Category Archives: Transplantation

Does having epilepsy or a history of seizures exclude a person from being a living donor? I continue to have abnormal EEG readings and am required to stay on Keppra permanently.

Someone who has well controlled seizure disorder could be considered for a kidney donor.  Each individual transplant center has the option to choose who can and who cannot be a kidney donor.  If you wish to be considered for kidney … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Living Donation, Medication and Kidney Function, Symptoms and Side Effects, Transplantation, Treatments

Dr. Spry, which physical side effects would a CKD patient have to start showing that would justify either dialysis or a kidney transplant?

Most of the time, chronic kidney disease (CKD) has no symptoms until a great deal of kidney function has been lost.  The most common symptoms of advanced CKD are fluid retention and swelling in the feet and legs, nausea, especially … Continue reading

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

I had my transplant just under a year and a half ago after being on dialysis for roughly a year. Since transplant my kidney function has been steadily worsening to the point that now I am at 25% function which is where I was when I started dialysis. Two Biopsy have shown no signs of rejection but my most recent creatinine is 2.5 and my proteinuria is 3000. The journey has been very frustrating for me especially since my nephrologist seems to be just “throwing things up against a wall to see what sticks.” The only thing that seemed to improve my situation was being put on prednisone although my DSA showed no reason why that would be the case. Have you heard of any similar cases and what seemed to work for them?

Kidney transplantation is a very inexact science and can be very difficult to anticipate complications and treatments.  In most cases, kidney transplant biopsy should lead to a specific diagnosis of the transplant dysfunction.  In some cases, there can be a … Continue reading

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

Question on use of anti-rejection meds post chronic kidney transplant rejection. What has been the experience of kidney transplant patients who have lost their kidneys due to chronic rejection or other reasons as far as continued use of anti-rejection meds (cellcept, prograf, rapamune)? Can one come off or wean off the anti-rejection meds or will patient need to stay on anti rejection meds to prevent immune system attacking a kidney that is still receiving blood flow though the kidney is not functioning?

There has not been a randomized controlled clinical trial of when and if to withdraw immunosuppression from a kidney transplant patient after the kidney transplant has ceased to function.  Each transplant center determines the protocol for withdrawal of medications that … Continue reading

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

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