Category Archives: Diet/Nutrition

I only have one kidney, my gfr is 58. I have a history of kidney stones and believe that my constant use of calcium based antacids contributed to the stone formation. I also have Crohn’s disease and as a result, don’t tolerate dairy well so I use almond milk. Is it possible the added calcium in the almond milk could cause stone formation seeing as it’s the same calcium supplement found in antacids?

The calcium contained in foods such as almond milk should not carry the same risk as taking calcium in supplements and antacids. Low dairy diets are not advocated for patients with stone disease, but use of calcium supplements and calcium … Continue reading

Posted in Ask the Doctor, Diet/Nutrition

My father had stent fixed in 2014 and taking heart medicines. In Apr 2018, he suffered by ulcer bleeding and treated by endoscopy and transfused 2 units of blood. After that, he followed the medicines Ecospirin, Obimet, Flavedon Mr,atorva with pan. Until April 23, his creatinine and Hgb was normal. After April 23, to till today, the creatinine is increasing and Hgb is decreasing, even he is following normal healthy food pattern. Doctor suggested to give IV hydration two days clinically and checked creatinine. It came down to 2.2 from 2.7 in two days. But after 2.2, it’s maintaining constant. Then he is taking medicines Sobisis with Atorva, Clopitab, Amaryl with Sucrafil syrup. He was told to come back after 15 days. In these 15 days, the creatinine won’t go up? Is there any chance to reduce creatinine and to recover kidney function as before? It happened after Apr 23 only. Before that the creatinine and kidney function was completely normal. What treatment should be taken to get back kidney function?

I am unable to provide a specific diagnosis based on the information that you provide. It appears that your father has suffered an episode of acute kidney injury, but I am unable to establish a cause from the information that … Continue reading

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

Hello doctor, this is urgent please do reply. My father is 64 yr old and diabetic. He had blocked artery bypass surgery 2 weeks ago. He developed a high creatine of 3.9 which means kidneys are injured and doctor suggest dialysis. So my question is, is it really necessary and what are the risk?

Acute kidney injury (AKI) after bypass surgery is relatively common. Acute kidney injury occurs in about one in 200 heart bypass procedures and if you have risk factors such as older age and diabetes, this risk is increased. I suggest … Continue reading

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

U were correct. My blood creatinine level is 1.44 mg/dl. My energy is low. I am thinking of taking creatine powder. Should I not do so?

Creatine powder can lead to false elevations in the serum creatinine and may make the measurement of your kidney function more difficult to interpret. I suggest a healthy diet.

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

Sir, my father (age 55) is a diabetes patient for the last 20 years. His kidneys now have stopped functioning and he is presently on dialysis for the last 2-3 weeks. Sir, please tell me what his diet should be? Some times my father suddenly gets weak with intense sweating and he becomes unconscious, and only his eye remains open. Why does this happen with him? Is it possible for my father to receive a kidney transplant (blood group b +) from a person of a+ blood group?

The diet for a dialysis patient must be specific to the person on dialysis. There is normally a dietitian that is assigned to your father on dialysis. Perhaps the nephrologist or nurse who is caring for your father can recommend … Continue reading

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

Sir, one of my kidneys was non functional since birth and was removed in 2013. I have one kidney, which is functioning good. In Islam Ramadan is very important. Can I fast from dawn to evening without water and for one month? Please, on behalf of god, please tell me its fine for me to do fast or not? Please tell me the precautions as well.

Fasting during Ramadan, from dawn to dusk, should not pose any problem for your single kidney. I would suggest that you limit salt intake during Ramadan and avoid adding extra salt to food at the table or in cooking. I … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Kidney-Related Health Questions, Nephrectomy / One kidney

Good Day Dr. I am 76 year old Male white. Since I am 40 years old, I check yearly. The last lab show a slight rise in Creatinine 1.18 with GFR of 60 (MDRD) and I have Hypertension but under control. My fasting blood sugar 101, no Protein in the Urine. What your advice to me? Dr. Thank you.

I am unable to make a specific diagnosis based on the information that you present.  I am not sure if you have chronic kidney disease (CKD).  It is important that your blood pressure be controlled to less than 130/80.  You … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Hypertension/High Blood Pressure, Kidney-Related Health Questions

GFR 23 range for last 2 years. Watch protein intake, no dairy, exercise daily (well almost), salt intake range 1500 a day. Looking at Dr. McDougalls plant based diet. Curious as he suggests potatoes & other vegetables that are high in phospahates or potassium. Do the benefits of the plant based diet out weight the concern for potatoes etc.? My counts at this time are phosporus 4.7 mg BUN 45mg & creatinine 2.13 I’m not fond of vegetables so Dr. McDougalls diet – focused on starch as your main course – looks appealing. with bread & potatoes & think I could stay on plant based but not sure safe for CKD.

I have always encouraged a balanced diet and never focusing on a narrow list of foods. The most important part of the diet is to restrict sodium or salt intake. I suggest a limit of 2300 milligrams of sodium intake … Continue reading

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

I have secondary FSGS stage 3. Is the ketogenic diet safe for me? I’ve been eating keto for months and feel amazing. I have lost 30lbs and have been able to drop one of my BP meds and my cholesterol meds. Some say keto is bad for the kidneys, are you familiar with this way of eating? I have little to no carbs each day.

The Ketogenic diet has been shown to promote weight loss and may be helpful in lowering your blood pressure. In some cases the Ketogenic diet may lead to malnutrition and this may have to be monitored. If you are eating … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Hypertension/High Blood Pressure, Kidney-Related Health Questions

My dad has Stage 3 kidney disease and I’m worried that he drinks too many sugary drinks that might be putting too much strain on his kidneys. He drinks 2-4 large Arnold Palmers each day with a mix of lemonade and sweet tea which is probably additional 100g of sugar each day. Can you please give me any recommendations?

I recommend that your father consult with a dietitian and see if there are other alternatives for him to drink. Your father may need other alternatives for his regular drink.

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