Category Archives: Hypertension/High Blood Pressure

My labs came back and all levels are ok except my kidney function rate. I am at a 43. I am 46 with auto immune disease and high blood pressure. I am finding conflicting diets online. I am looking for a good renal diet to help improve my function.

The goal of treatment for kidney disease should be to sustain the kidney function that you have. You should know that normal aging results in the loss of kidney function at a rate of about 1% per year beyond age … 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

Dear Dr. I have proteinuria, chronic (immune origin) mild IgA, not aggressive yet, blood pressure medication 4 mg Atacand reduced the proteins but they are still high up to 240, normal is less than 20 ratio. Question: what is the best supplement can I take to make my kidneys live longer? I stopped smoking one year ago, and practice jogging daily. I also have ulcerative colitis since 2004. I am almost 60, male and believe in curcumine and cranberry to help my kidneys but do not know which supplements or other supplements to select. Please guide me?

I am not aware of any supplements that will further decrease the protein in your urine (proteinuria). If your blood pressure is well controlled and you are otherwise leading a healthy lifestyle, I do not think there is any other … Continue reading

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

I lost my left kidney to cancer. I am in good health 8 years later. I want to know if I can take oral Minoxidil and/or Spironolactone for hair loss. It was recommended by the dermatologist but they advised to find out if it would be safe with one kidney. I appreciate your time to help me with this. Thank you.

Oral minoxidil is a very potent blood pressure lowering drug. It is generally used topically for hair loss. It is effective treatment for hair loss when taken orally but causes low blood pressure. When used topically, it does not lower … Continue reading

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

I’m 18 years old and I have nephrotic syndrome and I also have just one kidney. What future complications can occur?

The nephrotic syndrome is a form of kidney disease that results in loss of excessive protein in the urine and is usually greater than 3.5 grams of protein loss per day. The nephrotic syndrome also results in edema or swelling … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diet/Nutrition, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Nephrectomy / One kidney, Nephrotic Syndrome

I am a 55 year old female and was on cisplatin chemo for 5 rounds that ended in January 2019 because the doctor said my kidneys were shutting down. I’ve been getting blood work done every couple of months since then and right now my creatinine is up to 2.02, eGFR is 27, bun is 40. I’m anemic. The HCTZ pill has stopped working and my ankles and legs are swelling again. My nephrologist seems unconcerned with all of this. He thinks it will eventually go back to normal but the creatinine level keeps rising. Should I seek a second opinion?

The kidney damage done by the chemotherapy is sometimes reversible and sometimes is not reversible. Hence, there is no specific treatment for the kidney damage. The kidney has the capacity to heal itself after damage. The only thing that can … Continue reading

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

I’ve got HTN that’s not controlled. I’m taking 18 BP pills/day and it’s still high. I had an ultrasound in April that showed more than 50% blockage to my R renal artery, plus the the origin was elevated several times on the R. I just had a CTA w/ runoff this week, and it showed my kidney and artery was fine. How could that be? My BP averages 155-175/98-115. Different doctors read the 2 reports. This whole BP thing has been going on for a year now and I’ve had enough. Three doctors and no results. They also thought I might have a pheochromocytoma due to elevated levels, but nothing showed on the CTA. Help? Thank you!

I am not able to make a specific diagnosis based on the information that you present. Drug resistent hypertension (or high blood pressure) requires careful evaluation. In some cases a 24 hour ambulatory blood pressure monitor is required. In other … Continue reading

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

My mother has recently gotten an eGFR reading of 19. She has diabetes that she has been given medication for but was never monitored for kidney failure. What steps should be taken immediately to prevent it from going below 15 (kidney failure)?

If your mother’s kidney disease has already progressed to Stage 4 chronic kidney disease (CKD) with an estimated glomerular filtration rate (eGFR) of 19 milliliters per minute per 1.73 meters squared, then there is likely no way to reverse the … Continue reading

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

My uncle diagnosed of acute CKD. He’s a known diabetic and hypertensive with background RVD. 3 months ago his creatinine was 3.8 mg/dl and urea was 114 mg/dl, PCV 28% and he rejected dialysis, so I started him on Lasix IV 80mg, normal saline 1 litre, iron sucrose 100mg and epo 4000 IU twice weekly for 3 months, and the urea and creatinine dropping with the treatment on weekly basis and PCV also increasing weekly till urea and creatinine became 45mg /dl and 1.6 mg/dl, respectively, and PCV 38% and I stopped the treatment for two weeks and creatinine shot up to 2mg/dl with urea 55mg/dl and PCV 35%. Please, what do we have to do?

I am not able to recommend medical treatment without performing a complete history and physical examination. Your uncle should be seen by a nephrologist. It is first necessary to determine if his kidney disease is related to his diabetes and … Continue reading

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

I have started having a scoop of collagen, type 1 and 3 in my tea about 5 times a week. When I had my last nephrologist visit, last week, my function, which has been at the 53-56 mark, had gone down to 46. The only change I have made in the last 6 months, is the addition of collagen powder to my diet. I have 1 kidney and donated the other 22 years ago. I currently take bp medicine and my bp has been great. The only diagnosis for my decreased kidney function, was that it was due to the high blood pressure. All tests for other culprits came back fine. Is the collagen safe for me? I never saw anything negative about it and kidney function, until today. I do not want to lose any more function than I already have. I am 55 years old and run about 22-26 miles a week. I also do step classes 2x a week and body pump 1x a week. This is all normal for me as I have been an avid exerciser my whole life. Is there a specific blood work test that can check my collagen levels? Any thoughts or facts about taking collagen powder would be appreciated. Thank you.

I do not know of any ill effects of collagen powder on kidney function. This is a natural substance for your body and likely is not having any effect on your kidney function. In the world of laboratory medicine, the … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, GFR, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Nephrectomy / One kidney, Serum Creatinine

My 26 year old son is on the transplant list. He was born with Hirschsprung’s Disease and as a result of multiple surgeries he was left with no large intestines and a latex allergy. For a year he has been at end stage renal failure but managed to stay off dialysis with a very strict vegan diet. Looking at the side effects of his meds post transplant, I am wondering how much water he can drink to avoid GI issues. Although he’s always been an athlete, he has chronic dehydration due to his body’s inability to absorb fluids. I believe this is what caused his kidney problems in the first place. His BP is also off the charts requiring medication. The doctors he has spoken to don’t seem to factor his medical history into their diagnosis or treatment. Are you aware of any studies that discuss fluid intake in people with no large intestines?

The requirement for fluid intake can be assessed by having your son weigh himself every day and then drink sufficient fluids to maintain his body weight.  This is what I do with patients who have high fluid requirements and have … Continue reading

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