Category Archives: Exercise

Would you provide some basic guidance for those of us with kidney disease in terms of things to avoid? I know of course to avoid NSAIDS as well as alcoholic beverages, but are there other “common” drugs (even foods?) that patients with kidney disease should be aware of? Also, would you recommend that patients with kidney disease wear a medical alert bracelet so in the event of an emergency, providers would know our kidneys are compromised? Thank you.

General recommendations for people with chronic kidney disease (CKD) are to follow a low salt diet. I strongly recommend the DASH diet. You can learn about the DASH diet on our web site at: https://www.kidney.org/atoz/content/Dash_Diet You should exercise and increase … Continue reading

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

I am diabetic patient with chronic kidney disease. My creatinine level is increasing day by day and now its 317 and urea is 11.6. Can you please guide me the better option I should go for?

I am unable to offer treatment advice without performing a complete history and physical examination. Diabetes and high blood pressure are the two most common causes of chronic kidney disease (CKD). You will need to consult with a nephrologist in … Continue reading

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

Good morning, as a high school student I am interested in learning more about homeostasis and its role in preventing kidney failure in people with chronic kidney disease. I am doing a health fair project with topics having to show a central theme of a connection between the mind and body in maintaining personal wellness. Is it possible that lifestyle changes can be even more effective than dialysis in people with CKD? Your help will be appreciated.

Dialysis is performed after kidneys have failed. Hence, there is no other treatment that would be recommended for kidney failure other than kidney transplantation. Prior to the development of kidney failure, while someone is in the earlier stages of chronic … Continue reading

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

Hello. I am concerned about my creatinine and GFR levels. Over the past two years, creatinine has increased each time, 0.89, 0.98, 1.01, 1.1. As a healthy 38 year old white male, I see the GFR is 88 currently, which appears low. I do have urine that is yellow and bubbles, it’s almost never clear. And I do have a history of antibiotic use for sinus infections, almost every year through my 20’s. I would take Ibuprofen fairly often for back pain, not every day, but maybe 3-4 times a week for a month or two, then stop, then start up again. Also, I was not drinking the recommended amounts of water per day. Maybe 2-6 cups a day. Overall, it seems like my 20’s were hard on my kidneys. I’m more aware now and take less antibiotics, Ibuprofen, more water, but hoping there isn’t damage already. Is there a way to lower creatinine levels?

At this time, there is no treatment that results in a lowering of the serum creatinine, unless the kidney disease is related to acute kidney injury.  If this is chronic kidney disease (CKD), then the goal is to avoid further … Continue reading

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

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

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

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