Category Archives: Kidney Biopsy

Dear Doctor, My father (Age 67) is losing lot of protein through urine. He was suspected for Multiple Myeloma but his PET scan and bone marrow biopsy reports were absolutely normal. But the protein loss is still going on and that is causing him lot of weakness. We did his Kidney Functioning Test but that showed nothing serious. He was admitted to ICU because of some urine infection during which lot of water was accumulated in his body. He had swelling on his whole body which now is going away through diuretic medicines prescribed by his cardiologist. Is this related to Kidney or Blood?

Protein in the urine (known as proteinuria) is a finding in kidney disease.  It is first necessary to find out exactly how much protein is spilling into the urine.  If that protein loss is more than 3 grams per day, … Continue reading

Posted in Ask the Doctor, Kidney Biopsy, Kidney-Related Health Questions, Laboratory Testing, Nephrologist, Nephrotic Syndrome, Symptoms and Side Effects, Treatments

Five months ago My daughter (44yrs) was told she has HSP Henoch-Schonlein Purpura. It started with rash on legs that spread throughout. Her kidneys are leaking protein and blood and she is retaining fluid in her legs and painful joints. Her own immune system is destroying her cells and was put on an immunosuppressant drug and mega doses of steroids. Her bowels were bleeding caused by capillary leakage. She had skin biopsy on her rash for Lupus, Lyme and cancer and all negative. Kidney function blood tests are normal. Tomorrow she is scheduled for kidney biopsy to determine a cause for the hematuria and protein that persists in her urine. Have you heard of this virus (in an adult) attacking the kidney and the consequences of this virus ? I would appreciate your views.

Henoch Shoenlein Purpura (HSP) is not caused by any virus that we know of.  The cause of HSP is unknown.  I suggest you wait for the results of the kidney biopsy and then follow the advice of the nephrologist who … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney Biopsy, Kidney-Related Health Questions, Laboratory Testing, Nephrologist

As I urinate, I’m losing more proteins than is normal. How can this be treated? I know it has to do with my kidney. Is this serious?

In most cases, the cause of protein loss into the urine (proteinuria) must be evaluated by a nephrologist.  It is often necessary to perform a kidney biopsy to get a specific cause of the proteinuria.  I suggest that you consult … Continue reading

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

Is there a need for long term steroid use in nephrotic syndrome? What causes a flare up? Are there any specialists or recommendations for treatment?

There are many causes of nephrotic syndrome.  In most cases, a kidney biopsy is needed to make a specific diagnosis and this leads to specific treatment of the nephrotic syndrome.  You can read about nephrotic syndrome on our web site … Continue reading

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

My kid has Nephrotic Syndrome. Initially he got it at 3 years of age and later on wards every 14 months he relapses. Now his age is 6 running. Is there any other treatment?

There are a number of treatments for nephrotic syndrome, but in cases of recurrent relapse of the disease in children, it is often necessary to perform a kidney biopsy in order to know the exact disease that is being treated, … Continue reading

Posted in Ask the Doctor, Kidney Biopsy, Kidney-Related Health Questions, Laboratory Testing, Nephrotic Syndrome, Pediatric Issues, Symptoms and Side Effects

I am a male suffering from nephrotic syndrome since I was 22 . Right now, my age is 28 and when I was 6 years old (in 1996) I got my first attack of severe swelling of body and protein loss. After that the attacks was frequent but not much severe then later it was ok. Again severe attack occurred in 2003 and 2012. I keep on using Prednisone from years and recently in August 2016 doctor suggested to stop using steroid as there no attack from many years, but thing is the relapse occurred after my stoppage of medicine within one month i.e. September 2016. During the attack Prednisone dose usage is 60mg /day and then gradually I will reduce the dose to 5mg/day in alternative days. Now I’m steroid dependent and due to this other complication like high cholesterol and hypertension problems being raised. Recent protein/creatine ratio is 600/177 mg/dl. Please suggest me medications, diet and also estimated cost for the treatment if available. I’m unmarried suggest to me whether I can marry or not, so that the girl whom I marry should not face any problems. Thanking you. Hoping for positive feedback.

The disease that you describe is known as Steroid Dependent Nephrotic Syndrome.  It is a very difficult kidney disease to treat.  In some cases, it is necessary to perform a kidney biopsy in order to know exactly what the kidney … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, FSGS, Kidney Biopsy, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Medication and Kidney Function, Nephrologist, Symptoms and Side Effects, Treatments

I am suffering from nephrotic syndrome with 1000mg/dl albumin in urine in routine urine, and 4.34g protien in 24hr urine test. What should its method of treatment?

The nephrotic syndrome is an excessive loss of protein into the urine.  The diagnosis of the cause of nephrotic syndrome requires a kidney biopsy.  A kidney biopsy is necessary in order to recommend appropriate treatment.  I recommend that you consult … Continue reading

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

Thanks very much for responding to my question of yesterday regarding 24-hour protein of 530 mg along with a possible autoimmune disease. I appreciate that you cannot provide a diagnosis or give specifics regarding treatment. But, perhaps you can just give me some general direction on something. Based on the finding of 530 mg’s of proteinuria, my family doctor acknowledges this is abnormal but is not overly concerned and has not recommended any treatment nor any referrals to a nephrologist at this time. Rather, he just wants to re-check the 24-hour urine protein test in a couple of months. Does this sound like a reasonable approach? I am just questioning whether I should be sitting around two more months without doing something about this! Should I be trying to see a nephrologist NOW to pursue the cause and possible treatment?

I would follow your physician’s advice.  This is a relatively small amount of protein in your urine.  Normal is less than 150 milligrams per day.  Follow up testing could tell you whether this is getting better or getting worse.  A … Continue reading

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

I just had a CT Scan done and they found a subcentimeter cyst in (not on) each kidney. I was sent because of upper right abdominal pain that is still unexplained. I have PCOS and Fibro-cystic Breasts and have had kidney infections. This is the first I have heard of cysts in my kidneys. My surgeon did not even mention them in my appointment (I did not see my CT results prior). My Mother had many kidney problems. Is this something I should be overly concerned about? What plan of action should I take?

Cysts of the kidney, if they are described as simple cysts, are benign.  Cysts that are less than one centimeter in size are almost always benign.  You should clarify with your surgeon or primary care physician that this is a … Continue reading

Posted in Ask the Doctor, Kidney Biopsy, Kidney Cysts, Kidney-Related Health Questions, Laboratory Testing

We have been told that my mum has a mass with blood vessels in her kidney. She is receiving conflicting info on the severity of this. Please clarify for me?

I am unable to make a specific diagnosis based on the information that you present.  Your mother may need a kidney biopsy, but I cannot recommend this without performing a complete history and physical examination on your mother.  I suggest … Continue reading

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