Category Archives: Hypertension/High Blood Pressure

Hi Doctor. I am a 56 year old male who works out with weights 3-4 days a week and do not smoke or drink. I have been on a high protein, low carb diet for years. I also took Sudafed for headaches and sinus pressure almost daily for many months which probably did not help my blood pressure. I was recently diagnosed with high blood pressure and CKD. My last labs in June 2017 showed a 60 GFR. This past December 2018 it was 45. I immediately modified my high protein diet and began taking blood pressure medication as prescribed. (Losartan 25Mg) A week later my blood pressure was normal and GFR increased a point to 46. I am trying to get in to see a nephrologist but he is booked up for a couple weeks. Is it possible through diet and blood pressure control to raise GFR to get me up into a stage 2 or better yet a stage 1 condition? Please let me know? Also is taking the supplement creatinine harmful to kidneys? I had been taking it to build muscle mass but discontinued immediately upon my diagnosis. I still have to take the 24 hour urine test and also to schedule a kidney ultrasound as recommended by my GP. This is scary stuff! I appreciate you answering my questions and hope this diagnosis can be reversed! Thank You! Sincerely.

High blood pressure is the most common cause of kidney disease in the world today, followed by diabetes. Untreated high blood pressure results in damage to the kidney that usually cannot be reversed. Hence, the goal is to avoid further … Continue reading

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

Sir, One of my friends has e-gfr 50 in the left kidney & 3 in the right kidney. His blood pressure is ranging from 136-84 to 145-100. Is it CKD? Please give the possible cause for high blood pressure?

I am unable to provide a specific diagnosis based on the information that you present. In order to qualify as chronic kidney disease (CKD) Stage 3, the estimated glomerular filtration rate (eGFR) must be less than 60 milliliters per minute … Continue reading

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

I am a 64 year old Canadian male, no diabetes, with well controlled hypetension 117/70-75 with Losartan and Norvasc. 14 years ago, my kidney function went from 62-64 to 56-57. My PCP said no problem but I insisted on a nephrologist consult. All bloodwork, urinalysis, and ultrasound were deemed normal. Since that time my GFR fluctuated between 57 and 64. Last year, my GFR suddenly showed a decline to the 53-58 range. Again, my PCP said normal aging (as aging is a component of the GFR calculation and GFR declines with age) but again I asked for a nephrologist consult. My 24 hour urine and urinalysis and a detailed bloodwork analysis were again deemed normal for protein, electrophoresis, etc. My nephrologist said my PCP was right. The decline can correctly be referred to as aging decline. She noted that in the last fourteen years my creatinine varies between 114 and 126 umol/L and this is reflected in the GFR fluctuation. I asked her if this is classified as CKD and she said by the strict KDIGO guidelines, that would be true. I follow a strict low salt diet, similar to DASH. I monitor my BP bi-weekly and ensure I don’t overeat. I don’t smoke and have the rare glass of wine. I maintain my body weight carefully (I am 5 foot 5 inches and weight 132lbs). My question, is it normal for creatinine to fluctuate in such a range? Can my GFR decline correctly be referred to as caused by aging?

The estimated glomerular filtration rate (eGFR) is used to classify the Stage of chronic kidney disease (CKD) but it cannot make a specific diagnosis as to the cause of CKD. In your case, you would technically be at Stage 3a … 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

I’m 67 yrs old and have type 2 diabetes. My general practitioner did a test to check my kidneys then sent me to a kidney specialist. My kidney function is at 40%. Can you tell me what this means? I’m scheduled for some test after Christmas, so my Dr. only knows the function percent; I don’t know that either. Any answers from you explaining what this means will help me so much! Thank you.

Diabetes and high blood pressure are the two most common causes of kidney disease in the United States. Your physician is concerned about your kidney function. It is not clear from the information that you provide as to whether this … 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, Nephrologist

This isn’t quite as serious as some of the questions I’ve read but since it’s my body, it’s concerning to me. I just had labs for kidney function. I’m 55 yo and my creatinine was 0.9. That’s good. But my GFR was 60. Isn’t that a bit low for someone my age? I have suffered from HBP for several years and “controlled” it still can range from 130/80-160/90. Any advice?

Yes. I would like to see your blood pressure consistently in the 130/80 range. I would also suggest that you have a urine test for blood, protein and infection. Your estimated glomerular filtration rate (eGFR) is just barely into the … Continue reading

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

PKD has impacted my family for many generations. As time goes on the disease continues to appear in family members but at an older age. Even in the last 100 years family members seem to experience renal failure 20 years later over that span of time (40 versus the current 60). Has a link for this been found by researchers? Thank you.

I am not aware of any consistent data that has looked at this in a long term series of families known to have Polycystic Kidney Disease (PCKD). I would guess that better control of high blood pressure and avoidance of … Continue reading

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

I do not have natural right kidney and there is trouble in my left kidney. Sir, give me some health tips.

You should not smoke. You should eat a healthy low salt diet.  You should exercise regularly and maintain a healthy body weight. You should visit your physician at least once per year and have blood and urine testing for your … 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, Nephrectomy / One kidney

Lab results are: MicAlb 7.8. alb/cr 121.0, urcreat 64.4. I am Type two diabetic and have high blood pressure. Should I be concerned with these values? Thank you.

The normal for a urine microalbumin to creatinine ratio (alb/cr) is less than 30 milligrams per gram of serum creatinine. The value you report may be elevated but you do not mention the units. I suggest that you review this … Continue reading

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

Dear Dr. Spry, I am a male 53 years old diagnosed with kidney disease almost 3 years ago. Now Stage 3 GFR 21 with no symptoms at all. Creatinine level 3.1. I have daily tablet Aprovel 150 mg. Sometimes I have leg swelling. I take tablet Lasix 40 mg. My treatment is check up last one year before. Please let me know.

The medications that you are taking are Aprovel (irbesartan) and Lasix (furosemide). These medications are commonly used in chronic kidney disease (CKD) in order to treat high blood pressure and control edema. If your blood pressure is well controlled to … Continue reading

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

What is the advice for one healthy kidney patient? In the case of one right side kidney being absent?

Many people lead a normal life with only a single kidney. It is important to protect your single kidney and not inure your only kidney. You should not smoke. You should avoid non-steroidal anti-inflammatory drugs (NSAID’s) such as Motrin, Ibuprofen, … Continue reading

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