Category Archives: Treatments

A nephrologist says a person with a high risk of bleeding can’t have dialysis because they will bleed to death. Bleeding complications that leads to death. No treatment can stop it. In this case what does the CKD patient do?

I am unable to offer a specific diagnosis based on the information that you present.  I suggest that you ask the nephrologist for clarification as to why the bleeding is occurring and why dialysis is not an option.  

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

I am a kidney donor. I have pain in my upper right side. The doctor did a US abdomen. He says I have some kidney swelling. Would a CT (I’m allergic to iodine dye) or an MRI be a better exam for me.

I am unable to recommend medical testing or management without performing a complete history and physical examination.  Testing with computerized tomography (CT) scanning or magnetic resonance imaging (MRI) is done for specific reasons.  I suggest that you consult with your … Continue reading

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

Does dialysis warrant daily narcotic use? I am concerned for a dialysis patient that takes a minimum of 6 10mg hydrocodone and 400MG neurontin daily. ESRD, no other current medical issues.

Daily use of potent narcotics in patients who are on dialysis is not usually warranted.  I am unable to make any other specific diagnosis based on the information that you present.  I suggest that the dialysis patient make sure that … Continue reading

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

I have recently been diagnosed with acute kidney disease. My GP has taken me off my anti-inflammatory Voltaren 75mg slow release. Before this I had been popping advil. I have a lot of arthritis and other inflammation going on and her offer of Tylenol does nothing for me. I have ordered a joint formula called Pro Flex by Naka, which does contain a form of curcumin. My doctor is not willing to discuss herbal therapy at all but a pharmacist told me I should stop taking the tumeric capsules I had started on. So I am kind of confused as to whether I can take this joint formula. I have been referred to a kidney specialist but it could take forever to get in. I also have high cholesterol but went off the drugs a couple years back due to muscle pain and cramps. Could high cholesterol cause elevated creatinine readings? I am finding it difficult without the anti-inflammatories and hope I can take this joint formula at least. Any advice would be appreciated.

Non-steroidal anti-infammatory drugs (NSAID’s) such as Advil and Votaren are associated with kidney disease and should be stopped.  Your kidney function may improve off of these NSAID’s and your physician likely wants to remeasure your kidney function off of all … Continue reading

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

My 88 year old husband has just been diagnosed with impaired kidney function (raised creatinine level on blood/urine testing). He has been advised that he needs a referral to a Nephrologist but there is a delay in this happening. In the meantime, he is suffering attacks of diarrhea on most days. I am currently modifying his diet in line with the advice on your website but, in the meantime, would you consider his diarrhea is related to his kidney impairment or should we seek urgent advice regarding this? He is losing weight, muscle, tone and strength too. Multiple myeloma has been ruled out by the Oncologists. Many thanks, in advance, for any advice you can give me whilst waiting for his referral.

Diarrhea is sometimes seen in late stage chronic kidney disease (CKD), but it not a typical finding in earlier stage chronic kidney disease.  Diarrhea can lead to dehydration which can make CKD worse and may lead to acute kidney injury … Continue reading

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

I am taking blood thinners for a clot in my leg. I have stage 3 kidney disease. What are the risk?

Patients with Stage 3 chronic kidney disease (CKD) can take blood thinners but they should be carefully monitored with blood testing and monitored for bleeding.  Most blood thinners are approved for use in Stage 3 CKD.  You should discuss your … Continue reading

