Category Archives: Nephrologist

Sir, we are going for kidney transplant and want to know what are the test to be done of donor and recipient and how much the results have to be to match? Please send me reply. I shall be very pleased. Thank you.

The testing required for a kidney transplant varies with the transplant center, but in general requires ABO blood type matching, HLA-A, HLA-B and HLA-D testing, as well as cross-matching. In some laboratories, Anti-HLA testing and Panel Reactive Antibody (PRA) testing … Continue reading

Posted in Ask the Doctor, Donation, Kidney-Related Health Questions, Laboratory Testing, Nephrologist, Transplantation

If and or when is it OK for the Doctor to decide to take the patient off of dialysis?

The decision to stop administering dialysis treatments for someone is very complicated. This requires making sure that someone is competent to make a decision for forgo any further dialysis. The nephrologist would then confer with the patient and the patient … Continue reading

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

Our daughter has kidney stones, and the Dr. says, both kidneys are full of stones. For a period of time she was able to pass the stones, but now she is not passing them. The Dr. is doing another 24 hr urinalysis study, and the same test that any urologist would perform. He is stumped. Would it be to our advantage to seek further treatment from a Doctor that specializes in kidney disease? Her father is a pharmacist, and has suggested for some time our need for someone that can help her. Our fear is that her kidneys will fail and she will go on dialysis. She is 41.

I am not able to make a specific diagnosis based on the information that you present. There are many causes of recurrent and chronic kidney stones. The urologist is the person who is most likely to make a proper diagnosis … Continue reading

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

In my last annual check up, my serum Creatinine is 6.79. I have consulted a Nephrologist, on medication, controlled salt in take. Will Serum Creatinine levels go below 4?

I am not able to offer a prognosis for your kidney disease without performing a complete history and physical examination. I suggest that you continue to consult with your nephrologist and monitor your kidney function. I am unable to make … Continue reading

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

I’ve been sick for over a month with nausea, diarrhea and very bad headache after having an MRI with contrast. Kidney function has dropped 4 points and protein is showing up in urinalysis. I’m wondering should I try to see a nephrologist.

In most cases, the contrast used for Magnetic Resonance Imaging (MRI) is not toxic to the kidney. I suggest that you first consult with your primary care physician (PCP) and see if there are other explanations for your symptoms. I … Continue reading

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

Hello doctor, I have a kidney stone 9mm, is it better to take operation or not? Does it go by taking tablet and syrup?

The question that you ask is a urological question. I am a nephrologist and do not have any surgical expertise. A urologist is a surgeon who deals with kidney stones and performs surgery and lithotripsy.  I suggest that you consult … Continue reading

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

I have been on dialysis for 10 months am still learning, questioning and seeking all the information I can get. My questions are what is the acceptable goal for spKt/v for a person like me who has dialysis 3 days a week at 3 hours @ treatment. I am currently at 1.94 on my spKt/v. I also have an ostomy and want to know if it can sometimes have an effect on the amount of scant urine I sometimes have because the amount varies and my ostomy bag sometimes has a odor of urine. My ostomy is always full and fluid/liquid in content.

You will have to check with your dialysis unit nurse or your nephrologist as to how they report the single pool Kt/V (spKt/V).  If they are reporting a single session of dialysis spKt/V then then goal is usually somewhere about … Continue reading

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

Hi Doc, I experienced acute renal failure two yrs ago. I had six sessions of dialysis in two weeks and by the fourth session my kidneys were back up functioning normal (0.9creatinine), but my blood pressure was up 150/90 and I started spilling protein ++. My doctor at the time placed me on Losartan and was of the opinion that the protein will stop but it did not. I sought a second opinion from another doctor who placed me on prednisone high dose and reduced it as the weeks progressed but there was no difference as ESR, cholesterol remained high but kidney function remained normal. At this point he ordered a biopsy following which he made a FSGS diagnosis but said I should just keep taking the losartan and made no further treatment plan. I last checked my function last year September and the kidneys still functioned normally but I still spilled protein ++. What can I do to get better although I feel very well.

Unfortunately, kidney disease often has no symptoms at all. Focal segmental glomerulosclerosis (FSGS) is a chronic scarring disease of the kidney and there is no specific treatment. Steroids are often tried, but may not be effective. Uses of drugs such … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Dialysis, FSGS, Kidney-Related Health Questions, Nephrologist

My husband has been on dialysis for over 6 years now and he has had probably 10-12 catheters, 5 FISTULAS and 2 GRAFTS and the HERO GRAFT, and they all have failed. The surgeon said there is nothing else he can do. We are at loss. Does he have any more options? What is the life expectancy of a person just using catheters for dialysis? Any information would be appreciated. Thank you.

The only other options that could be considered are kidney transplantation or peritoneal dialysis. I suggest that you discuss transplantation and peritoneal dialysis with your husband’s nephrologist.

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

My GFR is 15ml, creatinine is 3.33mg, urine creatine is 36.2. Will I now at this stage need to have dialysis?

The decision to start dialysis does not depend on a number. It depends on your symptoms and your overall evaluation with your nephrologist. If you have symptoms that can be benefited by dialysis and you have advanced kidney disease, then … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Dialysis, GFR, Kidney-Related Health Questions, Nephrologist, Serum Creatinine