Category Archives: Kidney Biopsy

I was told I have stage 2 kidney disease. Three years ago my results were 60 and now 85. What is this result for? Thank you.

I am unable to make any specific diagnosis based on the information that you present. If the values you are reporting are the estimated glomerular filtration rate (eGFR) then normal is greater than 60 milliliters per minute per 1.73 meters … Continue reading

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

Dear sir, my sister, Sonali, had a successful kidney transplant in 2016. Her current situation is last month her creatinine level was 1.7 and her current blood creatinine is 3.2. Please guide me. How does she control her creatinine level and how to care daily?

Your sister must be seen and examined by a transplant physician. I am not able to give a specific diagnosis based on the information that you present. Further testing will be required and perhaps a kidney biopsy will be needed. … Continue reading

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

Transplant kidney. I got biopsy 3 days (After biopsy ultra sound report is normal) before. Now I am getting blood leakage in the urine. What should I do?

You should contact the person that did the biopsy. Bleeding after a biopsy can be a complication. You should be seen and evaluated by the physician who did the biopsy.

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

I’ve been undergoing testing to donate a kidney to a friend who has a very difficult match. I’ve lowered my BMI and my cholesterol and undergone much repeat testing. The (hopefully) last hurrah is to identify the cause of the chronic trace of blood in my urine. I’m having my bladder scoped in 2 wks. If that is negative for any cysts or polyps, the next step they want to do is a kidney biopsy. This has been an 18 month journey. My nephrologist says that I will be rejected if this reveals TBM. Everything I’ve read about TBM says it’s basically asymptomatic and doesn’t interfere with good kidney function. I’ve never had a UTI in my 66 years. To admit the frustration my recipient and I are experiencing, you’ve probably heard it all! Any insights or words of wisdom? 2nd opinion? Thank you.

Thin basement membrane (TBM) disease is an uncommon disease that causes blood in the urine and is commonly associated with normal kidney function. There are no nationwide guidelines that tell you what to do for TBM patients and allowing them … Continue reading

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

My wife is 34 yrs and is suffering from kidney disease for the last 7 years. Since her diagnosis, she has a constant serum creatinine level range between 1.00 to 1.30, uric acid between 5.9 – 6.8, protein albumin between 0.10 to 0.30 and urea with in a permissible limit. Her hemoglobin level was ranged between 12.4 to 13.9. Her BP was ranged between 128-137 systolic and 82-91 diastolic during this period. During this time, she was on a restricted diet and she doesn’t take any medicine either allopathic or ayurvedic. But suddenly, creatinine level is increased to 2.8 and urea is increased to 78. Her current BP is 134/87. However, she does not have any symptoms such as swelling, vomiting, tiredness, nausea or sleeplessness. Moreover, she doesn’t have any urinary problem. She is taking enough water (2.5-3 liter/day) and has normal urination. However, the frequency of urine discharge seems slightly high (7-9 times at day time; 2-3 times at night). At present, she is not taking any allopathic or Ayurvedic medicine. In this regards I want to know: 1. Is there any medicine to normalize the creatinine and urea level and for improving her kidney health. 2. Is there any medicine which can control her BP without affecting her kidney any more. 3. I have read so many research papers indicating that, giving Punarnava (Boerhavia diffusa) is very good for rejuvenating the kidney. So, is it right to give her Punarnava. 4. There is one more medicine called Renalka (The Himalayan Drug company product), which is known to increase glomarular filtration rate (GFR). Can I give her this medicine. 5. There is one more medicine in Ayurveda known as Abama (The Himalayan Drug company product), which is known to potent hypolipidemic, cardioprotective and to stabilize blood pressure and I give her this medicine. Sir, please suggest me, what to do to overcome this situation.

I have no familiarity with any of the medications that you mention. I am unable to provide a specific diagnosis of your wife’s kidney disease based on the information that you present. Your wife will need to be seen by … Continue reading

Posted in Ask the Doctor, Kidney Biopsy, Kidney-Related Health Questions, Medication and Kidney Disease, Nephrologist, Serum Creatinine

Hello, Doctor. I am from Ethiopia. Yesterday, the doctors told me that I have a big kidney problems. So, I don‘t know what I should do? If you can, please say something?

