Category Archives: Exercise

Hello Doctor. I am a 73 year old male. I have been very healthy and very active. I am on no medication and I engage in distance swimming and maintain a good diet. I recently had blood work done. All tests were normal-excellant, including creatinine, bun/creatinine, and protein. Normal blood pressure and non diabetic. My (non african american) eGFR typically (for 20 years) has hovered between 65 and 75. This single test was 59.5. Can this be a “one off event”, or is such a low eGFR always irreversible?

This may well be normal laboratory variation and as you say will be a “one off event”. Just to be sure, if you have not done so, it would be important for you to have a urine test for blood, … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Exercise, Kidney-Related Health Questions, Serum Creatinine

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

Will use of the steam room and sauna cause kidney damage?

I do not believe that use of a steam room or sauna, in the usual fashion, would be associated with any injury or harm to kidney function.

Posted in Ask the Doctor, Exercise, Kidney-Related Health Questions

What is the advice for one healthy kidney patient? In the case of one right side kidney being absent?

Many people lead a normal life with only a single kidney. It is important to protect your single kidney and not inure your only kidney. You should not smoke. You should avoid non-steroidal anti-inflammatory drugs (NSAID’s) such as Motrin, Ibuprofen, … Continue reading

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

I’m CKD stage 2. DTPA renogram done shows adequate function with GFR 78. My question is that how can I arrest ckd for further progression. What medicine should be taken to improve kidney function?

There are no medications that specifically increase kidney function. Instead, the treatment of kidney disease is to avoid those things that make kidney function worse or potentially injure the kidneys. You should not smoke. You should avoid non-steroidal anti-inflammatory drugs … Continue reading

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

I m a retired 72 yo female who has had CKD for many years, diagnosed in 1997. I’ve had only one kidney functioning (left one) for many years. I’m not sure when that started but I suspect it was back in the early 70s when I had a bout with pain in my right back. My kidneys failed finally in late 2013, around the holidays. I started peritoneal dialysis in late Feb 2014. Lately, I tend to nod off (fall asleep) at all times of the day & night. No longer on any schedule. Is this normal? I realize I’m not as active as I should be. It’s hard to get motivated. I’m single, live alone and rely totally on myself without a caregiver. My appetite has dwindled tremendously and my weight has gone from mid 150s to now 136 this year alone (a nice side effect but a bit worrisome). Your comments?

I am unable to make a specific diagnosis based on the information that you present. It is true that unless you exercise and maintain your overall activity, it can lead to poor stamina and lack of energy. I recommend that … Continue reading

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

I have a still working fistula in my lower left forearm and received a kidney transplant 5 years ago. Recently I began some physical therapy on my right shoulder, and some of the exercises require me to lift the left arm above my head for less than a couple of minutes. Does this activity present any risk to the fistula? It flattens quite a bit when the arm is raised but it is not constricted by anything. Thanks!

Exercise does not pose a risk to an existing fistula. You should avoid using any straps or constricting wraps around your fistula arm, but otherwise I would encourage you to continue with your physical therapy and exercise.

Posted in Ask the Doctor, Exercise, Kidney-Related Health Questions

Hi Dr. Spry! I had a stent placement recently due to ureter constriction. Duration is 3 months. Is it OK to resume my yoga class?

Stent placements are performed by a urologist. I am a nephrologist and do not perform stent placements. I suggest that you discuss this with your urologist.

Posted in Ask the Doctor, Exercise, Kidney-Related Health Questions, Urological Issues

What are the risk factors for a 79 year-old female?  Creatinine level is 1.9.  

The main risk factors for kidney disease are high blood pressure, diabetes, obesity, smoking, heart disease, age over 65, use of non-steroidal anti-inflammatory drugs (NSAID’s) over a long course of time, and physical inactivity.  A family history of kidney disease … Continue reading

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

I’m a 74 year-old woman who was diagnosed with CKD 2 1/2 years ago. During that time my GFR decreased from 61 to 50. I have no significant protein in my urine. I have no symptoms. An ultrasound showed that my kidneys are normal. However, I have paroxysmal atrial fibrillation, which is almost 100% controlled by taking 150mg of slow release Flecainide a day (I have no more than 3 episodes of less than 1/2 hour’s duration p.a.) and I am not on anti-coagulants. I also take anti-hypertensive drugs and my BP is around 130/80. I read that Afibbers are more likely to progress to end-stage kidney disease. However, is this even the case since my Afib is under control? And are there any drugs or indeed a diet which can slow down the progression?

Heart disease and chronic kidney disease (CKD) often co-exist in the same patient.  It is true that chronic atrial fibrillation is a risk factor for progression to end-stage kidney disease.  The most important thing to do is to carefully control … Continue reading

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