Category Archives: Diet/Nutrition

How long can a person underwent kidney and pancreas transplant surgery at age 21 live with medication and control?

I am unable to provide a prognosis without performing a complete history and physical examination. The survival of a kidney and pancreas transplant is dependent on the underlying health of the recipient. Type 1 diabetes mellitus has many complications and … Continue reading

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

Is taking statins safe for already compromised kidneys? My partner has been diagnosed with CKD stage 3a (gfr 59). It started with finding out his vitamin D was very low and he was having really bad cramps. They have been taking his bloods for 3 months starting with gfr 89 with a massive drop within 6 months to gfr 59. That is concerning to me. No diabetes and his blood pressure is OK. He has severaly low vitamin D though so has been prescribed high dose once a month (liquid). Also high creatinine in blood. After recent scan they found multiple cysts on both kidneys and there’s been referral made for further investigation so possible PKD now. It’s been 2 weeks now and still waiting for the appointment. He’s also dealing with sleep apnea (he isn’t overweight) and insomnia. Also had hernia 3x which has been meshed now but developed seroma in the place. At some point he suffered enlarged prostate which they said “feels” normal now but was evaluated only by physical examination so who knows. I’ve read this may have contributed to lowering gfr as well. He also has a history of stomach ulcers but that was sorted maybe a decade ago. With regards his kidney function he hasn’t been to hospital and everything has been dealt through his general practitioner (GP) so far. As well he’s coping, but I’m just terrified 😥. We’ve made some changes to his diet (a lot of veg, little meat, fruit, whole grain, low sodium diet) which he’s not happy about but I believe right diet can help. Despite not having high BP or high cholesterol his GP, now prescribed him Atovarstatin 40mg daily. I think it’s quite high for someone who has got no issues just yet. I’ve read loads about possible contribution to further kidney damage and horrible side effects. I’m not keen on him taking preventatively these pill just because I believe there is no need at this moment. Am I wrong? I’d rather have him undergo heart examination first and regular gfr and other tests but they say it’s once a year check up which is ridiculous. I just don’t know what steps we should take now. Thank you for advice.

Statins, such as Atorvastatin, are used to prevent the progression of chronic kidney disease (CKD) and also prevent complications of heart disease, which are very common in patients with CKD.  I am unable to comment on specific treatment for your … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diabetes, Diet/Nutrition, GFR, Hypertension/High Blood Pressure, Kidney Cysts, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function, Serum Creatinine

I recently found out spinach is bad for kidneys. Is Kale or Turnip Greens or Mustard Greens better? Also are to any green beans bad too?

I do not believe that spinach is bad for kidneys. Whatever information that you have about this, I would disagree.  I am a strong advocate for the DASH diet in patients with chronic kidney disease (CKD) and this diet emphasizes … Continue reading

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

I am an African American female 71 years of age, stage 3a CKD with good labs. I want to know if magnesium baths with baking soda are OK. I also need to know about sauna and steam room use. Please recommend an amount of water for consumption as I am 137 pounds, I do not have any fluid restrictions. How can I slow the progression of CKD?

Baths and sauna should not have any effect on kidney function.  I would make sure that you do not ingest any of these salts.  To slow progression of chronic kidney disease (CKD), you should not smoke, avoid taking non-steroidal anti-inflammatory … Continue reading

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

I am a 76-year-old non-Hispanic white male with stage 3 CKD. My most recent readings for urinary creatinine listing the most recent first are: 38, 150, 128, 60, 105, 74, 63, 111, 107, 66, 167, 47, and 79 at Quest Labs. The units are mg/dL. My diet, exercize, and hydration were all about the same in each case. I made sure I was well hydrated. I did take Isosorbide Mononit (30 mg) for blood pressure for a 2-week period between the 38 and 150 readings but stopped 5 days before the 38 reading because it was giving me headaches and didn’t substantially lower my blood pressure (average about 146/80) anyway. It seems that my blood creatinine doesn’t vary near that much. Is it normal for urinary creatinine to vary that much?

