Category Archives: Symptoms and Side Effects

Symptoms and Side Effects

Canadian health care guidelines allows a CKD patient not to have dialysis even if the eGFR is 6. They say CKD patients can live a normal life even at that low number without dialysis or kidney transplant. Does America health care go by this guideline?

I begin dialysis when I think that dialysis will benefit my patient.  This is not based on any number, but rather , will dialysis improve the symptoms of my patient to the point that the patient is willing to undergo … Continue reading

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

As a Nephrologist how high could you tolerate the serum creatinine number being before you would seriously consider dialysis or kidney transplant for a CKD patient?

As a nephrologist, I use the serum creatinine as an estimate of kidney function, but the decision to start dialysis requires that I listen to my patient and have them tell me what symptoms they are having and whether dialysis … Continue reading

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

I was born with one kidney so I tend to pay close attention to its health. My main concern is after exercising I develop proteinuria and I prove this by using the urine-analysis strips. Depending how intense the exercise was, it will determine the protein level in my urine, for example after doing lots of heavy weight lifting, I have seen protein levels as high as 60-100 mg/dL. So with that is the exercise induced proteinuria going cause my kidney function to fail prematurely or lead to kidney issues? Am I more susceptible to exercised induced proteinuria with only having one kidney?

Exercise induced protein in the urine (proteinuria) is also known as orthostatic proteinuria.  If the protein disappears from your urine with rest and after sleeping all night, then this is likely normal.  Some children have this finding and grow out … Continue reading

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

I’m a PD patient and my question is that every time I have a drain, I’m in severe pain my lower stomach. Is there something wrong?

In many cases, the pain is related to the catheter being sucked into the peritoneal lining of your abdomen.  In this case, I would slow the flow out of your abdomen until the pain clears.  If the pain persists, then … Continue reading

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

I am age 75, stage 4 ckd, on dialysis. I have lost my sense of taste for a 4 month duration. I have been unsuccessful in finding an answer for this. I am taking metoprolol, simvastatin, 81 mg aspirin, allopurinol, breo & ventolin. I am getting desperate with this taste issue. Thank you.

Taste alterations in dialysis patients are common, but very difficult to treat.  I can only suggest that you review your concerns with your nephrologist and determine if there is a problem with your dialysis treatments that could relieve the problem. … Continue reading

Posted in Ask the Doctor, Dialysis, Nephrologist, Symptoms and Side Effects, Treatments

Dear Doctor, My father (Age 67) is losing lot of protein through urine. He was suspected for Multiple Myeloma but his PET scan and bone marrow biopsy reports were absolutely normal. But the protein loss is still going on and that is causing him lot of weakness. We did his Kidney Functioning Test but that showed nothing serious. He was admitted to ICU because of some urine infection during which lot of water was accumulated in his body. He had swelling on his whole body which now is going away through diuretic medicines prescribed by his cardiologist. Is this related to Kidney or Blood?

Protein in the urine (known as proteinuria) is a finding in kidney disease.  It is first necessary to find out exactly how much protein is spilling into the urine.  If that protein loss is more than 3 grams per day, … Continue reading

Posted in Ask the Doctor, Kidney Biopsy, Kidney-Related Health Questions, Laboratory Testing, Nephrologist, Nephrotic Syndrome, Symptoms and Side Effects, Treatments

