Category Archives: Diet/Nutrition

My wife is 51 years old. Her creatinine level was always below 0.97. On 18 April, her creatinine level rose at 1.41 and gfr was at 51. On 25 May her creatinine level was 137.6 umol/L and gfr went down to 37. In the 1st investigation period she was having fever and in the 2nd investigation period she had coughing. Now her creatinine level is 1.55 even though she is on 30gm protein level diet plan. What is the cause of quick drop of her gfr?

I am unable to make a specific diagnosis based on the information that you present.  This appears to be something that is causing acute kidney injury.  I recommend consultation with your physician and further testing as to why she is … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diet/Nutrition, GFR, Kidney Failure, Kidney-Related Health Questions, Symptoms and Side Effects

My husband gets blood work done every 6 months for the last 20 years due to a pituitary adenoma. His Comprehensive Metabolic Panel has always been normal until 2 years ago. His creatinine went from a 1.21 in January 2015 to a 1.46 in August 2015. He had a 24 urine test done in November 2015 and it showed normal kidney function. The doctor said kidney function was 110%. Since then these have been his creatinine results – (range 0.60 – 1.35mg-dl) 11/2015 – 1.33 1/2016 – 1.22 10/2016 – 1.39 12/2016 – 1.29 5/2017 – 1.37 All other results with the panel are normal. My question is – are these fluctuations anything to be concerned about? His diet hasn’t changed, all he drinks is water so he can’t be dehydrated (same amount all the time), exercise hasn’t changed either.

The laboratory values that you report for the serum creatinine on your husband are not different from each other.  These values are within normal laboratory variation for the serum creatinine test.  There is a natural loss of kidney function with … Continue reading

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

I have a concern in regards to protein supplements in tube feeding. I have a cousin on tube feeding due to cardiogenic shock and acute kidney injury. Hemodialysis (daily once) since yesterday. He is put on Nepro high protein supplement every hour with 30cc. Question: post dialysis should he be put on low protein and only during dialysis on high protein or until daily hemodialysis, should he be on Nepro high protein?

Nepro is the brand name for a high protein and low potassium with low phosphorus tube feeding supplement.  It is designed for patients who are acutely ill.  During acute illness, there should be encouragement (rather than limitation) of protein intake. … Continue reading

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

I was just told I have stage 4 kidney failure but when I was at the hospital I was dehydrated, so my question is can being dehydrated cause the counts being off showing that I have kidney failure?

In order to diagnose chronic kidney disease (CKD), the tests for your estimated glomerular filtration rate (eGFR) must be abnormal for at least 3 months.  This is necessary in order to exclude acute kidney injury and dehydration as a cause … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects

My kidney function is 22%. Doctors say dialysis if it drops below 10%. What can I do to prevent function from dropping further?

I am unable to make a specific diagnosis as to the cause of your chronic kidney disease (CKD).  I suggest that you continue to consult with your physician about your disease.  The treatment of CKD involves delaying the progression of … Continue reading

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

I just turned 60. Past 4 months I have gained 60 lbs, no change in diet, do not even have appetite. I have lost control of my bladder almost totally past three weeks. My legs and my whole body feels nothing but fluid filled. Three months ago all labs perfect. I am freaked out, registered nurse for 30 years. Is this kidney started up or possible complications from failed spinal surgery in 2012? I am at lost, my doctor says “Lose weight”, gee whiz, great advice. Any ideas? Thanks. My mom is stage 3b right now. She refuses dialysis and she is 86. Any thoughts would be great.

I am unable to provide a specific diagnosis without performing a complete history and physical examination.  Your symptoms sound more like neurological disease than kidney disease.  

Posted in Ask the Doctor, Chronic Kidney Disease, Dialysis, Diet/Nutrition, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Urological Issues

I was just diagnosed with Stage 3 Kidney disease. I am also Type 2 diabetic with high blood pressure, both under control with medication. My question is dietary. Is there a recommended diet program that I can follow to reduce the progression of kidney failure that I should be following while also taking in consideration diabetes?

Yes.  You will need to be on a low salt and diabetic diet.  Diets that combine a diabetic diet with other problems including high blood pressure and chronic kidney disease (CKD) are best reviewed by a dietitian.  I recommend that … Continue reading

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

My mother suffers from stage 3 kidney failure. She continues to put on more and more weight. I try to keep her diet healthy although, no matter what we try in hopes of weight loss the pounds keep building. What can I do to help her lose some weight?

In order to lose weight, it requires a combination of increased activity and decreased calories.  Hence, it will be important to increase her activity and control her calorie intake.  You should discuss your concerns with her physician and see if … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, Exercise, Kidney-Related Health Questions, Treatments

I am 72 years old and been getting kidney stones every 3 to 5 years since 1992. I am 74 inches with a 44 inch waist and weigh 235#. Due to a 2 inch curvature of the spine, I look like Homer Simpson with a beard. Because I require large amounts of salt tablets to get through the day without suffering from charlie horses and leg cramps at night, I am at a loss as to what I should do to prevent the stones. I also drink large quantities of dog grass tea as it is known to dissolve stones over a period of time. Presently, I have a large stone in my left kidney which my doctor tried to use lithotripsy on, but failed. He has suggested Percutaneous Nephrolithotomy, but after reading the complications associated with the procedure, I’ll suffer with the pain. What would you suggest to try to dissolve the stone and for a longterm solution?

The question that you ask is a urological question and should be addressed to a urologist.  I am a nephrologist and my expertise is in prevention of kidney stones, not in the surgical treatment of kidney stones.  One problem that … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diet/Nutrition, Kidney Stones, Kidney-Related Health Questions, Laboratory Testing

My son is suffering with vomiting after taking food. He suffering with stomach pain sometimes. Now he is 3years old. I contacted with children doctor. He told to take scan. After I take scan reports, he told me stone is found in RT KIDNEY. That report showing 2.9 cm calculus. Doctor told to give him plenty of water and fluid give good result for my son. Please kindly give me your valuable result to cure soon for best results.

The question that you ask is about kidney stone disease and this is usually addressed to a urologist.  I am a nephrologist and do not care for kidney stone disease.  Your son should be seen by a urologist and evaluated. … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, Kidney Stones, Kidney-Related Health Questions, Laboratory Testing, Treatments, Urological Issues