Category Archives: Laboratory Testing

I had adrenal corticol carcinoma in 2011 my left kidney was removed as a result. Now I’ve been told I have 3rd stage renal failure in my remaining kidney. I’ve heard 2 different opinions to my question and it is; is 3rd stage kidney failure worse symptomatically and otherwise, for a person with 1 kidney vs a person with 3rd stage renal failure with 2 kidneys?

The stages of chronic kidney disease (CKD) are based on two factors.  First, is there evidence of kidney damage such as a missing kidney, abnormal findings in the urine, or abnormal radiology studies.  If any of these are present for … Continue reading

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

Dear Dr. Spry, I am 31 years old. I am a man. I have glomerulonephritis and FSGS for 7 years. Now I take my medicine (Neoral sandimmun 4*25, Prednol 4mg/ day, Olmetec 20mg/day, Drisentin1*1) regularly but last 6 months I had problem with edema around my ankle. Besides edema I have muscle weakness and tiredness. I can’t move as I want to do. I am doing sport but It effects me very much. I can not go on long. I want to ask you how long I should take this kind of treatment? Is there any other treatments for this disease? I am desperate about my future.

Focal segmental glomerulosclerosis (FSGS) is a very difficult disease to treat.  In many cases, the disease is not cured but rather controlled.  If you have concerns about your treatment, this should be discussed with your nephrologist.  I am unable to … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, FSGS, Glomerulonephritis, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Function, Nephrologist, Treatments

My BUN/Creatinine ratio is high. What does this mean?

If your serum creatinine test and your blood urea nitrogen (BUN) test are normal, then an elevated BUN/Creatinine ratio does not signify anything.  It is a calculated value and does not make any diagnosis.  

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

Hi! I wanted to know how long the best patients with a kidney transplant have lived. The question is also if those involved in kidney transplant research would like to study my dad’s case. My dad was transplanted some 36 years ago, and we were just discussing that’s been a pretty long time and a pretty good time. He has had health issues, but the kidney has always behaved. The funny story is that when he switched to a new doctor, the new nephrologist didn’t believe that he was trasplanted because the blood test results were great. It was when he explored him, touched his tummy and felt the kidney, that he said “wow! You are indeed transplanted!” We are now taking care of a likely effect of the medicine he has taken for life to keep the kidney safe, and that is what has brought us to look back to our life and how good it’s been to be together this long. If you’d like to contact us, please feel free. We would be happy to share the story as well as any information that would be of benefit to future patients. I personally cannot thank enough his surgeon, the donor and those that made this possible. My dad has been my greatest friend ever, my guidance, my family and a joy.

Congratulations to your father and to you.  This is a testament to his overall health, his adherence to his medical treatment and the miracle of transplantation.  The first successful kidney transplant was done in 1954, so kidney transplantation has only … Continue reading

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

Sir, I am feeling pain in right and left of spinal column for some days. I also feel pain in my flanks when I wake up, for sometime. Please help me find if it is related to kidney problem and suggest me the way to cure it. Thank you.

Pain is an uncommon way for kidney disease to present, unless you possibly have a kidney stone.  I am unable to make a specific diagnosis based on the information that you provide.  I suggest that you consult with your physician … Continue reading

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

I have CKD and sometimes I cough up. I don’t cough up food or drink. I cough up what looks like silvery liquid. What looks like trapped clear liquid fluid that sometimes needs to come out. I cough up a little bit of it when it happens. What’s wrong with me?

I am unable to provide a specific diagnosis based on the information that you present.  I do not recognize your symptoms as something related to chronic kidney disease (CKD).  I suggest you consult with your physician.  

Posted in Ask the Doctor, Laboratory Testing, Symptoms and Side Effects

My mother’s biochemistry reports says that she is having blood urea around 42.0 mg/dl and serum creatinine around 0.6 mg/dl. So I just want to know about it. What does it mean?

I cannot determine a diagnosis based on the information that you provide.  You can use this information to calculate her estimated glomerular filtration rate (eGFR).  You can enter the information on her blood testing into an equation that will calculate … Continue reading

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

Renal tiny 2 mm calculi noted in left kidney. Please guide me how to cure this? I am from India.

The small stone that you describe should not cause any problems.  This is a very small stone.  I suggest that you follow a low salt diet and a DASH diet.  This should help to prevent further stone formation and may … Continue reading

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

My boyfriend is 41 years old and was addicted to meth for about 6 or 8 months. He was injecting it. For about the past 3 weeks he has a rash on both of his sides and on both inner thighs. I was told that it could possibly be his kidneys shutting down. He doesn’t have foamy urine or blood or any discoloration of his urine. He said the rash doesn’t itch. It just feels like a sunburn. His back was hurting about a week and a half ago but doesn’t hurt now. I have been trying to find pictures of kidney failure but can’t please help me with this issue. Thank you for your time and consideration.

I am unable to provide a specific diagnosis based on the information that you provide.  Your boyfriend needs to be examined by a physician.  I cannot identify a specific kidney disease based on your description. For more information on CKD … Continue reading

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

I just received my MRI results for my lower back. Included in the report a notation about cortical cysts on right kidney. I have had fatigue, raised blood pressure, currently on medication for diabetes and other related symptoms to PKD. I am the daughter of a positive hep c paternal father who infected my mother and carried to fetus. I have never been tested. I have had two surgeries to remove bladder cysts, they were benign but I was still given an interferon wash internally. In a previous sonogram I learned that I had an enlarged liver. Dr. did not seem alarmed at that time. I do not know where to begin first. I am very scared and lost.

I am unable to provide a specific diagnosis based on the information that you provide.  I suggest that you contact your primary care physician (PCP).  When there are a number of issues to deal with, I find it best to … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Polycystic Kidney Disease, Diabetes, Laboratory Testing, Treatments