Good day. I live in West Africa and I suspect I might have kidney issues. I am sorry for writing, I know your organization operates in your country alone, but I am compelled to write, as we do not have such organizations over here. I have had series of tests conducted with fluctuating results, this coupled with strange symptoms have me very worried to the point of sickness. I lost my brother to ESRD in April last year, which was mostly due to scarring in his kidneys from unknown sources, as we have no family history of the disease. When my brother had a heart attack that led to his death, I attempted CPR, which was unsuccessful. A weeks days later I noticed I had become unwell and was prescribed ciprofloxacin by my doctor. Over time I noticed I urinated more often, never used to initially, but started waking once at night to urinate, had whitish sediments in my urine and felt a weird flowing sensation in my hands and legs, with Numbness/Pins and Needles also being experienced. Later I started having foamy urine which will go away on its own after some days. . . Has just started occurring again. Urinalysis always says no protein, blood or leukocytes. I am not diabetic or hypertensive either. I talked to my GP about it and he said nothing was wrong. But based on gut feelings I decided to go ahead and see a nephrologist who asked me to get a renal function test done. Since then I have had four Renal function tests + urinalysis done and one liver function test, a CT-scan and I am still confused about what is going on. Despite my urinalysis stating no protein repeatedly. Overtime, I have found that on ingesting any form of protein ( Egg whites,165 of milk, etc), my urine becomes very frothy for a day and its been giving me a lot of worries, my urine dipstick home test kit shows normal values, yet I am in doubt of its accuracy. Below is a list of my tests and results arraigned in chronological order. 21/07/2016 Sodium 140mmol/L Potassium 3.9mmol/L Bicarbonate: 27mmol/l Chloride: 101mmol/l Urea: 2.3mmol/L Creatinine 78umol/L Urinalysis: Perfect order No STI’s 02/09/2016 Sodium 138mmol/L Potassium 4.0mmol/L Bicarbonate: 30mmol/l Chloride: 102mmol/l Urea: 3.2mmol/L Creatinine 101umol/L Urinalysis: Perfect order No STI’s 15/11/2016 Sodium 137mmol/L Potassium 3.7mmol/L Bicarbonate: 28mmol/l Chloride: 98mmol/l Urea: 2.4mmol/L Creatinine 110umol/L Urinalysis: Perfect order No STI’s 26/01/2017 Sodium 137.2 mmol/L Potassium 3.2 mmol/L Bicarbonate: 20.6 mmol/l Chloride: 92.2 mmol/l Urea: 3.7 mmol/L Creatinine 168 umol/L Urinalysis: Perfect order No STI’s Doctor requested a re-run a week later 02/02/2017 Sodium 144 mmol/L Potassium 4.1 mmol/L Bicarbonate: 18 mmol/l Chloride: 109 mmol/l Urea: 1.66 mmol/L Creatinine 115 umol/L Urinalysis: Perfect order No STI’s Liver Function Tests Bilirubin(Total) 0.83mg/dl Bilirubin(Direct) 0.11 mg/dl Bilirubin(Indirect) 0.72 mg/dl SGOT(AST) 27.38 U/L SGPT(ALT) 21.79 U/L Alkaline Phosphatase 46.99 U/L GGT 30.78 U/l Total Proteins 7.6 g/dl Albumin 4.5 g/dl Globulin 3.10 g/dl A/G Ratio 1.45 g/dL I have attached a copy of the CT scan report for your perusal. Note, I am 6ft tall and weigh 72kg Thanks and have a great day Regards.

I am not able to make a diagnosis of chronic kidney disease based on the information that you present.  Your symptoms are not typical of kidney disease.  Because you have a family history of kidney disease, I suggest that you … Continue reading

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

I have scleroderma (CREST syndrome) and have problems with muscle stiffness for which only an NSAID helps. My creatinine has creeped up from .7 to 1.0 over the past 4 years. What is the least nephrotoxic NSAID I can use? (Please don’t say none because it is what several nephrologists have told me and it is not helpful.)

There is no way to use non-steroidal anti-inflammatory drugs (NSAID’s) for a long term treatment of any disorder and is not approved by the Food and Drug Administration (FDA) for long term use.  Intermittent use for pain may be possible … Continue reading

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

My creatinine level right now is 1. 37 and I am trying to lose weight. Will Garcinia cambogia be bad for me to use? I’ve used it before and it worked.

I have no information about the use of Garcinia Cambogia in patients with chronic kidney disease (CKD).  Weight loss is certainly desirable as long as it can be sustained.  Weight loss can be a benefit for patients with CKD but … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Treatments

A couple of years ago my mom had to have one kidney removed due to a cancerous tumor. Surgery was the only treatment needed as it had not spread anywhere. She has had a clean bill of heath since then. She deals with restless leg syndrome and chronic insomnia, but is very leary of taking medications that may affect her remaining kidney. I had checked into the use of valerian for a sleep aid, but different sources are conflicting on the effect of it on your kidneys. Is it safe to use, or is there a better alternative for insomnia?

I have no experience with valerian as a sleep aid.  I do not have any information about the use of valerian in patients with chronic kidney disease (CKD).  

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function, Nephrectomy / One kidney, Symptoms and Side Effects, Treatments