Category Archives: Chronic Kidney Disease

Is an 87 year old man with CKD and GFR of around 30 allowed to to engage in a religious fast. More precisely,what would be the danger in not drinking and/or eating for a 24 hour period?Would an individual in such a medical condition be allowed to abstain from food for 24hrs if he drank liquids?

Chronic kidney disease (CKD) with an estimated glomerular filtration rate (eGFR) of 30 milliliters per minute per 1.73 meters squared should be able to go without food and water for limited amounts of time.  This partially depends on other medical … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, GFR, Kidney-Related Health Questions, Symptoms and Side Effects

What do you tell people who want you to find a CKD cure for them?

Chronic kidney disease (CKD) is usually managed to prevent a further fall in the function.  We do not usually discuss a cure of CKD, but rather managing the disease so as to prevent further damage to the kidney function.  I … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Treatments

I am a 79 year old white male with Type 2 diabetes. My left kidney was removed 28 years ago due to a tumor. Fasting levels are in the 96-110 range. eGFR is 49 (up from 43 two months ago.) Serum creatinine 1.53; Potassium 5.4; BUN 29. Recent 24hr UA: UA Protein (calc) 80. Total Protein is 4.3. I feel my PCP is not taking enough action or giving me enough information about my lab results. His notes indicate that everything is normal with my lab results. My BP runs 120/78. My meds include 10mg of dextrostat and Lisinopril HCTZ 20/12.5 Does the dextrostat or (the supplement L-thinine 200mg) have a negative affect on my kidney function?

Dextrostat (dextroamphetamine) is a very potent stimulant and can cause elevation in your blood pressure.  I am not aware of the drug L-thinine.  This is not a compound with which I am familiar.  Since you only have a single kidney, … Continue reading

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

Recently diagnosed with CKD stage 3B. Also rheumatoid arthritis diagnosis recently. Is methotrexate safe for me to take?

The dose of Methotrexate must be monitored and sometimes reduced for patients with chronic kidney disease (CKD).  I suggest that you review your concerns with your Rheumatologist and your primary care physician (PCP).  

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Symptoms and Side Effects

Hi Doctor, About 4 months ago, I had vomiting, constipation and pain in lower back abdomen due to pushing and gas. I went to the doctor and he wrote few tests. My urine tests showed protein, traces of blood and my CBC blood test had WBC and NEU higher than normal. He wrote another test for creatinine and blood urea and it was 3.3 and 55. He referred me to a nephrologist. The next day, I couldn’t see nephrologist because he was out of town. I felt so much thirsty on that day and drank alot of water. The nephrologist wrote same tests again and this time my urine has no traces of blood or protein, my CBC was normal except Hematocrit little less and my creatinine was dropped to 2 while BUN was 43. My ultrasound report showed no back pressure, normal size kidney, high echogenicity suggested. The nephrologist said it is temporary and said to go for tests again after 15 days. The test are normal since then. No traces of blood in urine, no protein since 4 months now. I have done 4 more tests. I am concern if I have CKD or is there any chance of CKD and what my ultrasound report mean by high echogenicity suggested?

I am unable to make a specific diagnosis based on the information that you present.  You could have acute kidney injury that is in the process of recovery or you could have chronic kidney disease (CKD) with acute kidney injury … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Nephrologist, Symptoms and Side Effects, Treatments

Hi, I had reconstructed kidney surgery about 12 years ago. Now I’m in late stage 4 CKD and the kidney I had surgery on is now dead. I’m having a hard time finding my records from the Hospital. Do you know where I can go to get them? Now that my left kidney died did the adrenal gland die with it? I’m having a lot of fatigue, and just down right have no energy. I got my fistula created last week. That was just a FYI.

Disease of the adrenal gland and disease of the kidney are almost always two separate diseases.  I do not know what type of kidney surgery that you had, but sometimes the adrenal gland of that kidney can be injured or … Continue reading

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

I have proteinuria for over 9 years. It was first detected in 2008. I’m a male person, 36 years old, with 183 cm height and 90 kg weight. My blood pressure is 120/80 most often. My results from the lab August -03 2017 AlkP 66 U/L AST 16 U/L ALT 16 U/L Gluc C 4.77 mmol/L Urea 4.5 mmol/L CreaC 80.30 umol/L UA 361.8 umol/L TP 72 g/L AlbG 47 g/L Gllob. 25 g/L Na-C 139 mmol/L K-C 4.8 mmol/L CaC 2.39 mmol/L Phos 0.95 mmol/L IgA 2.38 g/L IgG 10.70 g/L IgM 0.62 g/L C3 1.1 g/L C4 0.2 g/L Trig 0.7 mmol/L Clol 5.1 mmol/L UHDL 1.22 mmol/L LDL CALC 3.5 Upro 0.69 g/L (proteins in 24 hour urine) I also did tests during the last few months. (the results were 0.39 , 0.60 , 0.62 g/L) My doctor advised me to do a Biopsy in order to detect the reason of kidney damage. What do you think about my lab results? Is it allowed for me to do physical exercises with this condition ( for example 1 hour of bicycling, or 2 hours of walking 5-6 times per week), knowing that this will increase the amount of proteins in my urine аdditionally? This is very important for me because my BMI is over 26 and I have overweight. I want to do exercise so that I can have a normal weight. Do these proteins that are passing from the kidneys to the urine are damaging my kidneys?

I am unable to make a specific diagnosis of kidney disease based on the information that you present.  You have excess protein in your urine and this can both cause kidney disease and also be the result of kidney disease. … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney Biopsy, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Treatments

I have a family history of Polycystic kidney disorder seen only in males in my father’s side. I am the only daughter to my parents. I had taken a dip test as part of tests for checking my kidney function. Dip test showed microscopic particles of blood in my urine along with a high amount of protein. I have not yet received the results for other tests. Does this indicate anything?

Blood in the urine (hematuria) and protein in the urine (proteinuria) can certainly be seen in patients with polycystic kidney disease (PCKD), however, both hematuria and proteinuria are seen in many other diseases of the kidney and urinary tract.  I … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diet/Nutrition, Kidney-Related Health Questions, Laboratory Testing, Polycystic Kidney Disease, Symptoms and Side Effects, Treatments

I’m very concerned for my husband. He’s a veteran, 40 years old, he was diagnosed with PKD in 2005 while in service with a few cysts on both kidneys, liver and pancreas with no other symptoms (pain, hematuria, limitations). In 12 years, it quickly progressed to stage 3, his liver is in very bad shape with cysts inside and out. His kidneys are 3x the normal size and littered with kidney stones up to 10mm. His ureters are covered inside and out with cysts. Our doctor has told us he will likely not live to see 60. We also just found out that the VA should not have prescribed him ibuprofen for his pain, 800 mg every 6 hrs everyday for 3 years. My question, is the ibuprofen at fault for causing his PKD to progress this fast or can PKD get this bad this quickly?

The long term use of ibuprofen has been associated with more rapid progression of chronic kidney disease (CKD).  Short term use (several weeks) is usually reversible and kidney function should return to baseline if the ibuprofen is stopped.  Your husband … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Treatments

I have been working with a nutritionist and one of the latest supplements recommended is Cal-Amo which is Ammonium Chloride; Betaine hydro hloride; Calcium Chloride; Calcium Lactate; Magnesium citrate; Calcium stearate. I am a stage 3 Kidney disease person, aged 78 female. Is this a safe product for me at this time ?

I have no experience with a supplement called Cal-Amo.  I am not aware of any research that has been done on this supplement in patients with chronic kidney disease (CKD).  Of the compounds that you mention in Cal-Amo, I would … Continue reading

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