Category Archives: Nephrologist

When should I see a kidney Doctor? I am a white female 70, non smoker or drinker for the last ten years. My eGFR 40, creatinine 322. The only thing I have been told is I have Stage 3 ckd and should drink more water. My GFR has been in this range since 2016.

In most cases, primary care physicians are trained to care for patients with chronic kidney disease (CKD).  I have generally suggested consultation with a nephrologist if the estimated glomerular filtration rate (eGFR) is less than 30 milliliters per minute per … Continue reading

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

After ordering a CT scan for another issue, my dad was given the CT radiology report, as well as, paperwork that was a health history with the urologist he’s seen for years. I’m always the person who is “primary care giver” within family. As I was reading the reports, I was shocked to see they had dx’d him with stage 3 CKD (no differentiation for stage 3 a or b). There is also a surprisingly large cyst on one of his kidneys. In speaking with him, he’d never been told of these two things. Granted he has little to no symptoms. Yet it still triggered my protective button & led me to diving head first into research, learning all I can, etc. There’s one issue that worries me more than anything. It was the description of how someone who’s ckd worsens, they can begin to have mental health symptoms. My family has a long past of issues with mental health issues, so I’m familiar with how those symptoms can go from very tame to crisis and everything in between.This puts 2 things in my sights… him still being able to drive and then the fact that he owns multiple handguns, long guns and shotgun. His personality is one where he wouldn’t give up either unless he felt 1,000% he was a danger. Can you describe any of the symptoms to use as a flag that issues are beginning from CKD, within the mind? The urologist is not treating him in any aspect for the CKD. He is being treated for high blood pressure, diabetes mellitus, & high cholesterol. And in case it matters, he’s a 69 year old white male, low activity, drinks alcohol, no smoking, no illegal substances, 5’10” to 5’11” @ 275-325 pounds. Any info/suggestions would be greatly appreciated.

Patients who have chronic kidney disease (CKD), do not typically exhibit symptoms of aggression or hostility. The mental status symptoms most commonly associated with CKD are loss of focus, fatigue, lassitude, and lethargy. Confusion and delirium are very late findings … Continue reading

Posted in Ask the Doctor, Kidney Cysts, Kidney-Related Health Questions, Nephrologist, Symptoms and Side Effects, Urological Issues

I am a 47 yr old Asian/American female. Recently got my labs done and saw that my GFR was 59. Last year it was 68. I am not familiar with all this but my friend who is a nurse said I should be concerned. I did not have a urine test done. I did speak with my PCP and she said that she does not look at me a think kidney disease after looking at my labs. Should I consult with a Nephrologist?

I do suggest that you have a urine test for blood, protein and infection as part of a complete screening test for kidney disease.  Asian/Americans do have an increased incidence of chronic kidney disease compared to Caucasian/Americans.  It may be … Continue reading

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

I’m a healthy 41 year old, I do competitive CrossFit year round. I had a physical recently that showed an elevated creatinine of 1.3 with GFR of 46. It appears one year ago my creatinine was 1.1 and GFR was 55. My doctor is not recommending any further tests. I do not take creatine or any other supplements. I take Prilosec daily. I drink 60oz water daily. Would you recommend any other tests?

I am not able to make a specific diagnosis based on the information that you present.  Additional testing should at least include a urine test for blood, protein and infection. It is possible that this represents early Stage 3 chronic … Continue reading

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

My boyfriend is 44 yrs old has gout,type 2 diabetes, reduced kidney function, hx of kidney stones and hypertension.They have referred him to a nephrologist and rheumatologist and podiatrist.Which specialist would be the best to be able to get the optimal treatment? I read an article on this site referring to that suboptimal care given to patient with gout and ckd.

I believe that a nephrologist should be able to address most of the issues that you mention.  A rheumatologist could address the issue of gout and I’m not sure what a podiatrist might be able to offer.  All of the … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diabetes, Gout, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Nephrologist, Treatments

HI SIR, MY HEART IS ENLARGED AND I HAVE DONE SERUM CREATININE TEST AND RESULT WAS 4.1 MG/DL. I WANT TO KNOW WHAT IS LIMIT OF DIALYSIS? SHOULD I DO IT OR CAN I CURE USING MEDICINE?

The decision to start dialysis versus continuing with medical treatment of your heart disease and your kidney disease is not based on any number. It is based on a conversation between you and your nephrologist. It often also involves your … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Dialysis, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Medication and Kidney Function, Nephrologist, Serum Creatinine

Will you kindly tell me whether I am developing CKD? What are the steps for me to follow in the future? May I consult a nephrologist?

The information that you present appears normal to me.  In order to screen for chronic kidney disease (CKD), you should also have urine testing for blood, protein, and infection.  

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

I have just recovered (I think ) from my 4th Kidney infection . I do not know why I keep getting these. My doctor mentioned that he was going to flush and clean out my bladder but during the follow up he never mentioned it. He said that I had bladder cancer however I read three bladder cancer tests that I took. One was negative but 2 were positive so he said I do not have bladder cancer. My CT exam noted that there is a 3 mm calculus in the right distal ureter just proximal to the ureterovesical junction (5:85). There is a punctate non obstructing right lower pole renal calculus. There is no hydronephrosis. However, I have not passed the stone as far as I can tell. And my doctors office during one visit he said I had two small stones one in each kidney but then the follow up he said he just couldn’t see anything. Could I pass a stone and not realize it? Should I get a second opinion regarding the cancer diagnosis and the reason why I keep getting kidney infections? My urologist has told me at one appointment that I do not empty my bladder. Is there a way to do this or do I need a procedure? Thank you I really appreciate your help this is an excellent resource.

I am a nephrologist and I do not have any surgical expertise.  I do not have any expertise in dealing with the surgical management of kidney stones or bladder disease.  Hence, you will need to consult with a urologist, who … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney Stones, Kidney-Related Health Questions, Nephrologist, Urinary Tract Infection/Pyelonephritis, Urological Issues

Dr. found a size 7mm stone. I don’t know what kind yet. I have to get x-ray. I have a lot of pain in my lower back by my pelvic bone. Is this normal? They also found blood in my urine. Is this a serious problem?

If you have an obstructing stone, you will need to consult with a urologist.  Severe back pain is commonly associated with kidney stone disease.   I am a nephrologist and do not deal with acute stone disease.  A urologist is … Continue reading

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

I had ADPKD with lots of back and pain issues. I have 2 questions 1. Is there any reason to avoid using an epsom salt float tank? My neph says it will be fine but I don’t think he really thought about it and dismissed it as a silly question. I am stable at stage 3 CKD, 62 yrs old. 2. I have a baseball cyst in each kidney that are very painful. I also deal with abdominal crowding from PKD and a short stature. There is a good surgeon w a great outcome rate who wants to laparoscopy reroof both large cysts as well as 50 smaller cysts in each kidney. Another nephrologist is suggesting needle aspiration followed by alcohol to scar the interior of the cyst. I do not have any objective physician who can discuss the pros and cons of each option. What is your opinion.

I do not know of any benefits of using an Epsom Salt float tank but I also do not think there would be any ill effects in regards to kidney function.  I have been in practice for almost 40 years … Continue reading

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