About Experts Sitemap - Group 37 - Page 16 2014-09-16

Nephrology: Renal Failure and infertility, peritoneal dialysis, male fertility
peritoneal dialysis, male fertility, kidney transplant: Hi John, Transplantation restores the balance in the hypothalamic-pituitary axis and consequently is associated with improvements in sperm motility but not in sperm counts or morphology. Calcineurin inhibitors (CNI) and azathioprine do not seem to alter...

Nephrology: results of renal panel, anion gap, chronic kidney disease
anion gap, chronic kidney disease, renal panel: Hi Tina, Thanks for asking my help on Allexperts . To properly categorize your disease, a careful history and physical examination are required. However, from the results that you have provided, you fall under Stage 3 of Chronic Kidney Disease. ...

Nephrology: tremors after dialysis, electrolyte disturbances, nerve disorders
electrolyte disturbances, nerve disorders, excessive fluid: Hi Nancy, Thanks for asking my help on Allexperts . A number of conditions can be causing tremors after dialysis. A careful history and physical examination are required to arrive at a diagnosis. Some conditons that need to be ruled out are: 1. Electrolyte...

Nephrology: Baby with one kidney, e coli bacteria, pediatric nephrologist
e coli bacteria, pediatric nephrologist, left kidney: Hi Sukanya, Thanks for asking my help on Allexperts . Your question is best answered by a Pediatric Nephrologist, but I will attempt to answer it here. Your son needs a proper work up for repeated urinary tract infections. A careful history, physical...

Nephrology: abc, cushing syndrome, prednisolone
cushing syndrome, prednisolone, moon face: Hi Ajay, Wysolone is a steroid, other name is prednisolone. These group of drugs are commonly used to treat inflammatory conditions and sometimes to reduce scarring. Steroid hormones are normally produced by our body and when supplemented for prolonged duration...

Nephrology: CHRONIC KIDNEY DISEASE, serum creatinine level, chronic kidney disease
serum creatinine level, chronic kidney disease, serum albumin: Hi Khalid, Thanks for asking my help on Allexperts . I need some more information before I can answer your question: 1. What is your serum creatinine level? 2. What is your age, height and weight? 3. What is your serum albumin level? Sincerely,...

Nephrology: CREATININE, URINE, lean body mass, red flags
lean body mass, red flags, value ranges: Hi Kathy, Thanks for following up with me. Can you ask someone at the lab what the normal reference ranges are? It is not normal to have protein and blood in urine. Both are red flags for the presence of kidney disease. Sincerely, Dr. Sha...

Nephrology: Daughter 15 Kidney Problems, kidney biopsy, flank pain
kidney biopsy, flank pain, kidney function: Hi Peter, Thanks for asking my help on Allexperts . It seems that your daughter was recently suffering from severe urinary tract infection. In such cases, it is not unknown for the creatinine to shoot up transiently. What is the indication for doing...

Nephrology: diahrrea and blood in urine, passing blood in urine, polycystic syndrome
passing blood in urine, polycystic syndrome, sick to my stomach: Hi Kayla, Thanks for your question. I am sorry to hear about your condition. To many menstruating women, it appears that they are passing blood in urine. Please don t get alarmed. I suggest that you get a urine test done to look for the presence...

Nephrology: dropping Creatine, chronic kidney disease, serum creatinine
chronic kidney disease, serum creatinine, sepsis infection: Hi Nicole, Thanks for asking my opinion on Allexperts . I am a little confused. In your first sentence, you mention a 41 year old person, but in your later description, you mention a 79 year old. Do you know that this person had normal kidney function...

Nephrology: Foamy Urine, urine dipsticks, foamy urine
urine dipsticks, foamy urine, protein in the urine: It is true that foamy urine does not always represent protein in the urine however the only way to confirm is by doing a urine analysis which is a simple test. If their is no protein than nothing to worry and you can move on. If there is a lot of protein in...

Nephrology: gfr level, signs of kidney disease, caucasian woman
signs of kidney disease, caucasian woman, creatinine clearance: Hi Angie, Thanks for asking my help on Allexperts . After the 3rd decade, GFR reduces by 1 ml/min every year. Your eGFR appears to be low, but I would not get too much worked up. Estimated GFR readings may be fallacious due to a number of reasons. ...

