Category Archives: Nephrectomy / One kidney

If a person was born with only one kidney, and is a diabetic, with the kidney only functioning at 28%, where would that place them at risk factor? Would this be at severe or would it be less?

An estimated glomerular filtration rate (eGFR) of 28 milliliters per minute per 1.73 meters squared would suggest Stage 4 chronic kidney disease (CKD). Patients with a single kidney may experience more rapid loss of kidney function over time. I suggest … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diabetes, GFR, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Nephrectomy / One kidney

After partial nephrectomy, chronic pain is getting severe/worse. Abdominal pain, nausea. Keep getting narcotics, and Zofran. Feel like it is more than just pain. Pain comes from somewhere! Abscess, RCC, or there is multiple other tumors. Help.

I am a nephrologist and I have no surgical expertise. The problem that you mention is a complication of kidney removal (nephrectomy). I suggest that you consult with a urologist, who is a surgeon.

Posted in Ask the Doctor, Kidney-Related Health Questions, Nephrectomy / One kidney, Nephrologist

How much protein should I eat after radical nephrectomy?

I am an advocate for the DASH diet for patients with a solitary kidney. I suggest you review the DASH diet at: https://www.nhlbi.nih.gov/health-topics/dash-eating-plan You should also avoid salt in cooking and avoid salt at the table. In general, I recommend … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Kidney-Related Health Questions, Nephrectomy / One kidney

I have ESRD and have not started dialysis and I just found out I have a mass on my right kidney. If found cancerous, the fix is to remove part or all of the kidney. My question is, will I still be able to avoid dialysis for a few more years? I’ve been ESRD for more than 8 years ago, when they wanted to put me on but I had a wait and see approach, being very careful about intake and I’ve been maintaining. Could I maintain the current level of filtration with one kidney? Thank you.

I am unable to offer a prognosis based on the information that you present. I would need to perform a complete history and physical examination in order to offer a prognosis. If you lose one kidney and maintain the other, … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney Failure, Kidney-Related Health Questions, Nephrectomy / One kidney

Hello. I was diagnosed a year ago with breast cancer and kidney cancer. 2 primary cancers. I had a nephrectomy so now I live with one kidney. My question is I have been taking Herbalife protein shakes for weight loss and I have been told by others that I should watch my protein intake and that these are no good for your kidneys. How true is this and can this harm my one functioning kidney? Should I stay away from protein drinks all together? Please help! I don’t want to end up with kidney problems or any other for that matter.

I do not recommend a high protein diet. I typically recommend protein intake between 0.8 and 1.5 grams of protein intake per kilogram of body weight per day. You should review your diet and if your total daily protein intake … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Kidney-Related Health Questions, Nephrectomy / One kidney

I only have 1 kidney due to cancer. I have toenail fungus & have tried over the counter products with no luck. I seen a product I am interested in but want to make sure it is safe to take. It is called EmuaidMax. Any info you can give me is appreciated. Thank You.

I have no experience with EmuaidMax. I did perform a Google search of the medication and it is listed as a homeopathic medication. I am not familiar with the substances that are contained the the ointment. I suggest you contact … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Nephrectomy / One kidney

Greetings Dr., I’m a 50 year old [male] living in North of Iraq – I have gone for a kidney transplantation back in 2001 [from a stranger] and at the current time, suffer from no blood pressure or diabetes. It has been about three years, my creatinine level is 1.4 – 1.5 – and I would very much like to reduce it to down to 1.1 or max. 1.2 keeping in mind that its been a long time [even before the transplantation] since I’ve controlled my food and drinks [no red meat – no smoking – no sugary foods – no alcohol – no salty foods…etc]. The very important point I would like to mention here is that I’m diagnosed with Thalassemia trait genetically. Best regards!

As a result of single kidney transplantation, your expected creatinine level is in the range of 1.4 to 1.5. This would be normal for a male with a single kidney. It should not be a goal to lower your serum … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Nephrectomy / One kidney, Serum Creatinine, Transplantation

So I have a 23 year old daughter who just recently found out she was born with only one kidney. She found out during an ER visit for a severe kidney infection. I would like to get my hands on information about alcohol use and the effects on your kidney. She is a typical college kid of legal drinking age. Does having one kidney affect her processing & eliminating alcohol?

Alcohol is eliminated from the body by the liver and having one kidney will not alter this elimination. Alcohol can affect the kidney. Alcohol does cause the kidney to increase water elimination and can lead to increased urine output but … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Kidney-Related Health Questions, Nephrectomy / One kidney

Hello Doctor, My husband GFR dropped to 46 in one urine test on Feb 7, 2019 while he had UTI. Question 1: I wonder if UTI may give the false GFR reading? Question 2: To be considered CKD Stage 3, only when this low reading last for 3 months, right? His GFR had always been above 60 before Oct, 2018. He, however, had one kidney removed on Nov 6, 2018. I wonder if losing a kidney may be at risk to a CKD? Thanks so much.

The removal of one kidney will result in a decrease in the estimated glomerular filtration rate (eGFR). You are correct that in order to qualify as chronic kidney disease (CKD) the abnormal eGFR must be present for at least 3 … Continue reading

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

Hello! I am a 28 year old male and relatively healthy but I was born with one kidney and I’ve always been curious as to whether or not it effects my adrenal functions. Since technically, I only have one adrenal gland and all, will it effect my hormones level? Such as my cortisol, catecholamines, and adrenal androgens? Thanks!

You only need one adrenal gland to have full functioning of your adrenal axis. It is also possible that you could have an adrenal gland, even if you were born without a kidney on one side. It is likely that … Continue reading

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