Category Archives: Medication and Kidney Function

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

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

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

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

What if any clinical significance is there when the creatinine level is elevated and indicates CKD, but the BUN and the BUN-creatinine ratio are normal?

The serum creatinine is a much better test for kidney function than the blood urea nitrogen (BUN).  There are many things that change the BUN test that do not have anything to do with kidney function. The serum creatinine is … Continue reading

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

My Husband has CKD stage 4. Last May 2016, he had a UTI and was prescribed trimethoprim. After 4 days he was admitted to hospital with hyperkalemia (6.4) and an acute on chronic kidney injury. He is now on a diet to keep his potassium levels satisfactory. Today his local GP has diagnosed that he has a chest infection and has prescribed amoxicillin 500mg capsules for 7 days. Is this a suitable prescription for a patient with CKD stage 4. Would it be necessary or a worthwhile procedure to have a blood test taken when he has completed the 7-day course to identify if his potassium levels have been affected? What symptoms should one look out for or what tests should be done to check if he is diabetic.

Trimethoprim is known to cause high blood potassium because it interferes with the kidney elimination of potassium.  Penicillins such as amoxicillin do not usually cause potassium problems.  Your husband’s physician should be able to determine if he is a diabetic … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Chronic Kidney Disease, Diabetes, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Medication and Kidney Function, Symptoms and Side Effects, Treatments, Urinary Tract Infection/Pyelonephritis

My 67 year old father with heart ejection function 10 percent, having diabetes and hypertension. According to tests, doctor recommended dialysis 2 times a week. His blood urea and creatinine level is very high. He is on dialysis and insulin. Are there any chances of survival?

I am unable to provide a prognosis based on the information that you provide.  I recommend that you contact the physicians caring for your father and ask them about prognosis and treatment information.  I suspect his heart disease is the … Continue reading

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

Does dialysis warrant daily narcotic use? I am concerned for a dialysis patient that takes a minimum of 6 10mg hydrocodone and 400MG neurontin daily. ESRD, no other current medical issues.

Daily use of potent narcotics in patients who are on dialysis is not usually warranted.  I am unable to make any other specific diagnosis based on the information that you present.  I suggest that the dialysis patient make sure that … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney-Related Health Questions, Medication and Kidney Function, Nephrologist, Treatments

I have recently been diagnosed with acute kidney disease. My GP has taken me off my anti-inflammatory Voltaren 75mg slow release. Before this I had been popping advil. I have a lot of arthritis and other inflammation going on and her offer of Tylenol does nothing for me. I have ordered a joint formula called Pro Flex by Naka, which does contain a form of curcumin. My doctor is not willing to discuss herbal therapy at all but a pharmacist told me I should stop taking the tumeric capsules I had started on. So I am kind of confused as to whether I can take this joint formula. I have been referred to a kidney specialist but it could take forever to get in. I also have high cholesterol but went off the drugs a couple years back due to muscle pain and cramps. Could high cholesterol cause elevated creatinine readings? I am finding it difficult without the anti-inflammatories and hope I can take this joint formula at least. Any advice would be appreciated.

Non-steroidal anti-infammatory drugs (NSAID’s) such as Advil and Votaren are associated with kidney disease and should be stopped.  Your kidney function may improve off of these NSAID’s and your physician likely wants to remeasure your kidney function off of all … Continue reading

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

I am taking blood thinners for a clot in my leg. I have stage 3 kidney disease. What are the risk?

Patients with Stage 3 chronic kidney disease (CKD) can take blood thinners but they should be carefully monitored with blood testing and monitored for bleeding.  Most blood thinners are approved for use in Stage 3 CKD.  You should discuss your … Continue reading

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

How common is complete energy depletion in patients on dialysis? My fiance had both Polycystic kidneys removed Jan 2017. He’s been on dialysis 5 years. About 2 years ago, he started suffering from devastating energy loss. He was very active prior to kidney failure, and even for first two years. We remodeled a house and he was up and working every day. In Jan 2014, he was diagnosed with Bilateral Vestibulopathy, from an allergic reaction to Gentimycin. Since then, his equilibrium is very poor. He stumbles frequently; to the point that many people think he is drunk. His nephrologist has him on prednisone right now, which just makes him sweaty. His energy level is still low. He stays in bed until about 11 -12. He gets up, takes shower, then has to take a nap. He has lunch, then sits in couch, with computer. We cook dinner around 8pm at night. He has to sit to chop things. His only activities are literally showering, going online, food prep, and if he’s lucky, he can go grocery shopping – as long as he can use a cart to keep himself upright. (He won’t use carts for handicapped). He’s 52. I am starting to think that he may be in a depression, in addition to his medical issues. We have no physical activity between us, either. It’s very sad for me to watch him disappear.

I agree with you that this is very unusual.  I would suggest that your fiancé have further evaluation and testing.  Depression is very common in dialysis patients and in patients with chronic medical illness.  Your fiancé should ask his nephrologist … Continue reading

Posted in Ask the Doctor, Kidney Failure, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Medication and Kidney Function, Polycystic Kidney Disease, Sexual health, Symptoms and Side Effects, Treatments

Is Micro-Chinese Medicine Osmotherapy real or a scam?

I believe it is a scam.  I have no information that Chinese Osmotherapy is of any benefit to kidney disease.  

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