Category Archives: Treatments

I’m doing home Hemodialysis I’m taking Aranesp injections 40 mcg. I have had 8 doses of iron while on dialysis. I feel very tired all I want to do is lay down or sit. It is hard to wake up. I feel like sleeping all the time. I also feel like I’m thinking very slow and not understanding simple things. Is this normal? How long until this will get better? I feel like doing everyday things?

I am not able to provide a specific diagnosis based on the information that you present. There can be many causes of fatigue and tiredness in a dialysis patient, including heart disease, depression and other considerations. I suggest you review … Continue reading

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

I’m 66 years old. My Creatinine op is 1.36. My EST GFR is 52. Protein OP total is 9.2 Is this a concern? What are my next steps to correct this? Thank you.

I am unable to make a specific diagnosis of kidney disease based on the information that you present. There are many causes of chronic kidney disease (CKD). Treatment requires a specific diagnosis and then attempting to delay the progression of … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, dabetes, Diet/Nutrition, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Medication and Kidney Disease, Treatments

I was put on Sensipar due to increased PTH level. I am not on dialysis. Everything that I read says it is for dialysis patients only. I am now on Calcitriol since starting Sensipar. Why does it say for dialysis patients only?

Cinacalcet (Sensipar) is approved as a drug to treat secondary hyperparathyroidism in patients who are on dialysis, hypercalcemia in patients with a parathyroid cancer, or patients with hypercalcemia in patients with primary hyperparathyroidism who are not candidates for surgical parathyroidectomy. … Continue reading

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

Doctor, I have Stage 4 CKD (diagnosed 2014) and also Diabetes (diagnosed 2003). Was on Metformin from 2003 to 2014 when CKD Stage 4 was discovered. I was taken off Metformin and I was managing without any medications. Recently, my fasting morning glucose averages 133. Eating a diabetic meal glucose averages 180-320. My endocrinologist has not put me on any medication. I have also developed a film or “cloudy” right eye. My eye exam last week tested at 20/50 (last year 20/25). I KNOW I should be on insulin. What type of insulin should I take that would not hurt my kidneys? I am asking you because I have serious doubts about this endocrinologist. I will be seeking another one soon, but I believe I need insulin now. Thank you ever so much. I really would appreciate any advice or ideas you can give me.

Insulin of any form is not toxic to the kidney and the kidney is responsible for as much as 50% of the metabolic removal of insulin in the body. Hence, when one gets chronic kidney disease (CKD), it is often … Continue reading

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

Hi. I’m a 31 year old female. Was diagnosed with congenital hydronephrosis and blockage of PUJ in 2015, with scarring to the right side only. I had a pyeloplasty in Jan 2016 successfully. However, still have chronic loin pain and recently just had another UTI. I was pregnant during April 2017 – Jan 2018 with no infections but a lot of pain and further dilatation of the AP diameter. Do you have any suggestions to lessen the loin pain? And whether this will be a chronic issue now? I’m based in London, UK. Thanks so much.

Chronic loin pain from hydronephrosis is a very difficult problem to treat. If the blockage has been relieved by the urologist, then there is no medical treatment for Congenital Pelvic Ureteral Junction (PUJ) obstruction. There are no treatments other than … Continue reading

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

I have stage 3 renal failure with GFR of 35. The heart doctor prescribed Gemfibrozil 300 mg twice daily for triglycerides. Every thing I’ve read says do not take it with kidney disease. Can you tell me if it will worsen my kidneys? Thank you.

The typical dose of Gemfibrozil is 600 mg twice daily and the dose should be reduced for patients with chronic kidney disease (CKD). Elevated triglycerides are a common finding in patients with CKD. The dose you quote may have been … Continue reading

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

I am 62 year old Type 1 diabetic with Stage 4 CKD. My eGFR is currently 23. I am an amputee and have a hex of CHF, sepsis, ARDS, acute renal injury x’s 3. I was on an ACE inhibitor but was taken off of it by my new nephrologist. From what I have read, an ACEi is standard treatment. Your thoughts?

Drugs such as Angiotensin Converting Enzyme Inhibitors (ACE-I) and Angiotensin Receptor Blockers (ARB) agents are used to try and preserve kidney function in diabetics with protein in the urine. In your case, your nephrologist may have evaluated the risks or … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Blood/Urine Testing For Kidney Disease, Diabetes, Kidney-Related Health Questions, Nephrologist, Treatments

I have felt miserable with my dx of CKD Stage 4. I have had every test under the sun. I even see a therapist. My labs are stable considering having had this dx since Oct 2017. It came out of no where. Is there any kind of treatment to help. My biopsies stated that CKD came from Chronic Interstitial Nephritis. Biopsies done one year ago Jan 2018. I have become anemic, high blood pressure and high cholesterol since my dx. Does this chronic illness/disease continue to get worse? I have not seen or heard of any treatments unless my GFR is at 15. Mine is 20 now. I just feel as though I have searching for over a year for something. I cannot take this fatigue, lower back pain, dizziness, feeling faint, nauseau, unable to concentrate and mild confusion to go away. I get there is no cure but there must be something.

At some point, your nephrologist must determine that the symptoms you are relating are potentially treated by dialysis and transplant. You should be eligible to be evaluated for listing on the transplant list once your estimated glomerular filtration rate (eGFR) … Continue reading

Posted in Anemia, Ask the Doctor, Dialysis, GFR, Kidney-Related Health Questions, Nephrologist, Transplantation, Treatments

My kidneys works at only 23%. Does the magnetic healer work for me?

The kidneys will not benefit from any magnetic healer.

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

My brother-in-law has had a transplanted kidney for 32 years. But it is now failing and must go on dialysis as he waits for another transplant. Since he still has some kidney function left, should he continue to takes his rejection meds so that he can enjoy some kidney function for as long as it lasts? We realize this is a question ultimately for his physician but what is the industry standard practice, so to speak. As an aside, he has been a motivational speaker for NKF conferences.

In most cases, the transplant physicians recommend continuing some anti-rejection medication while awaiting a second transplant. The dose and the types of anti-rejection medication that are continued is often a local recommendation at the discretion of the transplant physician. I … Continue reading

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