Category Archives: Chronic Kidney Disease

What effect does caffeine have on CKD? How much coffee and tea is acceptable? I have Stage 3-4 kidney disease caused by many (25 yr) years of taking lithium. I am 66 yr old white woman.

Caffeine is a mild diuretic but it is unclear if it has any effect on chronic kidney disease (CKD).  Most studies of coffee and tea drinkers have been inconclusive about any effects of caffeine on CKD. Hence, I usually advocate … Continue reading

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

Hi Doctor, I know you answered this question already. That CKD is not reversible. I understand that it is generally irreversible when the damage is too extensive, i.e., later stages of CKD. However, at early stages, the damage is not widespread. If the kidney function is still normal and proteinuria is in remission, why is it impossible to reverse the damage? There is evidence that hardening of the artery walls in heart disease patients can be reversed when the patients are put on a healthy diet. If proteinuria is gone and a healthy diet is adopted, there is no more injury to the kidney. Why then damaged nephrons (just a bunch of blood vessels) can not be repaired or reversed in the same way heart arteries can be repaired? What makes our kidneys so special?

Once the small filters of the kidney (glomeruli) and tubules (nephrons) of the kidney have been destroyed, the kidney has no capacity to replace those destroyed glomeruli and nephrons.  It is true that the glomeruli are blood vessels but they … Continue reading

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

I am an Indian. My father has CKD. His present serum creatinine is 1.73 & ACR is 135. His blood pressure 120/80, fbs- 95 & pp- 320. Presently I am in touch with a reputed nephrologist. According to my doctor there is no medication for CKD. He said we only have to control blood sugar & pressure. Please give me your valuable opinion to improve my father’s health.

For patients with  chronic kidney disease (CKD) related to high blood pressure and diabetes, the treatment is to carefully control both diseases. Hence, your doctor is correct. It is important that your father not smoke, limit consumption of alcohol, exercise … Continue reading

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

Dear Dr. Spry: I understand that the DASH diet is recommended for those with kidney disease. However, I’m perplexed by the recommendation in the DASH diet that people consume up to 6 servings of meats, poultry, and fish per day (see https://www.nhlbi.nih.gov/health-topics/dash-eating-plan), as my understanding from the scientific literature is that daily protein consumption (particularly from animal sources) should be limited to no more than 0.5 g/kg of body weight, for people with kidney disease. Under the DASH diet, 6 daily servings (even small servings) of animal-source protein would greatly exceed the quota, would it not? (See, for example, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5406621/). Thank you.

I do not recommend very low protein diets for patients with chronic kidney disease (CKD). In the largest prospective controlled trial of low protein diets in patients with moderate to severe CKD, the study did not show a benefit and … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Dialysis, Diet/Nutrition, GFR, Hypertension/High Blood Pressure, Kidney Stones, Kidney-Related Health Questions

64 y/o male with GFR fluctuating from 55-72; no other symptoms except HBP which was recently diagnosed and put on meds approximately 3 weeks ago. BP been good since. No other symptoms except possibly slight foamy urine on occasion. Is this a reason for concern for kidney problems?

High blood pressure is one of the leading causes of chronic kidney disease (CKD). Hence, there is a concern for CKD in all patients with high blood pressure. Your blood pressure should be controlled to less than 130/80 and you … Continue reading

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

Dr. I would like to know if Zolpidem and Diazepam could damage even more my kidneys? I have PKD stage 3. Thank you.

Zolpidem is a sleeping medication and Diazepam is a sedative. These medication would be very uncommon as a cause of progressive chronic kidney disease (CKD). Polycystic Kidney Disease (PKD) can certainly show progressive CKD over time.

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

I’m male, 48 y/o, weight 139 kg, height 195cm. Creatinine 1.1, eGFR 53.3 Cystatin C test 139, blood pressure 149/100 (pulse 100), sugar blood 182, cholesterol 203, triglyceride 375, uric acid 6.1. I am taking medicine: Twynsta 80/10 (each a day) Gemfibrozyl (each a day) Glucosamine 1500mg/day, fish oil 1 capsule/day. Question: How do I take care of my kidneys? Is it really serious? I have a serious pain in my waist, and always feel too tired. I’m an alcoholic, but after doctors told me I have serious kidney problem, now I only consume 200cc whiskey/day. Thank you.

You have chronic kidney disease and need to follow your doctor’s recommendations. You should stop drinking alcohol, lose some weight, and eat a healthy diet that is low is salt. I recommend the DASH diet. You can review the DASH … Continue reading

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

When you have CKD does your red blood cell count increase or decrease? Explain why?

The kidney produces a hormone known as erythropoietin as called EPO. That hormone helps to produce red blood cells. When someone develops chronic kidney disease (CKD), the kidney produces less of that hormone and anemia or low red blood cell … Continue reading

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

What is the chance of developing CKD when your albumin creatinine is 30ug/mg? And diagnosed microhematuria?

The urine protein that you quote is just barely normal. The normal urine albumin to creatinine ratio in the urine is less than 30 micrograms per milligram of creatinine (mcg/mg). If you have blood in the urine (microhematuria) then you … Continue reading

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

Is Osmotherapy effective in the treatment of CKD?

I know of no use for Osmotherapy for any disease. Osmotherapy is not effective as a treatment of chronic kidney disease (CKD).

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