Category Archives: Kidney Failure

How do you know if you are having kidney failure? Are there symptoms?

Symptoms of kidney disease do not appear until very late stages of chronic kidney disease (CKD). The symptoms of CKD are non-specific to kidney disease and can include fatigue, loss of energy, fluid retention and edema. Gout and arthritis can … Continue reading

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

Dear Doctor, I was diagnosed with polycystic kidneys at the age of 18 but I’m not sure if I know what type of polycystic kidneys I have been diagnosed with. I can confirm that no one in my family has had this before. I had my son when I was 32 without any difficulty. Now I’m 37 and I would like to know: 1. What type of polycystic kidneys do I have? I have checked my medical reports they all say PKD. 2. What are the chances that my son will have normal kidneys vs polycystic kidneys? Currently my left kidney is 21.0×10.0 cm in size and right is 16.8×8.0 cm in size and my liver functions are normal. Serum creatine (enzymatic) Result is 0.73 mg/dl Flag reference value is 0.5-0.9. estimated GFR Result is >90 ml/min/1.73m^2. 3. Blood pressure goes up and down, pain at the back of my head and my feet swells. It hurts a lot on my heels, is this normal? 4. Is lemon in water good for me? 5. How can I reduce my belly fat as I’m been asked not to go to the gym? I walk 20 min a day in the morning. 6. In the long run, what do I have to look/plan for? I’m not happy doing transplantation and dialysis due to personal reasons and also this is so expensive for me too.. Appreciate your advice on this. Look forward to hearing from you. Thanking you in advance.

Polycystic kidney disease (PCKD) is an autosomal dominant adult type of kidney disease and is generally separated into two types. Type 1 is usually younger in onset (usually before age 30) and progresses to kidney failure usually in the 4th … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, Kidney Failure, Kidney-Related Health Questions, Nephrologist, Polycystic Kidney Disease

Hi, I was diagnosed with idiopathic hypoparathyroidism over 10 years ago. My last ultrasound revealed diffuse nephrocalcinosis with mildly increased parenchymal echogenicity and cortical thinning with normal kidney size and shape. I am currently spilling 400 mg in my 24 hour calcium urine and my last creatinine was 1.1 and BUN was 13 but had creatinine go as high as 1.4 through the years. I am a 27 year old male and am worried long term for my kidneys. Is it possible to stop the progression of nephrocalcinosis and will it lead to end stage renal failure?

I am not able to make a specific diagnosis based on the information that you present. I am not able to link the idiopathic hypoparathyroidism to your nephrocalcinosis. Nephrocalcinosis can progress to end stage kidney disease with time. Since you … Continue reading

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

2 years ago, my partner was diagnosed with Membranous Nephropathy – and we recently discovered he has heart disease (a stent was placed to open up a 95% blockage to one of the main arteries in the heart). While the catheterization was being done, they discovered 5 other less serious blockages – but have said that bypass surgery is required. The other blockages are not “stentable” – and given his impaired kidney functioning, we should prepare for a life of dialysis going forward after the surgery because the likelihood that he will have renal failure is high. We are seeking another opinion – but believe the recommendation will be the same. Any thoughts on how we might prevent renal failure in this situation – or is it truly something we need to mentally get ready to integrate into our life going forward? He is a non-smoker, 5’8″ and 140 lbs, not a diabetic and not a drinker – so we’re hopeful that at 48 he is still strong enough to navigate these challenges and live on. One onther question – if we were to consider a kidney transplant post bypass surgery – how long should we wait (with the assumption that he will have the standard recovery from heart surgery) We have large families and there’s many people offering up a kidney for him if that is the longer term outcomes. Thanks – appreciate your insight.

There is an increased risk of kidney failure from acute kidney injury after coronary bypass surgery. It is not a 100% absolute risk but the risk is relatively high. I am not able to give a medical opinion without performing … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Dialysis, Kidney Failure, Kidney-Related Health Questions, organ donation, Transplantation

I have been diagnosed with CKD, currently at stage IV. I have good days and bad days, which I understand is totally normal. What I am having concerns with, is my mental state. I’m having trouble remembering things big and small; (my pass code that gets me through security, how to tie down a piece of equipment). These are things I have been doing daily for years. I’m making mistakes running my budgets and overall becoming a screw up that might be looking for another job, if anybody catches on to how I’m struggling. I half joke that I have the attention span of a gnat. Quite frankly its starting to scare the heck out of me. Is this normal for kidney patients? My eGFR has been running between 17-22 for the last 5 months. I am not on dialysis yet but I am on the transplant list.

Kidney failure has often been associated with mental status changes including an increase in distractibility. This means that people have a more difficult time staying on task and paying attention. You might want to discuss this with your nephrologist because … Continue reading

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

How does dialysis affect patients with an ejection fraction below 30%. Can you recommend literature on the subject?

Chronic congestive heart failure (CHF) is very common in patients with End Stage Renal Disease (ESRD) and dialysis. The management involves careful control of volume. In some cases, more frequent dialysis is needed to control volume and treat symptoms of … Continue reading

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

Hello doctor. Please, I’m suffering from chronic kidney disease, stage 5, and I’m on dialysis and I cannot pass out urine at all. Please, I want to know why and what I can do to alleviate my problem.

If you have kidney failure and on dialysis, it is common to have markedly decreased urine out. The only treatments for kidney failure are peritoneal dialysis, hemodialysis and kidney transplantation. I suggest you explore these treatments with your nephrologist.

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

Hello there, doctor. My brother had the kidney failure since he was 12 years old and now he’s 19. He was doing the dialysis until he did a kidney transplant surgery last year when he was 18. Now he’s 19 y/o and the kidney failure just came back with stage 4. He is back to doing the dialysis again. Any help or advice from you, it would be helpful. I don’t know if there’s any treatment available nowadays, something alternative of kidney transplant; because as you know it was and never would be easy to find a new volunteer. Kind regards.

The only treatments available for kidney failure are peritoneal dialysis, hemodialysis and kidney transplantation. The best treatment for kidney failure is transplantation. It is very unfortunate that your brother’s kidney lasted only one year. I suggest that your brother continue … Continue reading

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

Does a type I diabetic patient require Humalog insulin if such patient has irreversible renal failure and is required to go to dialysis three times per week?

A Type 1 Diabetic must always take insulin. The Brand Name “Humalog” is just one type of insulin but Type 1 diabetics have an absolute deficiency of insulin and must always administer insulin. Dialysis does not change that requirement for … Continue reading

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

What creatinine level indicates kidney failure?

That depends on your age, gender, body size and muscle mass. There is no specific creatinine that suggests kidney failure in all individuals. I suggest you review our web site regarding measurement of kidney function at: https://www.kidney.org/professionals/explore-your-knowledge/how-to-classify-ckd

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