Nephrology: High creatinine, serum creatinine levels, nephrologist
serum creatinine levels, nephrologist, egfr: Hi Jonathan, Thanks for asking my opinion on Allexperts . There is no need to be alarmed right away. It is important to know what is causing the elevation in serum creatinine levels. Please get yourself evaluated by a Nephrologist. What is the normal...

Nephrology: IgA Nephropathy, Scars in Kidney, hepatitis b vaccination, serum creatinine level
hepatitis b vaccination, serum creatinine level, phosphate binders: Hi Manish, Thanks for your question. You have stage 4 CKD. At this stage, the major issues that need to be addressed are: # Optimize BP (target less that 130/80 mmHg 4) and diabetic management (Hemoglobin A1C less than 7% 5) # Use of ACEI/ARB usually...

Nephrology: Kidney Function Test( Rated High), kidney function test, serum creatinine
kidney function test, serum creatinine, kidney stones: Hi Ali, Thanks for your question on Allexperts . It is important to know the cause of elevated serum creatinine. A careful history, physical exam, lab tests and imaging of the urinary tract are required to diagnose the patient s condition. Unfortunately,...

Nephrology: PTH INTACT, internal medicine specialist, chronic kidney disease
internal medicine specialist, chronic kidney disease, vitamin d 25 hydroxy: Hi Kathy, Thanks for following up with me. A feeling of weakness and fatigue, depression, or aches and pains are common. With more severe disease, a person may have a loss of appetite, nausea, vomiting, constipation, confusion or impaired thinking and...

Nephrology: Renal failure - Edema and total body water, body mass index, pitting edema
body mass index, pitting edema, end stage renal failure: Transplant programs are very strict about their enlisting criteria and most will want a body mass index of less than 35 which is calculated based on weight and height. Their is no clinical way of measuring total body water and it is nothing more than a educated...

Nephrology: renal cell carcinoma, renal cell carcinoma, ct scan with contrast
renal cell carcinoma, ct scan with contrast, kidney tumor: Hi Phyllis, Thanks for asking my help on Allexperts . From your CT scan, it appears that you may be having a kidney tumor. A careful history, physical exam and review of the CT scan are required to diagnose your condition. Please get in touch with...

Nephrology: Transplant Infection, kidney pancreas transplant, astrocytoma brain tumor
kidney pancreas transplant, astrocytoma brain tumor, chest x ray: Hi Kristina, Thanks for your question. I am sorry to hear that your husband is not doing too well. You are right about granulocytosis - it does suggest an infection. However, it is important to know what kind of granulocytes are increased in number:...

Nephrology: test results, ast sgot, liver enzymes
ast sgot, liver enzymes, fatty liver: you have mild elevation of liver enzymes which likely means nothing. I think simply repeating tests after few months would be the way to go. If you are overweight than you need weight reduction as one of the common causes of liver panel abnormality is fatty...

Nephrology: Weird flushing, mast cells, 5 hiaa
mast cells, 5 hiaa, adrenal tumor: Hi Scott, Based on the information provided I think you have Carcinoid tumor. The diarrhea and lung problems occur in 70-80 % of cases so you can have flushing alone but still have a carcinoid. The symptoms depend upon the location of carcinoid and vary all...

Nephrology: BUN/CREAT ratio, bun creatinine ratio, albumin globulin ratio
bun creatinine ratio, albumin globulin ratio, urea nitrogen: Hi Christi, Thanks for asking my help on Allexperts . BUN values can be affected by many factors. Some of the common ones are: 1. Dehydration 2. Large meat meal 3. Steroid therapy 4. Bleeding from the gut 5. Certain medications Because BUN...

Nephrology: blood work results, iron deficiency anemia, thalassemia intermedia
iron deficiency anemia, thalassemia intermedia, vitamin b12 deficiency: Hi Lynnette, Thanks for asking my opinion on Allexperts . If you do not have any symptom or sign of kidney disease, there is no need to get worked up about the eGFR results. The number itself does not mean much, especially because your creatinine is...

Nephrology: chronic kidney failure, chronic kidney failure, chronic kidney disease
chronic kidney failure, chronic kidney disease, acute renal failure: Mr. Agarwal, Thanks for following up with me. You seem to have chronic kidney disease. The ratio is not important. If both values are high, the ratio will still be within normal limits. Please get yourself evaluated by a Nephrologist ASAP. Sincerely,...