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

Hi, the patient has pain on her back, got done many tests and finally went for biopsy test, below is the test report. The doctor said nothing to worry just control blood pressure and stress and use less salt in food. But I consulted few other doctors, they said it is benign condition and can lead to kidney disease after 10 or 20 years but it is rare. It is a chronic kidney condition and has no treatment. Maybe after 20yrs, if unlucky can lead to end stage kidney disease. Another doctor says might the kidney have only 10yrs of life. Histopathology Report Clinical Data: Patient has microscopic hematuria, Negative family history. Specimen: A Light microscopy in formaldehyde. B. immunofluorescence in Michel’s medium. Diagnosis: IgA nephropathy with mesangial proliferation. Oxford classification score (M1E0SIT0). Interstitial fibrosis and tubular atrophy constitutes 20% No activity and mild chronicity Description: H&E, PAS, and trichrome stains. The biopsy consists of renal cortex containing 10 glomeruli. Seven glomeruli show segmental mesangial hypercelluarity (M1), without endocapillary proliferative lesion ( no celluar cresentsand no fibrinoid necrosis) (E0). Segmental sclerosis and adhesions to Bowmans capsule is seen in one glomerulus. (S1), no globally sclerotic glomeruli is seen. Thrichrome stains demonstrate segmental small mesangial red deposits. Blood vessels show mild degree of arteriolosclerosis. Interstitial fibrosis and tubular atrophy involves 20%of the cortex (T0) Immunofluorescence Microscopy (IF): Insufficien, renal medulla only. If stain performed on paraffin embedded tissue and show a cortex with 7 glomeruli. IgG: Glomeruli, negative. Tubules, 1+protein resorption droplets. IgA: Glomeruli 3+ granular mesangial staining. Tubules, negative, IgM: Glomeruli negative, Tubules, negative. C3: Glomeruli negative. Tubule: negative. C1q: Glomeruli, negative Patient Details : Female 26. Please give a Good Opinion on this report. I’m so confused and lot worried.

IgA nephropathy is a relatively common type of glomerulonephritis and has a variable course.  Some patients have only blood in the urine.  Others have protein and blood in the urine.  I am unable to give a prognosis without performing a … Continue reading

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

After removal of stone from my left kidney naturally, I observed frequent drops of pus. I consulted with kidney specialists at SIUT Karachi Pakistan. They, after a series of tests declared that my left kidney has got infection, according to report, Daie Cell observed 0.3%, Tissues 0.2%, Creatinine 2.9, Pus18%, Platelets in blood reduced to 2200, Ultrasound revealed that left kidney collapsed by 0.3 cm. I am feeling pain and pus+ blood mixed drops are continuously discharging. The tests also revealed the presence of infection in cum-discharge. Doctors suggests two options to me. One to immediately remove this infected kidney, the body will be maintained on one kidney which is healthy. Second to undergo Laser Cystoscopic Surgery, in which infected part of your kidney will be cut-cleaned and cured for infection, the option being not available in Pakistan. I was advised to go UAE for this operation. My question to this worthy forum is to suggest me if the treatment of infected kidney is better option or the simply removal of kidney is good one. I am in doubt if this infection may re-occur even after having Laser Surgery..? An early reply is appreciated, please.

The question that you ask is a urological question.  I am a nephrologist and have no expertise in surgery or surgical treatment of kidney disease.  I suggest that you consult with your urologist, who is a kidney surgeon. If you … Continue reading

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

My daddy is 74 yrs. old and almost almost 300 pounds. He has diabetes Type 2, COPD, congestive heart failure and has recently had pneumonia which caused a ton of fluid on his lungs. The Lasix used to help with the fluid is causing kidney failure. Is dialysis reasonable for a quality life?

The decision to start dialysis must be made by your father and a nephrologist based on the his ability to tolerate the treatment and the goals for treatment.  Your father should discuss his desires and wishes with his nephrologist and … Continue reading

Posted in Ask the Doctor, Diabetes, Dialysis, Kidney Failure, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease, Nephrologist, Treatments

There are 2 nephrologists in this area. They have a tendency to not take selected patients that need dialysis. Patients that go without dialysis would not survive. IS THAT LEGAL? These doctors are the only nephrologists in town.

A physician can chose to treat or not treat a patient depending on the services they have available.  You may have to consult with a nephrologist outside of the immediate area to get care that is not provided in your … Continue reading

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