Category Archives: Transplantation

My sister is 26 year old & her left kidney is non functional & right one is OK. How long can she survive on one kidney? Will it effect her marital life during pregnancy or not? Is transplant of kidney good option for her or not? Please advice what shall we do?

Many people live a normal life with a single kidney. Your sister should have a normal life. There is no need for transplantation as long as one kidney is functioning. Your sister should have annual testing of her kidney function … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney-Related Health Questions, Nephrectomy / One kidney, Transplantation

Dear sir, my sister, Sonali, had a successful kidney transplant in 2016. Her current situation is last month her creatinine level was 1.7 and her current blood creatinine is 3.2. Please guide me. How does she control her creatinine level and how to care daily?

Your sister must be seen and examined by a transplant physician. I am not able to give a specific diagnosis based on the information that you present. Further testing will be required and perhaps a kidney biopsy will be needed. … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney Biopsy, Kidney-Related Health Questions, Transplantation

My husband hit end stage in August. He is now a PD patient. My concern is that he is still vaping or smoking cigarettes and smokes a lot of weed. His nephrologist said smoking is “out” but it’s worse than ever. What consequences are possible?

Smoking is a risk factor for progression on chronic kidney disease (CKD), high blood pressure and heart disease in addition to lung disease. Many kidney transplant programs do not accept smokers for kidney transplantation until they have quit for at … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Transplantation

I am considering becoming a living donor for my brother. I recently suffered a stroke due to a blood condition – polycythemia vera. Will this prevent me from being a donor?

In most transplant centers, it is necessary for kidney donors to be “perfectly healthy”. Each center determines what that means and who will be able to donate a kidney. It is likely the Polycythemia Vera will increase your risk for … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, organ donation, Transplantation

My Dad is 74. He is a type 1 diabetic and has COPD, CHF and is in Stage 4 kidney failure. His BUN is 43 and creatinine is 3.2. So far troponin has been negative. He has SOB, swelling and very weak. B/P has been pretty normal for him at 158/69 and sugar was 168. He was in ICU 2 weeks ago with sugar over 700 and B/P 190/89. At what point will they say dialysis? Could or would he even be considered for kidney transplant? His heart is only working at 25-30%. Thank You.

It is difficult to offer medical treatment advice or offer a prognosis, but based on the information that you present, it is unlikely that your father would be accepted as a kidney transplant recipient given his complex medical problems at … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney-Related Health Questions, Transplantation

Hello, I’m a Software Engineering undergrad. For my final year, I’m interested in building an application to predict kidney disease through data mining. Please help me out with sharing relevant sources dataset in the recent years of patients who had CKD (Chronic kidney disease). Thank you. Regards.

The information that you request can be found in the United States Renal Data System (USRDS) which can be found at:  https://www.usrds.org/adr.aspx This web site includes data up through 2017 and data about causes of chronic kidney disease (CKD) as … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Dialysis, Kidney-Related Health Questions, Transplantation

Dear Dr. Spry, My cousin brother has been diagnosed with MSK in China. After the doctor did surgery of kidney stone removal, they said his kidney is not able to work again. His creatinine has risen up to 2000+, and now he is under Hemodialysis treatment. I want to know if there is any advance treatment can help this situation. The kidney failure started last week. In China, the doctor says the process is irreversible and he has to live his life with Hemodialysis or perform kidney transplant. It is so sad and my cousin brother is only 29 years old. Thank you for all your help.

Medullary Sponge Kidney (MSK) can cause kidney failure but it is unusual. I am not able to make a specific diagnosis with the information that you provide. I am unsure if this is permanent kidney failure or acute kidney injury. … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Chronic Kidney Disease, Dialysis, Kidney-Related Health Questions, Medullary Sponge Kidney, Transplantation

My husband has only one kidney, working at 20%. To avoid dialysis, I work to keep all food low sodium and low potassium. The sodium is easy; I changed to Central Asian Cumin, Coriander, Cardamom, etc. Potassium is more difficult but there are about six vegetables and I work mainly with those. That’s the background. Here is the question. The two lowest potassium veggies are summer squash, green and yellow. BUT also on the “avoid” list are nuts and seeds. Think SEEDS. Both those squashes are about 50% seeds down their centers. Small seeds, soft seeds, but seeds none the less. So I quickly scoop out the seeds and discard them. What do you think? The disabled kidney cannot handle seeds. I want above all to save the kidney. Am I doing the right thing, or working too hard at it? Your comment, please. Thanks.

I do not have enough specific knowledge about the various foods that you describe. I suggest that you consult with a dietitian. A dietitian, who is familiar with chronic kidney disease (CKD), should be able to guide you in your … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Dialysis, Diet/Nutrition, Kidney-Related Health Questions, Nephrologist, Transplantation

Dear Sir, with many thanks for your kind website. Please be informed that I’ve have had kidney transplantation 16 years ago. The donor was my brother. ( my brother and I have one same father, but our mothers are different.) From 3.5 years, the creatinine has raised little by little. Now it’s 4.5 but BUN is 30. I have repeated blood analysis several times at different labs, and all the results were same. Honestly, my doctor is confused. She says that such creatinine must normally lead to higher BUN like 100 or more. Would you please let me know do you have idea in this regard?

The blood urea nitrogen (BUN) has many factors that can effect the value, so that a serum creatinine of 4.5 may not necessarily be associated with a markedly elevated BUN test.  For example, if you are a very muscular man, … Continue reading

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

Diagnosed Stage 3, 49%. When do I need to go under the care of a nephrologist?

In most cases, primary care physicians (PCP’s) are able to manage early stage chronic kidney disease (CKD). Referral to a nephrologist is requested by your PCP. If your PCP has questions about diagnosis or management, then referral may be appropriate. … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Dialysis, Kidney-Related Health Questions, Transplantation