Category Archives: Hypertension/High Blood Pressure

Can high amounts of salt at a early age be a factor in getting CKD? In the military, we were encouraged to take large amounts of salt tablets. Could that have been a factor in me having CKF?

A high salt intake can make blood pressure higher and result in more resistant high blood pressure.  High blood pressure can result in chronic kidney disease (CKD).  I do not know if taking salt tablets would ultimately result in kidney … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Treatments

My son, now 5 years old was diagnosed with Hydronephrosis in both kidneys before birth. He was monitored for 2 years and was released of urology and nephrologist but the past few weeks he’s showed high blood pressure, very metallic smelling hair and breath. He has been wetting his bed at night and cannot seem to stop sweating and drinking excessive water. Should I get a lab work up?

I suggest that you consult with your son’s pediatrician for an examination.  Laboratory testing may be needed but a good examination by his pediatrician will be important to make sure the proper tests are performed. For more information on children’s … Continue reading

Posted in Ask the Doctor, Bed-Wetting, Birth Defects/Urinary Tract Abnormalities, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Pediatric Issues, Pregnancy / Kids, Symptoms and Side Effects, Treatments

I am a 51 y.o. caucasian woman with a GFR of 45, Creatinine of 1.27, 4.3 Albumin and BUN of 11. I am overweight, have slightly elevated cholesterol (204) though I exercise religiously 3x a week – 180 minutes total – doing cardio exercise, circuit training, and weight lifting. My BP is pretty average and I am not diabetic. My question is this: Am I at a point that I should pursue treatment with a nephrologist, or is it still relatively early? My GFR has dropped steadily for years and this is the highest creatinine reading I’ve had as well, so I am concerned.

The information that you provide would suggest that you have Stage 3 chronic kidney disease (CKD).  Most primary care physicians (PCP’s) are very capable of managing Stage 3 CKD.  The main treatment for your disease is likely to lose weight, … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, GFR, Hypertension/High Blood Pressure, Kidney Biopsy, Kidney-Related Health Questions, Laboratory Testing, Nephrologist, Treatments

Hi, the patient has pain on her back, got done many tests and finally went for biopsy test, below is the test report. The doctor said nothing to worry just control blood pressure and stress and use less salt in food. But I consulted few other doctors, they said it is benign condition and can lead to kidney disease after 10 or 20 years but it is rare. It is a chronic kidney condition and has no treatment. Maybe after 20yrs, if unlucky can lead to end stage kidney disease. Another doctor says might the kidney have only 10yrs of life. Histopathology Report Clinical Data: Patient has microscopic hematuria, Negative family history. Specimen: A Light microscopy in formaldehyde. B. immunofluorescence in Michel’s medium. Diagnosis: IgA nephropathy with mesangial proliferation. Oxford classification score (M1E0SIT0). Interstitial fibrosis and tubular atrophy constitutes 20% No activity and mild chronicity Description: H&E, PAS, and trichrome stains. The biopsy consists of renal cortex containing 10 glomeruli. Seven glomeruli show segmental mesangial hypercelluarity (M1), without endocapillary proliferative lesion ( no celluar cresentsand no fibrinoid necrosis) (E0). Segmental sclerosis and adhesions to Bowmans capsule is seen in one glomerulus. (S1), no globally sclerotic glomeruli is seen. Thrichrome stains demonstrate segmental small mesangial red deposits. Blood vessels show mild degree of arteriolosclerosis. Interstitial fibrosis and tubular atrophy involves 20%of the cortex (T0) Immunofluorescence Microscopy (IF): Insufficien, renal medulla only. If stain performed on paraffin embedded tissue and show a cortex with 7 glomeruli. IgG: Glomeruli, negative. Tubules, 1+protein resorption droplets. IgA: Glomeruli 3+ granular mesangial staining. Tubules, negative, IgM: Glomeruli negative, Tubules, negative. C3: Glomeruli negative. Tubule: negative. C1q: Glomeruli, negative Patient Details : Female 26. Please give a Good Opinion on this report. I’m so confused and lot worried.

IgA nephropathy is a relatively common type of glomerulonephritis and has a variable course.  Some patients have only blood in the urine.  Others have protein and blood in the urine.  I am unable to give a prognosis without performing a … Continue reading

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

I am a female, age 58, no diabetes, or high blood pressure, recently tested GFR 48, down from GFR 68 twenty days ago. I have fluid retention and a lot of back pain with fever 100 – 102. No UTI (but suprapubic pain). Urinalysis: No protein, Leukocyte (70), hemoglobin small, all other normal. Doctors point at creatinine level (1.17) and believe due to dehydration and other symptoms not related to kidney. No referral to urologist, no diagnosis of kidney disease, no treatment offered for symptoms. Any recommendations to treat symptoms — now can’t work/function. Thanks. (p.s. I know need to push for more tests).

