Category Archives: Polycystic Kidney Disease

Hi, My Family has a history of ADPKD and currently I am diagnosed for ADPKD with cysts in my Kidney. My USG of kidneys reports the following Right kidney measures ~103*61 mm Left kidney measures ~ 114*58mm Both kidneys show presence of multiple cortical / medullary cysts largest of it measuring ~ 55 x 41 mm in the lower pole of left kidney. No septations/ internal echogenic content / wall calcifications / soft tissue nodularity seen. No evidence of calculi or hydronephrosis seen on either side. I wanted to know if the cyst is going to cause any issue or is it normal to have cysts of the size mentioned? All my other Kidney Functions are normal.

The report that you provide is very typical of autosomal dominant polycystic kidney disease (ADPCKD).  The size and location of the cysts are very typical of ADPCKD. Advertisements

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

I am a 21 year old female. I have polycystic kidney disease and due to constant pain I had done ultrasound recently. The result says I have a bilateral kidney that poorly defines corticomedullary differentiation? Is this a serious matter? Thank you.

I am not sure what the interpretation is referring to. All patients with polycystic kidney disease will have a “poor differentiation of the corticomedullary junction”. The kidney is divided into the surface part of the kidney called the cortex and … Continue reading

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

Dr. normally, what medicine people with PKD takes to control BP? What number of BP should I look for?

This is a question for your physician. There are many medications that can be effective for treatment of patients with polycystic kidney disease (PCKD). I am not able to recommend medications without performing a complete history and physical examination. Your … Continue reading

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

I’m a kidney patient and have gone 3 years without dialysis. Currently having acute abdominal pain which last 4-5 hours every day. My nephrologist referred me to a gastroenterologist and he issued me to have a a ultrasonography, CT scan plain, endoscopy and colonoscopy. The doctor has not found any cause of pain. Sometimes pain starts when stomach is empty but some time it starts with a full stomach. The medicine like Tramadol and other antacid medicine do not work for relief. Normally the pain starts in the evening or early morning from 3am to 5 am. Is this stomach pain due to CKD or any abdominal cause?

Abdominal pain is not a common symptom of chronic kidney disease (CKD). I am not able to make a specific diagnosis of this abdominal pain.  In my experience, abdominal pain has another cause rather than CKD unless the patient has … Continue reading

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

Dr. I would like to know if Zolpidem and Diazepam could damage even more my kidneys? I have PKD stage 3. Thank you.

Zolpidem is a sleeping medication and Diazepam is a sedative. These medication would be very uncommon as a cause of progressive chronic kidney disease (CKD). Polycystic Kidney Disease (PKD) can certainly show progressive CKD over time.

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

I wanted to know about the best treatment option available for Polycyctic kidney disease.How effective is the surgery option? Can a cyst of size exceeding 3.5 cm be operated upon?

Surgery on the cysts of a patient with polycystic kidney disease (PCKD) should rarely be necessary and has generally been abandoned as a treatment for patients with PCKD.  I would recommend that your blood pressure should be very carefully controlled, … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Polycystic Kidney Disease, Symptoms and Side Effects, Treatments

My Niece has polycystic kidney disease, as did her Mother (my Half Sister- we had the same Mother different Fathers) and several of her siblings, her GFR is 45. She is 46, her BUN is 30 & creatinine 1.4. Her Mother was diagnosed at age 44 & passed at age 48. Her oldest sister & brother diagnosed at age 44 also. I am curious as to what stage kidney disease she is in and how long she may have before she has to start dialysis. I know only the Good Lord knows some of my questions, but I also know medicine has advanced a lot too. Thank you.

With her estimated glomerular filtration rate (eGFR) being 45 milliliters per minute per 1.73 meters squared, this would be consistent with Stage 3 chronic kidney disease (CKD). Stage 3 CKD is basically an eGFR between 30 and 59 that has … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, GFR, Kidney-Related Health Questions, Polycystic Kidney Disease

My Mom has Polycystic Kidney Disease and used to get her cysts drained with a needle. Her Doctor says they dPolycystic Kidney Diseaseo not do that anymore because the risk outweighs the benefits (That the chance of infection is not worth it). She is swollen and in a lot of pain. Does she have any other options for treatment?

It is correct to note that puncture of cysts in patients with Polycystic Kidney Disease (PCKD) is no longer a recommended procedure. It does not appear to be of any benefit and the risks are substantial. I am unable to … Continue reading

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

I was diagnosed with PKD last year. I am 73 1/2 years old, weigh 185 pounds and am experiencing no symptoms of PKD other than mild skin itching which I control with an over-the-counter allergy medication. My question is: Is there any evidence on whether creatinine tends to increase at a constant rather than an accelerating rate? The following is the recent history of my creatinine levels: April 2015 – 1.32 June 2016 – 1.62 January 2017 – 1.61 August 2017 – 1.7 October 2017 – 1.63 November 2017 – 1.79 If the rate of increase in my creatinine (.47 in 31 months) were constant, it would take 45 years for my creatinine to reach a level of 10. I am following a very strict diet which is very low in sodium, contains very little dairy and no red meat and lots of fruits and vegetables. I am also taking the following supplements to improve my kidney health: astragalus, chitosan, alpha lipoic acid, dandelion root, stinging nettles, sodium bicarbonate and vitamins D3, B12 and B3. And I am taking Lisinopril to keep my blood pressure at approximately 115/65. I take no NSAID’s at all.

Each patient with chronic kidney disease (CKD) and polycystic kidney disease (PKD) is unique and there is no universal truth as to how fast a serum creatinine may change. There is also some variability to the laboratory testing of the … Continue reading

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

I have a question about deceased donor kidney transplants from 2003. Do they generally last 10-15 years on average or longer? Does one generally die with a functioning transplant? Also, if I have a family history of kidney disease should I be checked again? When I was younger it was said that I did not have it, I assume that’s still the case, but my mom had it, and recently passed away from complications from immune system issues. It’s called PKD.

According to statistics published by the United Network for Organ Sharing (https://unos.org/), the expected half life for cadaveric organ transplants in 2003 would have been in the range of 8 to 9 years. This means that on average, one half … Continue reading

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