Category Archives: Symptoms and Side Effects

Symptoms and Side Effects

Does a PET scan harm kidneys? I have ckd stage 3 and a PET scan is scheduled for me on 9/29. Could it be harmful or even kill my kidneys?

A Positron Emission Tomogram (PET) scan is generally done with radioactive isotopes and does not pose any problem for patients with chronic kidney disease (CKD). Advertisements

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

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 cannot get an answer as to why someone with end stage renal disease would be prescribed a blood thinner Heparin drip in the hospital which causes over load of fluid for a hemodialysis patient? Also when the Heparin drip was stopped because the 2 blood draws showed the dosage was too high—the blood would not go through the dialysis machine for a 6 hour dialysis treatment

Heparin is the standard blood thinner that is used in dialysis patients.  Heparin is used in almost all dialysis treatments in the United States and is the safest blood thinner to be used in patients who are hospitalized.  I suggest … Continue reading

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

Hello Dr. Spry. My husband, age 84, has been a dialysis patient for 6 1/2 years and has had no problems with his treatments. In January of this year he had colon surgery and recovered quickly. Since that time my husband has developed a full body itch which is constant 24/7. He has found no relief from topical lotions or ointments. This is keeping him from sleeping so he is always tired. Not one of his doctors has given him help. I read that itchiness can be a side effect of dialysis but the article offered no help. So, for 8 months, he itches and it seems to be getting worse. Are you aware of a medication which would help? Is there a study he could be part of? We would certainly welcome any advice or information you can offer. Thank you.

Itching (pruritus) is an uncommon but very symptomatic complication of dialysis and can be extremely difficult to treat. Careful control of the serum phosphate is important to prevent the itching associated with high levels of phosphate in the blood. Your … Continue reading

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

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

My left kidney was removed in 2008 because of RCC. Since my e-gfr is now below normal my personal physician has listed ckd-Stage 2 in my medical record. Which provides a better estimate of e-gfr, mdrd or ckd-epi

The estimated glomerular filtration rate (eGFR) represents an estimate of kidney function.  There are a number of ways of estimating this kidney function including the creatinine clearance as estimated by the Cockcroft Gault equation, the Modified Diet in Renal Disease … Continue reading

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

My sister is undergoing stomach dialysis for the past one month. Now she developed water in the lungs. Due to that breathlessness, no appetite, swelling in the feet and stomach. When fluid is removed from the lungs of one liter, next day it is accumulating again. Kindly suggest me the solution.

If your sister is on peritoneal dialysis, her dialysis prescription must change in order for her to remove more fluid.  In some cases, the dialysis fluid could be leaking into the cavity around the lungs (pleural space) and this is … Continue reading

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

I have a ten month old daughter. She had UTI for several times. After VCUG, we realized that she has VUR grade 2 in both kidneys. The DMSA scans interpretation was that low lying small sized right kidney with cortical defect in inferior half. Mild reduced cortical function in inferior pole of left kidney with prominent PSC. The renal function of right kidney is 30% and left kidney is 70%. What can we do now ?

I am an adult nephrologist and I have no expertise in children.  The question that you ask is a urological question and should be addressed to a urologist and preferably a pediatric urologist.  I suggest you consult with a urologist. … Continue reading

Posted in Ask the Doctor, GFR, Kidney-Related Health Questions, Nephrologist, Symptoms and Side Effects, Treatments, Urinary Tract Infection/Pyelonephritis, Urological Issues

Hi, I am in stage 3 and getting to 4 for kidney disease. How an autopsy can affect or benefit the kidney?? Is it true that in stage 4, I will need the dialysis?

An autopsy is a pathological examination of a person who has died.  I don’t think that is what you mean.  If you mean a biopsy or a sample of the kidney that is examined by a pathologist, then this is … Continue reading

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

I am Level 5 CKD/ESRD, trying to eat correctly. Is honey okay to use? I have purchased Renal Cookbooks and also buying a crock pot and blender to use with books.

Honey is safe for patients with chronic kidney disease (CKD) and should not pose a risk for kidneys.  If you have diabetes, honey is a very concentrated form of sugar and may pose a problem for your diabetes.  If you … Continue reading

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