Category Archives: Treatments

My husband is 62 yrs old. His creatinine level was 105 last year and up to 213 this year with GFR 29. He has sciatica pain and have undergone epidural last June. He has also undergone robotic surgery of his prostrate last Nov and at the moment is still monitoring his PSA which was maintained. How could the creatinine jumped so tremendously, could it be due to the painkiller he’s taking for the sciatica or the blood pressure medicine? His daily intake of medicines include: 1 no. 10mg Triplixam 1 no. Concor 5mg, twice daily, 2 nos. GlumetDC 500mg twice daily and 1no. Simvastatin 10mg once daily. For sciatic he’s trying to limit once per day (tho’ doctor said he can take 3 times a day) 1 no. Acugesic 50mg and Uphamol 650mg. Please advise what is causing the jump and what medicine he should be avoiding. Please also advise what treatment is best to take to improve his condition.Thanks.

I am unable to provide a specific diagnosis for kidney disease based on the information that you present. I can only recommend that you discuss your husband’s condition with your physician and see if further testing is needed in order … Continue reading

Posted in Ask the Doctor, GFR, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Medication and Kidney Function, Treatments

Hello doc. Have a good day ahead. I just want to ask how can I cure my kidney failure? I got urine blood last August and late at night when I woke up to urinate until now I feel that pain on my right side. I have UTI before and spotted blood. I feel weak, can’t move and painful when I urinate. Please, need some advice what herbal medicine I will take? What to do? Food, diet? What to eat and what not to eat?

I am unable to make a specific diagnosis based on the information that you present. I recommend that you see your physician for a complete history and physical examination. I believe that you need further testing in order to establish … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Herbal Supplements in Kidney Disease/Failure, Kidney Failure, Kidney-Related Health Questions, Treatments, Urinary Tract Infection/Pyelonephritis

I had a left side nephrectomy when I was 3 months old so I only have one functioning kidney and I was told it grew to compensate for the lack of the other one. My concern is during my biannual check ups, I get a Microalbumin/Creatine Ratio done and sometime the values are fine and other times they are a little high (by high I mean the ratio is 38.5 MCG/MG). I noticed that if the day before my testing if i had went to the gym and lifted weights are when my values are off high. With a single kidney am I more susceptible to this happening than someone with 2 kidneys? Should I been concerned with my exercise routine? I’m 27 years old and I would really like to take any preventative means now so my kidney stays healthy.

The normal value for a microalbumin to creatinine ratio is less than 30 micrograms per milligram of creatinine.  It is true that heavy physical exercise can be associated with a slight increase in the albumin excretion into the urine.  I … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Nephrectomy / One kidney, Treatments

I am 30 years old and I have stage 3 entering stage 4 kidney disease. It was caused by glomerulonephritis, to be exact. So when my nephrologist and specialist did the biopsy, they started me on first treatment of steroids at 120 mg until I eventually got to 5 mg, along with mycophenolate. After I finished the course of medications, the doctors saw my body didn’t react to any of the treatments. So my question, is this common and is it heard of?

Not everyone responds to conventional treatments for glomerulonephritis.  The type of glomerulonephritis is of importance.  Some types respond very well and other types do not.  I suggest that you discuss your concerns with your nephrologist and learn the exact diagnosis … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, GFR, Glomerulonephritis, Kidney-Related Health Questions, Nephrologist, Treatments

I cannot get an answer as to why someone with end stage renal disease would be prescribed a blood thinner Heparin drip in the hospital which causes over load of fluid for a hemodialysis patient? Also when the Heparin drip was stopped because the 2 blood draws showed the dosage was too high—the blood would not go through the dialysis machine for a 6 hour dialysis treatment

Heparin is the standard blood thinner that is used in dialysis patients.  Heparin is used in almost all dialysis treatments in the United States and is the safest blood thinner to be used in patients who are hospitalized.  I suggest … Continue reading

