Category Archives: Kidney-Related Health Questions

After removal of stone from my left kidney naturally, I observed frequent drops of pus. I consulted with kidney specialists at SIUT Karachi Pakistan. They, after a series of tests declared that my left kidney has got infection, according to report, Daie Cell observed 0.3%, Tissues 0.2%, Creatinine 2.9, Pus18%, Platelets in blood reduced to 2200, Ultrasound revealed that left kidney collapsed by 0.3 cm. I am feeling pain and pus+ blood mixed drops are continuously discharging. The tests also revealed the presence of infection in cum-discharge. Doctors suggests two options to me. One to immediately remove this infected kidney, the body will be maintained on one kidney which is healthy. Second to undergo Laser Cystoscopic Surgery, in which infected part of your kidney will be cut-cleaned and cured for infection, the option being not available in Pakistan. I was advised to go UAE for this operation. My question to this worthy forum is to suggest me if the treatment of infected kidney is better option or the simply removal of kidney is good one. I am in doubt if this infection may re-occur even after having Laser Surgery..? An early reply is appreciated, please.

The question that you ask is a urological question.  I am a nephrologist and have no expertise in surgery or surgical treatment of kidney disease.  I suggest that you consult with your urologist, who is a kidney surgeon. If you … Continue reading

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

What happens to CKD patients who can’t have dialysis or a kidney transplant because of a high risk of bleeding during surgery? What do they do?

I do not understand the bleeding problem.  In most cases, bleeding can be controlled with treatment.  In some cases, major surgery, such as transplant surgery may not be possible, but dialysis should still be possible.  I suggest you ask for … Continue reading

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

I am 78 years old and just had my 6 months physical. I looked on the portal and has stage 3 chronic kidney disease that my doctor never told or talked about it. I called 2 times for explanation. The first call I got a assistant that told me that was all before so I called again and they will not call me back. I just want an explanation for whats wrong. Do I need medication or what or a new doctor?

I am unable to provide a specific diagnosis or recommend a treatment based on the information that you provide.  I suggest you make another appointment with your physician and discuss your concerns at the appointment.  

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

My daddy is 74 yrs. old and almost almost 300 pounds. He has diabetes Type 2, COPD, congestive heart failure and has recently had pneumonia which caused a ton of fluid on his lungs. The Lasix used to help with the fluid is causing kidney failure. Is dialysis reasonable for a quality life?

The decision to start dialysis must be made by your father and a nephrologist based on the his ability to tolerate the treatment and the goals for treatment.  Your father should discuss his desires and wishes with his nephrologist and … Continue reading

Posted in Ask the Doctor, Diabetes, Dialysis, Kidney Failure, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Nephrologist, Treatments

There are 2 nephrologists in this area. They have a tendency to not take selected patients that need dialysis. Patients that go without dialysis would not survive. IS THAT LEGAL? These doctors are the only nephrologists in town.

A physician can chose to treat or not treat a patient depending on the services they have available.  You may have to consult with a nephrologist outside of the immediate area to get care that is not provided in your … Continue reading

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

My mother is SLE patient since 92 and also diabetic heart patient since 2011. Recently she was diagnosed with pneumonia , at the moment her lungs are clear. She was brought in hospital in state of emergency. During her stay her creatinine became 3.1 and she was on insulin. After taking med dytor and nephrosave her creatinine is 1.6. Now should she continue with dytor and nephrosave? And also should she continue with insulin or get back to oral med glypizide 1000mg and diamcron 120mg?

I cannot recommend medical treatment without performing a complete history and physical examination.  I suggest that you follow the advice of the doctors who are caring for your mother.  They will have the complete information about her current health and … Continue reading

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

Hello Dr. I am writing to you for my father who is 86 years old. He is diabetic and has a pacemaker implant. Last year, his hemoglobin fell to 8 which was due to bleeding ulcers in the stomach caused due to the blood thinning medicine. However that was brought under control. Over the last 3 months his creatinine has gone up from 2.1 to 4.3, The doctor has suggested that we should now think of a dialysis. I would be greatly thankful if you could advise if a dialysis is required at these creatinine levels with his condition? Thank you and best regards.

I am unable to recommend medical treatment without performing a complete history and physical examination.  Your father has very low kidney function and you should consult with his nephrologist as to the best course of action.  Dialysis in someone who … Continue reading

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

I am a female, age 58, no diabetes, or high blood pressure, recently tested GFR 48, down from GFR 68 twenty days ago. I have fluid retention and a lot of back pain with fever 100 – 102. No UTI (but suprapubic pain). Urinalysis: No protein, Leukocyte (70), hemoglobin small, all other normal. Doctors point at creatinine level (1.17) and believe due to dehydration and other symptoms not related to kidney. No referral to urologist, no diagnosis of kidney disease, no treatment offered for symptoms. Any recommendations to treat symptoms — now can’t work/function. Thanks. (p.s. I know need to push for more tests).

I am unable to make a specific diagnosis based on the information that you present.  I agree that you need further testing.  I suggest that you consult with your primary care physician for further testing or referral.  An ultrasound examination … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Diabetes, GFR, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Urinary Tract Infection/Pyelonephritis

I am Anika I was born with CKD. I am now 16 years old and in the peak time of my education I was wondering if you could suggest some dietary plans to control my creatinine level (I have been told to eat a low potassium diet but I am unsure really on what to do)?

I recommend that you consult with a dietitian who is familiar with chronic kidney disease (CKD).  The dietitian can evaluate your current blood chemistries and determine what dietary changes need to be made. For more information on nutrition and ckd … Continue reading

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

I have type 2 diabetes. My last blood test shows my GFR is 41. My Doctor recommended that I drink 64 ozs of water daily but I see on different kidney websites that liquids should be limited. Should I follow her advice. She is a general practitioner and not a kidney or endocrine specialist.

I would recommend that you continue to drink water and avoid dehydration.  Water should only be limited if you are on dialysis or have significant problems with heart failure.  I do not recommend limiting your water intake with Stage 3 … Continue reading

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