Category Archives: Treatments

What causes nausea and vomiting for dialysis patients, and what can be done to mitigate?

Nausea and vomiting are very frequent symptoms for patients on dialysis and there is no single cause for these symptoms. Some cases are related to excessive fluid removal that may be required because of fluid overload. Changes in blood pressure … Continue reading

Posted in Ask the Doctor, Dialysis, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Symptoms and Side Effects, Treatments | Comments Off on What causes nausea and vomiting for dialysis patients, and what can be done to mitigate?

I’m in Stage 3 kidney disease. I’m interested in home dialysis.

If you are in Stage 3 chronic kidney disease (CKD), it may be several years before you consider dialysis therapy, but it is good to consider home dialysis early and plan for this. There are several web sites that be … Continue reading

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Do you have information about the wearable artificial kidney?

The Wearable Artificial Kidney (WAK) is a blood cleansing device that is still under development. There are no active trials for the WAK at the present time. Please see:  https://clinicaltrials.gov/ct2/results?recrs=&cond=Kidney+disease&term=Wearable+artificial+kidney&cntry=&state=&city=&dist=

Posted in Ask the Doctor, Clinical Trials/Studies, Kidney-Related Health Questions, Treatments | Comments Off on Do you have information about the wearable artificial kidney?

Man is 64 years old, GFR 23 and Serum urea 143 mg/dl, BUN 66 mg/dl. No blood pressure, no diabetes, no cholesterol. 1) Is there medication to lower serum urea or blood urea? 2) Is Mg citrate safe? 3) Is sodium bicarbonate safe? 4) Should he take a daily dose of baby aspirin?

Magnesium citrate is not safe for patients with advanced chronic kidney disease (CKD). This should not be used without his physician’s approval. Sodium bicarbonate is often used in patients with CKD to correct acid that may build up in the blood. … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Dialysis, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function, Transplantation, Treatments | Comments Off on Man is 64 years old, GFR 23 and Serum urea 143 mg/dl, BUN 66 mg/dl. No blood pressure, no diabetes, no cholesterol. 1) Is there medication to lower serum urea or blood urea? 2) Is Mg citrate safe? 3) Is sodium bicarbonate safe? 4) Should he take a daily dose of baby aspirin?

My cousin’s brother is 36 years old. His current BP is 100/80; he was unconscious when admitted on July 20th and his BP was too low, pulse was around 30-40. Now his pulse is 60. He had a blood test and urine test; his creatinine was 3.2 and urea was 132. Today (July 23rd) his creatinine is 10 and urea is 312. The doctor is suggesting to go with dialysis, but also stated he may lose his life (death) during dialysis. My query is, should we wait till his BP goes to normal? Or can he start dialysis with inotropes? Is there more risk to wait another 2 days for his BP to go back to normal?

I am unable to provide medical advice without performing a complete history and physical examination. The physicians and nephrologists who are caring for your family member must help you make the decisions. I am unable to make a specific diagnosis … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney-Related Health Questions, Nephrologist, Treatments | Comments Off on My cousin’s brother is 36 years old. His current BP is 100/80; he was unconscious when admitted on July 20th and his BP was too low, pulse was around 30-40. Now his pulse is 60. He had a blood test and urine test; his creatinine was 3.2 and urea was 132. Today (July 23rd) his creatinine is 10 and urea is 312. The doctor is suggesting to go with dialysis, but also stated he may lose his life (death) during dialysis. My query is, should we wait till his BP goes to normal? Or can he start dialysis with inotropes? Is there more risk to wait another 2 days for his BP to go back to normal?

Dear sir, I am asking on behalf of my brother who is a dialysis patient of CKD. Recently he was not feeling well so we did some blood examinations; his creatinine is 18 and his potassium level is 11. Please help me with some drugs to lower the potassium level. Due to COVID-19 lock-down we are not able to go to higher center to meet the nephrologist. Hope you will help me out as soon as possible. Thank you sir.

