Category Archives: Kidney Failure

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

There are 2 nephrologists in this area. They have a tendency to not take selected patients that need dialysis. Patients that go without dialysis would not survive. IS THAT LEGAL? These doctors are the only nephrologists in town.

A physician can chose to treat or not treat a patient depending on the services they have available.  You may have to consult with a nephrologist outside of the immediate area to get care that is not provided in your … Continue reading

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

I am in Stage 4 CKD – most recent GFR was 20. I am interested in peritoneal dialysis when it gets to that stage. I understand the peritoneal surgical implant needs to heal for 3-4 weeks before use. Is there a medical necessity criterion for the surgery in anticipation of dialysis? I would like to get the surgery done so that I will be ready when/if the GFR drops to 15. My GFR has dropped from the high 30’s to 20 since January.

This is a discussion you should have with your nephrologist.  Catheters can be placed well before starting dialysis and can be left in place until needed.  In some cases, the catheter can even be buried below the skin and then … Continue reading

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

How common is complete energy depletion in patients on dialysis? My fiance had both Polycystic kidneys removed Jan 2017. He’s been on dialysis 5 years. About 2 years ago, he started suffering from devastating energy loss. He was very active prior to kidney failure, and even for first two years. We remodeled a house and he was up and working every day. In Jan 2014, he was diagnosed with Bilateral Vestibulopathy, from an allergic reaction to Gentimycin. Since then, his equilibrium is very poor. He stumbles frequently; to the point that many people think he is drunk. His nephrologist has him on prednisone right now, which just makes him sweaty. His energy level is still low. He stays in bed until about 11 -12. He gets up, takes shower, then has to take a nap. He has lunch, then sits in couch, with computer. We cook dinner around 8pm at night. He has to sit to chop things. His only activities are literally showering, going online, food prep, and if he’s lucky, he can go grocery shopping – as long as he can use a cart to keep himself upright. (He won’t use carts for handicapped). He’s 52. I am starting to think that he may be in a depression, in addition to his medical issues. We have no physical activity between us, either. It’s very sad for me to watch him disappear.

I agree with you that this is very unusual.  I would suggest that your fiancé have further evaluation and testing.  Depression is very common in dialysis patients and in patients with chronic medical illness.  Your fiancé should ask his nephrologist … Continue reading

Posted in Ask the Doctor, Kidney Failure, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Medication and Kidney Function, Polycystic Kidney Disease, Sexual health, Symptoms and Side Effects, Treatments

My husband is on Dialysis three times a week , his platelets , for the last month have been dropping and are now at 32000. Can the dialysis cause his platelets to drop?

A decrease in the blood platelet count can be a finding in some patients on chronic maintenance hemodialysis.  Normal counts are between 150,000 and 400,000 (generally).  A platelet count of 32,000 would be very unusual in my experience.  Further testing … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney Failure, Kidney-Related Health Questions, Symptoms and Side Effects, Treatments

What is the best way to treat a rash associated with kidney disease? Why do I get them?

In order to treat a rash, you need a specific diagnosis as to the cause of the rash.  You need to consult with your physician for a diagnosis.  Kidney disease does not typically have rash as a symptom.  There are … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney Failure, Kidney-Related Health Questions, Medication and Kidney Disease, Symptoms and Side Effects

Hi, I would like to know if there is any kind of help or any way that I could donate a kidney to my brother who lives in Guatemala. He is 25 years old. He does peritoneal dialysis four times a day and his health is decaying as time passes and He has 5 years with this condition. The problem is that my legal situation in the country is in process of a legal petition of my husband who is an American citizen. For that reason I can not travel to help my brother. Please help me with information or advice what I can do.

I do not have any information about Guatemala and their kidney transplantation network.  It is very likely that you would have to travel to Guatemala in order to become a donor for your brother.  The only thing I can suggests … Continue reading

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

My father had a kidney transplant 2 years ago. He is suffering from urine infection and BKV virus from long time. Yesterday creatinine report was 3.5 and hemoglobin was 6.5. He is also a path of diabetes and BP. Please help what to do? Why creatinine is increasing ?

Patients who suffer from BK virus infection in the urine often develop chronic transplant glomerulopathy and this can lead to transplant failure.  Treating chronic BK virus infection is very difficult. I can only recommend that your father continue to follow … Continue reading

Posted in Ask the Doctor, BK virus, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diabetes, Kidney Failure, Kidney Stones, Kidney-Related Health Questions, Laboratory Testing, Risk factors, Symptoms and Side Effects, Transplantation, Treatments