Nephrology: chronic kidney stones, phenegren, kidney stones
phenegren, kidney stones, chronic kidney: Hi md, Thanks for asking my help on Allexperts . I am sorry to hear that you have been through so much already. Your comment about prevention is spot on. I am surprised nobody has talked to you about prevention. Mainstays of calcium stone prevention...

Nephrology: creatinine, creatinine level, careful history
creatinine level, careful history, allexperts: Hi Chinwe, Thanks for asking my help on Allexperts . You have not mentioned the normal reference range for creatinine. A careful history, physical examination and review of all lab results are needed to diagnose your cousin s problem. He may be suffering...

Nephrology: creatinine, nephrologist, lab tests
nephrologist, lab tests, biopsy: Hi Chinwe, Thanks for asking my help on Allexperts . A biopsy might be necessary after carefully reviewing the history, physical examination, lab tests and imaging of the urinary tract. Unfortunately, I cannot do this over the internet. Please...

Nephrology: First appointment, protein in urine, red flags
protein in urine, red flags, nephrologist: Hi Erin, Thanks for asking my opinion on Allexperts . I agree with your physician friend. You should consult a Nephrologist because you have one of the red flags for kidney disease - hematuria. The other being proteinuria (presence of protein in urine)....

Nephrology: High creatnine levels, high protein diet, creatnine levels
high protein diet, creatnine levels, serum creatinine: Hi Shane, Thanks for asking my help on Allexperts . Eating a high protein diet and running will not cause an elevation in serum creatinine. Is your blood pressure normal? A careful physical examination, other lab tests and imaging of the urinary tract...

Nephrology: health question, red blood cells, causes of hematuria
red blood cells, causes of hematuria, red blood cell: Hi Tena, Thanks for asking my help on Allexperts . I see that your question was asked on March 30, but I have received it only on April 2. Sometimes, there are delays by the website servers. I apologize for the delay. The presence of red blood cells...

Nephrology: hypertension in dialysis pts, anti hypertensive drugs, dialysis nurse
anti hypertensive drugs, dialysis nurse, kidney donation: Hi Anthony, Thanks for asking my help on Allexperts . What I meant by fluid contraction was that in some patients, too much fluid removal may cause activation of the RAS and lead to hypertension. If he were my patient, I d do the following: 1....

Nephrology: KIDNEY NUMBER READING, kidney dialysis, careful history
kidney dialysis, careful history, care physician: Hi Melba, Thanks for asking my opinion on Allexperts . A careful history, physical examination, other lab tests and imaging of the urinary tract are required to answer your question. Unfortunately, I am unable to do so over the internet. Please discuss...

Nephrology: kidney failure, chronic kidney disease, kidney failure
chronic kidney disease, kidney failure, brain tumor: Hi Sonia, Thanks for following up with me. As I explained in my previous answer, discussion of the factors that slow the progression of CKD is based on many parameters and is beyond the scope of this forum. As such, there should be no difficulty in dialyzing...

Nephrology: Do i have any kidney related problem, segmented neutrophils, yeast cells
segmented neutrophils, yeast cells, kidney disorder: Hi Sanjay, Thanks for following up with me. Your creatinine and potassium values are well within the normal reference ranges. Nothing needs to be done for them. As far as eosinophils are concerned, please get yourself evaluated by an Internist. Sincerely,...

Nephrology: Low Postasium in Chronic Renal Failure, chronic renal failure, loop diuretics
chronic renal failure, loop diuretics, low potassium: Hi Jessie, Thanks for asking my opinion on Allexperts . A form of renal disease called Fanconi s syndrome can cause hypokalemia in patients. Other than that, a poor oral intake, use of loop diuretics or intestinal malabsorption can also cause a low...

Nephrology: macroalbuminuria and type one diabetes, glucose level control, target blood pressure
glucose level control, target blood pressure, essential amino acids: Hi Basia, Thanks for asking my opinion on Allexperts . Blood pressure control is paramount in reducing cardiovascular risk and the development of diabetic nephropathy. The target blood pressure is 130/80 mm Hg in all patients. Angiotensin receptor...

Nephrology: Pain right flank, right flank pain, metallic taste in my mouth
right flank pain, metallic taste in my mouth, pus cells: Hi Leah, Thanks for asking my opinion on Allexperts . You seem to have features of right sided pyelonephritis. Please get yourself evaluated by your primary care physician. Ask your doctor to order a urine culture if pus cells are seen in your urine...

