Category Archives: Kidney Failure

Dr. Spry, which physical side effects would a CKD patient have to start showing that would justify either dialysis or a kidney transplant?

Most of the time, chronic kidney disease (CKD) has no symptoms until a great deal of kidney function has been lost.  The most common symptoms of advanced CKD are fluid retention and swelling in the feet and legs, nausea, especially … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Dialysis, Kidney Failure, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Transplantation, Treatments

My father is 60 years old. He has CKD problem last 2 years. We are continuously in touch of our family doctor, but his creatinine level getting increased slowly. Now his creatinine level is 5. So requesting you to kindly suggest us?

I am unable to provide a specific diagnosis based on the information that you provide.  Your father should be seeing a nephrologist for examination and recommendations about treatment of advanced kidney disease.  The nephrologist will evaluate your father, determine the … Continue reading

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

My 88 year old mother has been recently diagnosed with stage III Kidney disease. Her potassium levels were found to be high. She’s already on warfarin to prevent clotting due to a genetic blood factor. The poor thing doesn’t know what to eat and is rapidly losing weight. Her urologist gave her a booklet which lists foods she can’t eat. Those foods coupled with the Vit K list of foods not to eat are leaving her with very little food choices. She’s not able to see a dietician for weeks. I’m afraid she’ll lose so much weight that her kidneys will fail. Can you help with a couple day menu of foods she can eat?

I am a strong advocate for the DASH diet.  The DASH diet will be the best thing for her chronic kidney disease (CKD).  Since she is taking warfarin as a blood thinner, it is important to eat consistently and avoid … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diet/Nutrition, GFR, Kidney Failure, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Treatments

Dr. Spry, when it comes to healthcare why is CKD never talked about on TV News Networks like CNN, MSNBC, and FOX NEWS? And why haven’t Congress and the FDA been talking about how they’re going to cure CKD for millions of Americans with CKD on TV?

Kidney disease is a silent disease and it is difficult to get many headlines when the concepts of kidney disease require a bit of explanation.  We occasionally get some press related to kidney transplantation and especially related to altruistic kidney … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Insurance & Medicare Coverage, Kidney Failure, Kidney-Related Health Questions

I had my transplant just under a year and a half ago after being on dialysis for roughly a year. Since transplant my kidney function has been steadily worsening to the point that now I am at 25% function which is where I was when I started dialysis. Two Biopsy have shown no signs of rejection but my most recent creatinine is 2.5 and my proteinuria is 3000. The journey has been very frustrating for me especially since my nephrologist seems to be just “throwing things up against a wall to see what sticks.” The only thing that seemed to improve my situation was being put on prednisone although my DSA showed no reason why that would be the case. Have you heard of any similar cases and what seemed to work for them?

Kidney transplantation is a very inexact science and can be very difficult to anticipate complications and treatments.  In most cases, kidney transplant biopsy should lead to a specific diagnosis of the transplant dysfunction.  In some cases, there can be a … Continue reading

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

My 67 year old father with heart ejection function 10 percent, having diabetes and hypertension. According to tests, doctor recommended dialysis 2 times a week. His blood urea and creatinine level is very high. He is on dialysis and insulin. Are there any chances of survival?

I am unable to provide a prognosis based on the information that you provide.  I recommend that you contact the physicians caring for your father and ask them about prognosis and treatment information.  I suspect his heart disease is the … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney Failure, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Function, Nephrologist, Symptoms and Side Effects, Treatments

Question on use of anti-rejection meds post chronic kidney transplant rejection. What has been the experience of kidney transplant patients who have lost their kidneys due to chronic rejection or other reasons as far as continued use of anti-rejection meds (cellcept, prograf, rapamune)? Can one come off or wean off the anti-rejection meds or will patient need to stay on anti rejection meds to prevent immune system attacking a kidney that is still receiving blood flow though the kidney is not functioning?

There has not been a randomized controlled clinical trial of when and if to withdraw immunosuppression from a kidney transplant patient after the kidney transplant has ceased to function.  Each transplant center determines the protocol for withdrawal of medications that … Continue reading

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

A nephrologist says a person with a high risk of bleeding can’t have dialysis because they will bleed to death. Bleeding complications that leads to death. No treatment can stop it. In this case what does the CKD patient do?

I am unable to offer a specific diagnosis based on the information that you present.  I suggest that you ask the nephrologist for clarification as to why the bleeding is occurring and why dialysis is not an option.  

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

An 83 male diabetic on hemodialysis for 7 yrs wants to discontinue treatment for reasons other than medical. No family, no income, cannot do without support. He cannot stand up on his own due to balance problems. Wants to discontinue HD. Can expect to stay alive for how long after stopping HD? Do not want suffering. Can you advise?

If someone stops dialysis after being on dialysis for seven years, it is unlikely that he will live for very long.  In most studies, patients who stop dialysis after being dependent on dialysis for 7 years will die within two … Continue reading

Posted in Ask the Doctor, Dialysis, End of Life Issues, Kidney Failure, Kidney-Related Health Questions

My daddy is 74 yrs. old and almost almost 300 pounds. He has diabetes Type 2, COPD, congestive heart failure and has recently had pneumonia which caused a ton of fluid on his lungs. The Lasix used to help with the fluid is causing kidney failure. Is dialysis reasonable for a quality life?

The decision to start dialysis must be made by your father and a nephrologist based on the his ability to tolerate the treatment and the goals for treatment.  Your father should discuss his desires and wishes with his nephrologist and … Continue reading

Posted in Ask the Doctor, Diabetes, Dialysis, Kidney Failure, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Nephrologist, Treatments