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Category Archives: Laboratory Testing
Does having epilepsy or a history of seizures exclude a person from being a living donor? I continue to have abnormal EEG readings and am required to stay on Keppra permanently.
Someone who has well controlled seizure disorder could be considered for a kidney donor. Each individual transplant center has the option to choose who can and who cannot be a kidney donor. If you wish to be considered for kidney … Continue reading →
Dr. Spry, what do you think about these alternatives to dialysis: Wearing an artificial kidney? Wearing an artificial kidney makes it easier for people to wear and move around with without having to use a dialysis center or dialysis machines. Xenotransplantation? Xenotransplantation uses animal organs in place of human organs like kidneys. Bionic kidneys? A Bionic Kidney is a bio-hybrid device that is moved by the heart which filters wastes and toxins rom the bloodstream and balances sodium and potassium and regulates blood pressure. And a bionic kidney replaces the need for dialysis. What do you think of these dialysis alternatives?
All of these areas that you mention are active in clinical research at the present time. The only one in actual human testing at the present time is the wearable artificial kidney (WAK). As far as I know, less than … Continue reading →
My wife is suffering from unilateral renal agenesis. Her kidney function test report is ok but just chloride is slightly high and it’s 109. Now I need to know it’s a serious matter or normal. What are the precautions and treatment?
I am unable to provide a specific diagnosis based on the information that you present. An elevated serum chloride test does not provide a specific diagnosis that I can make. I suggest that you discuss this with your wife’s physician. … Continue reading →
My mother is a chronic renal failure patient and she is on dialysis now 3 times per week. One of the doctors who in dialysis unit suggested that she should take vitamin B complex and vitamin C (becozyme vials) injection every dialysis session but another doctor said that this is became obsolete now because it harms the liver. Now I don’t know if she should take it or not. Would you please help me in this?
I am not familiar with this treatment. I do not administer Vitamin B or Vitamin C to my patients on dialysis.
Hi! My husband has only one kidney at his left side because he is a donor before, but he feels pain now at his back and his operation, he feel pain. What can I do to help him?
I am unable to make a specific diagnosis based on the information that you present. I suggest that your husband be examined by his physician and have a complete history and physical examination.
Can high amounts of salt at a early age be a factor in getting CKD? In the military, we were encouraged to take large amounts of salt tablets. Could that have been a factor in me having CKF?
A high salt intake can make blood pressure higher and result in more resistant high blood pressure. High blood pressure can result in chronic kidney disease (CKD). I do not know if taking salt tablets would ultimately result in kidney … Continue reading →
In three consecutive measurements each several months apart, my ACR kept getting considerably lower and lower. While the u-albumin stayed essentially the same, the u-creatinine kept getting higher and higher. How can you interpret this? Is this a favorable development?
I am unable to make a specific diagnosis on the basis of a changing urinary albumin test. Urine albumin can vary from day to day and may not reflect any change in kidney function. I suggest that you discuss the … Continue reading →
Hi Dr. Spry, I have a question regarding dehydration and the progression of chronic kidney disease. I know that BUN lab could also be affected by dehydration. How do you distinguish true dehydration and worsening of the disease in renal patients based on the lab values like BUN, BCR, serum creatinine, GFR or serum Na?
The blood urea nitrogen (BUN) may reflect kidney function but is affected by many other things other than kidney function. The best test to estimate kidney function is the estimated glomerular filtration rate (eGFR). The BUN to creatinine ratio (BUN/Creat) … Continue reading →
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 →
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 →