Category Archives: Transplantation

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

Hello Doctor, My husband had a liver transplant 5 years ago. He is not in Stage 5 CDK, due to the anti-rejection drugs. He is relatively healthy, has high BP, leg swelling, extremely tired and urinates frequently. He is seeing a Kidney Doctor at UCSD and recent blood work showed his GFR is 15-20. My question is what is it that I look for? My husband had a really difficult time with transplant and had to have at least 6 surgeries and he is just downright done with Doctors. My fear is that he will NOT do dialysis or kidney transplant (even if he is a candidate. I would like to give him information so he can think about options. Do you have any information or any kind of books, suggestions?

Your husband should consider all aspects of his care.  The amount of effort that has been put forward to give him a new liver and a new life is extraordinary.  Kidney disease is an unfortunate complication of that process.  I … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, GFR, Kidney Failure, Kidney-Related Health Questions, Laboratory Testing, Transplantation, Treatments

I’d like to know if using red ginseng after having a kidney transplant in 2000, kidney still working great, could effect my transplanted kidney? I take Prograff as my anti rejection med.

I am not aware of any research testing that has been done on the interaction between red ginseng and transplant medications.  Transplant medications are very complex and must be maintained at very specific levels in order to maintain your kidney … Continue reading

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

I was on dialysis 34 years ago then had a kidney transplant. I need a new kidney now and will start dialysis soon. Has it changed in 34 years? I had a difficult time on dialysis. Am I justified in being terrified of dialysis again since I had such a horrid experience with it in the past?

Dialysis is a way to stay alive until an new kidney is available for transplantation. Dialysis is much more efficient and safe than it was 34 years ago, but it remains a treatment that requires time and adherence to medication … Continue reading

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

Hello, my father who is 59 years old is suffering from mild fever and loose stool (diarrhea type). He had his kidney transplant 1 year ago, his creatinine level is 1.5 mg/dl now. What should he eat to treat the fever and diarrhea?

I am unable to give medical advice without performing a complete history and physical examination.  I recommend that your father be evaluated by his physician.  There are always concerns when someone has a kidney transplant and is taking immunosuppressive medications … Continue reading

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

Hello, I’m a 41 year old woman who has had nephrotic syndrome for the last 3 years and I have just been diagnosed with FSGS as well. My creatinine is 124 and my GFR is 41. I have not responded to prednisone and tacrolimus is not working either. I have been told I’m not a candidate for chemotherapy type drugs as I have a poor response to steroids and have been told I will have renal failure in 2-5 years.

Focal segmental glomerulosclerosis (FSGS) is a very common cause of kidney failure and is very difficult to treat.  Many do not respond to treatments.  Your history is very consistent with the diagnosis of FSGS and you may have to consider … Continue reading

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

If I donate a kidney and the person dies can I have it reattached? What are the chances of having negative health effects like rejection from a reattached kidney?

There are rare instances when the kidney transplant recipient suffers brain death and in such cases, the kidney has been removed and replaced in the donor in cases of living donation.  I am aware of one instance when the kidney … Continue reading

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

Hello sir. I am a 58 years old male with a body weight of 65 kg. I had kidney transplantation 22 years ago. At the moment my anti-rejection medications are: Cyclosporine 100 mg/ day Azathioprine 25 mg/ day Prednisolone 2.5 mg / day. I take medications for hypertension (enalapril) and mild diabetes (gliclazide since 2 years ago). My question is: Can I stop taking prednisolone to slow down my diabetes progress?

If you have had a successful kidney transplant for 22 years, I would not recommend any change in your treatment.  You have been very successful with your transplant and it would not be a good idea to change treatment that … Continue reading

Posted in Ask the Doctor, Medication and Kidney Function, Symptoms and Side Effects, Transplantation, Treatments

I keep hearing different things about dialysis. I am stage 5 but still urinate regularly. My biggest symptoms are feeling tired and loss of appetite. My doctors tell me I will live many years and feel great on dialysis but then I have nurses tell me its horrible on the body and after about 5 years your health goes down. What is the truth? If I did dialysis it would be home. I have no other serious health problems (ex. cancer, heart disease, lung disease, etc). I’m trying to get on a transplant list now, but what is the truth about the side effects of dialysis?

Dialysis, especially dialysis done at home, is a way to stay alive and feel well until you get a kidney transplant.  There are many different responses to dialysis, but in general, most folks who start dialysis feel much better and … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney Failure, Kidney-Related Health Questions, Laboratory Testing, Nephrologist, Transplantation

Good day, I’m 30yrs of age from Nigeria. I am 1 year 6 months post renal transplant patient. And I am having trouble gaining weight though I eat well. I used to weigh 58kg before the CKD and I weighed 53kg few months after TX, but presently I dropped down to 50kg. It is really making me depressed because my breast and butt are now very saggy and small. What can I do to improve my weight and is it safe to use PUERARIA MIRIFICA cream to enhance my breast and butt

I am not able to make a specific diagnosis based on the information that you present.  It is most common to gain weight after a kidney transplant.  I suggest that you discuss your concerns with your transplant physician.  I am … Continue reading

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