Category Archives: Transplantation

What happens to CKD patients who can’t have dialysis or a kidney transplant because of a high risk of bleeding during surgery? What do they do?

I do not understand the bleeding problem.  In most cases, bleeding can be controlled with treatment.  In some cases, major surgery, such as transplant surgery may not be possible, but dialysis should still be possible.  I suggest you ask for … Continue reading

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

I had a kidney transplant 33yrs ago. I have only one which is my Mother’s. I had a kidney infection 3 yrs ago, which I had no clue, went to Doctor about severe neck pain which was making me vomit. Now I have smelling/cloudy urine and my neck pain is getting bad again. I’m unsure as to what to do being I have no insurance or money.

You must see your physician for evaluation.  Infection in a kidney transplant can be very difficult to diagnose because it does not have the usual symptoms that are associated with kidney infection.  The kidney does not have the sensation because … Continue reading

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

Hi, I would like to know if there is any kind of help or any way that I could donate a kidney to my brother who lives in Guatemala. He is 25 years old. He does peritoneal dialysis four times a day and his health is decaying as time passes and He has 5 years with this condition. The problem is that my legal situation in the country is in process of a legal petition of my husband who is an American citizen. For that reason I can not travel to help my brother. Please help me with information or advice what I can do.

I do not have any information about Guatemala and their kidney transplantation network.  It is very likely that you would have to travel to Guatemala in order to become a donor for your brother.  The only thing I can suggests … Continue reading

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

My father had a kidney transplant 2 years ago. He is suffering from urine infection and BKV virus from long time. Yesterday creatinine report was 3.5 and hemoglobin was 6.5. He is also a path of diabetes and BP. Please help what to do? Why creatinine is increasing ?

Patients who suffer from BK virus infection in the urine often develop chronic transplant glomerulopathy and this can lead to transplant failure.  Treating chronic BK virus infection is very difficult. I can only recommend that your father continue to follow … Continue reading

Posted in Ask the Doctor, BK virus, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diabetes, Kidney Failure, Kidney Stones, Kidney-Related Health Questions, Laboratory Testing, Risk factors, Symptoms and Side Effects, Transplantation, Treatments

Hello, My 32 year old brother in law received a kidney and pancreas transplant 3 weeks ago. He has lost 20-30 pounds due to lack of appetite and nausea. His is experiencing very low blood pressure which caused dizziness and nausea. I wasn’t expecting to see him so fatigued and in bed so much. My sister said his doctors don’t seem concerned…but she is so worried. What can people expect after a transplant? Common side effects? How can we stimulate his appetite?

Kidney and pancreas transplants have a very variable course.  I’m not sure there is a typical course that can be described.  Your brother-in-law has Type 1 diabetes mellitus, which can be responsible for some of his complications.  I suggest that … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diabetes, Diet/Nutrition, Kidney-Related Health Questions, Laboratory Testing, Transplantation, Treatments

Does someone who had been on dialysis at age 15 with both kidneys removed and had a kidney transplant at age 26 live longer than an older adult who underwent a transplant? What is the normal life expectancy after transplantation?

I am unable to provide an exact prognosis for either situation.  In most cases, younger people have a longer life expectancy, but there are many factors that may have to be considered.  With careful follow up and adherence to medication, … Continue reading

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

I volunteered as a living donor (my wife is on the kidney transplant list), but was turned down by the transplant team because I had breast cancer five (5) years ago. During my BC treatment I underwent chemotherapy and radiation treatments (I was diagnosed with invasive ductal carcinoma, Stage 1). However, I have been cancer-free for five years and am in good health. Why would I be turned down as a living donor?

The decision to accept someone as a kidney donor is dependent on the judgement and protocols established by the individual transplant centers.  There are no nationwide guidelines for accepting a kidney donor.  Hence, the decision to reject you as a … Continue reading

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

My son had a transplant in November 2016. We had 1 rejection episode. Since then his creatinine level has been 1.6. One of his scans said he had separation of the renal pelvis. Can you explain what this means? We are concerned because he still has pain below the incision scar.

I am unable to interpret a kidney scan without reviewing it myself.  I suggest that you ask for clarification of the scan from your son’s physicians.  A “separation of the renal pelvis” is not a specific term of disease, but … Continue reading

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

Can Human Growth Hormone have any effect after the age of 19 for a female 4’7″. She was diagnosed with CKD at 14 and on dialysis since then. She is planning for kidney transplantation from her father in about 3 months.

Human growth hormone (HGH) has been used in children with chronic kidney disease (CKD) and kidney failure on dialysis (End Stage Renal Disease – ESRD) to accelerate growth.  However, if the bones have stopped growing (this can be determined by … Continue reading

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

I am speaking to a woman from Tennessee who apparently has kidney disease because she was born four months early and therefore her kidney is smaller and malformed. Her father is too old, her mother is dead, her half brother may be incompatible, and she is now on the waiting list. Is there a way I can get screen to see if I can be compatible?

Yes. You can contact the transplant program where she is listed and ask to be evaluated for being a living donor.  Once she is on the list, your testing should be covered by her health insurance.  You can be tested … Continue reading

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