Category Archives: Kidney Biopsy

Hello! I am a 61 y.o. female and have had blood in my urine going back to 2007. An ultrasound in 2015 showed mild kidney disease. I recently had another ultrasound after another UA showed a large amount of blood in my urine. No proteinuria. I have an eGFR of 56 -Stage 3a. I’m supposed to have a CT next week. My grandfather died at age 53 from kidney failure. My father had to go on dialysis in his mid-60’s and stopped after about 4-1/2 yrs. He died at age 69. With my family history, I am curious about my prognosis pertaining to how fast I may wind up at Stage 5. I am not overweight, no diabetes or high BP. Is there any way to predict this? Thank you.

I am not able to make a specific diagnosis or prognosis based on the information that you present.  I am not sure what is causing the blood in your urine or your kidney disease.  In some cases, such as this, … Continue reading

Posted in Ask the Doctor, Kidney Biopsy, Kidney-Related Health Questions, Nephrologist

Do you have any insight on Loin Pain Hematuria and its correlations with IGa Nephropathy?

Loin Pain Hematuria syndrome is a collection of symptoms that include microscopic and rare macroscopic blood in the urine (hematuria) associated with bouts of flank and back pain but the kidney is normal on biopsy. With IgA nephropathy, blood can … Continue reading

Posted in Ask the Doctor, Hematuria, IgA Nephropathy/IgA Dominant Glomerulonephritis, Kidney Biopsy, Kidney-Related Health Questions, Proteinuria

My family has a long history of kidney failure. In fact my mom is the 8th person in the family line that has been diagnosed with kidney failure. Her kidneys are currently working at 22%. The 7 other family members have been through dialysis and eventually having a kidney transplant. I am 34 years old and will be seeing the kidney doctor in April to look at my kidney function. At 34 years old my GFR is at 67. From the research I have done that seems to be low considering my age and health. All the doctors we have spoken to tell us this is not hereditary however seeing 8 family members deal with the same disease seems to tell us otherwise. We would be interested in possible clinical trials to look into our families kidney history.

I am not aware of any clinical trials that studies families with unknown kidney disease. It is most often necessary that a kidney biopsy has been done in one or more individuals in a family to confirm that the kidney … Continue reading

Posted in Ask the Doctor, Clinical Trials/Studies, Kidney Biopsy, Kidney-Related Health Questions

My renal function is deteriorating due to being a diabetic for a over 35 years, and has been recommended for a renal biopsy. However, without any indication that my consultant who referred me is leaving the hospital. He won’t be there to discuss the result afterward. I feel very much let down by the news. Wonder if I should go for the procedure at all.

I am not able to make a diagnostic recommendation without performing a complete history and physical examination.  If you have concerns about the kidney biopsy, I recommend that you again consult the nephrologist who will be taking the place of … Continue reading

Posted in Ask the Doctor, Diabetes, Kidney Biopsy, Kidney-Related Health Questions

Back in October 2017 I was dx with Stage 4 Kidney Disease. I have other health issues along with a connective tissue disease known as Ehler’s Danlos Syndrome. On January 9, 2018 I go in and see the nephrologist and he called me later that day about my low numbers and to come in two days later to his hospital for biopsies.  I had severe pain and burning afterwards and continued until discharge the following evening. They did do an ultrasound and found nothing. I left with the continued throbbing and burning by my incision sight. Last weekend I became weaker and weaker as the pain worsened over the regular OTC Tylenol I was prescribed and the burning was worse. I ended up in the ER out by where I live. While in triage they did labs, a urine sample, and CT of my kidney’s and abdomen area. They found bleeding you would not have found from an ultrasound. My labs showed lower GFR since the biopsy, lower iron and potassium. I have been extremely dizzy and with many headaches I have passed out twice and fell once.  As for my preliminary labs results I was told it was either an allergic reaction/and or an infection to medication. I do not take and have not taken ibuprofen or advil type meds in about two years.  The nephrologist on the unit here is prescribing me steroids for two weeks, do labs and then meet with him. I have other daily meds but will the steroids be my only chance here? I can easily gain weight over anything or nothing. 

I am unable to provide recommendations about treatment without knowing the exact nature of your kidney biopsy and performing a complete history and physical examination.  Allergic disease in the kidney is commonly treated with steroids.  I do not have any … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney Biopsy, Kidney-Related Health Questions, Treatments

Is there any treatment for proteinuria?

Excess protein in the urine (proteinuria) has many causes. The first thing to do is to make a specific diagnosis as to the cause of the proteinuria. In some cases, this may require a kidney biopsy. Once the cause of … Continue reading

Posted in Ask the Doctor, Kidney Biopsy, Kidney-Related Health Questions, Nephrologist, Proteinuria

My daughter is 15 and has proteinuria.  At the moment her protein is sitting at trace on her sample sticks but for the last month she is showing blood on the test sticks but her urine doesn’t look pink. 2 weeks ago her urine was sent to see if she had an infection and she doesn’t. I am concerned about their having blood and wondered what tests I should ask for at my doctors. In the past (over 1 year ago) she had a scan, blood and urine tests as my father had glomerulonephritis and went into kidney failure. 

I am unable to make a specific diagnosis based on the information that you present.  In order to make a specific diagnosis, it may be necessary to consult with a pediatric nephrologist and determine whether a kidney biopsy should be … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Kidney Biopsy, Kidney-Related Health Questions, Pediatric Issues

I am a 29 y/o female (also a RN). I’ve been seeing a nephrologist for proteinuria and microscopic hematuria since March 2017. My spot Protein/creatinine ratio has increased from 300 to 620 mg since March. I began taking Lisinopril this summer and I am now titrated up to 10 mg/day. My p/c ratio has increased 200 mg since being on the med. Doctor said to decrease sodium intake (diet is admittedly poor) and increased the dose to 10 mg this last visit. Should renal biopsy be considered? I’m worried since protein levels continue to increase even with the ACEI.

I generally do not advocate kidney biopsy if your kidney function is otherwise normal (ie a normal estimated glomerular filtration rate -eGFR) and you have no blood in your urine. If the protein in the urine (proteinuria) is low grade … Continue reading

Posted in Ask the Doctor, GFR, Kidney Biopsy, Kidney-Related Health Questions, Proteinuria

I am 42 years old. A couple of days ago I went through medical test. I found my creatinine level is 1.9 mg/l. Apart from this, I have no such problem of high BP. My sugar level is normal. What should I do? I don’t smoke, and I don’t drink.

I am unable to make a specific diagnosis based on the information that you present. I recommend that you consult with your physician about a complete history and physical examination. I also recommend that you have urine testing for blood, … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney Biopsy, Kidney-Related Health Questions

My 21 year old son was diagnosed with FSGS. His kidneys are functioning at 100% but his protein level was 7000. His nephrologist prescribed cyclosporin. When we researched the drug there was no reference to treating his particular condition and there was a lot of side effects. My questions are: is this an appropriate drug treatment to lower protein levels? Should he ask for tests to be redone before he takes anything since protein levels were unusually high? My 31 year old son also has FSGS. He is in 3rd stage with 45% function but he is not taking this drug. Same doctor. We are a little confused and appreciate any advice.

Focal segmental glomerulosclerosis (FSGS) is a chronic scarring disease of the kidney. In the situation that you describe, I would be concerned about a genetic cause of the FSGS as both of your sons apparently have the disease. I assume … Continue reading

Posted in Ask the Doctor, FSGS, Kidney Biopsy, Kidney-Related Health Questions, Medication and Kidney Function