Category Archives: Dialysis

Can you explain to me about fluid overload for CKD patient when they on dialysis?

As kidneys fail, they often retain fluid.  Fluid retention is the kidneys retaining salt and water.  When someone is on dialysis, urine output commonly falls but it is rarely zero.  Hence, as you take liquid and salt in the diet, … Continue reading

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

HI SIR, MY HEART IS ENLARGED AND I HAVE DONE SERUM CREATININE TEST AND RESULT WAS 4.1 MG/DL. I WANT TO KNOW WHAT IS LIMIT OF DIALYSIS? SHOULD I DO IT OR CAN I CURE USING MEDICINE?

The decision to start dialysis versus continuing with medical treatment of your heart disease and your kidney disease is not based on any number. It is based on a conversation between you and your nephrologist. It often also involves your … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Dialysis, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Medication and Kidney Function, Nephrologist, Serum Creatinine

My husband is on dialysis. He needs a low salt, low potassium. low protein diet. What resources do you suggest I use to help make meals palatable in keep to the regimen of a renal diet? Thanks so much.

There should be a dietitian assigned to your husband at the dialysis unit.  You should be able to make an appointment and discuss your husband’s specific diet with the dietitian.  Diet needs to be customized to patients on dialysis.  Each … Continue reading

Posted in Ask the Doctor, Dialysis, Diet/Nutrition, Kidney Failure, Kidney-Related Health Questions, Nephrologist

My husband is 67 yrs old. His kidneys seem to be declining at an accelerated rate in this last year. He had been in stage 3 for 8+ yrs. No diabetes,no high blood pressure, changed his diet to preserve his kidneys. He weighs 115 lbs on a good day but struggles to eat 2000 calories a day. His GFR is rapidly declining even though he is doing everything to preserve his kidneys. Blood tests every 3 months. Last 4 GFR test( drop of 4 points, drop of 2 points, drop of 1.5 points, drop of 4.5 points). Drop of 12 points in 1 year. He is now in stage 4 at 27. Does GFR decline more rapidly in later stage CKD. Read and have been told he will be on dialysis in about a year? Is this your experience with stage 4 patients?

It is difficult to provide a prognosis for chronic kidney disease (CKD) without performing a complete history and physical examination.  Some forms of kidney disease do have an acceleration at Stage 4 CKD, but this is not always the case. … Continue reading

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

Hi Doc. My brother just got diagnosed with stage 5 renal failure after pneumonia Creatinine of 9.12 and eGFR of 7mls/min. After recovering we did creatinine recheck and it’s 4.5 eGFR of 17. Should we still go ahead with dialysis or try home remedies 1st to improve the condition. Is the condition reversible at this stage? Thank you!

I do not know of any home remedies that reverse acute kidney injury.  From what you describe, your brother may have acute kidney injury but I cannot make a specific diagnosis as to the cause, based on the information that … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Dialysis, GFR, Kidney-Related Health Questions, Treatments

Can I use Megestrol Acetate to improve my appetite while on dialysis? If say OK then what is the maximum dose I can intake?

I have used Megestrol in patients on dialysis for stimulation of appetite.  I have found it to be inconsistently effective.  I cannot recommend medication and dosing without performing a complete history and physical examination.  I suggest that you discuss this … Continue reading

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

My father suffering from CKD. Continue with dialysis. In previous dialysis he suffer vomiting and high fever during treatment. I become confused about this. Please help me.

I am unable to make a specific diagnosis based on the information that you present.  I recommend that you discuss your father’s symptoms with his nephrologist at the dialysis unit.  The symptoms that you describe are very common in dialysis … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney Failure, Kidney-Related Health Questions, Nephrologist, Symptoms and Side Effects, Treatments

I have a brother with kidney failure and he wanted to know if it is a terminal illness?

Kidney failure can be managed by conservative management, dialysis and transplantation.  Hence, kidney failure does not have to be a terminal illness, but it can be terminal without proper treatment.      

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

My friend, that’s on dialysis, her Hgb always low, short of breath, tired. Always lands up in hospital. Her iron intake low. Can she have over counter iron tablets and use it daily?

Iron supplements are safe to take for patients on dialysis. In many cases, intravenous iron is given to dialysis patients in order to correct the iron deficient anemia. Oral iron supplements can interfere with other medications that your friend takes. … Continue reading

Posted in Ask the Doctor, Dialysis, Nephrologist, Treatments

Hello doc, I have a friend that has been doing treatment for almost 10 months. He complains that he feels sick. Is there anything that you would recommend to help him feel better? I mean food or medication whatever that can make him feel better.

I am not able to make a specific diagnosis based on the information that you present.  I would need to perform a complete history and physical examination.  If these symptoms are occurring with in-center dialysis, then considering home dialysis with … Continue reading

Posted in Ask the Doctor, Dialysis, Diet/Nutrition, Kidney-Related Health Questions, Symptoms and Side Effects, Treatments