Category Archives: Kidney Failure

Our daughter now aged 18 years was diagnosed with Bilateral Nephrocalcinosis in year 2010. Her Creatinine level was 1.7 in 2010. She had enlarged kidneys with calcium deposition. Her kidney function has since then gradually receded. Following are her test results in 2018: • Creatinine level has reached 4.3 • GFR around 15. • Hemoglobin keeps varying, now at 6.5. • Serum Iron is 21 µg/dl and saturation is 6% • PTH Intact is 415 pg/ml • Echo test and Liver Function Test are normal. For low hemoglobin she is taking Iron supplements and also IV Iron drips along with Darbepoetin injections sometimes. Calcium supplements and Sodamint (bicarbonate tablets) are being advised by doctors. She was under medication for High BP, but its now under control. She does not show any kind of symptoms like vomiting or swellings as asked by Doctors. Doctors are now asking us to be prepared for dialysis and kidney transplant in near future. We look forward to any feedback or information which can help us prevent dialysis and transplant by reducing her Creatinine level and improving her kidney function. Kindly revert with your positive feedback.

There is no known treatment for or any medication that will reverse kidney failure caused by nephrocalcinosis. In most cases, this is related to medullary sponge kidney disease. From your description, it sounds like your daughter is being properly treated. … Continue reading

Posted in Ask the Doctor, Kidney Failure, Kidney-Related Health Questions, Medullary Sponge Kidney

A girl after pregnancy diagnosed with both kidney failure. Suggestion please?

It is certainly possible that someone could develop kidney failure after pregnancy. There are a number of kidney diseases that can complicate pregnancy including systemic lupus erythematosis, scleroderma, post partum kidney failure, and other forms of nephritis. In some cases, … Continue reading

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

I have a brother who is in the hospital for high blood pressure. The Dr’s are saying that his kidneys are now damaged. He has been on B/P meds for the last two years and that dialysis is the only option. He tells me that his creatinine levels are elevated and are not dropping. Also his potassium level is low. He is not sold on doing dialysis and wanted to know if there are other options besides dialysis or a transplant. He asked the Dr’s about a holistic approach but to no avail.

I can only suggest that your brother listen to the physicians caring for him and try to make the best decision that he can. There is no other approach to kidney failure other than dialysis, transplant or consider entering a … Continue reading

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

Hello doctor, my mother is suffering from ckd stage 5- ESRD. She is on dialysis twice a week. Two weeks ago, she experienced severe pain in her head and a very high Bp was diagnosed – greater than 200. Then we took her to hospital, her dialysis was started and CT scan and MRI of brain was done. After that, when we come home, she is experiencing gradual vision loss and hearing loss. Day by day, it is getting worse. Can you please suggest what can be done?

I am unable to make a specific diagnosis based on the information that you provide. In order to make a specific diagnosis, I would need to perform a complete history and physical examination. It is standard practice in the United … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney Failure, Kidney-Related Health Questions

How do you feel about probiotics and level 4 (severe) kidney disease?

I am not aware of any kidney injury that would be associated with probiotics in patients with Stage 4 chronic kidney disease (CKD). I generally do not advocate for over the counter medications unless they are reviewed by your physician. … Continue reading

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

Hello doctor. I just recently had a test done. Could you give me your opinion on what this means? UREA NITROGEN (BUN) 31 H, CREATININE 5.49 H, BUN/CREATININE RATIO 6, SODIUM 136 POTASSIUM 4.0 CHLORIDE 94, CARBON DIOXIDE 32, CALCIUM 9.6, PHOSPHATE (AS PHOSPHORUS) 5.0 H, ALBUMIN 4.3. My creatine was 10 before now it is 5.49. Does this still require dialysis? I do not get swelling in the legs. Just trying to find out if I was placed on dialysis prematurely. Thank you.

The testing that you provide still suggests that you have advanced kidney disease. The numbers that you provide would be about what is expected for a patient who has End Stage Kidney Disease (ESKD) and is on dialysis. For additional … Continue reading

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

Are they developing an artificial kidney? How ready are they and if so when will they be ready?

There are a number of groups that are trying to develop an artificial kidney to be used for patients with kidney failure. There are no currently active studies in humans as yet so they are still several years away from … Continue reading

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

Hello. I have stage 5 kidney failure. My failure was caused by bladder cancer. A neo bladder was made, but does not release all urine, so the kidney is floating. My GFR is now at 14. I am getting scheduled for a fistula. Both of my kidneys are failing, so both will be removed. I will go on dialysis until I am able to have a kidney transplant. Up to four/six months, so I am told. I will not have any kidneys in my body. My question is: without any kidney, can I still lead a normal life, or will I be on dialysis during that entire time? I have done some reading and the answers are confusing because one says that I can do dialysis 2-3 times a week and be fine, where another article says that I will need to stay hooked up to the machines in order to continue to live until I get a transplant. Which is true? Thank you.

I am not a urologist so I am not familiar with the surgical details regarding the management of bladder cancer, but I do not understand why your kidneys would need to be removed just because they have failed. Kidneys are … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney Cancer, Kidney Failure, Kidney-Related Health Questions, Transplantation

Dear sir, My mother is suffering kidney disease from October until 7 dialysis done. But sir, it shows in sonography report kidney size is normal and shows parenchymal damage. The urine come proper as ordinary. BP is ordinary. The creatinine level after 5 days is 8.8. Please advise?

Your mother appears to have very advanced kidney failure but I am not able to provide any other specific diagnosis. I suggest that you continue to consult with the physicians who are caring for your mother. Further dialysis treatments may … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney Failure, Kidney-Related Health Questions

Sir, my mother’s cancer surgery of the breast was done on August 2018. Now her 4th chemotherapy is done on 13 November 2018, but after 4th chemotherapy her condition became so weak due to high sugar level 484. She is admitted in ICU for the last three days. But now her sugar level is 113. BP is also normal, but level of blood urea is 160, and serum creatinine is 5.6. Please guide us about this.

I am unable to provide a specific diagnosis based on the information that you present. You will need to consult with the physicians who are providing care for your mother. From the information that you present, your mother has kidney … Continue reading

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