Category Archives: Nephrologist

Good day. I have a kidney stone, very large in my left kidney. It’s only functioning 5 % and right kidney 95%. One doctor says to remove left kidney totally to save me trouble down the line. Next doctor says no I can live with the stone cause of it being large. I must have had it over 15 years. Not suffering until last year. I will be 60 yrs old in 3 months and suffer from high blood pressure / ptsd / hep C / medication taking is Prozac, Trazadone, Amlodipine/Ben 10/20. As of May 2 the urologist who wants to remove kidney treated me for infection and placed a stent in urethra. Please help me to do right choice. I had 5 surgery’s in past for child birth reasons. I don’t want to go under the knife again. Thank You

I am a nephrologist and as such I have no expertise in surgery. A urologist is a surgeon. The question that you ask is a urological question and I have no expertise in this area. Since you have two different … Continue reading

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

Hello doctor. My mother has stage 5 chronic glumerulonephritis.She was advised to have a dialysis. Due to high creatinine level , she was inserted with IJ catheter in her neck for her dialysis treatment. Her dialysis treatment was only twice a week and it started last June 2018 . But still she suffered a lot of pain in her back and stomach. She has also dry cough that unable her to sleep especially at night times. She has also difficulty in breathing and unable to urinate. During dialysis, she has high fever and even chill. After dialysis her body temperature goes back to normal. Is this normal in her case? Or is she not receiving a good care? What shall we do? Thank you doctor.

I cannot make a specific diagnosis based on the information that you present. Your mother’s response to dialysis does not seem to be going very well.  These are not the kind of responses we expect with dialysis. I suggest that … Continue reading

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

My lab results include a total stdKT/V. This includes the following components: spKdt/V, eKdt/V, Krt/V, spKt/V, stdKdT/V, stdKrT/V. Please define these components for me. Thank you.

The abbreviations that you mention are various ways of describing the efficiency of your dialysis treatments. These results describe the expected degree of clearance of urea from your body during a single dialysis session. The equations are very sophisticated math … Continue reading

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

Hello sir, my creatinine level is 6.62 GFR 10 and my age is 23 years old.

The testing that you report would suggest that you have very advanced kidney disease.  I suggest you consult with a nephrologist in your country.  You likely need further testing in regards to your kidney disease.

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

Hello. I have had blood in my urine for a couple of years now. They did a culture and all was fine. I then got a kidney ultrasound and it was fine as well. My kidney function continues to decline and now my BUN is elevated and my anion gap is low. I don’t have any swelling, pain etc. Also my folic acid is high. Any ideas? Thank you.

In some cases, when a diagnosis is not evident and kidney function has started to decline, a kidney biopsy may be necessary in order to know what disease you are dealing with and see if any treatment is available.  I … Continue reading

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

Hi doctor. I want to ask you about my mom. She has kidney problem for the last 2 years. She also has heart problem and diabetes. She is taking medicines regularly for kidney. She is taking revlamar 800 in India. Her recent test results are: creatinine 5.1, hgb 9.00, phosphorus 5.00, cholesterol 150.00. sugar fasting 72 fasting, blood urea 150.00, blood urea nitrogen 70.00, sodium 130.00, chloride 90.00. I need your advice for her. She is 62 yrs old. She does not want to do dialysis. I am eagerly waiting of your reply. Thanks.

I am unable to provide a specific diagnosis regarding your mother’s kidney disease. Heart diseases, high blood pressure and diabetes are the three most common associations with chronic kidney disease (CKD). I am not able to give medical advice without … Continue reading

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

I have CKD stage 5, eGFR grade 3. What is the chance to recover my kidney, or how much time available for a transplant. If I use (wearable artificial kidney) then let me know the procedure, risk factor, others necessary information about this matter? I’m a 40-year-old female. Thanks.

I am unable to make a specific diagnosis based on the information that you provide. The wearable artificial kidney (WAK) is not yet commercially available. I am unaware that the WAK is currently being made available for experimental use. I … Continue reading

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

Hi. I am 56 and was diagnosed with type 1 diabetes at age 7. Latest creatinine was 2.4 and eGFR was 22. What does this mean in reference to my CKD which was at stage 3b last year? I am very anemic and just had blood transfusion a week before these labs were drawn?

Stage 3b chronic kidney disease (CKD) means that your estimated glomerular filtration rate (eGFR) was between 30 and 45 milliliters per minute per 1.73 meters squared and was so for at least three months. If your eGFR is now between … Continue reading

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

I am stage 4 CKD. I have uremia, although I have been followed since stage 2-3. My GFR is about 20, creatinine 2.5, and Bun 51. My doctor wants to start peritoneal dialysis to try and preserve what function I have left. It is progressing much faster than they expected. I am not diabetic. I have hyperaldosteronism, which they had a hard time discovering and so had malignant hypertension for about 15 years. I’ve already had a heart attack too. My question: is this really helpful for helping what is left of the function and if it is, why do they wait till they are so bad? I have never smoked, I have never been a drinker, and no caffeine for 30 years. Thanks.

The decision to start peritoneal dialysis or any form of dialysis is based on any benefit you might derive from the dialysis and not based on any specific level of kidney function. It is true that peritoneal dialysis may help … Continue reading

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

Hi, I was diagnosed with kidney failure in Nov and have been receiving hemodialysis 3 times a week 4 hours each time. I saw my provider the day after treatment and asked him to check my urine as I am still urinating and it feels like all that is a concern in the Center was fluid. The test results showed I had a creatinine level of 198 and an albumin level of 858. My Doctor told me to ask why I am dumping protein in my urine. I am also a type 2 diabetic and have been in control until the last couple of weeks where my fasting surges are up around 178, they have been 110 and Below before. I ask questions but no one seems to answer me. I need to have at least an idea if I can fix it. I don’t retain fluid but that is all anyone is worried about.

Patients on dialysis commonly continue to make urine. Hence, making urine is normal for a dialysis patient. Patients with kidney disease and especially diabetic kidney disease commonly spill protein in their urine. I am unable to make any other diagnosis … Continue reading

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