Category Archives: Nephrectomy / One kidney

My sister is 26 year old & her left kidney is non functional & right one is OK. How long can she survive on one kidney? Will it effect her marital life during pregnancy or not? Is transplant of kidney good option for her or not? Please advice what shall we do?

Many people live a normal life with a single kidney. Your sister should have a normal life. There is no need for transplantation as long as one kidney is functioning. Your sister should have annual testing of her kidney function … Continue reading

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

Dear Doctor, I have 3.5 year old son. During the stomach sonography, we found that he has only one kidney. It has also confirmed through DMSA test. His right kidney is normal in size and do not have any damage issue. It also working fine. his latest cretnine ratio is 0.3. Earlier it was 0.37 and 0.49 around 5 month back. Right now we are feeding him plenty of water and allowing him for Urine in every one hour. What kind of suggestion you want to provide us? Is there any serious issue with him?

There are many people who have only a single kidney. They lead normal lives and do not require any special treatment.  It is important to lead a healthy lifestyle.  Drinking water and staying hydrated will avoid stress to the single … Continue reading

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

Hello, I donated a kidney to my father in April of this year. My labs have always been great and never had any abnormalities with kidney function. I just had my 6 month follow up labs and my eGFR is slightly low (just out of range) my BUN was elevated as well. I have, however, been on the Ketogenic diet (which is high protien, high fat, low carbs). I was on it before the donation and lost 30+ pounds. But now with one kidney, I don’t know if this is what is causing my kidney function to change. I’m worried and not sure if to just go back to a more “normal” way of eating.

A high protein diet for a patient with one kidney should be avoided, in my estimation. High protein diets could be changing your blood chemistry and resulting in changes in your kidney function testing. I suggest that you discuss this … Continue reading

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

Hi I am a kidney donor (5 years out) and I was recently prescribed celebrex however my pharmacist is unsure if it safe for me to take as a kidney donor. I have done some research online but can not seem to get a good answer. Do you have any advice?

Short courses of Celebrex (Celecoxib) have been used in patients with one kidney, but I recommend this be limited to no more than two weeks and that you maintain very good hydration. Longer courses of Celebrex would likely be concerning. … Continue reading

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

I am 46 years old and I live in Iraq. I discovered two years ago that I have only one Kidney. About six months ago I had some tests and find out that my kidney is not OK. The creatinine is 2 and blood urea is 48. I hope that you can help me find a kidney damage treatment.

I am not able to make a specific diagnosis based on the information that you present. Many people live normally with only one kidney. In order to recommend treatment, one must have a specific diagnosis as to why your remaining … Continue reading

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

I was recently diagnosed with Stage 2 CKD and mild hydronephrosis of the right kidney, my only kidney. Urologist can’t see me for 30 days. I was rather surprised at the delay. I have no symptoms except poor labs. Creatinine is 1.10, eGFR 56, BUN/CREATININE RAIO 11.

The normal estimated glomerular filtration rate (eGFR) for a single kidney is usually between 45 and 60 milliliters per minute per 1.73 meters squared.  Hence, for a single kidney, your eGFR appears to be normal.  The hydronephrosis must be evaluated … Continue reading

Posted in Ask the Doctor, GFR, Hydronephrosis and Hydroureter, Kidney-Related Health Questions, Nephrectomy / One kidney, Urological Issues

