Category Archives: Transplantation

I read that at some point in the past, kidney donations could only be provided by family members. Do you have any idea when this law changed? I can’t find the answer anywhere.

To my knowledge, there has never been a law that kidney donations must be done by a family member. Cadaver donors have been around since the 1950’s and the first successful kidney transplant was done between identical twin brothers (living … Continue reading

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

After a double kidney transplant on a 76 year old African American woman in June 2019 in hospital. Is now in hospital Dec 3 for acute edema and heart failure, function of only 25%. They are aggressively using the intravenous water reduction drug. Has loss most of ability to walk because of swollen legs. No prior heart disease before the transplant.

I am unable to make any specific diagnosis based on the information that you present.  The physicians in the hospital would be the best to discuss the diagnosis and treatment alternatives. A biopsy of the kidney transplant may be necessary … Continue reading

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

48-year old Caucasian son in otherwise good health has just received his sister’s kidney and now he’s in stage b rejection. Frankly speaking, what are options?

I am not able to guess at the situation after a kidney transplant. This depends on the patients condition prior to transplantation, the medications used for immunosuppression, the matching of the kidney and the donor, the exact chemistry testing report, … Continue reading

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

What questions should I be asking my nephrologist on my monthly visits?

Common questions are blood pressure control at home, diet instructions, medication side effects and recommendations for follow up.  It is also important to have a general idea as to prognosis for dialysis and transplantation.  I also find many questions about … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Dialysis, Diet/Nutrition, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function, Nephrologist, Transplantation

Hello Doctor, I have a friend who needs a kidney transplant. He is a male. Can a female donate a kidney to a male?

Yes.  A female can donate a kidney to a male and a male can donate a kidney to a female. 

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

My mother, age 77, is a CKD patient with shrunk kidneys. After doing haemodialysis for around 12 to 15 times, it have been suggested to go for Peritoneal Dialysis. Her Creatinine today is 2.17 and blood urea is 59. My mother is also diabetic and has UTI for 20 years. My question is whether we can treat her infection with some injections and can get rid of dialysis. Due to these dialysis procedures, she cannot get motion regularly.

There are no treatments that replace dialysis except kidney transplantation. I am unable to recommend specific treatments without performing a complete history and physical examination.  I can only suggest that you continue to consult with a kidney specialist (nephrologist) in … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diabetes, Dialysis, Kidney-Related Health Questions, Laboratory Testing, Nephrologist, Serum Creatinine, Transplantation, Treatments, Urinary Tract Infection/Pyelonephritis

Which antibiotics are safe for Renal transplant patients? My creatinine has been running around 1.2.

Most antibiotics are safe for kidney transplant patients. However, there are a number of different immunosuppressive medications that can interact with antibiotics, so this has to be considered. In addition, if your transplant is functioning less that normal, then the … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Medication and Kidney Function, Serum Creatinine, Transplantation

I am kidney transplant recipient for last 6 months. Creatinine is now 1.2. I am also diabetic patient. My height 5 feet 7 inches and weight 70 kgs. Age 63 years. I received organ from living donor. How much water and protein I should take daily? Presently on insulin and immunosuppressant medicine.

You should follow a DASH diet and drink water to your thirst.  It is not necessary to drink a specified amount of water.  You should also follow a low salt diet.  You can review the DASH diet at:  https://www.nhlbi.nih.gov/health-topics/dash-eating-plan

Posted in Ask the Doctor, Chronic Kidney Disease, Diabetes, Diet/Nutrition, Kidney-Related Health Questions, Living Donation, Serum Creatinine, Transplantation

I had a transplant kidney 20 years ago and was prescribed ranitidine, now they have taken it off the market can I take omeprazole

The equivalent medication for Ranitidine would be Famotidine.  Hence, I would suggest that you review this with your physician to make sure this does not interfere with any other medications that you are taking.  Only certain generic forms of Ranitidine … Continue reading

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

My husband is 67 yrs old. His kidneys seem to be declining at an accelerated rate in this last year. He had been in stage 3 for 8+ yrs. No diabetes,no high blood pressure, changed his diet to preserve his kidneys. He weighs 115 lbs on a good day but struggles to eat 2000 calories a day. His GFR is rapidly declining even though he is doing everything to preserve his kidneys. Blood tests every 3 months. Last 4 GFR test( drop of 4 points, drop of 2 points, drop of 1.5 points, drop of 4.5 points). Drop of 12 points in 1 year. He is now in stage 4 at 27. Does GFR decline more rapidly in later stage CKD. Read and have been told he will be on dialysis in about a year? Is this your experience with stage 4 patients?

It is difficult to provide a prognosis for chronic kidney disease (CKD) without performing a complete history and physical examination.  Some forms of kidney disease do have an acceleration at Stage 4 CKD, but this is not always the case. … Continue reading

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