Category Archives: Treatments

Does having epilepsy or a history of seizures exclude a person from being a living donor? I continue to have abnormal EEG readings and am required to stay on Keppra permanently.

Someone who has well controlled seizure disorder could be considered for a kidney donor.  Each individual transplant center has the option to choose who can and who cannot be a kidney donor.  If you wish to be considered for kidney … Continue reading

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

Hi, My boyfriend used to do dialysis but has not in two years or taken medicine and has told me he can’t have kids because of that, but I am pretty sure I’m pregnant. Is it possible?

Men with chronic kidney disease (CKD) can father children.  Men commonly have low sperm counts, but can still father children.  

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Kidney-Related Health Questions, Pregnancy / Kids, Treatments

Dr. Spry, what do you think about these alternatives to dialysis: Wearing an artificial kidney? Wearing an artificial kidney makes it easier for people to wear and move around with without having to use a dialysis center or dialysis machines. Xenotransplantation? Xenotransplantation uses animal organs in place of human organs like kidneys. Bionic kidneys? A Bionic Kidney is a bio-hybrid device that is moved by the heart which filters wastes and toxins rom the bloodstream and balances sodium and potassium and regulates blood pressure. And a bionic kidney replaces the need for dialysis. What do you think of these dialysis alternatives?

All of these areas that you mention are active in clinical research at the present time. The only one in actual human testing at the present time is the wearable artificial kidney (WAK).  As far as I know, less than … Continue reading

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

My wife is suffering from unilateral renal agenesis. Her kidney function test report is ok but just chloride is slightly high and it’s 109. Now I need to know it’s a serious matter or normal. What are the precautions and treatment?

I am unable to provide a specific diagnosis based on the information that you present.  An elevated serum chloride test does not provide a specific diagnosis that I can make.  I suggest that you discuss this with your wife’s physician. … Continue reading

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

My mother is a chronic renal failure patient and she is on dialysis now 3 times per week. One of the doctors who in dialysis unit suggested that she should take vitamin B complex and vitamin C (becozyme vials) injection every dialysis session but another doctor said that this is became obsolete now because it harms the liver. Now I don’t know if she should take it or not. Would you please help me in this?

I am not familiar with this treatment.  I do not administer Vitamin B or Vitamin C to my patients on dialysis.

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

Had a CT Urogram which showed both ureters are dilated to the bladder which may relate to distal urethral stricture formation. Then had a Mag3 with Lasix Nuclear scan with no evidence of obstruction. My urologist wants to do a uroscopy to check for stones or tumor. Why would I need this procedure when the Nuclear scan shows nothing?

The question that you ask is a urological question.  I am a nephrologist and do not perform surgery or cystoscopy.  You should ask your urologist about this problem.  A urologist is a surgeon and deals with obstruction of the kidney … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Kidney-Related Health Questions, Treatments, Urological Issues

Can high amounts of salt at a early age be a factor in getting CKD? In the military, we were encouraged to take large amounts of salt tablets. Could that have been a factor in me having CKF?

A high salt intake can make blood pressure higher and result in more resistant high blood pressure.  High blood pressure can result in chronic kidney disease (CKD).  I do not know if taking salt tablets would ultimately result in kidney … Continue reading

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

Is taking BCAA has an effect on cyst size ( increase or enlarge cysts ) and will it affect the kidney functionality. Note that I am an athlete/bodybuilder with good shape and normal blood pressure and have resting bpm between 40 and 45.

I do not have any information that branched chain amino acids (BCAA) has any effect on cyst size in patients with polycystic kidney disease (PCKD).  I do not know of any research that shows any effect of BCAA on kidney … Continue reading

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

Hello, as it is known in the last studies that caffeine is the only proven agent to increase the cyst size in the kidneys. Is that true, and what about the protein and the glutamine will they affect the cyst ?

There is research that shows that caffeinated beverages such as soda pop and coffee may increase cyst size and increase pain in patients with polycystic kidney disease (PCKD).  I advise patients with PCKD to avoid caffeinated beverages.  I am not … Continue reading

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

Dr. Spry, which physical side effects would a CKD patient have to start showing that would justify either dialysis or a kidney transplant?

Most of the time, chronic kidney disease (CKD) has no symptoms until a great deal of kidney function has been lost.  The most common symptoms of advanced CKD are fluid retention and swelling in the feet and legs, nausea, especially … Continue reading

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