Category Archives: Treatments

What do you tell people who want you to find a CKD cure for them?

Chronic kidney disease (CKD) is usually managed to prevent a further fall in the function.  We do not usually discuss a cure of CKD, but rather managing the disease so as to prevent further damage to the kidney function.  I … Continue reading

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

Hi, One of my patient has HbsAg + and HCV RNA + . Which hemodialisis machine is appropriate for him?

A patient with both Hepatitis B and Hepatitis C should have a machine only dedicated to himself.  The patient should be isolated to that machine only and no other patient should use that machine unless they are also B positive … Continue reading

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

Hi Doctor, About 4 months ago, I had vomiting, constipation and pain in lower back abdomen due to pushing and gas. I went to the doctor and he wrote few tests. My urine tests showed protein, traces of blood and my CBC blood test had WBC and NEU higher than normal. He wrote another test for creatinine and blood urea and it was 3.3 and 55. He referred me to a nephrologist. The next day, I couldn’t see nephrologist because he was out of town. I felt so much thirsty on that day and drank alot of water. The nephrologist wrote same tests again and this time my urine has no traces of blood or protein, my CBC was normal except Hematocrit little less and my creatinine was dropped to 2 while BUN was 43. My ultrasound report showed no back pressure, normal size kidney, high echogenicity suggested. The nephrologist said it is temporary and said to go for tests again after 15 days. The test are normal since then. No traces of blood in urine, no protein since 4 months now. I have done 4 more tests. I am concern if I have CKD or is there any chance of CKD and what my ultrasound report mean by high echogenicity suggested?

I am unable to make a specific diagnosis based on the information that you present.  You could have acute kidney injury that is in the process of recovery or you could have chronic kidney disease (CKD) with acute kidney injury … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Nephrologist, Symptoms and Side Effects, Treatments

Hi. Are there any complications associated with hemodialysis and very HIGH platelet count due to past splenectomy?

Platelets are used in the blood clotting systems in your body and having a high platelet count could cause problems for blood clotting in the dialysis tubing or dialysis filter.  Your nurse or dialysis technician should be taking notice of … Continue reading

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

My son is 12 and evidently was born with a blockage to one kidney, which is now only functioning 3%. He had one UTI when he was 6, which was treated with antibiotics, but other than an annual urinalysis at check-ups, no tests were ever done to detect the problem. He felt good up until a year ago, when he started having a lot of headaches and nausea a couple of times a week. His pediatrician misdiagnosed him with migraines in January and no testing was done until he ended up in the e.r. several weeks ago and they (thankfully) ran many tests on him. What would be considered to be “standard” care for a 6 year old boy with a UTI that seems to respond to antibiotics but he has no other symptoms? Would a renal ultrasound be considered to be “standard?” Or for a 12 year old boy with migraine- like symptoms and a history of 1 UTI? For the time being he’s stable with the help of blood pressure meds. as we wait for his surgery and he’s actually feeling better than he has in a year. His other kidney is thankfully “fantastic,” according to the two specialists who read his scans. They are very well-respected and I trust their judgement. My son has to have a laparoscopic nephrectomy. What is the typical recovery from a laparoscopic nephrectomy like? I’ve been told there’s a 4 day recovery but that it will take quite a while after that for him to get back to 100%. I’m trying to figure out how much support he might need from his school after his surgery. Will he be able to walk from class to class? Carry a backpack?

The questions that you ask are surgical questions that come under the expertise of a pediatric urologist.  I am a nephrologist and do not see children.  Hence, the questions that you ask need to be addressed by a urologist and … Continue reading

Posted in Ask the Doctor, Birth Defects/Urinary Tract Abnormalities, Kidney-Related Health Questions, Laboratory Testing, Pediatric Issues, Pregnancy / Kids, Symptoms and Side Effects, Treatments

What is the best way to find a donor: My friend just started dialysis. The hospital wait lists seem longer than the average lifespan of someone on dialysis. And I have read the sooner the better. Three potential donors have failed to pass their health screening.

Each family and group of friends has unique ways of interacting in regards to seeking a donor for a kidney patient.  We have a page on our web site that deals with seeking donors (The Big Ask) and being a … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Laboratory Testing, Living Donation, Treatments

I have proteinuria for over 9 years. It was first detected in 2008. I’m a male person, 36 years old, with 183 cm height and 90 kg weight. My blood pressure is 120/80 most often. My results from the lab August -03 2017 AlkP 66 U/L AST 16 U/L ALT 16 U/L Gluc C 4.77 mmol/L Urea 4.5 mmol/L CreaC 80.30 umol/L UA 361.8 umol/L TP 72 g/L AlbG 47 g/L Gllob. 25 g/L Na-C 139 mmol/L K-C 4.8 mmol/L CaC 2.39 mmol/L Phos 0.95 mmol/L IgA 2.38 g/L IgG 10.70 g/L IgM 0.62 g/L C3 1.1 g/L C4 0.2 g/L Trig 0.7 mmol/L Clol 5.1 mmol/L UHDL 1.22 mmol/L LDL CALC 3.5 Upro 0.69 g/L (proteins in 24 hour urine) I also did tests during the last few months. (the results were 0.39 , 0.60 , 0.62 g/L) My doctor advised me to do a Biopsy in order to detect the reason of kidney damage. What do you think about my lab results? Is it allowed for me to do physical exercises with this condition ( for example 1 hour of bicycling, or 2 hours of walking 5-6 times per week), knowing that this will increase the amount of proteins in my urine аdditionally? This is very important for me because my BMI is over 26 and I have overweight. I want to do exercise so that I can have a normal weight. Do these proteins that are passing from the kidneys to the urine are damaging my kidneys?

I am unable to make a specific diagnosis of kidney disease based on the information that you present.  You have excess protein in your urine and this can both cause kidney disease and also be the result of kidney disease. … Continue reading

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

Sir, prescribe some medicine that is available in India to *lower the level of creatinine* in blood. It Is urgent sir.

There are no medications that lower the serum creatinine level.  I suggest that you consult with your primary care physician (PCP) regarding your diagnosis and your treatment.  

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

I have a family history of Polycystic kidney disorder seen only in males in my father’s side. I am the only daughter to my parents. I had taken a dip test as part of tests for checking my kidney function. Dip test showed microscopic particles of blood in my urine along with a high amount of protein. I have not yet received the results for other tests. Does this indicate anything?

Blood in the urine (hematuria) and protein in the urine (proteinuria) can certainly be seen in patients with polycystic kidney disease (PCKD), however, both hematuria and proteinuria are seen in many other diseases of the kidney and urinary tract.  I … Continue reading

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

My twin sister and I have to to get a MRI or a CT scan to check our aorta every year or two. My sister had a MRI with contrast a year ago and the following day her right leg swelled up and it has continued and is now getting worse around her knee. I had a CT with contrast done a few weeks ago and I had bad pain in my back on the left side. Are we having issues with our kidneys. My sister has gone to emergency room but they don’ t seem to be looking at the kidney. And this all started after the MRI.

I am unable to diagnose any form of kidney disease based on the information that you present.  Magnetic resonance Imaging (MRI) contrast is not known to be toxic to the kidneys, although contrast used for computerized tomography (CT) scanning can … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Medication and Kidney Function, Symptoms and Side Effects, Treatments