Category Archives: Diet/Nutrition

I have sarcoidosis and in 1986 I found out that I had massive stag-horn kidney stones. They had entirely covered both kidneys. I had surgery and had the remainder of them crushed. The kidney infections that I had set up kidney poisoning. I was under a kidney specialist for at least ten years. The urologist told me to not drink milk or eat cheese and to stay away from any milk products and vitamin d because the kidney stone analysis showed that the stones formed were full of calcium. Now my primary care doctor has prescribed 50,000 units of vitamin D because my blood test showed that my level was low. I am afraid that if I take that much vitamin D that I will have major kidney problems. I already have low functioning kidneys and have had that all my life. I am 63 and was told that I was more likely born with kidney stones and low functioning kidneys and sarcoidosis contributes to kidney issues. As early as the age of 3, when I would run I could hear stones hitting together and sounded like when you hit two rocks together. Should I take that much or any vitamin D?

Back in the 1980’s, it was common to recommend low dairy diets and low calcium diets. We now know that is bad advice. It leads to a greater risk of osteoporosis and Vitamin D deficiency. Sarcoidosis is a disease of … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Kidney Stones, Kidney-Related Health Questions | Comments Off on I have sarcoidosis and in 1986 I found out that I had massive stag-horn kidney stones. They had entirely covered both kidneys. I had surgery and had the remainder of them crushed. The kidney infections that I had set up kidney poisoning. I was under a kidney specialist for at least ten years. The urologist told me to not drink milk or eat cheese and to stay away from any milk products and vitamin d because the kidney stone analysis showed that the stones formed were full of calcium. Now my primary care doctor has prescribed 50,000 units of vitamin D because my blood test showed that my level was low. I am afraid that if I take that much vitamin D that I will have major kidney problems. I already have low functioning kidneys and have had that all my life. I am 63 and was told that I was more likely born with kidney stones and low functioning kidneys and sarcoidosis contributes to kidney issues. As early as the age of 3, when I would run I could hear stones hitting together and sounded like when you hit two rocks together. Should I take that much or any vitamin D?

Doctor, nice to say hello. I would like to know which is the best food for me as I am a chronic kidney patient, with a glomerular filtration rate <19 and creatinine of 3.20, white rice or brown rice? Doctor and I would like to know what are renal parenchymal changes? And if it is curable or serious? Thank you God bless you and all kidney patients.

For someone with Stage 4 chronic kidney disease (CKD) and an estimated glomerular filtration rate (eGFR) of less than 19 milliliters per minute per 1.73 meters squared, it is not possible to recommend a specific diet without knowing all of … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diet/Nutrition, GFR, Kidney-Related Health Questions | Comments Off on Doctor, nice to say hello. I would like to know which is the best food for me as I am a chronic kidney patient, with a glomerular filtration rate <19 and creatinine of 3.20, white rice or brown rice? Doctor and I would like to know what are renal parenchymal changes? And if it is curable or serious? Thank you God bless you and all kidney patients.

Doctor, I am at stage 3A CKD and wonder about bottled water. I drink bottled water with added calcium chloride, sodium bicarbonate, and magnesium sulfate. I am very sensitive to sodium and wonder if distilled water is advisable with CKD? Thank you.

I do not think the kinds of additives to water will change the kidney’s response to hydration. The kidney, even in situations of chronic disease, is able to sort out what you drink and will not suffer any damage as … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, Hypertension/High Blood Pressure, Kidney-Related Health Questions | Comments Off on Doctor, I am at stage 3A CKD and wonder about bottled water. I drink bottled water with added calcium chloride, sodium bicarbonate, and magnesium sulfate. I am very sensitive to sodium and wonder if distilled water is advisable with CKD? Thank you.

Hello, can stage 3 CKD patients drink Glaceau’s Smartwater with calcium chloride, magnesium chloride and potassium bicarbonate? It’s the only water I like and drink faithfully. Thanks.

With Stage 3 Chronic Kidney Disease (CKD), your kidneys are sensitive to changes in salt and water intake. Sodium, potassium, calcium, magnesium, chloride, and bicarbonate are all components of salts in the diet. Sodium is the salt that is hardest … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, Kidney-Related Health Questions | Comments Off on Hello, can stage 3 CKD patients drink Glaceau’s Smartwater with calcium chloride, magnesium chloride and potassium bicarbonate? It’s the only water I like and drink faithfully. Thanks.

I read that herbal supplements should be avoided. What about herbal teas with turmeric, ginger, or ginseng?

I’m not sure in what context you are referring. In patients who have had a kidney transplant, I am very concerned about taking any new herbals or addition of new dietary habits that can change the way that the immunosuppressive … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, Herbal Supplements in Kidney Disease/Failure, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function, Transplantation | Comments Off on I read that herbal supplements should be avoided. What about herbal teas with turmeric, ginger, or ginseng?

What vitamins are important for Stage 3 CKD?

Any over-the-counter multivitamin should be safe for patients with chronic kidney disease (CKD). I would avoid high potency vitamins. I also commonly recommend Calcium with Vitamin D at a dose of between 1000 and 2000 International Units per day. As with all … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, Kidney-Related Health Questions | Comments Off on What vitamins are important for Stage 3 CKD?

