Category Archives: Hypertension/High Blood Pressure

A 82 year old frisky male has had reasonably well controlled DM and Hypertension for decades was diagnosed with CKD a year ago. He also has increasing microalbuminuria and stable retinopathy (of unknown causation). If all other possible causes of CKD can be excluded, can it be determined whether his CKD was caused by DM or hypertension?

High blood pressure (hypertension) and diabetes are the two most common causes of chronic kidney disease (CKD).  It is most likely that both hypertension and diabetes are the cause of his kidney disease.  The presence of the retinopathy and microalbuminuria … Continue reading

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

I have kidney disease. My creatinine number is 1.555 & my GFR is 27. I am 67 yrs old, have a kidney doctor, family doctor & cardiologist due to my family’s histories. I have high blood pressure, low blood sugar, low thyroid & last year I had surgery for a perforated bowel & dead piece of my small intestines. I have a colostomy bag (nothing is produced there), and an ileostomy bag where everything goes. I was due to have surgery tomorrow to try & put me all back together, but, found out two weeks ago about an episode with my heart during that surgery last year, & also just found out how bad my kidneys are. I am so stressed out which is NOT a good thing for what I’m dealing with. My question is, should my kidney doctor allow my surgery to happen, or should I have some kidney work done first?

I am unable to give medical advice without performing a complete history and physical examination.  In this case, your primary care physician (PCP) is the best person to review your situation and determine whether you are cleared for surgery or … Continue reading

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

What is the normal range of blood pressure, pulse rate, and pulse pressure for transplant patients having fistula (which probably enhance blood flow) on left hand. If BP is not a constant number and oscillates with movement, rest , anxiety, ecstasy etc. Then why is it doctor recommends transplant patients to keep the BP at 130/80 or so. (Some nephrologist also give more stress to diastolic pressure) There are various automatic digital BP measuring equipment available. How one determines the best and comparatively more accurate. In the manual of above monitor, it is suggested to measure BP thrice at a interval of 3 minutes. Is it a standard or monitor dependent? Now, whether the average of three readings will be considered as BP even if three individual numbers are to 5 to 10 mm different? Particularly systolic pressure.

The standard way in which blood pressure is to be taken is to be sitting for 5 minutes in a comfortable chair and then the blood pressure should be taken three times approximately 5 minutes apart.  There is often variability … 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, Symptoms and Side Effects, Treatments

Dear Doctor, I was diagnosed with CKD 3 months back. I was told I have high blood pressure which has led to scarring of my left kidney size 110 mm and shrinkage of right kidney size 75 mm. In spite of taking a low sodium diet, and medicines plus water intake restricted to 1 liter per day, my creatinine has increased from 2.1 – 3.9 in last 3 months. My parathyroid levels being 700. My age 27, height 4.11feets, wt 46kg. I take medichnes regularly for bp and bp is in control since last 2 months. I have never smoked or drunk. What shoud I do? Doctor says I should drink only 1 liter fluid a day.

I do not understand the advice to drink only one liter of fluid per day.  Otherwise it sounds like you are doing all that you can do to prevent any further damage to your kidneys.  The initial rise in the … Continue reading

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

Hi doctor. I hope you can answer my question. I am 43 year old female with high blood pressure which has caused CKD. My bloods were 225 the other day. What Stage of CKD am I at and how fast does it fall?

I am unable to make a specific diagnosis based on the information that you present.  I recommend that you go to our web site for calculation of your estimated glomerular filtration rate (eGFR).  This will allow you to use your … 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, Treatments

Hi doctor. I am a 43 year old female with high blood pressure which has caused CKD. My bloods were 225 the other day. What Stage of CKD am I at and how fast does it fall?

I am unable to make a specific diagnosis based on the information that you present.  I recommend that you go to our web site for calculation of your estimated glomerular filtration rate (eGFR).  This will allow you to use your … Continue reading

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

I am a healthy 24 year old white male taking 1 gram of Valtrex/day for the last 18 months. I have no symptoms but on a routine blood test my kidney functions were Cr of 1.87, BUN of 27, BUN/Cr ratio of 14 and a eGFR of 49. Urinalysis shows no protein. I discontinued Valtrex 5 days ago and will have a second blood test plus a 24 hr urine collection. My question is: is increasing intake of fluids and possibly consuming cherry juice as it’s done for gout help my kidneys recover from crystal deposition? I have no medical problems, my BP is 110/70.

The testing that you describe, if it remains abnormal for more than 3 months, does suggest that you have chronic kidney disease (CKD).  I am unable to make a specific diagnosis based on the information that you present.  If you … Continue reading

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

When my kidney transplant failed recently after 22 yrs, I lost a lot of muscle mass within a few days. I am on now on dialysis. If I try to gain my muscle mass back by eating high protein diet and exercising, how can I tell if the weight gain is due to fluid or due to muscle mass gain?

This is a complex question and involves many variables.  In general, your nephrologist or nephrology nurse must evaluate your blood pressure, your weight gain between dialysis sessions, the amount of swelling that you have, and examine your heart and lungs. … Continue reading

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

Can the high blood pressure medication Ramipril cause damage to GFR Kidney function? And if it can, what does one take as a replacement to control high blood pressure that doesn’t damage GFR Kidney function?

Ramipril is an angiotensin converting enzyme inhibitor (ACE-inhibitor) used to control blood pressure.  It also has a beneficial long term effect on kidney function. When the drug is first started, the estimated glomerular filtration rate (eGFR) may decline slightly but … Continue reading

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

My kidney function is 22%. Doctors say dialysis if it drops below 10%. What can I do to prevent function from dropping further?

I am unable to make a specific diagnosis as to the cause of your chronic kidney disease (CKD).  I suggest that you continue to consult with your physician about your disease.  The treatment of CKD involves delaying the progression of … Continue reading

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