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

I am currently seeing a nephrologist in Texas. I have a series of questions but you will need some of the back story. In December of last year, I was admitted to hospital for alcohol related liver disease. Have since quit drinking 100%. I weighed 360 pounds at the time. Over the course of 3 days I had 13 liters of fluid removed from lower abdomen. Was put on 3 types of diuretic to help with the fluid retention. About February of this year, I started developing black necrotic wounds on lower legs. Went to a few different appts to find out the problem with no answers. May of this last year, I went to the ER because the amount of pain became unbearable. I had also developed a large mass and large portion of necrotic tissue in and on lower abdomen. Found that I was in renal failure was transferred and admitted to ICU. Over the course of 6 days was on lots of IV fluids because they determined that I was severely dehydrated due to all the medication. Had a blood transfusion also had surgical debridement of lower legs and biopsy of lower abdomen. Was diagnosed with calciphylaxis. Once released continued with surgeon and nephrology. Kidney and liver functions have all returned to normal. No kidney disease or problems at all. My nephrologist is having a hard time continuing to think its calciphylaxis because no present kidney problems so he is prolonging getting treatment for it. He is now wanting me to see a rheumatologist and thinks I may have CREST syndrome. All the research I have done, I can’t find why he thinks this. None of the symptoms match up to me like the calciphylaxis. I have since had a new wound develop on my hip. I am scheduled to see my surgeon to have the large mass and large now open wound on my lower abdomen completely removed. It never healed after the biopsy. My right leg has fully healed and left leg has just a little left to go. My fear is prolonging the treatment for the calciphylaxis could cause something more serious to happen because it is a life threating illness. He has done labs and lots of them. I know it will be hard for you to determine much since you do not have all the results but could you please give me your thoughts on all of this. From my understanding, it is possible to have calciphylaxis without the kidney disease. Other things can cause like obesity, rapid weight loss and liver disease. Please help!

I see patients with calciphylaxis and kidney disease.  Calciphylaxis is a skin disease that is caused by calcium buildup in the small vessels of the skin overlying specific areas of the body that contain fat deposits.  The disease most commonly … Continue reading

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

My sister is undergoing stomach dialysis for the past one month. Now she developed water in the lungs. Due to that breathlessness, no appetite, swelling in the feet and stomach. When fluid is removed from the lungs of one liter, next day it is accumulating again. Kindly suggest me the solution.

If your sister is on peritoneal dialysis, her dialysis prescription must change in order for her to remove more fluid.  In some cases, the dialysis fluid could be leaking into the cavity around the lungs (pleural space) and this is … Continue reading

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

I have a ten month old daughter. She had UTI for several times. After VCUG, we realized that she has VUR grade 2 in both kidneys. The DMSA scans interpretation was that low lying small sized right kidney with cortical defect in inferior half. Mild reduced cortical function in inferior pole of left kidney with prominent PSC. The renal function of right kidney is 30% and left kidney is 70%. What can we do now ?

I am an adult nephrologist and I have no expertise in children.  The question that you ask is a urological question and should be addressed to a urologist and preferably a pediatric urologist.  I suggest you consult with a urologist. … Continue reading

Posted in Ask the Doctor, GFR, Kidney-Related Health Questions, Nephrologist, Symptoms and Side Effects, Treatments, Urinary Tract Infection/Pyelonephritis, Urological Issues

Hi, I am in stage 3 and getting to 4 for kidney disease. How an autopsy can affect or benefit the kidney?? Is it true that in stage 4, I will need the dialysis?

An autopsy is a pathological examination of a person who has died.  I don’t think that is what you mean.  If you mean a biopsy or a sample of the kidney that is examined by a pathologist, then this is … Continue reading

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

I am Level 5 CKD/ESRD, trying to eat correctly. Is honey okay to use? I have purchased Renal Cookbooks and also buying a crock pot and blender to use with books.

Honey is safe for patients with chronic kidney disease (CKD) and should not pose a risk for kidneys.  If you have diabetes, honey is a very concentrated form of sugar and may pose a problem for your diabetes.  If you … Continue reading

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