Category Archives: Kidney Biopsy

Dear Sir, I have CKD patient since Feb 2019 and depend on dialysis. Kidney Biopsy report: Diagnosis Diffuse Global Glomerulosclerosis. A recent report RBC 4.4, HB 9.7, Packed Cell Volume 30.10, MCV 68.41, MCH 22.05, RDW-CV 22.3 Urea 130.88, Creatinine 6.61 Potassium 61.11. Please advise.

The kidney biopsy report suggests that you have advanced scarring of your kidney and it is not likely to reverse. If you are on dialysis, you should explore the possibility of doing dialysis at home or kidney transplantation. I am … Continue reading

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

I had an acute kidney diagnosis and a kidney biopsy two and a half weeks ago. I am feeling OK except for the side effects of my blood pressure medication. I have been a horseback rider my whole life. My question is, when is it safe for me to ride again after all this?

Horseback riding could be a problem after a kidney biopsy. Horseback riding could be associated with bleeding at the biopsy site. I suggest that you check with the physician who did your kidney biopsy and ask when to resume horseback … Continue reading

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

Dear Dr., Greetings!! I want to know, whether some medicines are newly available to stop kidney damages or reverse it for CKD patients in stage 3? Or is a simple diet and lifestyle control helpful? If yes, what are those medicines? Best regards.

There is no new drugs for the general treatment of chronic kidney disease (CKD). Lifestyle changes including a low salt diet, exercise, achieving a normal blood pressure and maintaining a healthy body weight remain the goals for the general treatment … Continue reading

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

Dear doctor, My big brother have kidney problem 4 years back. Both of his kidneys failed. He had 1 year and 2 months of dialysis and he was transplanted for 2 years. His reports were normal but one year back his report were abnormal, creatinine 4, six month ago his creatinine 8. Doctor said urgent dialysis. Creatinine back to 5.1, 2 months ago. His report 9.9 then, back 5.2. One day ago, his creatinine was 10. Help me sir. He save dialysis.

I am unable to provide a specific diagnosis for why the kidney transplant has failed. In most cases, a transplant kidney biopsy is necessary in order to make a specific diagnosis. Your brother will need to continue consultation with the … Continue reading

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

I am a kidney patient. 2 years 6 months ago Bangladesh biopsy report; membranous nephropathy. Then treatment Solumedrol 1 gm in 3 months. Protein not controlled then. I am abroad in India. India biopsy report C3 nephropathy. Doctor suggested Cell Cept 500. 2 years not controlled in protein. Now protein 24 hours 6000.

I am unable to provide treatment recommendations without performing a complete history and physical examination. I suggest that your nephrologist compare the two biopsies for common findings and contrasting findings. You may require further testing. I specifically recommend that you … Continue reading

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

I am a 34 year old female. Other than 28 years of hypothyroidism, there is no other sickness. Blood pressure normal, not diabetic. Symptoms: 3 month continues shows blood (pink or brown no bubble) in urine. Tests have done below: 3 different Urinalysis Dipstick test different days all show (Blood in urine 3+, protein in urine 2+) Negative CT of abdomen and pelvis for any acute abnormality. Blood work: comprehensive metabolic panel looking at serum chemistries and kidney/liver function was normal. Urine culture: 10,000-49,000 CFU/ML. Something might not be related: My TSH is skyrocketing even though I have been taking normal dosage. I am currently breastfeeding. Have a bad habit of not drinking enough fluids. Healthy diet, no exercise. So far seeing a Urologist and GP and OB. They think I have kidney issue. What test do I need to do next to identify a diagnosis? Thank you for your time.

I am unable to make a specific diagnosis based on the information that you present. In most cases of blood in the urine, the cause is related to the lower urinary tract bleeding and is best evaluated by a Urologist. … Continue reading

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

Dear Doctor, One year ago during routine checks, we found my son has a protein in the urine. We made a lot of blood and urine tests. We found he has NO protein in the morning, when we collect spot urine before he gets up – before moving or standing. And we found that he has protein in urine 3+ after movement. He has up to 0.43 mg/l for 24 hours urine. All blood tests are normal – creatinine 40 umol/L. He is 10 years now and he is high 151 centimeters and is 32 kilo. He has no symptoms and some of the doctors said it is ortostaic proteinuria but others said maybe it is orthostatic maybe not and recommend ACE inhibitors for any case, also biopsy. I am very worried and I will be very grateful if you could give me your opinion. Also I am kindly asking you; 1. Do you think is orthostatic proteinuria, if he has protein only after movement? 2. Is it necessary to take ACE inhibitors? 3. Please, help me to calculate correctly his GFR and tell me is it normal? And what is the normal range for a 10 year old boy? Some of doctors tell me he has very high GFR which they think is not normal. Thank you so much for your help!!! My best.

Young children, even young boys, may have protein in the urine after exercise and activity but the protein in the urine disappears at night when they sleep and are not active. This is known as “orthostatic proteinuria” or “exercise induced … Continue reading

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

Greetings Doctor. I am post renal transplant from January 2008. In last few months, I started getting extreme edema in legs and tummy causing serious issues for me. Also, my creatinine rose to 2.6 again. I was asked for a comprehensive test and from test spot urine creatinine ratio to protein, I was spotted with protein leak 12.5 g. My Doctor raised Deltacotral to 2 tab daily, Cell Cept to 3 tab daily and Sandimum Neurol to 150 g daily. Now I am OK but is this problem reversible or damage is done? Need advice.

I cannot make a specific diagnosis as to the cause of your kidney transplant dysfunction, based on the information that you present. The only way to make a specific diagnosis in this situation would be to perform a transplant kidney … Continue reading

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

My mother’s kidney function has not improved after 4 blood tests (doctor says it’s working on 30%) X-ray of no infection found, heart fine, ultra-scan done. This has happened from about 4 weeks ago after a bout of the chills and fever with vomiting and last blood test in November was fine for kidney function. What are the next best diagnostic tests to find out why the kidney function is not improving?

Your physician should still continue to monitor for recovery. If no recovery and there is no other explanation, a kidney biopsy is sometimes done. It has only been one month since the event and more time for recovery may be … Continue reading

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

Dear doctor, my son is 10 years old. He has protein in urine between 0,15 – 0,45g for 24 hours. In the morning, before he gets up from the bed and we collect urine, there in no protein. But after movement he has protein. He has this problem from one year and the doctors can not understand what is the reason. Now they want to make biopsy and I am afraid. They say all checks are normal, only he has a little high cholesterol and GFR a little high – 187ml/min 1.73. What do you think? Please, be so kind to help us. Thank you in advance! Best regards.

There is a finding in children known as “exercise induced proteinuria” or “orthostatic proteinuria”. This is characterized by excess protein in the urine when the child is active and the protein is not present when the child is supine and … Continue reading

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