Category Archives: Dialysis

I am on dialysis. I started about a month ago. My question is why am I sweating so much everynight?

I am not able to provide a specific diagnosis based on the information that you present. Sweating at night is not a normal response to dialysis. There are many causes of night sweats that are not related to dialysis.  I … Continue reading

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

In 1996, I was found to have hematuria. In 2000, I started experiencing ulcers on my legs diagnosed as the result of leukocytoclastic vasculitis. I should I just go with this? In 2005, I had proteinuria. A few years later I allowed a biopsy of my kidney. Results showed a damaged kidney. Some unidentified autoimmune cause. Only treatment my nephrologist could give me is blood pressure control. Now, I am told peritoneal dialysis is next.

I am not able to establish a specific diagnosis based on the information that you present.  It is possible to have leukocytoclastic vasculitis of the kidney.  It is commonly called Henoch Shonlein vasculitis or purpura (HSP).  It can be an … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney Biopsy, Kidney-Related Health Questions, Nephrologist, Proteinuria

Hello sir, my mother is suffering from ckd. She was on medication since last 3 yrs but doctors told due to urine infection. Her creatinine level risen very high then doctor told us for dialysis 2 times a week, but she has blood in urine since last 20 days and doctors have given medicines but someone today told me that if there is blood in urine it means I have developed a hole in kidneys and not going to live more. Is it true?

I am not aware of any diagnosis that involves a “hole in the kidney”.  I suggest that your mother may need further testing.  You will need to consult with your mother’s physician for further testing.

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Dialysis, Kidney-Related Health Questions, Laboratory Testing, Serum Creatinine, Urinary Tract Infection/Pyelonephritis

Confusion on figuring clearance. Kt/V simple but clinics and doctors use many variations (and seem to change methods form year to year). I just want to know (with home hemo) female, 62″, 101 kg, 72 yrs old, running between 90 and 95 L of blood thru system, Pre BUN 25 post 9 or pre 24 post 8. Does this meet needs? Kt/v and URR.

The urea reduction ratio (URR) is calculated by subtracting the Post Dialysis Blood Urea Nitrogen (BUN) from the Pre-dialysis BUN and dividing that number by the Post Dialysis BUN, then multiplying by 100.  In the case you describe your URR … Continue reading

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

Since starting dialysis, my legs have become very weak. I have been on since May 2019. What might be the problem?

I am not able to make a specific diagnosis based on the information that you present.  Dialysis should not cause leg weakness. There are many different causes of leg weakness including high blood potassium, neurologic injury, stroke, muscle injury, and … Continue reading

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

My mom has congestive heart failure. Her kidney function is poor, her recent GFR was 27.5 and creatinine 1.6 but she has been building up body water. She has about 20 extra pounds of it, so they gave her torsemide 20mg and within 3 days her gfr went to 14.5 and createnine 3.8. So they are now lowering the torsemide to 10 MG which it was before these numbers went bad. At 10 MG torsemide, she doesn’t lose nearly as much water. How can we get that 20 pounds of water off if the 20mg of torsemide hurts her kidneys like this? Her heart failure is at advanced stages.

The combination of heart disease and chronic kidney disease (CKD) is often very hard to treat.  It is likely the fluid overload that is giving her the most symptoms, and in these cases one has to make a choice as … Continue reading

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

My husband and I are expecting our first child. We just received our genetic testing results back and we were told that we are both carriers for congenital nephrotic syndrome. We are being told that there is a 25% chance that our baby will have the syndrome and if he or she does then he or she will need a kidney transplant. Is a kidney transplant for a newborn with this syndrome done right away? If so what is the survival rate for this type of procedure? Are there any other treatment plans or is there anything that my husband and I could do now to better prepare for that potential possibility that our baby may need a transplant?

Most transplant programs will require the infant to achieve a specific weight prior to performing a kidney transplant.  This has to do with the infant achieving a sufficient weight and size so that the transplant can technically be performed.  The … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney-Related Health Questions, Nephrologist, Nephrotic Syndrome, Transplantation

I am a dialysis patient. I am 18 yrs old. My urine is almost block. What I do to urine out?

If you are on dialysis, urine output may decline but it is rare that no urine is produced.  I suggest that you review this with your nephrologist and see whether you need further examination.  This would be very unusual for … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Dialysis, Kidney-Related Health Questions, Laboratory Testing, Nephrologist, Urinary Tract Infection/Pyelonephritis

Why would a nurse practitioner and dialysis educator be so vague in giving me the information I need to know when it is time to start dialysis? My case manager FINALLY got some real information, such as the filtration level (8 or so) and how that, along with the Nephrologist opinion and my overall health (does that include mental health?). Now that I know this and the fact that it’s theoretical, I feel more at ease in waiting on dialysis. But why do the professionals keep the cards close to the vest? It makes me feel like I am unintelligent and unable to understand the situation (for whatever it’s worth, I have a PhD). This situation has caused me to not trust the nurse practitioner. I will reconstruct a quality of life that was all but destroyed with the waiting process, and carry on as I should, personally and professionally. But why was i treated this way?

In general, the decision to start dialysis is not based on any number.  It is based on a discussion between you and your nephrologist about the risks and burdens of starting dialysis versus the benefits of treating any symptoms that … Continue reading

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

The NKF website states that 37,000,000 people in the USA have CKD. As you have stated, the majority of those are in stages 1 & 2. I have seen numbers for those on kidney dialysis and those with kidney transplants. I have not seen any statistics or estimates regarding those in stage 3 and, separately, stage 4. Are these numbers available and, if so, what are they?

Yes. The United States Renal Data System (USRDS) tries to estimate such numbers based on the National Health and Nutrition Examination Survey (NHANES). You can review that data on their web site at:  https://www.usrds.org/2018/view/v1_01.aspx  

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