Category Archives: Nephrectomy / One kidney

I had a Kidney transplant 3 yrs ago. Am I still considered to have ESRD?

Technically, you are classified as having End Stage Renal Disease (ESRD) because you required kidney replacement therapy (which just happens to be a kidney transplant). Under the ESRD regulations for treatment of ESRD after a kidney transplant, you are eligible … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, GFR, Kidney-Related Health Questions, Nephrectomy / One kidney, Transplantation

Hello Dr. I am a male 36 yrs old, who recently found out he was born with one kidney. Can you tell me what are the guidelines for creatinine levels for a patient with one kidney? Mines is currently 1.4. Thank You.

Having a single kidney should result in approximately one half to two thirds of normal kidney function. This would mean that there would be an estimated glomerular filtration rate (eGFR) in the range of 50 to 75 milliliters per minute … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, GFR, Kidney-Related Health Questions, Nephrectomy / One kidney, Serum Creatinine

I am from Mumbai, 29 years old. My sonography report shows my right kidney not visualized and left kidney bulky in size. Is this condition normal? Please tell me.

There are a small number of individuals that are born with only one kidney. You could be one of them. I don’t know if this would be classified as “normal” but it is not dangerous to your health. I would … Continue reading

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

I am a 59-year-old woman with a solitary kidney. I had kidney cancer, and my right kidney was removed 3 years ago. My post surgery bloodwork for the past 2 and 1/2 years has shown my GFR to be in the mid to upper 60’s. But my last blood test 2 weeks ago showed my GFR is down to 46. Creatine is 1.28. My PCP wants to test again in a month. Should I be concerned that my remaining kidney is not functioning properly?

There is always some variability to the estimated glomerular filtration rate (eGFR). This test can vary up and down by 10 milliliters per minute (ml/min) from day to day. With only one kidney, your singe kidney eGFR should generally be … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, GFR, Kidney-Related Health Questions, Nephrectomy / One kidney

I donated a kidney 8 years ago – have not taken pain medication since to help single kidney stay healthy – if I need pain relief I’m relinquished to heating pads and ice packs – CBD supposedly(?) helps inflammation- is CBD something that can be used for inflammation/pain relief and is there any issues with CBD affecting my single kidney function?

I am not aware of any studies that has specifically examined the effects of cannabidiol (CBD) and single kidney function. I do not suspect there would be any ill effects. This drug is mainly metabolized in the liver and not … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Nephrectomy / One kidney, Symptoms and Side Effects

Dear Dr., My left kidney is non functioning since my childhood. My age is 46. My serum creatinine is 1.0. My Protein/Creatinine Ratio is increased at 97. I am type 2 diabetic and hypertensive also. Kindly advise me. Thank You.

The normal for the urine protein/creatinine ratio is less than 150 milligrams per gram of creatinine (mg/g). I am not sure of the units for the result that you quote as 97. This may be a normal result. For having … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diabetes, Diet/Nutrition, Exercise, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Nephrectomy / One kidney, Serum Creatinine

I been to the doctor and I received my lab work and my creatinine level is 1.45. I am a 47 year old woman with one kidney. Do I need to see a kidney doctor to find out if my kidney is functioning properly?

Your primary care physician (PCP) should be able to answer this question. I suggest that you have a serum creatinine done with an estimated glomerular filtration rate (eGFR) and a urine test for blood protein and infection. On the basis … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, GFR, Kidney-Related Health Questions, Nephrectomy / One kidney, Nephrologist, Serum Creatinine

My father is an 84 year old male with Type 2 Diabetes with stage 4 kidney disease. His eGFR rate is 23. Does the fact that he has only one kidney change the equation for figuring eGFR? My father heard that if you only have one kidney then that changes the eGFR rating by half. Is this an actual fact or just supposition. He is very concerned at this time and would appreciate hearing first hand from someone who knows.

The fact that your father has a single kidney does not impact the estimating equation used to estimate the glomerular filtration rate (eGFR). The eGFR would be the same whether he has one kidney or two kidneys. The eGFR is … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Diabetes, GFR, Kidney-Related Health Questions, Nephrectomy / One kidney, Serum Creatinine

I recently had my right kidney removed because of early stage cancer. Before the surgery, I always had occasional swelling of my ankles and knee. I believe it was gouty arthritis and controlled it with Indocin and Ibuprophen. Since the surgery, my doctor doesn’t want me to take those meds. I must find a replacement so I can walk, or can I take Ibuprofen one or two tablets a day without harm? Thanks.

I recommend that you ask your doctor for an opinion about the swelling in your ankles and knees to see if this is really gout. If it is gout, then there are other medications that can prevent gout. We recommend … Continue reading

Posted in Ask the Doctor, Gout, Kidney-Related Health Questions, Medication and Kidney Function, Nephrectomy / One kidney

I am having a colonoscopy today, should I drink Gatorade to replace my electrolytes? My GFR is 60 and I have just one kidney since I was 6 months old.

It is not necessary to drink Gatorade or other sport drink, if you have proper preparation for the colonoscopy. The usual prep is Polyethylene Glycol (PEG) with electrolytes. The electrolytes in the prep are usually sufficient. Examples of this prep … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, GFR, Kidney-Related Health Questions, Nephrectomy / One kidney