I know every case is different so I’m sure answering questions about specific medications is a challenge. But I’m going to ask anyway. I have stage 3 kidney disease. A year ago, my blood pressure was very well controlled with 20 mg of lisinopril. Last fall, I experienced an acute kidney injury from which I’ve since recovered, back to my “normal” stage 3. But my doctors are having a very hard time getting my blood pressure back under control. I’m now on three BP meds (lisinopril, metoprolol and recently added nifedipine). My BP is better, but still often is high (140s/90s). And the nifedipine is causing swelling in my ankles and feet. I’m hoping to find a medication that helps with the BP but without the swelling. Do you have any suggestions? Thank you.

Ankle swelling is a common complaint in patients with chronic kidney disease (CKD) and is also commonly associated with calcium channel blockers such as nifedipine. The first thing I recommend is a low salt DASH diet. Low salt refers to … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function | Comments Off on I know every case is different so I’m sure answering questions about specific medications is a challenge. But I’m going to ask anyway. I have stage 3 kidney disease. A year ago, my blood pressure was very well controlled with 20 mg of lisinopril. Last fall, I experienced an acute kidney injury from which I’ve since recovered, back to my “normal” stage 3. But my doctors are having a very hard time getting my blood pressure back under control. I’m now on three BP meds (lisinopril, metoprolol and recently added nifedipine). My BP is better, but still often is high (140s/90s). And the nifedipine is causing swelling in my ankles and feet. I’m hoping to find a medication that helps with the BP but without the swelling. Do you have any suggestions? Thank you.

Nice to greet you Doctor, I am a stage 4 chronic kidney patient and I have some questions for you, your answers are very important to me. I appreciate them and I thank you very much. Can a kidney grow? And is this good or bad? In my last renal ultrasound my right kidney increased in size a centimeter but its cortex decreased. I feel that my mouth is dry, lips, tongue and throat. I drink water but it does not take it away. It is like a small very slight burn on the lips. It may be the parathormone. My result is 296.00 or some foods? I have secondary hyperparathyroidism. Is it important to take calcium and calcium carbonate and folic acid? Doctor, what can I do or what can you recommend? I really appreciate your response. I wish you a great blessing from God and kidney patients.

Your hyperparathyroidism can be associated with itching and bone disease. I am not aware of any dry mouth effects of this complication of chronic kidney disease (CKD).   Measurement of the kidney size with an ultrasound device can be highly subjective. … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diet/Nutrition, Kidney-Related Health Questions | Comments Off on Nice to greet you Doctor, I am a stage 4 chronic kidney patient and I have some questions for you, your answers are very important to me. I appreciate them and I thank you very much. Can a kidney grow? And is this good or bad? In my last renal ultrasound my right kidney increased in size a centimeter but its cortex decreased. I feel that my mouth is dry, lips, tongue and throat. I drink water but it does not take it away. It is like a small very slight burn on the lips. It may be the parathormone. My result is 296.00 or some foods? I have secondary hyperparathyroidism. Is it important to take calcium and calcium carbonate and folic acid? Doctor, what can I do or what can you recommend? I really appreciate your response. I wish you a great blessing from God and kidney patients.

My father-in-law is at stage 3A. He has had stage 3A for almost 6 years. He recently started having problems and his Doctor found his vitamin D level at 15 and his thyroid TSH is just tipping high out of range. How much vitamin D can he take safely? (2000 IU of D3 daily etc). Should we seek out a nephrologist now? He is dealing with muscle cramps, frequent urination, concentration issues, and balance issue. Thanks for any direction you can offer. I am just starting to learn so we can get him the help he needs.

For levels of 15, I commonly recommend between 2000 and 3000 International Units (IU’s) per day of either Ergocalciferol (plant Vitamin D) or Cholecalciferol (animal Vitamin D). I commonly recommend consultation with a nephrologist when a specific diagnosis is necessary … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, GFR, Kidney-Related Health Questions, Nephrologist | Comments Off on My father-in-law is at stage 3A. He has had stage 3A for almost 6 years. He recently started having problems and his Doctor found his vitamin D level at 15 and his thyroid TSH is just tipping high out of range. How much vitamin D can he take safely? (2000 IU of D3 daily etc). Should we seek out a nephrologist now? He is dealing with muscle cramps, frequent urination, concentration issues, and balance issue. Thanks for any direction you can offer. I am just starting to learn so we can get him the help he needs.

My 81 year old father has low functioning kidneys. He watches the levels as he suffered from renal failure as a child. But fully recovered and now is careful to monitor his kidney function. What vitamins would be most helpful for him to take? I read on here to stay away from Vit. A, K, & E. I have access to Nutrilite vitamins and supplements but want to be sure not to harm him. Thank you for any advice you have. Sincerely.

I have no experience with “Nutrilite” vitamins or supplements. It is my understanding that these products are available through Amway. For patients with chronic kidney disease (CKD), I commonly approve of any general over-the-counter multivitamin that is not listed as … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, Herbal Supplements in Kidney Disease/Failure, Kidney-Related Health Questions | Comments Off on My 81 year old father has low functioning kidneys. He watches the levels as he suffered from renal failure as a child. But fully recovered and now is careful to monitor his kidney function. What vitamins would be most helpful for him to take? I read on here to stay away from Vit. A, K, & E. I have access to Nutrilite vitamins and supplements but want to be sure not to harm him. Thank you for any advice you have. Sincerely.