for CKD Stage 5 the only ways to manage are dialysis, transplantation … Continue reading

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

My mother is in stage 4 kidney failure and is in fluid overload. Her nephrologist just upped her Lasix to 320mg per day. She has had fluid on her for 6 weeks now and was in the hospital for 1 week. She has been at the local nursing facility for 4 weeks now and the fluid is not going down. Tomorrow will be 72 hours since doctor raised her Lasix dosage yet she seems to not be able to urinate frequently enough to get fluid off of her arms, hands, feet, and legs. Is there any way to help get fluid off of her? Her gfr is 19 to 20. Any suggestions would be greatly appreciated.

Resistance to the effects of diuretics is a common feature of advanced chronic kidney disease (CKD). In some cases, dialysis is the only alternative. In some cases, the diuretics can be delivered directly into the vein so as to increase … Continue reading

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

My father is has a 2.90 creatinine. What are the options for him?

I am not able to make a specific diagnosis based on the information that you present. Your father appears to have kidney disease, however, I am unable to tell if this is acute kidney disease or chronic kidney disease (CKD). … Continue reading

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

Just listening to nephrologists podcasts and reading a lot! I have high BP (3 meds) that is not well controlled at all, I’m reading ACE inhibitors are a MUST! I’ve never been prescribed one. My potassium is well within normal limits, I stopped all salt a long time ago, my weight is excellent…my question is why haven’t I been prescribed an ace inhibitor to help control my BP? Also, my PCP refuses to raise or change my diabetes meds! My blood sugar is very high (often 300) I’m on a minimal dosage of Januvia 25 mg once daily. Why? I feel I’m the only one on my Renal team doing anything to slow the progression of my CKD. I’ve been seeing a nephrologist for years…she does nothing more than labs! I’m vegetarian, watch phosphorous, low carbs, no alcohol ever etc. Please advise.

I am not able to answer your questions about your current medical care. I suggest that you review your concerns with your physicians. I find patient advocacy is very helpful in seeking answers to your questions about your current medical … Continue reading

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

I’m a 25 year old female and had a left pyeloplasty 3 years ago to resolve a recurring hydronephrosis issue (left kidney only). Since the surgery my pain has not lessened, but at my six month post-op appointment, my surgeon said that function looked fine, so we haven’t pushed any further. Pre-surgery I experienced left sided flank pain, as well as pain that would spread up and down the entirety of my left side of my body. I still experience this now, plus lightheadedness, light sensitivity, extreme fatigue, and confusion (that resulted in me being stroke-coded last year). It was pointed out to me by someone working on my back (also about a year ago) that the back left side of my rib cage is raised higher than the right side, at the same trouble spot that’s always been painful. I’m curious if any of this sounds like it’s even related to the initial issue for which I had the surgery. It’s been difficult to connect the symptoms but I’m starting to doubt that the root cause is kidney-related at all. Thank you!

I am a nephrologist and have no surgical expertise. The problem that you are describing is pain after surgery. This could be a urological problem. A urologist is a surgeon who deals with both the kidneys and the urinary tract. … Continue reading

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

Is it safe for someone with stage 3B kidney failure, hypertension, irregular heart rate and type 2 diabetes to take Pepcid for reflux? I had taken Prilosec for 20 years and it worked but when my CKD became worse and I was referred to a nephrologist he stopped the Prilosec. My reflux has been a big problem since stopping the Prilosec and the gastroenterologist suggested Ranitidine 150 mg twice a day but after taking that faithfully for 8 weeks that did not help the reflux. Today she left a message suggesting that I try Pepcid 20 mg OTC twice a day but said I should check with my nephrologist first. Guess what? My nephrologist is out of the country and it is Friday evening so no one is answering the phone there except for emergencies so I am hoping you can help me. I also have an irregular heart rate and take Digoxin daily along with lots of blood pressure medications (Epelerenone 100 mg, Cardura 6 mg spread over three doses per day, Candesartan 32 mg), so I’m afraid to just take the Pepcid without some advice. I am leary of OTC drugs but need some help with this reflux problem. Thank you.

Famotidine (Pepcid) is a stomach acid suppressing drug similar to Ranitidine and is generally safe for patients with chronic kidney disease (CKD). Pepcid should not interfere with any of the drugs you list.  

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

What are the effects of Stage 3a Kidney Disease? Can high doses of Calcium increase your Potassium level?

Chronic kidney disease (CKD) is generally without symptoms. This is why it is difficult to know whether you have kidney disease unless you get blood and urine testing for CKD. Early stage CKD may result in mild anemia and some … Continue reading

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