Based on the information that you present, your brother should be in the hospital. Despite being in a COVID-19 shut down, your local hospital should be functioning. Your brother should be taken to the emergency room. There are no pills … Continue reading

Posted in Ask the Doctor, Kidney Failure, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function, Treatments | Comments Off on Dear sir, I am asking on behalf of my brother who is a dialysis patient of CKD. Recently he was not feeling well so we did some blood examinations; his creatinine is 18 and his potassium level is 11. Please help me with some drugs to lower the potassium level. Due to COVID-19 lock-down we are not able to go to higher center to meet the nephrologist. Hope you will help me out as soon as possible. Thank you sir.

Hi Doc: I have both hypertension and stage 3 kidney disease. There seems to be a nationwide shortage of Valsartan (Diovan) and my local pharmacies can no longer acquire this medication. My question is, are there specific pharmacies that stock medications for patients with kidney impairments?

Most pharmacies are general pharmacies. Some cater to mail order and others may specialize in intravenous (IV) medications. I do not know of any pharmacies that specialize in only kidney medications.

Posted in Ask the Doctor, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function, Treatments | Comments Off on Hi Doc: I have both hypertension and stage 3 kidney disease. There seems to be a nationwide shortage of Valsartan (Diovan) and my local pharmacies can no longer acquire this medication. My question is, are there specific pharmacies that stock medications for patients with kidney impairments?

My mother is 78 years old. She is on Peritoneal dialysis and now suffering from Peritonitis. She is diabetic and has peripheral neuropathy. She is not unable to tolerate any kind of dialysis. Her heart is functioning at 25 percent. She is suffering a lot and not responding much to treatment. What should be done?

You, your mother and the physicians caring for your mother, should have a conference about her medical status and her overall prognosis. This conference should discuss her options for treatment, her expectations of survival and her current level of suffering. … Continue reading

Posted in Ask the Doctor, Dialysis, End of Life Issues, Kidney Failure, Kidney-Related Health Questions, Nephrologist, Treatments | Comments Off on My mother is 78 years old. She is on Peritoneal dialysis and now suffering from Peritonitis. She is diabetic and has peripheral neuropathy. She is not unable to tolerate any kind of dialysis. Her heart is functioning at 25 percent. She is suffering a lot and not responding much to treatment. What should be done?

Dear Doctor, I have high blood pressure that started when I was diagnosed with CIDP. I was on 70mg of IV Privigen. For my pain, I take Neurontin and 2 mg of Klonopin. When my GFR reached 49, I questioned my Dr. what and where do I find my kidney values? I think I had a heart attack when I found this out. I need to get off my medications. How do I withdraw? Thank you

I am not able to make a specific diagnosis of chronic kidney disease (CKD) based on the information that you provide.  I am not an expert in the evaluation and treatment of chronic inflammatory demyelinating polyneuropathy (CIDP).  I would suggest … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, GFR, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Nephrologist, Treatments | Comments Off on Dear Doctor, I have high blood pressure that started when I was diagnosed with CIDP. I was on 70mg of IV Privigen. For my pain, I take Neurontin and 2 mg of Klonopin. When my GFR reached 49, I questioned my Dr. what and where do I find my kidney values? I think I had a heart attack when I found this out. I need to get off my medications. How do I withdraw? Thank you

My creatinine level 2.99. Any options to lower my high level? Medications I take for my anemia, Aranesp 100mcg and paricalcitol.

The goal for treatment of chronic kidney disease (CKD) is to slow progression of the disease.  In most cases, it is not possible to reverse CKD and lower the serum creatinine.  Treatment should be directed at slowing the progression of … Continue reading

Posted in Anemia, Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Serum Creatinine, Treatments | Comments Off on My creatinine level 2.99. Any options to lower my high level? Medications I take for my anemia, Aranesp 100mcg and paricalcitol.