Category Archives: Ask the Doctor

Do you have any questions about kidney disease? Risk factors? Signs and symptoms? Are you concerned about yourself, a friend or family member? Ask away. Dr. Leslie Spry is happy to provide answers to all your kidney-related questions. Check back soon for answers!

Hello Doctor, I am from India. My mother is suffering from CKD kidney disease for 7 years. Now her creatinine level is 8.5 mg/dL & urea level is 151 mg/dL & Hemoglobin is 8.3 g/dL. Her health is decreasing day by day. What should I do to save her from dialysis & transplant?

I am unable to make a specific diagnosis regarding your mother’s kidney disease based on the information that you present. Your mother appears to have very advanced kidney disease and dialysis or kidney transplantation may be her only options. I … Continue reading

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

Hi Doctor, My mother in law aged 45yrs, has a fever which doctor termed as pneumonia & irritation while urination. On test checks, urea came at 67.5 level, Creatinine- 2.03. Please suggest the way forward; since local doctor advised for hospitalization.

I am unable to make a specific diagnosis based on the information that you present. The kidney function testing that you present is abnormal and requires further testing. I suggest that you follow the advice of her physician for hospitalization … Continue reading

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

Sir, my mom is 40 year old. She is suffering from kidney disease. Doctors said that one kidney is not working so we need to operate. Please help me. I need your help to once examine her reports and suggest to me what should I do?? Thanks.

I am a nephrologist and I have no surgical expertise. I am unable to accept medical reports or offer medical advice without performing a complete history and physical examination. I suggest that you seek a second opinion for your mother … Continue reading

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

Was wondering what it means when you have BUN of 29 mg/DL but creatinine is 0.9mg/dL and total GFR is >60 from a metabolic panel screening. Everything was normal except for BUN level.

I am unable to interpret your laboratory work without performing a complete history and physical examination. The Blood Urea Nitrogen (BUN) test has many different reasons for being abnormal. Most commonly this means dehydration but you should discuss your results … Continue reading

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

I have an anechoic cystic lesion on my right kidney measuring at 5.3cm x 4.1cm x 4.3 cm. Should I be concerned about this as my doctor only wants to monitor it?

Cysts of the kidney are most commonly evaluated by a radiologist or a urologist.  If this is a simple cyst and has been seen and evaluated with an ultrasound examination, the radiologist or the urologist can examine the findings and … Continue reading

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

Hi. I am 31 F. I have been feeling rotten recent month. Then had an infection so had my bloods done. They showed an iron deficiency, anemia as well as infection. My Hgb was 10.3 ferritin 6.9. I have been taking oral iron before this too. My creatinine was 1.61, Ur 11.7, eGFR 40. Thinking is likely to be IgA nephopathy. They thought would be periods, although mine are light and short. Last had check, last year my Hgb was 13.5. Do you think it is relevant to the kidney check and what options are there to improve the anemia? Thanks.

Kidney disease and anemia commonly occur together. The kidney is responsible for making a hormone known as erythropoietin. This hormone helps to make red blood cells. In patients with acute or chronic kidney disease, anemia is very common. It is … Continue reading

Posted in Acute Kidney Injury, Anemia, Ask the Doctor, Chronic Kidney Disease, IgA Nephropathy/IgA Dominant Glomerulonephritis, Kidney Biopsy, Kidney-Related Health Questions

I just had my lab done. I’m a white 55 year old female. Not diabetic 5’3, but my GFR was 50 and 56 which was flagged low. What should I do? Should this concern me? My doc said maybe just dehydration but I drink over a liter of water a day, no pop or alcohol. So I’m feeling concerned.

I am unable to make a specific diagnosis based on the information that you present. I do suggest that you have urine testing for blood, protein and infection. This testing may need to be repeated to see if it is … Continue reading

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

Lab results are: MicAlb 7.8. alb/cr 121.0, urcreat 64.4. I am Type two diabetic and have high blood pressure. Should I be concerned with these values? Thank you.

The normal for a urine microalbumin to creatinine ratio (alb/cr) is less than 30 milligrams per gram of serum creatinine. The value you report may be elevated but you do not mention the units. I suggest that you review this … Continue reading

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

How do I know what stage of CKD I am? I was just diagnosed with IgA Nephropathy and Secondary FSGS.

You will need to know your serum creatinine and then use this value to calculate your estimated glomerular filtration rate (eGFR). The eGFR is then used to categorize your stage of chronic kidney disease (CKD). You can review the calculation … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, GFR, IgA Nephropathy/IgA Dominant Glomerulonephritis, Kidney-Related Health Questions

Hi Dr. I’m a 32 y/o woman. My ultrasound indicates “increased renal echogenicity”, but my creatinine BUN and eGFR levels are all normal. My kidney sizes are also normal. Anything to worry about? Thank you.

The echogenicity of the kidneys on ultrasound examination is usually a judgement call on the part of the radiologist who is interpreting the study. It is usually based on a comparison to the echo density of the liver or the … Continue reading

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