Category Archives: Risk factors

Is it safe to soak in bath with “Dead Sea Salts”? These contain magnesium, potassium and sodium. These soaks really help itchy skin from CKD, Stage 3.

Soaking the skin in these salts should not pose any problem for your kidneys. I have no personal experience with use of these salts. Advertisements

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

Good morning Doc. I’m from the Philippines. My mom has renal kidney failure. She is on hemodialysis since April of last year. She is now 54 y/o. She was suffering a heavy cough and it is worse when it’s evening. She has difficultly breathing and has back pain. As a daughter, I’m very worried about her especially when I always see her like that. As per her doctor, she has water in her lungs and she needs to undergo dialysis 3x’s a week. I just want to ask what is this kind of disease and if this can worsen her situation? What are the things or causes of it? and how do you treat it?

I am unable to make a specific diagnosis based on the information that you present.  She appears to have end stage kidney disease and is on dialysis.  There are many causes of kidney failure including high blood pressure and diabetes. … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Dialysis, Kidney Failure, Kidney-Related Health Questions, Nephrologist, Risk factors

My husband is 85 years old. He had high blood pressure for a long time and in 2014, his Cardiologist did an ultrasound of renal arteries. They were blocked at 70% and 90%. The Nephrologist and Cardiologist wanted to do procedure to unblock them. However, when they checked coronary arteries, he needed emergency heart surgery and the renal procedure never was done. Then he was diagnosed with heart failure. The Nephrologist said we would wait on the kidney procedure and check every year. In 2015, he was diagnosed with stage 3 kidney failure. My husband was having some symptoms which we told the doctors about, which we assumed were from his heart failure, but now think it was from his kidneys. Two weeks ago, he took new tests and now he is in stage 4 with GFR of 27 and creatinine 2.1 Now both doctors want to do the renal artery procedure to unblock them in hopes it would help his kidneys. My husband and I are both very worried and don’t know which way to go.

There have been several studies that have shown that performing an angioplasty with stent (balloon with stent) to kidney arteries may not be of any benefit when compared to medical management that includes careful blood pressure control, treatment of high … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, GFR, Kidney Failure, Kidney-Related Health Questions, Laboratory Testing, Nephrologist, Risk factors, Symptoms and Side Effects

I have CKD and am showing a GFR non AA of 29, with a creatinine level of 2.2 (down from 2.3 in the previous month). I am considering starting CBD (Cannabis Oil) and would like an opinion on whether there are potential negatives that I should be considering. I would very much appreciate your opinion. Thank you.

I know of no studies in patients with chronic kidney disease (CKD) that have been treated with cannabidiol oil (CBD oil). There have been some reports of patients who used marijuana and no ill effects were found on patients with … Continue reading

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

My 54 year old husband received a live donor kidney transplant from our 22 yr old son on June 6th. Two days after the initial surgery an exploratory surgery was performed to understand why the kidney was not getting good blood flow. It was determined that an artery/vein crossed and the kidney “ruptured”. The kidney was re-positioned and David was hospitalized for 4 weeks. The creatinine is stabilizing around 4.2, BUN around 47 and potassium running at high range of normal. Recent biopsy reflects “fibrosis” from damage caused from the 1st surgery. The kidney transplant doctor is thinking this may be the best we can achieve from this kidney. We are reaching out to determine other alternatives or avenues to explore. Any guidance, directions, suggestions to those that may be experienced in this area or treat these types of issues would be greatly appreciated.

Once a kidney has been deprived of blood flow for more than a few minutes, the kidney tissue will die.  If two days passed with the kidney not getting any blood flow, then it is unlikely that the kidney will … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney Biopsy, Kidney-Related Health Questions, Risk factors, Transplantation

What causes too much protein in your urine?

There are many causes of protein in the urine.  A small amount of protein is normally in the urine.  If the protein loss into the urine becomes excessive, then this is seen in glomerulonephritis, heavy physical exercise, fever, and can … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Glomerulonephritis, Kidney-Related Health Questions, Laboratory Testing, Risk factors

What is your recommendation for patients having a colonoscopy? Is it safe for them to use SUPREP or Golytely? What about volume overload potential?

Various forms of Polyethylene Glycol with electrolytes (Brand names include Golytely).  I do not recommend Suprep as it contains Sodium, Potassium, and Magnesium Sulfates and this would not be safe in someone with advanced kidney disease. The volume of solution … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Risk factors

Hi, My gfr has been low since 2012, with 50,70,60, and now 51. My doctor had me do the 24 hour collection. The gfr 51 L creatinine 1.1 and cr clr 69L. I do not know what cr clr is. His letter to me said, nothing significant. I’ve been reading and got a little concerned. Sometime’s my urine is foamy. What would be your recommendation? Thank you.

The creatinine clearance (Cr Clr) is another estimation of the glomerular filtration rate (eGFR).  It is just another way of trying to estimate kidney function.  A normal eGFR is greater than 60 milliliters per minute per 1.73 meters squared.  Hence, … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, GFR, Kidney-Related Health Questions, Laboratory Testing, Proteinuria, Risk factors

My elder brother needs a kidney transplant but cannot go on the donor list because he also has prostate cancer. I am 58 years of age, have had hairy cell leukemia, which was treated and I’ve been in remission since 2002. I do have hemochromatosis, but it is kept under control. Would I be allowed to give my brother a kidney if we are a blood match? He is currently at 13% function.Thanks!

Your brother must first be accepted to the transplant list prior to you being evaluated as a donor.  If you have leukemia and hemochromatosis, it is unlikely you will be accepted as a donor.  The hemochromatosis predisposes you to diabetes … Continue reading

Posted in Ask the Doctor, Donation, Kidney Failure, Kidney-Related Health Questions, Living Donation, organ donation, Risk factors, Transplantation

Hello Doctor, You hopefully can answer this. I’m thinking of donating a kidney to my boyfriend. If I have had a spleen removed would I be able to? Also, I’m not eligible to give blood because of this, would that eliminate me from being a donor?

I can think of no reason why having a splenectomy should exclude you as a kidney donor.  Your boyfriend must first get on the transplant list, then  I recommend that you could call your local transplant center and discuss this … Continue reading

Posted in Ask the Doctor, Kidney Failure, Kidney-Related Health Questions, Laboratory Testing, Living Donation, organ donation, Risk factors, Symptoms and Side Effects, Transplantation