Category Archives: Treatments

When should I see a kidney Doctor? I am a white female 70, non smoker or drinker for the last ten years. My eGFR 40, creatinine 322. The only thing I have been told is I have Stage 3 ckd and should drink more water. My GFR has been in this range since 2016.

In most cases, primary care physicians are trained to care for patients with chronic kidney disease (CKD).  I have generally suggested consultation with a nephrologist if the estimated glomerular filtration rate (eGFR) is less than 30 milliliters per minute per … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, GFR, Kidney-Related Health Questions, Nephrologist, Serum Creatinine, Treatments

My boyfriend is 44 yrs old has gout,type 2 diabetes, reduced kidney function, hx of kidney stones and hypertension.They have referred him to a nephrologist and rheumatologist and podiatrist.Which specialist would be the best to be able to get the optimal treatment? I read an article on this site referring to that suboptimal care given to patient with gout and ckd.

I believe that a nephrologist should be able to address most of the issues that you mention.  A rheumatologist could address the issue of gout and I’m not sure what a podiatrist might be able to offer.  All of the … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diabetes, Gout, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Nephrologist, Treatments

I had syphilis 23 years ago that was fully treated at the time. Will this disqualify me from becoming a living kidney donor?

Prior successful treatment for Syphilis should have no impact on whether you can be a kidney donor.    

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

Dr said I am a 3 with CKD. Can I get better and how?

The goal for treatment of chronic kidney disease (CKD) is usually not to cure the disease but rather to slow progression of the disease.  Hence, the goal is to slow loss off kidney function.  At this time, we have very … Continue reading

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

For a person who has kidney cancer, what would be the best option or choice to undergo?

I am a nephrologist and have no surgical expertise.  A urologist is a surgeon who deals with kidney cancers and treatment recommendations.  I suggest you consult with a urologist.

Posted in Ask the Doctor, Kidney Cancer, Kidney-Related Health Questions, Nephrologist, Treatments, Urological Issues

Hello, My doctor is telling me I don’t have anything to worry about, but I would like to see what you think. My doctor says there is no worry about these numbers because “the existing controversy of using only eGFR and Creatinine levels as markers for staging of CKD and that without evidence of protein, blood or possibly glucose in his urine that attempting to stage CKD is futile.” I am very worried. I am a 50 Year old white male currently stationed at Fort Leavenworth, Kansas. I take 10 Mg of Lisinopril for High Blood pressure (started March 2019) and 10mg of Lipitor for cholesterol (started September 2019), height 5’9″, weight 178lbs. I have never had any health problems before this year. My current lab tests results are below.C-Reactive Protein <0.20 GFR Stats for past 2 years. March 2017 = 68.8 May 2019 = 67.18 September 2019 = 66.0713 October 2019 = 55.7528 (10.3185 point drop from previous month) He told me about the existing controversy of using only eGFR and Creatinine levels as markers for staging of CKD and that without evidence of protein, blood or possibly glucose in his urine that attempting to stage CKD is futile. Urinalysis Results – October 2019 "Urinalysis W/Reflex Microscopic+Culture" Test Name Appearance – Clear Albumin – 4.5 Bilirubin – Negative Blood – Negative Color – Yellow Glucose – Negative Ketones – Negative Leukocyte Esterase – Negative Nitrite – Negative pH – 5.5 Potassium – 4.4 Protein – Negative Specific Gravity – 1.01 Urobilinogen – 0.2 Chem 14 w/eGFR (Plasma) Results – October 2019 Albumin – 4.5 Bilirubin -1.0 Calcium – 9.3 Carbon Dioxide – 24.3 Chloride – 104 Creatinine 1.45 Higher Than Normal Glucose 99.0 Alkaline Phosphatase 92 Potassium 4.4 Protein – 8.60 Higher Than Normal Sodium 139 Alanine Aminotransferase 28 Aspartate Aminotransferase 17 Urea Nitrogen 17 GFR Non-Black 55.7528 Lower Than Normal Please let let me know what I can do if anything. Thanks

High blood pressure is among the most common causes of chronic kidney disease (CKD).  The single test that you mention with an estimated glomerular filtration rate (eGFR) of 55.7 milliliters per minute per 1.73 meters squared seems to be an … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, GFR, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Treatments

Hi Doc. My brother just got diagnosed with stage 5 renal failure after pneumonia Creatinine of 9.12 and eGFR of 7mls/min. After recovering we did creatinine recheck and it’s 4.5 eGFR of 17. Should we still go ahead with dialysis or try home remedies 1st to improve the condition. Is the condition reversible at this stage? Thank you!

I do not know of any home remedies that reverse acute kidney injury.  From what you describe, your brother may have acute kidney injury but I cannot make a specific diagnosis as to the cause, based on the information that … Continue reading

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

This is for my husband, 58 years old. Last year, June, his serum creatinine was 1.23 and GFR WAS 65. This week tested it was 1.4 and GFR 55. He has high blood pressure. Fasting sugar 111. Prostate enlargement. Yesterday, consulted a doctor and suggested calcitriol 0.25, temulose and minnamineforte. Let me know is it safe taking calcitriol or not. I fear it may cause any adverse condition.

Calcitriol is an active form of vitamin D and is commonly used in the treatment of bone disease and secondary hyperparathyroidism in patients with chronic kidney disease (CKD). I am unable to recommend specific medical treatment without performing a complete … Continue reading

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

My father suffering from CKD. Continue with dialysis. In previous dialysis he suffer vomiting and high fever during treatment. I become confused about this. Please help me.

I am unable to make a specific diagnosis based on the information that you present.  I recommend that you discuss your father’s symptoms with his nephrologist at the dialysis unit.  The symptoms that you describe are very common in dialysis … Continue reading

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

Recently I went into Stage 4 of kidney disease.  My GFR is 17 and creatinine was 3.66.   I do have high blood pressure but is pretty good with meds (140/80)…also diabetic with an avg reading of 139.  I really am watching my sodium intake and potassium (levels were good with last blood tests).  Old remedy I am told is vinegar with the mother (1 tsp per day with glass of water).  What are you thoughts or experience with this old remedy?   I do drink a lot of water to keep hydrated and flush the kidneys.

I have had many patients mention this to me.  I have never seen any study that suggest that vinegar is of benefit in patients with chronic kidney disease (CKD).  I have not observed any ill effects and I have not … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diabetes, GFR, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Treatments