Category Archives: Hypertension/High Blood Pressure

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

Recent fasting blood work came back with uric acid levels 7.2, up from 6.2 eleven months ago which was last episode of gout. Creatinine 1.8 with my eGfr 55. Last blood test results creatinine was 1.01 and eGfr was 62. I have type 2 diabetes with an A1C of 6.7 (for the last year). Previous year was A1C was 6.5. Also have high blood pressure which is well controlled. Have an appointment with my urologist next month to monitor renal oncocytoma which is more than 5 centimeters in size and to make sure I’m not making anymore kidney stones, which have caused two blockages. Do the numbers from the recent blood work indicate early kidney disease?

Chronic kidney disease (CKD) is diagnosed by having an estimated glomerular filtration rate (eGFR) of less than 60 milliliters per minute per 1.73 meters squared and this need to be present for at least 3 months.  CKD can also be … Continue reading

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

I was just diagnosed with Stage 3 Kidney disease. I am also Type 2 diabetic with high blood pressure, both under control with medication. My question is dietary. Is there a recommended diet program that I can follow to reduce the progression of kidney failure that I should be following while also taking in consideration diabetes?

Yes.  You will need to be on a low salt and diabetic diet.  Diets that combine a diabetic diet with other problems including high blood pressure and chronic kidney disease (CKD) are best reviewed by a dietitian.  I recommend that … Continue reading

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

My ankles measure about the same every morning and by bedtime they are any where from 1/4 to 1/2 an inch larger. My swelling is below the ankles. I watch my salt intake, my weight and my diet. I am an 92 years of age and I am an African American I am finding myself getting slower by the day. Thank you for any help you can give me.

I am unable to make a specific diagnosis based on the information that you present.  Swelling in the ankles has many causes but most of the time this is related to venous and vascular disease in the legs.  I suggest … Continue reading

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

Hi Doc, My CKD 3 filters 36% only and I have high blood pressure. I am 73 yrs old. My question is will I continue to experience increased fatigue and malaise with each coming year due to toxic buildup in my organs?

Progressive kidney disease can be associated with increasing fatigue and malaise.  Your blood pressure should be controlled to less than 130/80 and you should follow with your physician regularly.  The goal of treatment of chronic kidney disease (CKD) is to … 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

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