I am unable to make a specific diagnosis based on the information that you present.  I agree that you need further testing.  I suggest that you consult with your primary care physician for further testing or referral.  An ultrasound examination … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Diabetes, GFR, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Urinary Tract Infection/Pyelonephritis

Hello! I am a 34 year old female. At my last physical my doctor informed me she wants to monitor my kidney functions more & wants me on a diet because my GFR labs were in 2015 or 14 (can’t remember which year she stated) were at 110. My next 6 month checkup my GFR was in the 80’s, my next 6 month checkup the 70’s and now my check up on 3/31/17 my GFR was 63. I do not have high blood pressure but at 5’2″ & 175 lbs I am overweight. I don’t have diabetes although it is in my family history. She plans on seeing me in 6 months as usual and I am dieting & exercising in the meantime, but should my doctor and/or myself be way more concerned with this & see someone about it? My ankles are swollen with pitting edema from the calf down year round without let up. This edema has been since I was 20 and only 124lbs. Any insight you can give me would be greatly appreciated! It seems that my kidneys are functioning at the rate of an elderly person & I am a single,divorced mother of my 3 beautiful children so I really want to stay on top of this.

You physician is doing the proper monitoring.  I would also suggest that you have urine testing for blood, protein and blood.  This should be part of your monitoring in addition to measurement of your estimated glomerular filtration rate (eGFR).  You … Continue reading

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

My husband has creatinine 2.3, 1 kidney, also high pressure under control 140/80. He is taking 7 pills a day to lower hypertension. He will have an aorta operation replacement with a 15cm long, at the end of the month. He also has hidden blood on urine in today laboratory test. What kind of fruits and vegetables he has to eat to reduce the creatinine to normal levels. He recently had catheterization and angiogram both of them because of the aorta problem on 4 April. Please help me to make a diet to lower creatinine. Urgent!

There are no diets that lower the serum creatinine and improve kidney function.  There are diets that can slow the deterioration in kidney function.  I am a strong advocate for the DASH diet.  You can review the DASH diet at: … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Medication and Kidney Function, Symptoms and Side Effects, Treatments

I want to understand my health risk if I donate a kidney to a close friend. My father had type 1 diabetes diagnosed at age 18. He was insulin dependent his entire life. My father died at 62 years old due to congestive heart failure. My mother has type 2 diabetes and high blood pressure, both were diagnosed in her 50’s, she’s 67 years old. My mother has had two mild strokes, but suffers no physical impairments. My mother’s father had extremely high blood pressure and late life diabetes. He suffered many strokes, resulting in paralysis, loss speech and finally an inability to swallow. I’ve read that kidney donation could result in high blood pressure or diabetes. Based on my family history, am I at a greater risk of suffering post operation hypertension or diabetes.? I am in very good health aside from my anemia, which I am told is a result of beta thalassemia. I am 5’4″ and 135 pounds. My blood pressure is typical 105/68.

I am unable to provide a prognosis based on the information that you present.  It certainly seems that you are at risk for chronic kidney disease (CKD) based on your family history and you should be screened for CKD annually. … Continue reading

Posted in Ask the Doctor, Diabetes, Donation, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Living Donation

My husband has hypertension not always controlled well with medication. He currently takes 200mg metoprolol and 40mg lisinopril daily. Control is extremely variable. Should be see a nephrologist to rule out renal hypertension?

His primary care physician (PCP) should be able to diagnose and treat his hypertension.  Nephrologist commonly see very resistant hypertension and consultation may be needed, but his PCP should be able to determine if consultation is necessary.  

Posted in Ask the Doctor, Chronic Kidney Disease, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Nephrologist

Dear sir, I am 24yr old studying medicine and type 2 diabetic for 3 years. Recently my urine microalbumin is 42mg/l at spot sample and my HgbA1c is 7.9 percent and my systolic bp is high 159/70. What is the risk of developing clinical proteinuria and what is prognosis of my this renal condition? I am taking only medications for diabetes.

I am unable to make a diagnosis or a prognosis without performing a complete history and physical examination.  As a diabetic, you should have very careful control of your blood pressure to less than 130/80 and you should have an … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Diabetes, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects