Category Archives: Kidney-Related Health Questions

Doc, Three years ago I had kidney failure. My creatinine level was 10. I had no pain or illness, just out of my mind. Kidney Doc determined use of NSAIDs, Aleve, metformin, lisinopril made a perfect storm. Since, my creatinine levels have remained 1.0-1.04. No higher. I’m a 58 yo male, 5’9” 150 pounds. I’ve haven’t taken anything NSAIDs, metformin, and only 5mg lisinopril daily. I’m Type 2 diabetic. I have to take morphine sulfate 15mg x 3 and 10mg Oxycodone x 2 daily for chronic pain due to combat injuries. My kidney doc stated he moved me to stage 2 two years ago only because he couldn’t just move me from 3 to 1 automatically. Can I be considered cured? I long to drink a cold beer on a hot day.

After an episode of acute kidney injury, there is often residual kidney damage that has been done. I cannot determine if your kidney function is back to normal based on the information that you present. I suggest that you continue … Continue reading

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

My 27 year old son is in kidney crisis with a creatinine tonight of a 10.4 and rising. He is on a kidney diet and is still urinating. He has been otherwise healthy until last week and is currently puzzling the medical community. When would you start dialysis?

I am unable to comment on treatment without performing a complete history and physical examination. The decision to start dialysis must be made by the physicians who are evaluating your son. There are specific indications for starting dialysis but the … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney-Related Health Questions, Serum Creatinine

Good day. I have a kidney stone, very large in my left kidney. It’s only functioning 5 % and right kidney 95%. One doctor says to remove left kidney totally to save me trouble down the line. Next doctor says no I can live with the stone cause of it being large. I must have had it over 15 years. Not suffering until last year. I will be 60 yrs old in 3 months and suffer from high blood pressure / ptsd / hep C / medication taking is Prozac, Trazadone, Amlodipine/Ben 10/20. As of May 2 the urologist who wants to remove kidney treated me for infection and placed a stent in urethra. Please help me to do right choice. I had 5 surgery’s in past for child birth reasons. I don’t want to go under the knife again. Thank You

I am a nephrologist and as such I have no expertise in surgery. A urologist is a surgeon. The question that you ask is a urological question and I have no expertise in this area. Since you have two different … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Nephrologist, Urological Issues

Hello doctor. My mother has stage 5 chronic glumerulonephritis.She was advised to have a dialysis. Due to high creatinine level , she was inserted with IJ catheter in her neck for her dialysis treatment. Her dialysis treatment was only twice a week and it started last June 2018 . But still she suffered a lot of pain in her back and stomach. She has also dry cough that unable her to sleep especially at night times. She has also difficulty in breathing and unable to urinate. During dialysis, she has high fever and even chill. After dialysis her body temperature goes back to normal. Is this normal in her case? Or is she not receiving a good care? What shall we do? Thank you doctor.

I cannot make a specific diagnosis based on the information that you present. Your mother’s response to dialysis does not seem to be going very well.  These are not the kind of responses we expect with dialysis. I suggest that … Continue reading

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

My lab results include a total stdKT/V. This includes the following components: spKdt/V, eKdt/V, Krt/V, spKt/V, stdKdT/V, stdKrT/V. Please define these components for me. Thank you.

The abbreviations that you mention are various ways of describing the efficiency of your dialysis treatments. These results describe the expected degree of clearance of urea from your body during a single dialysis session. The equations are very sophisticated math … Continue reading

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

I am a 45 yr old female, non-smoker, with Postural Orthostatic Tachycardia Syndrome (POTS) and ADHD. Recent blood tests from my neurologist indicated rising creatinine (0.8 to 1.05 over past 14 months) and decreasing eGFR (91 to 64 same time period). Looks suspicious to me, but I take florinef (plus 8-10 g salt and 4 L water) and clonidine for POTS (and buproprion and strattera for ADHD). Do you know if the POTS treatment could artificially change the creatinine and eGFR results in the absence of actual kidney disease?

I am unable to make a specific diagnosis based on the information that you present. I am not aware of any information about the use of the medications that you mention having any direct effect on kidney function tests. The … Continue reading

Posted in Ask the Doctor, GFR, Kidney-Related Health Questions

Hi! I have ckd end stage and having hemodialysis treatment for 17 years. Have you known about the herbal juice called INTRA from Canada? Can this Intra are good to us patient with ckd and can my kidney be heal on this juice?

I am not familiar with any juice or product that will return kidney function to someone who is on dialysis. I have never heard of INTRA and would suspect that this is a scam meant to part you with your … Continue reading

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

Dear Dr, Could you please explain this diagnosis for my wife. It is complex renal cyst of size 23 x 21 mm noted in the upper pole with thick septations.

From your description, it is likely that this is a finding on an ultrasound examination. This is a relatively small cyst of the kidney but it is not a simple round cyst because it contains internal echos that may be … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions

I am a mother of a son with kidney disease. He is at Stage 3. His GFR is 30 – 59. Blood Pressure ranges between 120/70 and 130/80 and is on medication Nabathothol (hope spelling is accurate enough). He takes 2 in morning and 2 at night. My question is what risk (he also need hip replacement) is there in getting this surgery in relation to his kidney problem? Will anesthesia given him cause and danger or risk to create a reaction to the kidney disease? Where can I go to get some help and support to become more knowledgeable of his condition. He is incarcerated and in a different state. The distance does not allow me to visit him too often.

I am not familiar with the drug “Nabathothol”. I am unable to make any specific diagnosis based on the information that you present. I am unable to comment on any risks or prognosis for your son without performing a complete … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Medication and Kidney Disease

Why is my gfr and creatinine fluctuating? Was 20 and creatinine was 2.43. Now get 36 creatinine 1.73. Has been fluctuation for 2 years. Are my kidneys going to get worse?

I am unable to make a specific diagnosis based on the information that you present.  I cannot explain why your kidney function is showing so many changes and fluctuations. I suggest that you consult with your physician regarding your concerns.

Posted in Ask the Doctor, Kidney-Related Health Questions