Nephrology: post transplant proteinuria, anti hypertensive drugs, kidney biopsy
anti hypertensive drugs, kidney biopsy, native kidneys: Hi Madhusudan, Thanks for asking my help on Allexperts . You seem to have recurrence of FSGS in your transplanted kidney. People have tried plasma exchange for this situation. However, after 5 months, I am not sure there is value in trying that right...

Nephrology: septated cyst, ultrasound findings, left kidney
ultrasound findings, left kidney, cyst: Hi Jennifer, Thanks for asking my help on Allexperts . I agree with your doctor s approach. Cysts may sometimes increase in size. However, it is also important for you to know that ultrasound findings are more subjective than CT or MRI. I would not...

Nephrology: 1.7 mg creatinine in a cardic failure, creatinine level, kidney condition
creatinine level, kidney condition, careful history: Hi Karthik, Thanks for asking my help on Allexperts . I d like to clarify though that I am not mam but sir . What was your father s creatinine level earlier? Did the creatinine rise after angioplasty? The medications that you have mentioned are not...

Nephrology: Analgesic Nephropathy, analgesic nephropathy, kidney condition
analgesic nephropathy, kidney condition, drs office: Hi Kris, Thanks for your question on Allexperts . If you have analgesic nephropathy, stopping analgesics may indeed stop the progression of kidney disease. However, drinking a lot of water will not flush the kidneys of toxins. In fact, drinking excessive...

Nephrology: Bubbles in urine., bubbles in urine, normal blood pressure
bubbles in urine, normal blood pressure, albumin in urine: Hi Adam, Thanks for asking my help on Allexperts . In some cases, bubbles in urine may signify the presence of albumin in urine. You have tested negative in your tests. So, please do not worry. Even normal individuals can have bubbles in urine. It...

Nephrology: best time 2 check creatinine levels post dialysis, peritoneal dialysis, adil
peritoneal dialysis, adil, target: Hi Adil, Post-dialysis S. Creatinine values are not a good way to measure the efficacy of dialysis. For that purpose, a value known as Kt/V is recommended. According to the US guidelines, for 3x/week dialysis a Kt/V (without rebound) should be 1.2 at...

Nephrology: blood sodium level, sodium level, low sodium
sodium level, low sodium, autonomic nervous system: Hi Hanna, Thanks for asking my help on Allexperts . The slightly low sodium that you have cannot cause weight gain. To diagnose your condition, a careful history, physical examination and review lab tests is required. Unfortunately, I cannot do that...

Nephrology: CKD, serum creatinine level, possiblity
serum creatinine level, possiblity, phenomenon: Hi Maung, Thanks for following up with me. In most cases, the serum creatinine level goes back to baseline, 4.6 mg/dl in your father s case. However, there are a number of factors which influence this. A discussion of all these factors is beyond the...

Nephrology: chronic edema, seizure, thyroid function tests, serum proteins
thyroid function tests, serum proteins, pitting edema: Hi Jen, Thanks for asking my help on Allexperts . I am surprised that nobody has tried to find the cause of edema for 11 years! Please ask your doctor to order the following tests as a starting point: 1. Urine albumin - to rule out proteinuria...

Nephrology: First time kidney numbers bad, factor v leiden, bun creatinine ratio
factor v leiden, bun creatinine ratio, urea nitrogen: Hi Devorah, Thanks for asking my help on Allexperts . The most common kidney disorder in diabetics is diabetic nephropathy, which presents as albuminuria and subsequently, a gradual but relentless fall in GFR. A careful history, physical examination,...

Nephrology: High Ur MAlb/Creat, connective tissue disorder, red blood cells
connective tissue disorder, red blood cells, kidney biopsy: Hi Michelle, Thanks for asking my help on Allexperts . The presence of protein and blood in urine along with a positive ANA point towards the presence of a connective tissue disorder with kidney involvement. Systemic Lupus Erythematosus (SLE) is a possibility....

Nephrology: Hydronephrosis Question, extrarenal pelvis, pediatric nephrologist
extrarenal pelvis, pediatric nephrologist, renal pelvis: Hi Alex, Thanks for asking my help on Allexperts . I am not a pediatric nephrologist, but I will try to answer your question. It seems that your son has an extrarenal pelvis. It is a normal variation. I don t see any mention of hydronephrosis or...

