Category Archives: Hypertension/High Blood Pressure

While testing to be a living kidney donor my ultrasound showed I have PKD. I was testing to give my mom a kidney because she has PKD. I just had my blood work and urine work done and the results showed no sign of loss of kidney function or any other abnormalities. My question is how often do I need to have my blood tested and when should I make an appointment with a nephrologist?

I recommend that you have annual testing of blood and urine for your kidney disease. You should also have blood pressure checks regularly and treat any elevated high blood pressure. Your blood pressure should be less than 130/80. Your primary … Continue reading

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

Can you direct me to where I can read about what the LOWER systolic limits would be for a person with stage 3 CKD? In order to keep most of my readings at 130 or lower, I get readings in the 110-120 range for systolic. I take my BP readings four times a day with each an average of 3 tests done 2 minutes apart. Early morning give lowest readings with early afternoon the same or slightly higher. Early evening sees low 120’s with midnight readings closer to 130. Occasionally I get readings above 130, usually later in the day/evening. Thank you.

Your observations are very comprehensive. The guidelines for blood pressure control in chronic kidney disease suggest that the average blood pressure should be maintained at less than 130/80. These guidelines are not based on the frequency of blood pressures that … Continue reading

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

Good day doctor, a diabetic patient for 17 yrs, hypertensive for 6 months, suffering diabetic nephropathy. The hypertension has refused to come down, saw a nephrologist but hasn’t been able to bring my htn down. Am suffering serious edema, back pain, leg pain and swollen legs because of fluid, was placed on diuretics (frusemide) but it is not bringing down the edema. I have creatinine of 1.20 and protein in urine of +. I did a test for microalbuminuria and it is 814mg/dl. My sugar level is normal. For sometime now I am suffering serious proteinuria, albuminuria, hypertension, edema on different part of my body, back pains and leg pains presently. Please kindly help me with drugs to reduce the protein in my body and a good diuretic i can use to reduce/stop the edema, also drugs to bring down the htn because it has been 165/107 and no drugs i have used seems to work. My nephrologist managing all this is not helping me because no improvement. I don’t want total failure of my kidney. Please give me other medical advice. Thank you.

Your description is of severe diabetic kidney disease coupled with severe hypertension (high blood pressure). I am unable to recommend treatment without performing a complete history and physical examination. It is important for you to follow a very low salt … Continue reading

Posted in Ask the Doctor, Diabetes, Hypertension/High Blood Pressure, Kidney Biopsy, Kidney-Related Health Questions, Nephrologist

We just found out today that my wife has stage 3 kidney disease. She has no s/s or history of diabetes or HTN but has had progressive symptoms of kidney disease for the past 2 years. How common is kidney disease in the absence of diabetes and/or HTN? Does that often mean better prognosis?

A majority of chronic kidney disease (CKD) in the United States today is related to high blood pressure and diabetes. There are numerous other causes of CKD. Some have a worse prognosis and others have a better prognosis. I am … Continue reading

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

I have CKD. I am 64 and have a creatinine of 1.10 with a BUN of 16. Yes, I do not drink enough but I’m not thinking that is it. I do have high BP which is usually 160/80 up to 170/95. I have to start BP meds and am so afraid of their effect on the kidney. ACE is out since I started and developed the cough and it tends raise your creatitnine level and that I don’t need. Any suggestions on which to try before I go see my GP. I was hoping to have another 20 years, decent ones, it’s not looking that way if this continues and it may already be to late. Thank you.

Your kidneys will suffer damage as long as the blood pressure is elevated. Hence, whatever is necessary to bring the blood pressure under control (blood pressure less than 140/90), will diminish further injury to the kidneys. In many cases, use … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Serum Creatinine

Recently went to the ER and my blood glucose and blood pressure were high. On the blood test results it states, creatinine level 1.5, gfr level 48 and Bun level 17. I am scared that my levels will never return to normal however is it possible?

High blood pressure and diabetes both damage the kidney.  By correcting both, improvement might be possible, but some of this damage may be irreversible. By careful medical management, further damage to the kidney can be avoided.

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

I am suffering from essential hypertension for more than 20 yrs (BP not more than 140/95 mmhg at first) and taking drugs for lowering BP like Dytide, Natrilix etc. I am taking Losartan potassium + Hydrochlorothiazide for last 15 years and BP is now more or less 130/85 mmhg, taking thyroxine sodium 75 mcg for last 6 months. I am suffering from Gilbert’s syndrome from very beginning. My Creatinine is over 1 mg/dl for last 10 years. At last it is 1.25 mg/dl (now I am 46 yrs old) Indian, wt.69 kgs.FBS 89 PPBS 133 HbA1C is 6.1, Ca+ 10 mg/dL PO4 4 mg/dL, no protein, sugar, ketone bodies found in urine R/E. Potassium 4 mg/dL, Total cholesterol 195mg, LDL 110 mg, HDL 54 mg, SGPT 74 mg, SGOT 45 mg, Uric Acid 6.64 . GFR calculator shows eGFR is 62-74% which is type II CKD. But my Doctors of Kolkata, India say that no medicine is available for this stage, and continue all medicines as previous. Is it really CKD? May it rise further? What is latest medicine to roll back creatinine level to below 1mg/dL or to rise eGFR to above 90%? Please advise.

I agree with your physicians in India. There are no medications which cause a decrease in the serum creatinine or an increase in the estimated glomerular filtration rate (eGFR) that is sustained and beneficial to the kidney in the long … Continue reading

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

I have been a type 1 diabetic for 37 yrs. My eGDR has been decreasing over the years. My new endocrinologist told me that since I have no history of spilling protein, the lowered kidney function is not diabetes related. Is that correct?

In general, diabetic kidney disease is most commonly associated with albumin or protein in the urine. If you are a diabetic and have no protein in the urine, then diabetic kidney disease is less likely. It is still possible to … Continue reading

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

I am 44 yrs. 3+ yrs diabetic HGBA1C 5-5.8 over years. BP varies from 135-150/80-100 taking medicine. Cholestrol/trigliceride a bit borderline high. Recently I got Protein 1+ and ACR showed three reading over 4 days one in normal range, 2 in mid range (Arithmetical mean Urine creatinine 50 mg/dl Mic Alb 40 mg/l). No swelling feet, Creat 1.23, BUN, Haemoglobin OK, Uric acid 9.2 and 7 days later 6.5. USG fatty liver II, Cystitis, Kidney normal. Egfr (equation used not known) 64. Please advise on risk and next step forward?

I recommend that you consult with your primary care physician (PCP). You have diabetes, high blood pressure and excess albumin in the urine. In most cases, I believe you should be treated with an ACE-inhibitor or an ARB agent for … Continue reading

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

What are the first symptoms that can be observed in a person with chronic renal failure?

Most people have no symptoms when they have chronic kidney disease (CKD). The only way you know if you have CKD is to be tested. If you have a family history of CKD, if you have heart disease, diabetes or … Continue reading

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