Category Archives: Kidney-Related Health Questions

Hello, I am going through the process of being tested to be an organ donor for my brother. I have epilepsy that is well controlled and I haven’t had any seizures in years. Could my epilepsy prevent me from being a kidney donor?

Epilepsy that is well controlled should not be a problem with being a kidney donor but each individual transplant center determines who they will and who they will not permit to be a kidney donor. You should discuss this with … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Living Donation, Transplantation

Hi doctor, I am a 28 year old male, 104 kg (230 lb) 190 cm (6 ft 2 and a half). I am muscular and train in the gym. Two months ago I noticed foamy urine, especially in the morning and when dehydrated (after lots of water and empty stomach, no foam). I did a normal urine test which was fine, and then did a blood test for all blood work, kidneys and liver. (Glucose- 5.2 mmol/l(93 mg/dl); Urea 5.0 mmol/l (90 mg/dl); Creatinine 90.7 umol/l (1.02 mg/dl); eGFR 99). At the time of blood test I did not lift heavy weights since gyms were closed because of quarantine, only running push-ups. After gyms reopened, I started lifting heavy again. After 2 weeks I went to do a 24 hour urine test for protein and said I wanted to do Creatinine, Urea and Uric acid from the 24 urine, just in case. The night before I started collecting, I had a heavy workout and ate chicken breast all day and of the day of collecting I ate beef and some chicken. After I got my results proteins were okay at 0.138 g/24h and Microalbumin test was 6.0 mg/24h, but my Urea was 753.8 mmol/24h, Creatinine 31.6 mmol/24h and Uric acid 7.3 mmol/24h. I drank more water so my collection was 3,45 Liters. What should I do? Thanks.

The results that you quote suggest normal kidney function. The 24 hour urea nitrogen is elevated because of your high protein intake. Your kidneys are clearing that urea normally. The 24 hour urine creatinine is high because of your high … Continue reading

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

I am a diabetic and have been for 43 years. My question is, when should I see a kidney doctor for my kidneys? My creatinine is 1.6. My gfr is 31 and my bun is normal. I don’t have any health issues.

In general, I recommend that patients see a nephrologist if their estimated glomerular filtration rate (eGFR) is less than 30 milliliters per minute per 1.73 meters squared. You are very near this threshold. I recommend that you have urine testing … Continue reading

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

Hello, actually my father is the patient. His kidney point is 4. He is not feeling well and he’s also more irritated by a smell that comes from his nose. He cannot tolerate that smell which causes him not to sleep. He also has diabetes. I think the smell may be kidney disease. Can you suggest a good tablet for this smell or anything to make it better; any cure for it? Please let me know.

I am unable to make a specific diagnosis based on the information that you present. Chronic kidney disease (CKD) and kidney failure can cause abnormal tastes and smells, but this is usually present in very advanced forms of CKD. There … Continue reading

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

I have a cyst in my right kidney, 22 mm. I am also pregnant. What should I do?

Small simple cysts of the kidney are common and benign. No treatment is required and this should not have an impact on your pregnancy. You should review this with your obstetrician.

Posted in Ask the Doctor, Kidney Cysts, Kidney-Related Health Questions, Pregnancy / Kids

I have a paraplegic cyst on my right kidney. HBP; protein in my urine. Do I have kidney disease? Thank You.

I suspect that rather than a “paraplegic cyst”, you have a “peripelvic or parapelvic cyst” of the kidney which is a benign condition of the kidney and does not warrant any concern. These are benign findings on ultrasound examination of … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Hypertension/High Blood Pressure, Kidney-Related Health Questions

Blood Pressure 130/90 without medicine, ESR 28, Serum Uric acid 8.4, LDL 144 bilurubin total 1.4, ALT (SGPT) serum 45. Age 51 yrs. Does this indicate any renal disorder?

I do not identify any kidney disease based on the information that you present. The Uric Acid test is mildly elevated and this can be seen in patients with chronic kidney disease (CKD). In order to diagnose CKD you will … Continue reading

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

Hello Dr. Spry, This is follow-up to my question: “Is it possible that I could stay at “17” for many months or even several years or am I being just overly optimistic?” You really did not address this. Can I correctly assume there is not a simple response to this question?

Unfortunately, there is no way to know. I do not know why your estimated glomerular filtration rate (eGFR) dropped so fast in one year. This is unusual. Possibilities include lab error, use of non-steroidal anti-inflammatory drugs (NSAID’s), an episode of … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Blood/Urine Testing For Kidney Disease, GFR, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Medication and Kidney Disease

Hello Dr. Spry: I am a 79 year old Caucasian male. I have stage 4 Polycystic (PKD1) Kidney disease. I have been monitoring my steady eGFR decline for the past 3 years. In 2/8/17 my Creatinine was 1.83, eGFR 35. As of 9/18/19 my Creatinine was 3.30, eGFR 17. Over that time frame, slightly more than 31 months, my decline was 18. Obviously, quite a substantial loss. For the past 8 months (9/18/19-5/18/20) my eGFR has stabilized at 17, Creatinine 3.23. To me that is good news, no improvement but no deterioration either. Is it possible I could stay at “17” for many months or even several years or am I being just overly optimistic? I take Losartan to control BP, systolic is 126, non smoker, no diabetes, watch my sodium intake (do not own a salt shaker), and exercise regularly. Thank You.

I agree with you that you had a substantial loss of kidney function from 2017 to 2019. That is somewhat atypical for polycystic kidney disease (PCKD). Usually there is a slow steady loss of kidney function in the range of … Continue reading

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

Hello, Dr. I am a 25 year old white male. I was diagnosed with Hypertension 7 years ago, it has been treated ever since. On September 18, 2019, my Serum Creatinine was 1.26. I have not gained weight since then, just in case. On January 31, 2020, it was 1.42. Now (May 18, 2020) it’s 1.57. Since I am hypertensive, my Primary Doctor told me I have CKD. I do not have proteinuria yet. I calculated the rate of increase (of creatinine) per month from the first to second date and from the second to third date. It seems to be going slightly faster now than it did last year. Based on the current rate, my creatinine will be around 2.60 in 2 years. Is there a formula or a way to measure GFR decline and estimate future values? Will my GFR keep lowering at the current rate or will it get worse (faster)?

Your historical kidney function tests are the best way to estimate future reductions in kidney function. The exception to this rule is that if your blood pressure comes under better control, you limit your salt intake, don’t smoke and maintain … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, GFR, Hypertension/High Blood Pressure, Kidney-Related Health Questions