Category Archives: Transplantation

Dear Sir, I have CKD patient since Feb 2019 and depend on dialysis. Kidney Biopsy report: Diagnosis Diffuse Global Glomerulosclerosis. A recent report RBC 4.4, HB 9.7, Packed Cell Volume 30.10, MCV 68.41, MCH 22.05, RDW-CV 22.3 Urea 130.88, Creatinine 6.61 Potassium 61.11. Please advise.

The kidney biopsy report suggests that you have advanced scarring of your kidney and it is not likely to reverse. If you are on dialysis, you should explore the possibility of doing dialysis at home or kidney transplantation. I am … Continue reading

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

Dear Doctor, I lost my father, 73 years of age, 4 months ago. He was diagnosed with CKD about 11 years ago and his creatinine level was between 2 to 3.5 for most of this item and increased to 4.5 in December 2017. He started dialysis in May 2018 and passed away in Dec 2018 due to upper GI bleed. I have been wondering why he was not recommended for preemptive kidney transplant. He did not suffer from any other co-morbidity. After entering into stage 5, he had a bout of pneumonia and COPD and was suspected of having TB later on. I feel he would have been qualified for transplant before entering into Stage 5 of CKD. Please throw some light on the subject.

Preemptive kidney transplantation is an option for patients who have progressive kidney disease and who have potential living donors. Tuberculosis (TB) and lung disease can be contraindications to transplantation, if these are active. Getting a cadaver donor can be a … Continue reading

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

My adult daughter had a kidney transplant in 2007. She has aura migraines and neurologist is wanting her to get Botox injections every 3 months for these migraines that are stroke like. ARE THEY SAFE FOR HER? Our Doctor said he does have much info on it.

I am not aware of any contraindication to the use of “Botox” injections in patients with a kidney transplant or in patients who are using immunosuppressant medication. Your daughter may want to check with her transplant center to see if … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Medication and Kidney Function, Transplantation

How do I lower creatinine with diet? And he has protein 65mg. His weight is 174 pound. Please let me know. And can he have kidney transplant now at this point, at stage four? I really appreciate it for the help. Thank you.

I do not know of any dietary adjustment that will improve kidney function and lower the serum creatinine. The goal of treatment of chronic kidney disease (CKD) is to try and preserve remaining kidney function. It is generally not possible … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, GFR, Kidney-Related Health Questions, Nephrologist, Serum Creatinine, Transplantation

I’ve been on dialysis since 2015. I was approached by a Transplant Center about getting off dialysis. I’ve always dismissed the idea, but decided to give it try. I went to the Orientation, sat through the slide presentation, gave more blood than I ever had, then the doctor came in and said they wouldn’t consider me unless I lost at least 100 lbs. He said it was to much fat to get in to. I didn’t mind him telling me that. I just could have handled it better knowing up front then I could have decided how to handle it. I now have a donor, but I’m told that this procedure still can’t be done because no Doctor would want to put me to sleep. Is there any truth to this?

It is true that there is increased risk to performing transplantation in people who are obese and specifically if there is severe obesity. This generally means that someone has a BMI that is over 38 kilograms per meters squared (kg/M2). … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Kidney-Related Health Questions, Transplantation

Dear doctor, My big brother have kidney problem 4 years back. Both of his kidneys failed. He had 1 year and 2 months of dialysis and he was transplanted for 2 years. His reports were normal but one year back his report were abnormal, creatinine 4, six month ago his creatinine 8. Doctor said urgent dialysis. Creatinine back to 5.1, 2 months ago. His report 9.9 then, back 5.2. One day ago, his creatinine was 10. Help me sir. He save dialysis.

I am unable to provide a specific diagnosis for why the kidney transplant has failed. In most cases, a transplant kidney biopsy is necessary in order to make a specific diagnosis. Your brother will need to continue consultation with the … Continue reading

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

Greetings Doctor. I am post renal transplant from January 2008. In last few months, I started getting extreme edema in legs and tummy causing serious issues for me. Also, my creatinine rose to 2.6 again. I was asked for a comprehensive test and from test spot urine creatinine ratio to protein, I was spotted with protein leak 12.5 g. My Doctor raised Deltacotral to 2 tab daily, Cell Cept to 3 tab daily and Sandimum Neurol to 150 g daily. Now I am OK but is this problem reversible or damage is done? Need advice.

I cannot make a specific diagnosis as to the cause of your kidney transplant dysfunction, based on the information that you present. The only way to make a specific diagnosis in this situation would be to perform a transplant kidney … Continue reading

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

I am 63 and I am doing PD dialysis at home. It is going well. I have been evaluated for a kidney transplant. What is the difference between PD dialysis and transplant as far as life expectancy?

In general terms, a successful kidney transplant will roughly double your life expectancy compared to you life expectancy with dialysis.

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

Hi doctor. My father is age 52 and he is suffering from urine infection and his creatinine count is now 6. He has a back pain since 10 years and due to that he consumed pain killers as well. So now he is going through dialysis for the first time today. What will be the best treatments to reduce the creatinine count?

I am unable to tell if your father’s kidney disease is acute kidney injury or chronic kidney disease (CKD). The first thing to do is to determine if the kidney disease is reversible. This will require further testing. If the … Continue reading

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

Dear Dr. Spry, Currently I am living in LA, and studying in the USC. The matter I am asking you is that my dad is on hemodialysis since 2015, he is 66 now. How could you help him to get rid of dialysis? Maybe you will give me some recommendations. What kind of vitamins can I buy for him in the USA? Thank you in advance, Best regards.

I do not think any vitamins would be of benefit. I think that your father should consider home dialysis therapy or kidney transplantation. These are good choices to be able to improve your father’s quality of life and decrease the … Continue reading

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