Category Archives: Treatments

What kind of pain medication can kidney patients take that is safe and won’t damage your kidneys any further?

Acetaminophen (brand name Tylenol) is safe for patients with chronic kidney disease (CKD) as long as doses are under 3000 milligrams per day.  Higher doses can cause liver injury.  Aspirin can be taken for short periods of time and not … Continue reading

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

Canadian health care guidelines allows a CKD patient not to have dialysis even if the eGFR is 6. They say CKD patients can live a normal life even at that low number without dialysis or kidney transplant. Does America health care go by this guideline?

I begin dialysis when I think that dialysis will benefit my patient.  This is not based on any number, but rather , will dialysis improve the symptoms of my patient to the point that the patient is willing to undergo … Continue reading

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

As a Nephrologist how high could you tolerate the serum creatinine number being before you would seriously consider dialysis or kidney transplant for a CKD patient?

As a nephrologist, I use the serum creatinine as an estimate of kidney function, but the decision to start dialysis requires that I listen to my patient and have them tell me what symptoms they are having and whether dialysis … Continue reading

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

5 months back, I had a kidney stone operation of the right kidney and I find that right kidney is functioning 9 ℅ and left kidney is functioning 42℅. Now after 5 months, I have very bad pains in my right kidney seems very heavy. Bad smell in the urine. What should I do? I have already gone thru surgery twice of my right kidney. Please help.

The problem that you describe is a urological problem and I am a nephrologist.  I do not perform surgery.  You should consult with your urologist. For more information on kidney stones click here:

Posted in Ask the Doctor, Kidney Stones, Kidney-Related Health Questions, Laboratory Testing, Treatments, Urological Issues

Is rituximab safe to treat Nephrotic syndrome in a 12 year old

I am an adult nephrologist and have never used Rituximab (Rituxan) in children.  I suggest that you consult with a pediatric nephrologist. For more information on Children’s health click here:

Posted in Ask the Doctor, Kidney-Related Health Questions, Nephrologist, Pediatric Issues, Pregnancy / Kids, Treatments

Have three queries for transplant patients 1. When bp is never constant and it goes up when one goes for morning walk or for that matter any physical movement results in bp number. If this is true then why patients are advised to keep blood pressure within a range of 120 to130/80 to 90. Is there any range for max and min after physical exercise. How much mental anxiety or stress impacts BP? 2. Cholesterol reducing medicine mostly statin is prescribed for the patients. Does intake of this medicine for long period of time affect the kidney? 3. Should patients plan volume and timing for this water intake for the day? Thanks doc as always.

The standard way to take blood pressure is to take the blood pressure sitting for 5 minutes.  Exercise and physical activity increase the blood pressure and this is normal.  The normal blood pressures that you quote are for 5 minutes … Continue reading

Posted in Ask the Doctor, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Medication and Kidney Function, Treatments

I’m a PD patient and my question is that every time I have a drain, I’m in severe pain my lower stomach. Is there something wrong?

In many cases, the pain is related to the catheter being sucked into the peritoneal lining of your abdomen.  In this case, I would slow the flow out of your abdomen until the pain clears.  If the pain persists, then … Continue reading

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

I am age 75, stage 4 ckd, on dialysis. I have lost my sense of taste for a 4 month duration. I have been unsuccessful in finding an answer for this. I am taking metoprolol, simvastatin, 81 mg aspirin, allopurinol, breo & ventolin. I am getting desperate with this taste issue. Thank you.

Taste alterations in dialysis patients are common, but very difficult to treat.  I can only suggest that you review your concerns with your nephrologist and determine if there is a problem with your dialysis treatments that could relieve the problem. … Continue reading

Posted in Ask the Doctor, Dialysis, Nephrologist, Symptoms and Side Effects, Treatments

I have stage 4 CKD and I now need a drug that’s safe to take for controlling my heart beat. The Duke hospital put me on Amiodarone HEL, 200 mg. Just a week I started a red rash on my body and legs so I will have to stop the drug. What other drug is safe to use? Thank you for you time and attendance to this request.

I am not a cardiologist and cannot recommend drug treatment without performing a complete history and physical examination.  There are other drugs that can be used, but this would depend on why Amiodarone was used and the heart disease they … Continue reading

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

Hello, Dr. Spry, I donated my left kidney in 2014. Since then, I’ve been told I have osteoporosis and should take Fosamax and calcium. Does this regimen have any effect on my kidney?

As long as your remaining kidney has normal function and the estimated glomerular filtration rate is greater than 30 milliliter per minute per 1.73 meters squared, then Fosamax (alendronate) can be used safely to treat osteoporosis.  This should not have … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Medication and Kidney Function, Nephrectomy / One kidney, Treatments