Category Archives: Dialysis

I have felt miserable with my dx of CKD Stage 4. I have had every test under the sun. I even see a therapist. My labs are stable considering having had this dx since Oct 2017. It came out of no where. Is there any kind of treatment to help. My biopsies stated that CKD came from Chronic Interstitial Nephritis. Biopsies done one year ago Jan 2018. I have become anemic, high blood pressure and high cholesterol since my dx. Does this chronic illness/disease continue to get worse? I have not seen or heard of any treatments unless my GFR is at 15. Mine is 20 now. I just feel as though I have searching for over a year for something. I cannot take this fatigue, lower back pain, dizziness, feeling faint, nauseau, unable to concentrate and mild confusion to go away. I get there is no cure but there must be something.

At some point, your nephrologist must determine that the symptoms you are relating are potentially treated by dialysis and transplant. You should be eligible to be evaluated for listing on the transplant list once your estimated glomerular filtration rate (eGFR) … Continue reading

Posted in Anemia, Ask the Doctor, Dialysis, GFR, Kidney-Related Health Questions, Nephrologist, Transplantation, Treatments

4mg ZOFRAN & 10mg SINGULAR. Are they OK to take with ESRD?

I have used these drugs safely in patients who are on dialysis (End Stage Renal Disease).

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

My mum Age: 79 from Malaysia. I have been bringing her for check up for almost 20 years for her diabetic and hypertension and now after checking on her blood test her creatinine is 274 and her eGFR is 15. She is not on dialysis but doctor suggests to do dialysis. She urinate 6-8 times in a day. So can I consider that she do not have no CKD because she is producing and passing urine multiple times in a day? Doc said her HB is low and given a jab and also the iron vitamin. Please let me know if I am right or not with your basic understandings. Thank You!

The production of urine is not an accurate reflection of kidney function. Patients on dialysis commonly make urine and sometimes several times per day. The decision to start dialysis is based on symptoms that your mother may be having in … Continue reading

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

I have a brother who is in the hospital for high blood pressure. The Dr’s are saying that his kidneys are now damaged. He has been on B/P meds for the last two years and that dialysis is the only option. He tells me that his creatinine levels are elevated and are not dropping. Also his potassium level is low. He is not sold on doing dialysis and wanted to know if there are other options besides dialysis or a transplant. He asked the Dr’s about a holistic approach but to no avail.

I can only suggest that your brother listen to the physicians caring for him and try to make the best decision that he can. There is no other approach to kidney failure other than dialysis, transplant or consider entering a … Continue reading

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

I am (Male / Age: 52) from India and have CKD from last 1 year. Still, I am not on dialysis but doctor suggests to do dialysis. My question is can anyone with CKD is not able to produce urine at all? As I have CKD and my creatinine is average 10-12 and I urinate 6-8 times in a day. So can I consider that I have no CKD because I am producing and passing urine multiple times in a day? Please let me know if I am right or not with your basic understandings. Thank You!

Urine production is not an accurate reflection of kidney function. Patients on dialysis will commonly make urine several times daily. Hence, the best estimate of your kidney function is your serum creatinine and the estimated glomerular filtration rate (eGFR). The … Continue reading

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

My husband was diagnosed with end stage renal failure in June 2017. He is not on the transplant list because he needs to lose weight. I have him on the Keto diet. I spoke with his nurses, doctors, and nutritionist at dialysis to ensure this was a good idea and they are all for it. He has been doing it for a couple months now and has not lost any weight. I noticed a few inches, but he’s getting discouraged. His blood work is still all normal, I told them the second something changes or he gets worse I will stop the diet. He has not had carbs for 2 months or sugar, just the occasional diet coke here and there when he’s craving a sweet (I know it has phosphorus, I’d rather a small can then have him eat cake or donuts). He’s barely eating the food I make, and has cheat days when I have cheat days. I am down 65 pounds since last summer. He’s definitely doing what I’m doing, but getting very depressed when he sees me losing weight. Is there an experienced nutritionist that can call or talk to him, maybe talk to him and ask him about what he eats? He needs to eat. He barely touches his food, and I know he’s not getting any fat.

It is very difficult to lose weight on dialysis by limiting dietary intake of calories. It is important to limit calories in the diet and burn calories with increased activity. Hence, I would recommend that your husband figure out how … Continue reading

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

My dad was diagnosed with diabetic kidney disease 8 years ago with creatinine of 1.6 something and it has been increasing since then (it remained less than 4). Since last 2 weeks, it increased from 4.3 to 4.5 then 5.5 then 6.5 and now 8.3 along with increased blood pressure going as high as 180/90 or 180/110. His blood sugar was increased too but it remained around 210-220. My father is reluctant to go for dialysis, so his doctor advised him to get AV Fistula surgery done in case the emergency arise. Now my question is, is it necessary to get it done? Is this the last resort?

I am unable to make a specific diagnosis and treatment plan without performing a complete history and physical examination. Your father appears to have a more rapid progression of his diabetic kidney disease than is commonly seen. I suggest that … Continue reading

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

Sir, My father, aged 71 years, has been diagnosed with CKD 2 years back. Creatinine was 3.0. After having allopathic treatment for 2 years, his latest creatinine come up to 5.2 in October 2018. Now the major problem is his hemoglobin level is continuously falling down (now 7.2). Doctor prescribed injections of Erypro safe 6000 (recombinant human erythropoietin alpha injection) twice in a week for 8 weeks. We are at a fix how to manage his hemoglobin level. Is it by injection or by blood transfusion or by oral tablets? Is there any way at this stage to arrest his creatinine level to avoid further deterioration of kidney to avoid dialysis? Thanks and Regards.

I am unable to make a specific diagnosis based on the information that you provide. Your father appears to have advanced kidney disease and may require dialysis very soon. I suggest that you continue to consult with the physicians who … Continue reading

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

Dear Doctor, I’ve been having CKD for almost 4 months now. It’s now in Stage 4, GFR around 19% (creatinine around +-3, urea around 50 to 100) I’m female and 26 years old. Indonesian. I feel like my body is getting weaker and weaker, and I can’t work normally. My albumin, Hgb and other number/parameter are also abnormal. What I don’t understand, my doctor refuses to talk about future possibility of kidney transplant. He keeps suggesting to me to just focus on the medicine, so that dialysis won’t start any time soon. In other hand, I wish I can do transplant as soon as possible even before I start dialysis (possible donor would be from my brother/sister). Please, kindly inform us, when is the right time to do kidney transplant? In my case, is it not the time yet? Should I wait until my CKD reaches stage 5? Thank you so much for your response.

I would agree with your thoughts on this issue. I agree that you and your nephrologist should make a plan and if your brother or sister can be evaluated as a possible donors, then the transplant can be planned in … Continue reading

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

Is there any relationship between dialysis and having your ears clog? My Dad says about half way through his dialysis treatments his ears get clogged. Is there something to be done to prevent it?

I have not heard this symptom in relation to dialysis treatment. I suggest your father discuss this with the nephrologist who is caring for him. Low blood pressure during dialysis could result in some symptoms that include a decrease in … Continue reading

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