Category Archives: Symptoms and Side Effects

Symptoms and Side Effects

my question is about my stage 4 chronic kidney disease, doctor when I breathe I feel a strong pain in the under the lungs is how a very hard squeeze. Doctor I do not have fluid retention, I do not have hypertension the pth is in 263.90 with very small kidneys less than half of the normal of an adult, I am not on dialysis or pre-dialysis what can I test can you recommend to see what is affecting my Kidneys, my nephrologist does not recommend a biopsy because the kidneys are very small and can bleed. I don’t know what is causing my kidney disease. Can you give me a concept Doctor a hug and blessings.

I am not able to make a specific diagnosis based on the information that you present.  Your symptoms could be consistent with chronic kidney disease (CKD) but you indicate that you do not have fluid overload.  Your blood pressure should … Continue reading

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

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

Our 30 year old daughter had a bone marrow transplant a year ago. The main medicine was tacrolimus. Tacro made her kidneys “angry” and she went on a low potassium diet, and drank lots of water. She was monitored and kept her “number” down. Now that she has been off Tacro since August, she feels like her kidneys are not “quite right”. (her words). When she gets up in the morning, she can feel them – a funny feeling. She also continues to drink 100 oz water a day. She feels she cannot exercise as she wants because she gets dehydrated. So, my question is: will this go away? Will she always struggle with kidney issues? Do kidneys repair and return to normal after tacrolimus? Thank you.

I am not able to make a specific diagnosis of chronic kidney disease (CKD) based on the information that you present.  It is true that Tacrolimus can cause injury to kidney function and result in high blood pressure as well … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Symptoms and Side Effects

I have just posted my question yesterday and you told me that all the sympstoms I stated seems to be not related with CKD as CKD Stage 3 usually doesn’t have any symptoms yet. He has undergone kidney biopsy last December and we are told by the doctors that he has CKD Stage 3 and only 48% of his kidneys is working. As you have said that it may imply other severe kidney diseases, why is it that the biopsy detected that he has CKD? Thank you.

The kidney biopsy is the definitive way to diagnose chronic kidney disease (CKD) and tells you what disease process is causing the kidney damage.  The Stage of CKD is determined by measurement of a glomerular filtration rate (eGFR) and performance … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, GFR, Kidney Biopsy, Kidney-Related Health Questions, Nephrotic Syndrome, Symptoms and Side Effects, Urinary Tract Infection/Pyelonephritis, Urological Issues

My dad was told by the doctors that he has CKD Stage 3 last January. His body as well as his face are really swelling terribly then. He can’t urinate without the help of his medicine. He has been told that CKD is irreversible and only 50% of his kidneys is working. He can’t taste foods, he can’t urinate, and he is swelling. He is often tired even if he is just sitting whole day and can’t even climb even 4 step of stairs. He is so weak physically. But then, around a month ago, he can taste foods again, he can pee without the help of medications and his blood pressure is stable. Swelling of whole body is gone too! Does it mean that he is now cured? Are there any circumstances like this that you know of? Thank you

I am unable to establish a specific diagnosis as to the cause or course of your father’s kidney disease. Stage 3 chronic kidney disease (CKD) does not commonly have any symptoms. All the symptoms that you describe seem to be … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Symptoms and Side Effects, Urinary Tract Infection/Pyelonephritis

I have Stage 3b. I am sleepy through out the day and have difficulty concentrating. Do you think that is from my kidney problems?

Kidney disease Stage 3b means that you have an estimated glomerular filtration rate (eGFR) between 30 and 44 milliliters per minute per 1.73 meters squared and this has been present for at least three months.  Most patients with this degree … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, GFR, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function, Symptoms and Side Effects

This is for my husband, 58 years old. Last year, June, his serum creatinine was 1.23 and GFR WAS 65. This week tested it was 1.4 and GFR 55. He has high blood pressure. Fasting sugar 111. Prostate enlargement. Yesterday, consulted a doctor and suggested calcitriol 0.25, temulose and minnamineforte. Let me know is it safe taking calcitriol or not. I fear it may cause any adverse condition.

Calcitriol is an active form of vitamin D and is commonly used in the treatment of bone disease and secondary hyperparathyroidism in patients with chronic kidney disease (CKD). I am unable to recommend specific medical treatment without performing a complete … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, GFR, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Treatments

I have nausea and urge to throw up, associated with left side kidney pain that radiates to the front lower abdomen. I have had these episodes come and go throughout a time frame of 2-3 years. I recently also took a hard fall off of a bike, and came home in pain worse then I’ve ever felt before on my left kidney. I noticed a few drops of blood in iron. I am worried. Please, any advice of what you think it might be? I truly would appreciate it. Thank you.

I am unable to make a specific diagnosis based on the information that you present.  Further testing will likely be necessary in order to determine the cause of your discomfort.  A complete history and physical examination by your physician should … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects

My father has Stage 4 kidney disease as a result of all the NSAID’s taken prior to hip replacement surgery. Currently his BPH is acting up and he is unable to empty his bladder. A catheter has finally been inserted. We cannot get an appointment with a Urologist until 3 weeks from now. His legs are swollen. How concerned should we be about his kidneys?

Blockage of the bladder can cause worsening of his underlying chronic kidney disease (CKD).  His physician should be monitoring your father’s kidney function with blood testing.

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Urological Issues

My father suffering from CKD. Continue with dialysis. In previous dialysis he suffer vomiting and high fever during treatment. I become confused about this. Please help me.

I am unable to make a specific diagnosis based on the information that you present.  I recommend that you discuss your father’s symptoms with his nephrologist at the dialysis unit.  The symptoms that you describe are very common in dialysis … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney Failure, Kidney-Related Health Questions, Nephrologist, Symptoms and Side Effects, Treatments