Category Archives: Diet/Nutrition

I was recently diagnosed with stage 3 CKD. My GFR is 42.2 and my creatinine is 1.24. Everybody tells me what not to do but are there things I can actually do to raise my numbers?

The nature of chronic kidney disease (CKD) is to cause the destruction of kidney filters known as glomeruli. There are no treatments that directly cause the kidney to build new filters (glomeruli). Once a kidney has been damaged and the … Continue reading

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

I just purchased Alba Hawaiian sunscreen and noticed that it contains Green Tea. I know you shouldn’t drink green tea after a kidney transplant but if it is applied topically in sunscreen will that affect my new kidney?

I do not know of any ill effects of Green Tea if applied topically. Drinking Green Tea can interfere with some of your transplant immunosuppressive drugs.

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

Dear Doctor, I was diagnosed with polycystic kidneys at the age of 18 but I’m not sure if I know what type of polycystic kidneys I have been diagnosed with. I can confirm that no one in my family has had this before. I had my son when I was 32 without any difficulty. Now I’m 37 and I would like to know: 1. What type of polycystic kidneys do I have? I have checked my medical reports they all say PKD. 2. What are the chances that my son will have normal kidneys vs polycystic kidneys? Currently my left kidney is 21.0×10.0 cm in size and right is 16.8×8.0 cm in size and my liver functions are normal. Serum creatine (enzymatic) Result is 0.73 mg/dl Flag reference value is 0.5-0.9. estimated GFR Result is >90 ml/min/1.73m^2. 3. Blood pressure goes up and down, pain at the back of my head and my feet swells. It hurts a lot on my heels, is this normal? 4. Is lemon in water good for me? 5. How can I reduce my belly fat as I’m been asked not to go to the gym? I walk 20 min a day in the morning. 6. In the long run, what do I have to look/plan for? I’m not happy doing transplantation and dialysis due to personal reasons and also this is so expensive for me too.. Appreciate your advice on this. Look forward to hearing from you. Thanking you in advance.

Polycystic kidney disease (PCKD) is an autosomal dominant adult type of kidney disease and is generally separated into two types. Type 1 is usually younger in onset (usually before age 30) and progresses to kidney failure usually in the 4th … Continue reading

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

Hi. I have Stage 4 kidney disease. I am on a very restricted diet. Chocolate killed me. I also have ATTD, and epilepsy. I take Trileptal 4 tab day, Calcitriol 1 pill q every day. My Doctor wants me to take Klonopin. That shuts my body down. I asked if I can take 5-HTP instead, he said yes. The internist ordered ferrous sulfate, 325, one every other day, with 500 Vitamin C. I feel very weak. The kidney doc ordered a diet of no meat or dairy of any kind. I have lost 20 pounds along with implant surgery. My Parathyroid level continues to be above 300. Doctor has not ordered dialysis. My lifestyle is impaired. What measures can I do? Most volunteer work is too taxing for me. Please assist. Thank you.

I am unable to suggest medical therapy without performing a complete history and physical examination. I do not identify any problems with your current management. I do not recommend that you completely avoid all meat and dairy. It is appropriate … Continue reading

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

A loved one is diagnosed with Stage 3 CKD. Last lab results show that their kidney function is now at 65% only. A Renal Nutrition Therapy, Ketorels was recommended to be taken 2x a day. Ketosteril was preferred but due to costs, Ketorels was used as an alternative. Will you please address the following questions: 1. How effective are these kidney vitamins in slowing the progression of the disease? 2. Are there are things one can do in order to avoid the risk of End Stage Renal Disease? 3. Blood pressure is also elevated and is being controlled by Losartan and Amlodipine currently. If BP gets to be too high to the point where a stroke is imminent, would it be okay to take a few aspirins to minimize the damage of a stroke? (as I understand that NSAIDs are not good for kidneys). Would taking a few aspirins one time in an emergent situation like this, acceptable? 4. Does the NKF have any brochures that suggests diet plans for a stage 3 CKD? 5. How often is the recommended testing for kidney functions? Thank you very much.

I have not found Ketosterils (Ketoanalogs of amino acids) to be of any benefit for any kidney disease process. I have not found them to delay kidney disease or be effective for nutrition in patients with chronic kidney disease (CKD). … Continue reading

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

Dear Dr., My left kidney is non functioning since my childhood. My age is 46. My serum creatinine is 1.0. My Protein/Creatinine Ratio is increased at 97. I am type 2 diabetic and hypertensive also. Kindly advise me. Thank You.

The normal for the urine protein/creatinine ratio is less than 150 milligrams per gram of creatinine (mg/g). I am not sure of the units for the result that you quote as 97. This may be a normal result. For having … Continue reading

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

Hi, my father has a kidney problem. His blood creatinine level is 2.31 mg/dl, 24 hour urine is 1480 mg, 24 h GFR is 32 ml. We want to keep these values constant. What can we do? And he is using cholesterol reducing pills. We saw that his values increased after taking these pills. And lastly, is there an herbal or medical cure for renal failure? Thank You.

Kidney disease cannot be reversed by diet or herbal supplements. Once kidney disease is present, the goal is to prevent further damage to the kidney. Chronic kidney disease (CKD) is generally not a reversible disease. I am unable to recommend … Continue reading

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

My creatinine level is 1.4 mg/dl. I have done my GFR using your National Kidney Foundation’s calculator. The result is 55 and there is no albumin to my urine. It means the stage is G3a/A1. But, the calculator says it’s not the time to refer to a nephrologist. What should I do now? Please advise. Any diet at home to prevent this disease?

The diagnosis of chronic kidney disease (CKD) requires that your kidney function be at this level for at least three months.  In some cases, the serum creatinine may be elevated and then returns to normal.  In the case of early Stage 3 … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diabetes, Diet/Nutrition, Hypertension/High Blood Pressure

Dear Doctor, My father recently had a severe E Coli urinary infection. Due to this, his creatinine shot up to 3.5 mg/dl. With medication, etc. It has now come down to 2.46 within a week. Otherwise (before this infection) it was ranging between 1.5-1.8 mg/dl, though he has been on a catheter for nearly 3 years now. However, at the present time, he is being treated with Meropenem 1 g (twice daily for 5 days). Earlier, Monocef was administered, but due to infection, Meropenem was also administered. He had a GFR calculated during this UTI, and it is currently at 25. His hemoglobin is 7.9. My father is 82 years old. Kindly advise.

Your father appears to be suffering from an episode of acute kidney injury which is superimposed on his underlying chronic kidney disease (CKD). Recovery from this episode will likely take several weeks and will be dependent on successful treatment of … Continue reading

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

Is taking lactaid before eating dairy OK for a single kidney (donor)?

Lactaid is an enzyme that helps break down milk sugars into simple sugars. It is safe for patients with reduced kidney function.

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