Category Archives: Kidney-Related Health Questions

How much liter water should taken by hemodialysis patients?

The amount of water that should be ingested by a dialysis patient depends on many things, but mostly on the amount of urine that the dialysis patient makes per day.  The amount of urine should be measured.  I generally recommend … Continue reading

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

My husband has found his creatinine is 3.0. In 2013 it was 1.2. He had a kidney stone in August the same year. The rest of his blood work was good. No high blood pressure, no diabetes, high cholesterol, nothing to stand out. He had more blood work and urinalysis May 1. He had a CT scan May 8. Don’t see doctor back till June 7. The anticipation is killing me. Can you give me a ray of light.?

I am unable to make a specific diagnosis based on the information that you present.  The serum creatinine is abnormal but that is the only comment I can make. I suggest that your husband consult with his physician and see … Continue reading

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

I am male, 30 years old and I have Proteinuria. Doctors suspect some kind of Glomerulonephritis. One doctor thinks is IgA Nephropathy. And I am really confused and worried. I decided to do a biopsy to find out in about a month from now. The laboratory results are confusing me a bit as they use different measurements. All are urine test results here. January 2017: Urinary Micro Albumin: 1132 mg/L Urinary Creatinine: 1.25 gm/L Albumin Creatinine Ratio (ACR) 905.0 mg/gm February 2017: Urinary Micro Albumin: 590 mg/L Urinary Creatinine: 0.60 gm/L Albumin Creatinine Ratio (ACR) 983.0 mg/gm May 2017: Urinary Albumin: 109.2 mg/dL Urinary Creatinine: 0.08 g/dL Albumin Creatinine Ratio (ACR) 1365 mg/g (Different laboratoy than the 2 previous) I will appreciate a lot if you kindly would give me your feedback.

The only result that you quote consistently is the urinary albumin to creatinine ratios.  The other results reflect the concentration of the urine and are not significant.  The urinary albumin to creatinine ratios are between 905 and 1365.  These numbers … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Hydronephrosis and Hydroureter, IgA Nephropathy/IgA Dominant Glomerulonephritis, Kidney Biopsy, Kidney-Related Health Questions, Laboratory Testing, Nephrologist

Is taking BCAA has an effect on cyst size ( increase or enlarge cysts ) and will it affect the kidney functionality. Note that I am an athlete/bodybuilder with good shape and normal blood pressure and have resting bpm between 40 and 45.

I do not have any information that branched chain amino acids (BCAA) has any effect on cyst size in patients with polycystic kidney disease (PCKD).  I do not know of any research that shows any effect of BCAA on kidney … Continue reading

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

Hello, as it is known in the last studies that caffeine is the only proven agent to increase the cyst size in the kidneys. Is that true, and what about the protein and the glutamine will they affect the cyst ?

There is research that shows that caffeinated beverages such as soda pop and coffee may increase cyst size and increase pain in patients with polycystic kidney disease (PCKD).  I advise patients with PCKD to avoid caffeinated beverages.  I am not … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, Kidney-Related Health Questions, Polycystic Kidney Disease, Symptoms and Side Effects, Treatments

Dr. Spry, which physical side effects would a CKD patient have to start showing that would justify either dialysis or a kidney transplant?

Most of the time, chronic kidney disease (CKD) has no symptoms until a great deal of kidney function has been lost.  The most common symptoms of advanced CKD are fluid retention and swelling in the feet and legs, nausea, especially … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Dialysis, Kidney Failure, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Transplantation, Treatments

Hi doc. What’s the connection between kidney disease and back pain and lower back muscle spasms?

Back pain has many causes and kidney disease is not a common cause.  If you have kidney stones, this can be a cause of back pain.  If you have infection or blockage of the kidney, this may also cause back … Continue reading

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

My husband has just been diagnosed with stage 4 renal failure. His kidney function is at 25% and we want to do all that we can to help keep it from going any lower. I am struggling with how to adjust our diet and am seeing lots of conflicting information online. He is also diabetic. Is there a reliable resource to turn to for the best information on the foods he needs to avoid? We don’t see his doctor for another month and I refuse to wait that long to change what he is putting into his body. Any information would be greatly appreciated.

For Stage 4 chronic kidney disease (CKD), I recommend a low salt diabetic diet.  Further dietary adjustments have to be made by your husband’s physician or a dietitian based on the results of the blood testing that has been done … Continue reading

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

Hi. My husband has been on hemodialysis since 2003. He has gone through 2 fistulas on his left arm and 10 days ago they had to use a graft on his right arm after realizing too many IV’s on right arm…its been 10 days and its definitely infected. About 5 days ago he went to Dr’s office to have them check it because we were already suspicious of infection. They told him it looked okay and sent him on his way…by Friday his clinic finally said yes its infected and gave him a dose of antibiotics with his treatment. My question is after being infected for so long is the graft going to be able to be used and also I do not feel like they are being as agressive with the treatment of his infection as they should. They didn’t do a culture on it either?

I can only suggest that you discuss your concerns with the nephrologist who is caring for your husband. Infections in fistulas and grafts are very important to treat aggressively and early. For more information on fistula click here:

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

I need to know the pros and cons of using the Prolia infusion twice a year while dealing with chronic kidney disease stage 3

Prolia injections are approved for patients with chronic kidney disease (CKD).  The most common side effect is a very low blood calcium and sometimes this can cause tetany (spasmodic muscle contractions).  I am not able to discuss specific pros and … Continue reading

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