Category Archives: 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

4mg ZOFRAN & 10mg SINGULAR. Are they OK to take with ESRD?

I have used these drugs safely in patients who are on dialysis (End Stage Renal Disease).

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

5 years ago I received a kidney & liver transplant at the University of Pennsylvania. About 4 months later I developed perpheral neurophathy in my hip, legs, knees, ankles, feet, toes and hands. The chronic pain, numbness, tingling and stiffness is difficult to deal with on a daily basis. Even while using opioids and Klonipin to control the daily discomfort. My team of doctors feel that I am reacting to the immunosuppressive medications. Do you have any recearch information on the use of CBD #1 or #2 to help control the pain while rebuilding the nerve myelin sheaths to heal & calm the irritated nerve endings? The suggestion to use CBD 1 or 2 was recommended by my family doctors who use it to help their chronic pain patients in Florida. They felt I would receive benefit from it’s use. But I am concerned about the effects CBD oil would have on my transplant organs keeping them healthy or causing any type of rejection. My home doctors know little to nothing about CBD’s use or side effects & are reluctant to learn about it’s use, possible side effects and recovery possibilities. What is you opinion on this natural pain reliever on the effects of kidney and liver function? Though there is more then 100 years of research on Hemp Seed Oil, my doctor’s are reluctant to discuss this topic in terms of relieving pain. Can you help guide me to information that might help answer my questions on the usefulness of CBD Oil 1 & 2? Thank you for you assistance to figure this conundrum out. Sincerely.

The use of cannabidiol (CBD) oil for any purpose is mostly on the basis of anecdotal reports. This means that a group of individuals report good responses with use of CBD oil. The number of people who have tried CBD … Continue reading

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

My father, age 73, has been operated twice last month. He had acute intestine obstruction and had laparotomy. After the surgery, his Urea increased to 94. But gradually it decreased to 50. But now, after 20 days of his surgery, he has stopped urinating. Even the urine bag has been fixed but it is empty even after 2 days. He is feeling pain in his chest. His bladder is felt empty. The creatinine has increased to 4.6 mg/dl and urea to 70 mg/dl. Sodium is 134 mmol/L Potassium 4.5 mmol/L nd chloride 99 mmol/L He is not urinating since 3 days. Please tell me what cause can be and what should be done? Thanks in anticipation.

Your father appears to have acute kidney injury as a complication of the surgery. I am unable to make a specific diagnosis as to the cause of the acute kidney injury. In most cases, this requires dialysis until the kidney … Continue reading

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

Is water imperative to drink in Stage 4 kidney disease or is any type of fluid ok (is tea, coffee, flavored zero calorie eaters that are not carbonated).

The kidneys are capable of handling and dealing with any liquid that contains water.  Whether that liquid is plain water, or other liquids such as coffee, tea or flavored waters, the kidneys are capable of dealing with these liquids, sorting … Continue reading

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

My mom is suffering from CKD. It has been more than six yrs that she was diagnosed with CKD. Her creatinine level is 5.3 and her haemoglobin level is 6 now, an anemic. She had been under treatment with allopathy medicine. She is 67yrs old. Please help me to maintain her health and to lower her creatinine level. I really want her to live many more years. I have no one else in this world besides her.

Her anemia might be able to be treated by an erythropoiesis stimulating agent (ESA) such as epoietin alpha or darbepoietin.  Anemia with chronic kidney disease (CKD) is very common and can be treated.  If her CKD has progressed to kidney … Continue reading

Posted in Anemia, Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Symptoms and Side Effects, Treatments

I am Indian 63yrs old having weight 68.6kg.and height 5.5 ft. and have no other complications than serum creatinine 6.7mg% and Bun 63.4. My bp is 140/80. and no diabetic. Till to day I have no sign of any illness. On one occasion, when I went to native faced severe sun 47, and felt that my body became dry since then my appetite is affected and very recently on 22nd September on blood test my Hb found to be lowered at 8.9 and size of kidney became 7.20×4.5 RK and 7×4.2LK with above blood reports. Doctor diagnosed it may be a chronic renal failure[?]. I have no problem with urine, urine clearance and no pains any where in body but developed nausea for food. Is it sign of CKD or chronic renal failure? Difference between chronic disease and failure? Is there any way to make up Hgb at normal level? Does reduction in size of kidney reduces functional ability? If yes, what can be done to bring it at normal? Is Magnetic Biotherapies worth to undergo? Please advise me at the earliest to avoid any further complications in this matter. You may suggest any best place if treatment is to undertake.

Symptoms such as loss of appetite, nausea and progressive anemia with weakness are common with advanced kidney disease.  The anemia can be treated by use of Erythropoiesis Stimulating Agents (ESA’s).  The other symptoms may be more difficult to treat. I … Continue reading

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