Category Archives: Medication and Kidney Disease

Have three queries for transplant patients 1. When bp is never constant and it goes up when one goes for morning walk or for that matter any physical movement results in bp number. If this is true then why patients are advised to keep blood pressure within a range of 120 to130/80 to 90. Is there any range for max and min after physical exercise. How much mental anxiety or stress impacts BP? 2. Cholesterol reducing medicine mostly statin is prescribed for the patients. Does intake of this medicine for long period of time affect the kidney? 3. Should patients plan volume and timing for this water intake for the day? Thanks doc as always.

The standard way to take blood pressure is to take the blood pressure sitting for 5 minutes.  Exercise and physical activity increase the blood pressure and this is normal.  The normal blood pressures that you quote are for 5 minutes … Continue reading

Posted in Ask the Doctor, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Medication and Kidney Function, Treatments

Medicine to lower the creatinine level?

There are no medications that lower the serum creatinine level.  Treatment is directed at avoiding further loss of kidney function and stabilizing the rise of the serum creatinine. For more information on kidney disease click here:

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function, Treatments

My Father is suffering kidney disease from last 5 years, his current creatinine is 4.52 (tested on Jan 31 2017) and was 4.25 (on Jan 14 2017). In this moment his local doctor gave him some medicine (Amlocal, prajopies, renvela, Dicaltol, Tigiror, Fusict,Feyofax,viscotin etc). Among those Renvela & Viscotin is newly suggested. Doctor suggest us to observe him for 7 days with those medicines, then Hospitalize our patient. After hospitalization, they will give him antibiotic. I have calculated GFR in online and found its already 13mL/min/1.73 m2. By judging the above information, can you suggest me about my father’s treatment?

I am not able to recommend medical treatment without performing a complete history and physical examination. Your father appears to have advanced chronic kidney disease (CKD). I suggest that you continue to consult with your father’s physician as to appropriate … Continue reading

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

A couple of years ago my mom had to have one kidney removed due to a cancerous tumor. Surgery was the only treatment needed as it had not spread anywhere. She has had a clean bill of heath since then. She deals with restless leg syndrome and chronic insomnia, but is very leary of taking medications that may affect her remaining kidney. I had checked into the use of valerian for a sleep aid, but different sources are conflicting on the effect of it on your kidneys. Is it safe to use, or is there a better alternative for insomnia?

I have no experience with valerian as a sleep aid.  I do not have any information about the use of valerian in patients with chronic kidney disease (CKD).  

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function, Nephrectomy / One kidney, Symptoms and Side Effects, Treatments

My mother has been on dialysis for over 2 years. She has always had loose stools after eating and now is having diarrhea stools daily. Never constipation. Will Probiotics help? And if so, what do I look for? Can she take any anti-diarrhea meds?

I cannot recommend treatments without performing a complete history and physical examination.  Probiotics are generally regarded as safe for patients with chronic kidney disease (CKD).  I suggest that you discuss this with mother’s physician.  

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function, Treatments

My wife had acute kidney failure 12 years ago that was directly related to taking too much ibuprofen. She was taking 800 mg every 4-6 hours for pain post surgery with a minimal amount of water. She did this for about 3-5 days until the pain became unbearable (presumably from her kidneys shutting down and urine retention). Upon admission, she had a creatinine of 8.0. After irrigating her kidneys and “restarting” them to say, her bun/creat and creatinine clearance reverted back to normal. To date, her bun/creat levels have remained at a steady “normal” level, about 18/0.9 respectively. The question I have is can she start taking ibuprofen again as long as she has an adequate amount of water, about 60 oz a day?

I would not recommend that she take ibuprofen if she has had previous experience with kidney failure related to ibuprofen.  There are many different mechanisms whereby ibuprofen can result in kidney failure.  I suggest that you discuss this with her … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney Failure, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function, Symptoms and Side Effects

My husband has CKD and also Crohn’s disease. Will he do any further damage to his kidneys by taking Loperamide Hydrochloride which he is taking to alleviate Crohn’s? I look forward to an early reply.

Loperamide (also known as Imodium) is safe for patients with chronic kidney disease (CKD).  As with all medications, you should check with his physician to make sure that loperamide does not interfere with any other medication that he is taking. … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function

I am an endocrinologist in Brooklyn. One of my patient with diabetes is now on dialysis and has developed AF. He has been started in warfarin and there is difficulty in maintaining his INR. I read Coumadin has problems in Dialysis patients and I cannot find much information on use of other antiplatelets in patients on Dialysis.

Your question is a good one in that it has no solid answer.  This continues to be an area of controversy.  We know that warfarin (brand name:Coumadin) may decrease the risk of ischemic stroke in patients with chronic atrial fibrillation … Continue reading

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

I am a 74 year old female and have hypertension and borderline diabetes. My A1C was 6.0 in Nov. 2016. I had a kidney stone and treated with Lithotripsy in May 2016. I made a return visit to my urologist last week with L. flank pain and had a CT Scan done. While the scan did not show a stone on the left side, it did reveal swelling in the tube below my right kidney. My urologist said I should have a procedure done with contrast so he can determine the cause of the swelling. My concern are the risks involved and if its a necessity to have this procedure done? Any idea as to what causes swelling in the tubes? Thank you in advance for your input.

I am unable to make a specific diagnosis based on the information that you present.  If your kidney function is otherwise normal, the risk of contrast is very low.  I suggest that you follow the advice of your urologist. For … Continue reading

Posted in Ask the Doctor, Diabetes, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease

Hi, I was diagnosed with chronic kidney disease in July. My gfr was 57. I’ve had diabetes for years and keep it under control. The doctor said the diabetes caused the kidney disease. In October, the gfr was still 57. I went to a dietitian and changed my eating habits & I’m exercising. I’ve went from 178 to 155. My cholesterol glucose, & a1c have all dropped. This time when I went my gfr was 51 but all my other numbers went down again. The doctor wasn’t concerned and said he’d watch it. He said drink lots of water before my lab work but I did this time because they have trouble finding my veins. I know the gfr can go up and down but is this much normal (from 57 to 51 in 3 months)? I’m concerned because all my other numbers went down. My doctor has done no other tests he is just assuming the diabetes caused this. Should I get a 2nd opinion? Also should I be seeing a kidney specialist at this stage? My doctor says no he’ll just tell me to do what I’m doing. Thanks for your time.

There is always some laboratory variability to any blood test and the estimated glomerular filtration rate (eGFR) may vary from time to time.  The variance that you see is not unusual.  You should also have urine testing for protein in … Continue reading

Posted in Ask the Doctor, Diabetes, GFR, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Medication and Kidney Function