Category Archives: Kidney Failure

Canadian health care guidelines allows a CKD patient not to have dialysis even if the eGFR is 6. They say CKD patients can live a normal life even at that low number without dialysis or kidney transplant. Does America health care go by this guideline?

I begin dialysis when I think that dialysis will benefit my patient.  This is not based on any number, but rather , will dialysis improve the symptoms of my patient to the point that the patient is willing to undergo … Continue reading

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

As a Nephrologist how high could you tolerate the serum creatinine number being before you would seriously consider dialysis or kidney transplant for a CKD patient?

As a nephrologist, I use the serum creatinine as an estimate of kidney function, but the decision to start dialysis requires that I listen to my patient and have them tell me what symptoms they are having and whether dialysis … Continue reading

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

I’m a PD patient and my question is that every time I have a drain, I’m in severe pain my lower stomach. Is there something wrong?

In many cases, the pain is related to the catheter being sucked into the peritoneal lining of your abdomen.  In this case, I would slow the flow out of your abdomen until the pain clears.  If the pain persists, then … Continue reading

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

My husband was going to be my live donor by using the swap kidney program, transpant surgery had already been scheduled, but got word from his family doctor that his psa level showed up abnormal so they sent him to do a biopsy on his prostate. and discovered he did have traces of very early stages of cancer, they cancelled the transplant, was told to wait and let him recover from surgery and took me off live donor list. My husband asked his doctor if he could still do the kidney transplant, he stated he did not see why not, the whole prostate had been removed and his gleason level was 3.4, Would it be possible for him to still do the transplant surgery.

There are no national standards for accepting someone as a living kidney donor.  Each individual transplant center determines the criteria they will use to accept a living kidney donor.  The goal is to do no harm and avoid injury or … Continue reading

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

My husband began dialysis in January 2015. It all started when he was rushed to the hospital with an infection that spread throughout his whole body, causing him to have open heart surgery replacing his aortic valve along with end stage renal disease which was just a few of many problems. After two years of dialysis today was his last dialysis treatment. They said his numbers are good and is no longer in need of dialysis. Though I am so happy I am so worried at the same time. Is this possible. We have seen so many miracles in his recovery. They nicknamed him miracle man because of everything he has overcome. Can this be another miracle? Is this possible to regain kidney function where dialysis is no longer needed? I am a firm believer in prayer but I need reassurance that he will be safe coming off dialysis. Any input?

Patients with acute kidney injury may recover kidney function with time.  Recovery at 2 years is very unusual, but still possible.  If there was a 24 hour urine collection and your husband is still making urine, then he may be … Continue reading

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

My father recently has started hemodialysis. He went into hospital with CHF exacerbation and hypoxia. Did not react to IV medication, kidneys started to fail. So now dialysis. It’s been day three, he feels the same, so tired and just no energy. When will he start feeling better? So far they have taken a total of 10 liters over the past three days.

I am unable to offer a prognosis without examining your father.  I suggest that you discuss your father’s prognosis with the physicians who are caring for your father.  It is common for new dialysis patients to take several weeks before … Continue reading

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

My wife had acute kidney failure 12 years ago that was directly related to taking too much ibuprofen. She was taking 800 mg every 4-6 hours for pain post surgery with a minimal amount of water. She did this for about 3-5 days until the pain became unbearable (presumably from her kidneys shutting down and urine retention). Upon admission, she had a creatinine of 8.0. After irrigating her kidneys and “restarting” them to say, her bun/creat and creatinine clearance reverted back to normal. To date, her bun/creat levels have remained at a steady “normal” level, about 18/0.9 respectively. The question I have is can she start taking ibuprofen again as long as she has an adequate amount of water, about 60 oz a day?

I would not recommend that she take ibuprofen if she has had previous experience with kidney failure related to ibuprofen.  There are many different mechanisms whereby ibuprofen can result in kidney failure.  I suggest that you discuss this with her … Continue reading

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

Hello Dr.Spry, My question is regarding the urea taste and smell. I have been on hemodialysis three times a week since 2006. I get the taste and have the odor on my breath in between treatments. The issue had begun early 2016. My clearance level is at required numbers or above and they put me on a 250 dialysis filter but still no relief. Do you have any advice or suggestions.

These are common complaints for long term hemodialysis patients.  This commonly means that toxic products are building up in your blood between dialysis sessions.  I suggest that you discuss this with your nephrologist.  More frequent dialysis or home dialysis treatments … Continue reading

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

How long does it take if a person is in need, just find out the kidney is failing, and needs a transplant from a family member?

If you have kidney failure, then you must first be evaluated by a kidney transplant center to determine if you are eligible for listing on the kidney transplant list.  Once you are on the list, then family members can be … Continue reading

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

Hello, I have a concern for my best friend/sister. She is a 45 year old mother with kidney disease that has been monitored for several years. They have allowed her kidney function to go down to 8%. I am afraid that they are going to continue to drag their feet and let her die. She has potential donors, one is possible match but they have done nothing to complete his testing and prepare for her transplant. I know she is so afraid and doesn’t know what to do, me neither. We need a blessing, can you help point us in the right direction?

I cannot make a specific diagnosis based on the information that you present.  Her kidney function is very low and she may benefit from dialysis.  In order to get a kidney transplant, she must first be evaluated by a transplant … Continue reading

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