Category Archives: Nephrologist

Hi, I’m a 63 y/o female with no significant medical problems. On Atenolol for a supraventricular arrhythmia (many years) and Simvastatin mainly as a preventative(years). For the past 2 years, I have had a few routine urine tests (w/no particular symptoms), the initial ones showed a small amount of hemoglobin, the last 3, moderate amounts. No RBCs. My CBC is normal and do not have other issues other than age related (minor aches, skin changes) after the initial UA my GP referred me to Urology, cystoscopy was negative, in the process, a caruncle was found in the urethra, had a course of estrogen, did not reduce the size of it, not bleeding from it, occasionally feel a bit of irritation in contact with clothing. My GP and Urologist do not think I need further F/U when asked about the cause of the presence of hemoglobin. My last UA was yesterday, again with moderate hemoglobin, no RBCs, no other abnormal findings. Not sure of the significance of this persistent hemoglobin showing in the urine w/o Sx (other than the caruncle). Any feed back would be greatly appreciated.

I do not identify any kidney disease from the information that you present. I suspect that this is a urological problem and not related to the kidney. If you have been evaluated by a urologist, I’m not sure there is … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Nephrologist, Urological Issues

While testing to be a living kidney donor my ultrasound showed I have PKD. I was testing to give my mom a kidney because she has PKD. I just had my blood work and urine work done and the results showed no sign of loss of kidney function or any other abnormalities. My question is how often do I need to have my blood tested and when should I make an appointment with a nephrologist?

I recommend that you have annual testing of blood and urine for your kidney disease. You should also have blood pressure checks regularly and treat any elevated high blood pressure. Your blood pressure should be less than 130/80. Your primary … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Nephrologist

I’ve shrunk my kidneys by breathing in solvents by accident, not on purpose. Is there anything I can do?

I am not able to determine the type of solvents that you have been exposed to or the type of kidney damage that you have experienced. I suggest that you consult with a nephrologist for a complete history and physical … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Nephrologist

Hello, My husband has been having severe headaches after dialysis. It is not letting him sleep. He can’t even talk or think straight. Is that normal?

Headaches as severe as you describe are not typical for patients on dialysis. I suggest that your husband confer with his nephrologist.

Posted in Ask the Doctor, Kidney-Related Health Questions, Nephrologist

Hi, I am a 30 years old woman. I have been on dialysis for 4 years. The first year my weight was 55, the second year it was 45 and since the last two years my weight has been on the rise from 45 to now 61.5 kgs. Since the month of May this year, I have gone from 58.5 to 61.5 kgs (this is 3 kgs gain in 7 months). My problem and question is that I eat very little and have bouts of anorexia. Then why am I gaining weight? I have not changed my eating habits, in fact I have completely quit added sugar in my diet and have started exercising more. Can you please tell me if any chemicals used during dialysis can cause weight gain? Thank you

I am not able to make a specific diagnosis based on the information that you present. I would need to see you and examine for the cause of the weight changes. Your nephrologist should be able to provide you with … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Kidney-Related Health Questions, Nephrologist

My father had a kidney transplantation before 10 years when his both kidneys went out failure. Now same condition is present. His kidney works very little. He doesn’t eat food or other things. His weight gone down from 60 kg to 38 kg in 6-7 months. What should I do?

Your father must consult with a nephrologist to determine the cause of the failure in the kidney transplant and if dialysis is necessary. If function in the kidney transplant cannot be recovered, then a return to dialysis with possible re-transplantation … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney-Related Health Questions, Nephrologist, Transplantation

I have a stone in the left lower pole measuring 3.6cm in height and 1.4cm in width it fills the entire left lower pole and extends into the lower part of the renal pelvis. I have pain in this area when I am active working and exercising. I have been told that this pain is coming from my back not likely from my kidney. I feel like its coming from my kidney, what do you think?. Should I think about having this stone removed? I am a male 60 years old good health.

I am a nephrologist and have no surgical expertise. The problem that you describe is a urological problem and should be addressed to a urologist. A urologist is a surgeon and deals with stone disease of the kidney and questions … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Nephrologist, Urological Issues

My daughter has had re occurring kidney stones. The last time she had to get a catheter on 10/24. It was removed on 11/2 and her side pain has not gone away. Last Wednesday she couldn’t urinate and was put back on a catheter and every time we ask why we are told we don’t know. She has had ultra sounds done. What other testing should be done? Could this be a issue from the last kidney stone? She has also had blood in the collection bag. Is this a concern?

The problems that you describe are urological problems. I am a nephrologist and do not have any expertise in the lower urinary tract. Urologists are surgeons and deal with problems of the urinary tract, bladder and stone disease. Your daughter … Continue reading

Posted in Ask the Doctor, Kidney Stones, Kidney-Related Health Questions, Nephrologist, Urological Issues

I’ve suffered from calcium oxalate kidney stones since 1982 and have had 6 ESWL procedures in both kidneys. Sometimes the ESWLs were performed on both kidneys together. Various efforts for controlling the stones have not helped over the years (e.g., HCTZ, reduced proteins, and hydration). In my last sonogram there were more than 20 stones in each kidney (small ones) and I’m now feeling pain from an obstruction. Last procedure was about 4 years ago and caused a lot of renal colic, spasms, and nausea. Questions: How many ESWLs can a human have before it is contraindicated? What are some of the risks I’m facing as I probably will need another procedure soon?

I am a nephrologist and I have no expertise in lithotripsy. Lithotripsy is performed by a urologist, who is a surgeon. A urologist treats kidney stones. I have no surgical expertise and hence cannot give advice on when and when … Continue reading

Posted in Ask the Doctor, Kidney Stones, Kidney-Related Health Questions, Nephrologist, Urological Issues

Dear sir, I have an issue with my kidney. bilateral small kidney with grade ii-iii parenchymal changes. right – 82×35 mm left: 60×46 mm urea = 109 creatinien = 7.4.

You appear to have advanced chronic kidney disease (CKD). I am unable to make any other specific diagnosis based on the information that you present. You will need to consult with a nephrologist.

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Nephrologist