Yes. The urinary creatinine concentration will vary by the time of day, degree of hydration, and physical activity.  That is why there are no normals for urine creatinine.  The urine creatinine is used to factor in other substances (such as … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, Exercise, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Serum Creatinine

Is there a supplement you can take that promotes kidney health? or say someone is on a medication that can be potentially damaging to the kidneys and they want to help avoid going into CKD?

I am unaware of any supplement that is specifically directed at kidney health.  A good diet, avoiding smoking, healthy exercise and maintenance of a healthy body weight are the most potent ways to promote kidney health.  Regular examinations by your … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diet/Nutrition, Exercise, Kidney-Related Health Questions, Laboratory Testing, Urinary Tract Infection/Pyelonephritis

Recently I came to know that my left kidney is missing from abdominal Doppler report and I got shake but doctor told me to no worry and no need to do anything but late I took blood sample test for Kidney Function Test #BUN 8.73 #Creatinine 0.97 #BUN/ Creatinine Ratio 8.73 And please tell me what should I do next? And I can go gym and is that safe to take Whey protein omega 3 and multivitamin and BCAA in my routine during workout? Please provide your support to live my life health and fit.

There is nothing that you are required to do other than protect your remaining kidney.  You should not smoke. You appear to lead a healthy life style. You should eat a low salt diet and maintain a healthy body weight. … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Diet/Nutrition, Kidney-Related Health Questions, Laboratory Testing, Nephrectomy / One kidney, Serum Creatinine

Only my left kidney is in failure. I’m finding little to no info for research with having 2 kidneys but only one failing. I’m in desperate need of any info available as drs are at a loss with me in my area.

If you have one kidney that is functioning normally, then many people live a normal life with one kidney. I am not sure what caused the loss of your other kidney.  In many cases, this is a defect that you … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diet/Nutrition, Exercise, Hypertension/High Blood Pressure, Kidney Failure, Kidney-Related Health Questions, Laboratory Testing, Urinary Tract Infection/Pyelonephritis

In May of 2019, I went in for my yearly physical and received a phone call from the Dr’s office (PCP). I was told my GFR was 56. I was sent for an ultrasound of my kidneys, came back fine. I did a 24-hour urine study, I’m sure you know what I am talking about – it was done at home, I kept the urine container in the refrigerator and took the container to the Dr’s office. That test was good also. In September 2019 another blood test was done and the GFR was 52. In December 2019 the GFR is 48. Every time I go to the office I give a urine sample and there is no protein or albumin in my urine. I do not have High Blood Pressure or Diabetes. There is not any genetic predisposition for kidney problems. I am a 59-year-old caucasian female. In December I asked my Dr if I had Kidney disease. He said my GFR is level G3a that my kidneys function is mild to moderately decreased. He did not say I had Kidney Disease, did not talk about dietary changes or sending me to a specialist. I do not know what has caused this but now I am reading about dietary changes I can make. No NSAIDS or Asprin only Tylenol since May. Do I have kidney disease? What should I be doing to help myself? Thank you

In many cases of early kidney disease, especially in females, a definitive diagnosis of chronic kidney disease (CKD) is difficult to establish. If all of your testing is otherwise normal, then you are doing everything that you can to avoid … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diet/Nutrition, Exercise, GFR, Kidney Biopsy, Kidney-Related Health Questions, Laboratory Testing, Urinary Tract Infection/Pyelonephritis

I am a 72 year old African American female with stage 3 CKD. I exercise and sauna. I sweat heavily 3-4 days during weekly sauna sessions. I want to know if I can supplement for mineral,electrolyte loss. Please advise if pink Himalayan sea salt in my drinking water would be safe or not. Please advise me of a suitable replacement for lost Minerals and electrolytes.Thanks

Your healthy diet should replace all of the minerals and salts that your body needs. You should not have to take in any extra salts. I am not an advocate for sea salt.  I suggest you follow a DASH diet. … Continue reading

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