Hi I had a radical nepherectomy June 2011 & was diagnosed with kidney cancer stage 3 grade 3. Since then I have been having my yearly ultra scans, xrays, & bloods & always been told that they are satisfactory, but I have some concerns because with my remaining kidney my GFR can range from 59-52 & at times been as low as 35. Most days I drink around 2-3 litres of water, a couple of cups of decaf coffee & maybe a glass of coconut water, or a smoothie. I eat an healthy diet, fish, chicken, lamb, lots of vegetables, various amount of fruit, maybe to much fruit some days. I don’t eat any fatty foods or process stuff, crisps, cakes, biscuits, due to being celiac. I’m a little overweight for my height 5ft -3in weigh 65 kilo. My question is because my GFR is running low I am classed as having CKD stage 3 but have never been given an advice on this or been treated just get told to drink more water. I’m concerned that my daily supplements are not being absorbed. I have pernicious anemia, vitamin D3 deficiency. My folate & ferritin are on the low end of being OK, so I take folic acid and iron supplement. Should I be asking my doctor to be referred to seeing a specialist regard CKD Stage 3? I am tired all the time. I have to wear stocking for edema which I find painful. Is this the quality of life that I can continue to expect? Sorry, I forgot to mention I am now 52. Should I be worried, doctor? Look forward to your reply. Kind regards.

The normal estimated glomerular filtration rate (eGFR) for two kidneys is between 90 and 120 milliliters per minute per 1.73 meters squared. When one kidney is removed, then you can expect the eGFR to be reduced to 50% of this. … Continue reading

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

Sir, I have pain at lower back side. So ultrasound scan was done and I have a small (3mm) left renal calculi and bilateral mild hydronephrosis. Now doctor prescribed some medicines for left renal calculi. Kindly tell me if one side stone causes to bilateral hydronephrosis? Is hydronephrosis cured by medicines? I’m a poor woman so I cannot spend much money. Please suggest me.

The problem that you pose is a urological problem. I am a nephrologist and I do not have any surgical expertise. Kidney stones in one kidney should not cause blockage (hydronephrosis) on both kidneys. I suggest that you consult with … Continue reading

Posted in Ask the Doctor, Hydronephrosis and Hydroureter, Kidney Stones, Kidney-Related Health Questions, Nephrectomy / One kidney, Nephrologist, Urological Issues

My daughter is 7. While I was pregnant with her I was told that she had hydronephrosis in both kidneys. I was closely monitored for the remainder of my pregnancy until they decided to induce labor early because her kidneys were becoming to swollen. When she was born she was immediately taken for an ultrasound testing. They said her kidneys were normal and functioning at 100%. Her pediatrician told me that the hydronephrosis had taken care of itself. 5 years later she had severe pain one day and I rushed her to the ER where I learned that my daughter now only has one kidney. Which was severely infected I also learned that she has severe hydronephrosis in her remaining solitary left kidney. She has had numerous UTI since that day. Also, 2 seperate episodes where she could not urinate for some 12+ hours. With the last episode being the worst in July. She has been tested for stones and they cannot find anything. The doctor just yesterday told me he didn’t believe based on all of her tests that she’s ever had a stone. But he also had no further insight as to what could be going on. I don’t understand why she’s had hydronephrosis or how it came back after being cleared as an infant. We have been seeing a urologist for 2 years now and still do not have much to go on for answers. So I guess I’m asking you if you have any advice or opinions in what direction we should be looking? Is there a way to fix this or is it just sit and wait until her kidney can’t withstand much more, start dialysis and go on the transplant

I am an adult nephrologist and do not see children.  The problem that you describe is a urological problem and I have no expertise in this area.  Your daughter may need to see a pediatric urologist, if she has not … Continue reading

Posted in Ask the Doctor, Birth Defects/Urinary Tract Abnormalities, Hydronephrosis and Hydroureter, Kidney-Related Health Questions, Nephrectomy / One kidney, Pediatric Issues, Pregnancy / Kids, Symptoms and Side Effects, Treatments, Urological Issues

I was diagnosed with right renal atrophy, after having a MRI of my back done. (Thought I was having back pain or a pulled muscle.) I don’t get to see the specialist for another week. I understand there’s no bringing it back, can the kidney be removed? If so will only one kidney give me 50% function assuming it’s at full function? Without knowing the cause or the extent of damage scares the heck out of me. Also am I facing dialysis if only 1 kidney is damage?

If the remaining kidney has normal kidney function, then dialysis will not be needed.  Removing an atrophic kidney would offer you no benefit for improving your remaining kidney and would not solve any other problems unless it is causing severe … Continue reading

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