Category Archives: Symptoms and Side Effects

Symptoms and Side Effects

Hi, I have kidney infection and my reports says that I have 2mm stone in right kidney and cortical cyst in left kidney. Last week I started this problem ( nausea and upset stomach) and after that I am having high blood pressure.

You must see your physician to determine the type of infection that you have involving the kidney stone.  Once the type of infection is known, then proper treatment can be recommended.  In some cases, if the stone is infected, the … Continue reading

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

I have been diagnosed with CKD Level 2.0. That has been consistent for about a year now after my CKD level rose to over 3.0 in 2015 during serious back surgery. I live in Mexico in both one of the wealthiest and one of the poorest states down here – one state with highly reputable health care facilities and one state with, at best, questionable care. My nephrologists give me confusing advice. I am 76 years old and am, otherwise, in decent health but with heart arrhythmia quite a bit of which required hospitalization and electric shock treatment in 2015 which seems to have been successful so far. I am an alcholic and love to ingest a lot of straight booze. At 76, I’ll soon be checking out one way or the other. Actually, I’m surprised I am still here and feeling pretty fine overall. I am taking medication prescribed by one nephrologist in Guadalajara but disdained by another nephrologist in the same city. At my age and personal inclination, a kidney transplant is out of the question. May I continue to ingest copious amounts of alcoholic beverages in order to live to 85 or stop this ugly habit and check out earlier?

Excessive alcohol intake is not a good answer to any medical problem.  I am unable to make a specific diagnosis based on the information that you present.  I suggest that you consult with a trusted physician and follow his or … Continue reading

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

Is an 87 year old man with CKD and GFR of around 30 allowed to to engage in a religious fast. More precisely,what would be the danger in not drinking and/or eating for a 24 hour period?Would an individual in such a medical condition be allowed to abstain from food for 24hrs if he drank liquids?

Chronic kidney disease (CKD) with an estimated glomerular filtration rate (eGFR) of 30 milliliters per minute per 1.73 meters squared should be able to go without food and water for limited amounts of time.  This partially depends on other medical … Continue reading

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

Is an 87 year old man with CKD and GFR of around 30 allowed to to engage in a religious fast. More precisely,what would be the danger in not drinking and/or eating for a 24 hour period?Would an individual in such a medical condition be allowed to abstain from food for 24hrs if he drank liquids?

Chronic kidney disease (CKD) with an estimated glomerular filtration rate (eGFR) of 30 milliliters per minute per 1.73 meters squared should be able to go without food and water for limited amounts of time.  This partially depends on other medical … Continue reading

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

What do you tell people who want you to find a CKD cure for them?

Chronic kidney disease (CKD) is usually managed to prevent a further fall in the function.  We do not usually discuss a cure of CKD, but rather managing the disease so as to prevent further damage to the kidney function.  I … Continue reading

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

Recently diagnosed with CKD stage 3B. Also rheumatoid arthritis diagnosis recently. Is methotrexate safe for me to take?

The dose of Methotrexate must be monitored and sometimes reduced for patients with chronic kidney disease (CKD).  I suggest that you review your concerns with your Rheumatologist and your primary care physician (PCP).  

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

My son has kidney failure since age 27. He received the gift of life of a kidney transplant two months after starting dialysis. The transplant lasted 3 years and had to be removed as it became infected. He has been on dialysis for the past 5 years and has a difficult time finding a match as he is highly sensitized because of his previous transplant and he had two blood transfusions. His doctor now says he needs a parathyroid surgery due to chronic depression of calcium levels. He is extremely anemia and has terrible pain in his feet that he is unable to walk. My question is whether the surgery will help with anemic and foot pain. No one knows why he developed kidney failure as no one in our family has kidney disease. Blood type O+. Thank you for your assistance.

Parathyroid surgery for dialysis patients has been reported to improve anemia and pain in the extremities (peripheral neuropathy).  It is impossible to anticipate if the surgery will help each and every dialysis patient.  I am unable to provide a prognosis … Continue reading

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

Hi, One of my patient has HbsAg + and HCV RNA + . Which hemodialisis machine is appropriate for him?

A patient with both Hepatitis B and Hepatitis C should have a machine only dedicated to himself.  The patient should be isolated to that machine only and no other patient should use that machine unless they are also B positive … Continue reading

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

Hi Doctor, About 4 months ago, I had vomiting, constipation and pain in lower back abdomen due to pushing and gas. I went to the doctor and he wrote few tests. My urine tests showed protein, traces of blood and my CBC blood test had WBC and NEU higher than normal. He wrote another test for creatinine and blood urea and it was 3.3 and 55. He referred me to a nephrologist. The next day, I couldn’t see nephrologist because he was out of town. I felt so much thirsty on that day and drank alot of water. The nephrologist wrote same tests again and this time my urine has no traces of blood or protein, my CBC was normal except Hematocrit little less and my creatinine was dropped to 2 while BUN was 43. My ultrasound report showed no back pressure, normal size kidney, high echogenicity suggested. The nephrologist said it is temporary and said to go for tests again after 15 days. The test are normal since then. No traces of blood in urine, no protein since 4 months now. I have done 4 more tests. I am concern if I have CKD or is there any chance of CKD and what my ultrasound report mean by high echogenicity suggested?

I am unable to make a specific diagnosis based on the information that you present.  You could have acute kidney injury that is in the process of recovery or you could have chronic kidney disease (CKD) with acute kidney injury … Continue reading

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

Hi. Are there any complications associated with hemodialysis and very HIGH platelet count due to past splenectomy?

Platelets are used in the blood clotting systems in your body and having a high platelet count could cause problems for blood clotting in the dialysis tubing or dialysis filter.  Your nurse or dialysis technician should be taking notice of … Continue reading

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