Since you have been told that you have kidney disease, it is first important to know if this kidney disease is acute or chronic. Acute kidney disease or acute kidney injury, can generally be treated and may be reversed in … Continue reading

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

Good afternoon Doctor, I am 37 years old and I live in Colombia I have an unspecified chronic kidney damage, I feel very bad since the nephrologist says that if I have a biopsy I can bleed because my kidneys are small, creatinine It is 2.40 I do not have diabetes or suffer from high blood pressure my bones if they hurt me a lot and there are days that I feel very tired I would like to know a treatment and what can I do Doctor please. Thanks from my heart.

If you have none of the usual risk factors for kidney disease, such as high blood pressure, diabetes, family history, or obesity, then a kidney biopsy may be the only way to tell you what your disease may be. In … Continue reading

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

My daughter is 22 yrs old and has had either a +1 or +2 protein and +1 to +3 blood in all of her urine tests since 2015. Had a cystoscopy done that showed nothing. Now she has a positive ANA titer of 1:1620, sed rate of 24, and c reactive protein of 1.22. White blood count of 11.2 Strong urge to urinate all the time but no infection. Not real obvious swelling but she complains of sore joints and she gets puffy under her eyes. Her total protein/creatinine ratio is 341.1 but her eGFR says >60. Rheumatologist ran 13 tubes of blood and she’s tested neg for all major autoimmune diseases. But there is obviously some type of inflammation issue going on somewhere in her body. Could all of her positive protein and blood urine tests be causing the positive ANA test? And should we be concerned that there is a kidney issue going on?

I am unable to provide a specific diagnosis based on the information that you present. In some cases a kidney biopsy is necessary to make a specific diagnosis of inflammation of the kidney. This could be some form of glomerulonephritis … Continue reading

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

Hello Doctor, I am age 39 years. I am living in Denmark from May 2015 but I am originally from India. My urine report says that I have protein in my urine. I have undergone 4 tests from May 2018 onwards till now. My father was having kidney disease and high blood pressure and he died to kidney failure at age of 78. My elder brother is of 49 years and both of his kidneys have failed and he is on dialysis from December 2016 onwards. This is the reason I am worried. I read on internet and found that protein in urine because kidney is unable to filter it out from blood. If protein in urine comes for 4 consecutive times at interval of each month, it means there is some problem with kidney. I also suffer from high blood pressure and I take following medicine every day once: 1. Tolura 80 mg (Telmisartan) 2. Simvastatin 40 mg. I was taking above medicine as advised by Indian doctor from 2013 onwards and doctor in Denmark continue the same medicine. Doctor in Denmark increased the dosage of Tolura from 40 to 80 from June 2018 onwards and told me that it will help kidney to work fine. I had a blood and Urine test today i.e. 15.08.2018. The report says that protein level have been increase from last time so increasing dosage from 40 to 80 mg is not helping. I believe there is something wrong with my kidney. I talked to my doctor here and they said that if protein level is 750 or above or it increase by 5 every year than I should see the kidney specialist. I think they are waiting to happen something and then they will start the treatment. I feel prevention is better rather than waiting to fail. My own or regular doctor is a general physician. Can you please suggest what should I do? How to find the actual cause of protein in urine? Which test can find it out? I have attached the blood and Urine report here. The reports are as per Danish laboratory standard but it is understandable.

I am unable to accept any records or attached reports. The treatment of low levels of protein in the urine is to control blood pressure and use agents that are either ACE-inhibitors or ARB agents. The Telmisartan that you are … Continue reading

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

Doctor, my wife is diagnosed with IgA +3 Disease and advised to take steroids. Her current B/P is 140/90 and proteinuria 4+. Please advise whether steroids are must to take or we can go for alternative medicines?

The use of blood pressure agents such as ACE-inhibitors and ARB agents are most commonly recommeded in patients with Immunoglobuliln A (IgA) nephropathy. Corticosteroids, such as Prednisone or Dexamethasone are also commonly used depending on characteristics found on the kidney … Continue reading

Posted in Ask the Doctor, Hypertension/High Blood Pressure, IgA Nephropathy/IgA Dominant Glomerulonephritis, Kidney Biopsy, Kidney-Related Health Questions