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Category Archives: Urinary Tract Infection/Pyelonephritis
My Husband has CKD stage 4. Last May 2016, he had a UTI and was prescribed trimethoprim. After 4 days he was admitted to hospital with hyperkalemia (6.4) and an acute on chronic kidney injury. He is now on a diet to keep his potassium levels satisfactory. Today his local GP has diagnosed that he has a chest infection and has prescribed amoxicillin 500mg capsules for 7 days. Is this a suitable prescription for a patient with CKD stage 4. Would it be necessary or a worthwhile procedure to have a blood test taken when he has completed the 7-day course to identify if his potassium levels have been affected? What symptoms should one look out for or what tests should be done to check if he is diabetic.
Trimethoprim is known to cause high blood potassium because it interferes with the kidney elimination of potassium. Penicillins such as amoxicillin do not usually cause potassium problems. Your husband’s physician should be able to determine if he is a diabetic … Continue reading →
I am a female, age 58, no diabetes, or high blood pressure, recently tested GFR 48, down from GFR 68 twenty days ago. I have fluid retention and a lot of back pain with fever 100 – 102. No UTI (but suprapubic pain). Urinalysis: No protein, Leukocyte (70), hemoglobin small, all other normal. Doctors point at creatinine level (1.17) and believe due to dehydration and other symptoms not related to kidney. No referral to urologist, no diagnosis of kidney disease, no treatment offered for symptoms. Any recommendations to treat symptoms — now can’t work/function. Thanks. (p.s. I know need to push for more tests).
I am unable to make a specific diagnosis based on the information that you present. I agree that you need further testing. I suggest that you consult with your primary care physician for further testing or referral. An ultrasound examination … Continue reading →
My 91 year old mother had 2 UTIs in January. She saw a urologist in late February. He referred her to a nephrologist who diagnosed her with stage 3 kidney disease in March. We have seen a rapid decline in her cognitive function since the first UTI (3 month time period). Is there a correlation between kidney disease and cognitive function? We keep asking about dementia and additional tests that should be run. We are told by the SN facility that there is nothing more they can do and they have no explanation for her sudden onset dementia.
Dementia is common in the elderly and may be worsened by infections of any kind, including urinary tract infections (UTI’s). Early stage chronic kidney disease (CKD Stage 3) should not be a cause of dementia. I can only suggest that … Continue reading →
My father-in-law was diagnosed with benign prostatic hyperplasia, urolithiasis, chronic kidney disease secondary to obstructive uropathy. He has been experiencing recurrent UTI, and keep complaining of pain at hypogastric area. He became drug dependent to Tramadol that leads him to hallucination and delerium. His bladder cannot hold lots of urine due to bladder inflammation. We already did what the doctors says but still no improvement. The problem still the same and my father is still suffering from his condition. Please help us and give us recommendation.
The problem that you describe is a urological condition. I am a nephrologist. I have no expertise in diseases of the bladder and urinary tract. I suggest that you discuss this with a urologist. For more information on Uti’s click here:
Hi Doctor, I’m a 27 year old, Korean, healthy, female. My blood pressure is always very low and I’ve maintained good health for the most part. For more than a year, I have experienced kidney pain and tenderness the night of and day after I drink alcohol. I’ve always thought it was nothing to worry about since I had ingested alcohol and thought this was my body’s normal reaction. There was a time when I didn’t have these symptoms, but it’s been a long time. Recently, I went to my PCP because my kidney pain lasted a few days after I had drank alcohol. My doctor did a UA and my results came back as follows: GLUCOSE, UA Negative mg/dL; KETONES, UA 80 (2+) mg/dL; SPECIFIC GRAVITY, UA 1.027; UA HGB 0.03 (1+) mg/dL; PH, UA 5.0; PROTEIN, UA 30 (1+) mg/dL; NITRITE, UA Negative; LEUKOCYTE ESTERASE, UA Positive; UROBILINOGEN, UA, QL Negative; BILIRUBIN, UA Negative…. WBC’S, UA/HPF 6-10 HPF; RBC, URINE HPF 4-10 HPF; MUCOUS, UR SED, QL, AUTOMATED COUNT Present HPF; HYALINE CASTS, URINE SEDIMENT, AUTOMATED COUNT, QUAL 5-10 LPF. In July, my GFR was 86 mL and my Vitamin D levels were 16ng/mL. I have not repeated a blood test since July. When I spoke with my doctor regarding my results, she stated she ruled out a UTI and a Kidney Infection. She referred me to a Urologist and Radiology for an ultrasound. I have had a kidney infection previously in 2012. I can’t get into my urologist until April, so naturally – I’m scared. Do these results lean toward a kidney stone being present? Could it have been present for over a year and only agitate when I drink alcohol? Or do these seem to point toward diseased kidneys? I’ve lost about 12 pounds in the last couple months (108lbs, 5’3″) and have (in the last week) a decreased appetite. In the last four days, I have been experiencing a low grade fever and chronic, dull pain/heaviness in my kidneys. Since I have experienced a kidney infection before, I am reluctant to go to the ER to see a specialist sooner. Are these symptoms something I need to address sooner than April?
