Category Archives: Nephrologist

What is the baseline GFR to start dialysis? When other renal panel results are close to or normal with the exception of BUN 66ml/dl; Creatine 4.44mg/dl and co2 @21 mmol/L, last GFR was 12ml/min/1.73m2.

Dialysis is not started on the basis of the glomerular filtration rate (eGFR) test. This test tells us that you have low kidney function, but the decision to start dialysis is made between you and your nephrologist. You and your … Continue reading

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

I was on Valsartan for years and now I am in kidney failure. It came on just out of the blue. I have been going down hill and the Doctor keeps “wait and see”. I do not know what to do now. I am afraid I will die soon. I need a Doctor who will help me. My Doctor has not suggested anything and I had no clue as no one I know has ever gone through this.

Consultation with a nephrologist may be helpful to establish your diagnosis and your prognosis. I suggest that you seek a consultation with a nephrologist from your primary care physician (PCP).

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

I have had a urinary tract infection for most of the last 1 1/2 years. I have been doctoring with a urologist and he has given me various antibiotics but it keeps coming back very often which is most of the time. He says the only reason he can think of for the infection is that I have an almost two mm kidney stone. His next step is to crush the stone and remove it by going up through the urethra with a laser. Is it possible that the kidney stone is the cause of the infection? Are there any other possible causes? Are there any other cures? My family doctor suggests that I follow the urologist’s advice. Thank you for your help.

The problem that you pose is a urological problem. I am a nephrologist and do not perform any surgery. I suggest that you follow your family physician’s advice.  A urologist is a surgeon and performs procedures related to lower urinary … Continue reading

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

Hello Dr. Spry, I am 38 years old Male from India, presently working in Israel as a postdoctoral researcher. For the last 6 months, my MICROALBUMIN/CREAT ratio is quite higher. The recent test shows 134mg/g. I am non-diabetic and my HbA1C is 5.2. Also I don’t have hypertension. I am clueless about the things going with my kidney. Here I want to add one thing that my father had CKD-V and was under dialysis therapy for 6 years. Kindly suggest me the therapy that will prevent CKD in my case.

I am unable to provide a specific diagnosis based on the information that you present. Given your father’s kidney disease, you could have a hereditary kidney disease. I suggest that you see a nephrologist and have further testing as to … Continue reading

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

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

Hi. I am female. 30 yrears old. I have left kidney stone 1.2cm in lower pole and I have a 5 mm cyst on right kidney. Please tell me if a surgey is required or it can remove with the help of medicine. Waiting for your attention. Thank you.

The problem that you pose is a urological problem and requires a surgical opinion. I am a nephrologist and I do not perform any surgery.  You will need to pose this question to a urologist, who is a surgeon.

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

Good morning Doc. I’m one of the victims of polycystic kidney disease. Is this kind of disease curable or cancerous? My creatinine is 1.5 and I’m low in potassium. What shall I do?

Polycystic Kidney Disease (PCKD) is a genetic kidney disease and means that you inherited the disease from your parents. In rare instances, if neither of your parents have PCKD, then this could be a genetic mutation that occurred in you. … Continue reading

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

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

Hi sir, I’m a 19 years old girl from India. I had PUJ obstruction in my right kidney when I was 10 years old, for which I got kidney infection with high fever for more than twice then. Doctor recommended some tablets. I don’t remember the name of the antibiotic which made me well and nothing happened to me after then until the previous year when i turned 18. Again I had UTI and the same doctor prescribed antibiotics or something which cured me. And after one year again, this September I had UTI. This time I have done many tests and visited more than 5 doctors. This time, the doctor told I still have the PUJ obstruction but its not harmful they said. But they were confused why am I getting infected several times. So they gave a urine test which would take one and half months for the results to come out. Then they would tell whether they have to put a stent. And yeah, I forgot to mention, I have hydronephrosis this time and having a heavy feeling on my right side of the stomach. The doctor has given me an antibiotic. I have to take it until the result comes out. I’m just worried is it alright to wait? Is it gonna damage my kidney more?

The problem that you describe is a urological problem. I am a nephrologist and have no surgical experience. This problem should be addressed to a urologist. I suggest that you consult with a urologist. For general information on kidney disease, … Continue reading

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

Dear sir, right kidney function is 12. I have stone 28. Are there any options to save kidney or function more.

The problem you describe is a urological problem. I am a nephrologist and do not perform any surgery. A urologist is a surgeon and deals with kidney stones and blocked kidneys. I suggest you consult with a urologist.

Posted in Chronic Kidney Disease, Kidney Stones, Nephrologist, Urological Issues