I am unable to provide a specific diagnosis based on the information that you provide. I am a nephrologist and I cannot make a diagnosis of kidney disease based on the information that you describe. I agree that you should … Continue reading →
What does mildly lobulated left renal parenchyma with slightly heterogeneous echotexture mean? I am 44 yrs old with recurrent UTIs, sharp back pain on occasion, eye swelling & leg swelling.
I am unable to interpret a scan without seeing the scan myself. I suggest that you discuss this result with the physician who ordered the scan. I am not able to make a specific diagnosis based on the information that … Continue reading →
Good day. I live in West Africa and I suspect I might have kidney issues. I am sorry for writing, I know your organization operates in your country alone, but I am compelled to write, as we do not have such organizations over here. I have had series of tests conducted with fluctuating results, this coupled with strange symptoms have me very worried to the point of sickness. I lost my brother to ESRD in April last year, which was mostly due to scarring in his kidneys from unknown sources, as we have no family history of the disease. When my brother had a heart attack that led to his death, I attempted CPR, which was unsuccessful. A weeks days later I noticed I had become unwell and was prescribed ciprofloxacin by my doctor. Over time I noticed I urinated more often, never used to initially, but started waking once at night to urinate, had whitish sediments in my urine and felt a weird flowing sensation in my hands and legs, with Numbness/Pins and Needles also being experienced. Later I started having foamy urine which will go away on its own after some days. . . Has just started occurring again. Urinalysis always says no protein, blood or leukocytes. I am not diabetic or hypertensive either. I talked to my GP about it and he said nothing was wrong. But based on gut feelings I decided to go ahead and see a nephrologist who asked me to get a renal function test done. Since then I have had four Renal function tests + urinalysis done and one liver function test, a CT-scan and I am still confused about what is going on. Despite my urinalysis stating no protein repeatedly. Overtime, I have found that on ingesting any form of protein ( Egg whites,165 of milk, etc), my urine becomes very frothy for a day and its been giving me a lot of worries, my urine dipstick home test kit shows normal values, yet I am in doubt of its accuracy. Below is a list of my tests and results arraigned in chronological order. 21/07/2016 Sodium 140mmol/L Potassium 3.9mmol/L Bicarbonate: 27mmol/l Chloride: 101mmol/l Urea: 2.3mmol/L Creatinine 78umol/L Urinalysis: Perfect order No STI’s 02/09/2016 Sodium 138mmol/L Potassium 4.0mmol/L Bicarbonate: 30mmol/l Chloride: 102mmol/l Urea: 3.2mmol/L Creatinine 101umol/L Urinalysis: Perfect order No STI’s 15/11/2016 Sodium 137mmol/L Potassium 3.7mmol/L Bicarbonate: 28mmol/l Chloride: 98mmol/l Urea: 2.4mmol/L Creatinine 110umol/L Urinalysis: Perfect order No STI’s 26/01/2017 Sodium 137.2 mmol/L Potassium 3.2 mmol/L Bicarbonate: 20.6 mmol/l Chloride: 92.2 mmol/l Urea: 3.7 mmol/L Creatinine 168 umol/L Urinalysis: Perfect order No STI’s Doctor requested a re-run a week later 02/02/2017 Sodium 144 mmol/L Potassium 4.1 mmol/L Bicarbonate: 18 mmol/l Chloride: 109 mmol/l Urea: 1.66 mmol/L Creatinine 115 umol/L Urinalysis: Perfect order No STI’s Liver Function Tests Bilirubin(Total) 0.83mg/dl Bilirubin(Direct) 0.11 mg/dl Bilirubin(Indirect) 0.72 mg/dl SGOT(AST) 27.38 U/L SGPT(ALT) 21.79 U/L Alkaline Phosphatase 46.99 U/L GGT 30.78 U/l Total Proteins 7.6 g/dl Albumin 4.5 g/dl Globulin 3.10 g/dl A/G Ratio 1.45 g/dL I have attached a copy of the CT scan report for your perusal. Note, I am 6ft tall and weigh 72kg Thanks and have a great day Regards.
I am not able to make a diagnosis of chronic kidney disease based on the information that you present. Your symptoms are not typical of kidney disease. Because you have a family history of kidney disease, I suggest that you … Continue reading →
I have had a recurring UTI infection. They did a cat scan. I have many kidney stones, the largest being 17 mm x 32 mm. They said there was thinning of the lining of the kidney. I’m guessing from the size of this that the only option left is surgery. Will my kidney lining heal? Is this an extreme case?
The problem that you pose is a urological problem and must be dealt with by a surgeon. I am a nephrologist and do not perform surgery. I suggest you consult with a urologist who is a surgeon. If you have … Continue reading →
I am a 40 year old woman. I donated my left kidney to my mom in 2001. My labs for the last few years have shown creatinine of 1.02-1.04 and a GFR of 58-60. Should I be concerned? I’m not sure if I should make an appointment with a nephrologist to discuss kidney care after donation.
A serum creatinine of 1.02 – 1.04 milligrams per deciliter (mg/dl) and an estimated glomerular filtration rate (eGFR) between 58 and 60 milliliters per minute per 1.73 meters squared is normal for a single functioning kidney. I suggest that you … Continue reading →
High uric acid in the blood does not cause visible blood in the urine. High uric acid in the blood can cause gout in the joints and uric acid stones being produced in the urinary tract. For more information on … Continue reading →