Nephrology: hairloss, low albumin, low hemoglobin
low albumin, low hemoglobin, shampoo treatment: Hi Denise, Thanks for asking my help on Allexperts . People who start dialysis do sometimes notice hair loss. Usually, it is temporary, and the hair will begin to grow again in a few months. A hair stylist may be able to make some suggestions about...

Nephrology: Kidney disease?, microscopic hematuria, kidney involvement
microscopic hematuria, kidney involvement, kidney function: Hi Ellen, Thanks for asking my help on Allexperts . Patients with kidney involvement due to SLE can have normal sized kidneys on an ultrasound. Do you have proteinuria, microscopic hematuria or elevated S. Creatinine? These are the red flags for the...

Nephrology: Kidney problem?, kidney ailment, grammar and punctuation
kidney ailment, grammar and punctuation, kidney problem: Hi Amanda, Thanks for asking my help on Allexperts . What you are describing is very vague. It is difficult to arrive at a diagnosis by just reading your symptoms. A careful history, physical examination, lab tests and imaging of the urinary tract...

Nephrology: kidney problem, pus cells, kidneys ureter
pus cells, kidneys ureter, serum creatinine: Hi Anshu, Thanks for asking my help on Allexperts . A careful history, physical examination and a review of lab tests and ultrasound are required to diagnose the cause of elevated S. Creatinine. Please get yourself evaluated by a Nephrologist ...

Nephrology: About kidny, kidny, afternoon time
kidny, afternoon time, careful history: Hi Mahesh, Thanks for asking my opinion on Allexperts . A careful history, physical examination and a review of lab tests is required to diagnose your condition. Unfortunately, I cannot do that over the internet. Please get yourself evaluated by...

Nephrology: Protein & ketones in urine, low carbohydrate diet, high protein low carbohydrate diet
low carbohydrate diet, high protein low carbohydrate diet, ketones in urine: Hi Malcolm, Thanks for asking my opinion on Allexperts . The presence of protein in urine is one of the red flags for the presence of kidney disease. However, in your case, it does not seem to be pathological. Just for your peace of mind, please...

Nephrology: Protein in urine w/solitary kidney, causes of proteinuria, left kidney
causes of proteinuria, left kidney, protein in urine: Hi Jennifer, Thanks for asking my opinion on Allexperts . Proteinuria is one of the red flags for the presence of kidney disease. A discussion about the possible causes of proteinuria is beyond the scope of this forum. The tests that your physician...

Nephrology: Renin issues/hypertension, blood pressure meds, symptoms of pheochromocytoma
blood pressure meds, symptoms of pheochromocytoma, pheo: Hi Heather, Thanks for following up with me. A pure beta blocker such as atenolol must never be used in the presence of a pheochromocytoma due to the risk of such treatment leading to unopposed alpha agonism and, thus, severe and potentially refractory...

Nephrology: rejection, kidney biopsy, biopsy findings
kidney biopsy, biopsy findings, drug toxicity: Hi Loretta, Thanks for asking my help on Allexperts . I need a more detailed description of your kidney biopsy findings to comment on your problem. The narrowing of vessels can be due to drug toxicity or due to a condition called chronic allograft nephropathy....

Nephrology: Serum Creatinine levels, serum creatinine levels, kidney specialist
serum creatinine levels, kidney specialist, creatinine level: Hi Vicki, Thanks for asking my help on Allexperts . What are the units in which your lab tests are reported? What are the normal reference ranges for your lab? A careful history, physical examination, review of lab tests and imaging of the urinary...

Nephrology: serum creatinine, chronic kidney disease, createnine
chronic kidney disease, createnine, serum creatinine: Hi Sita, Thanks for following up with me. The answers to all your questions can be provided only after a detailed history, physical examination, review of lab tests and imaging of the urinary tract. Unfortunately, I cannot do this over the internet....

Nephrology: Acute Renal Failure, acute renal failure, biopsy results
acute renal failure, biopsy results, needle biopsy: Hi Audrey, Thanks for asking my help on Allexperts . Treatment of acute kidney injury can be decided after the biopsy results are available. There is no contraindication to dialysis because he has only one kidney. Please don t hesitate to follow...

Nephrology: bladder control, bladder problems, bladder control
bladder problems, bladder control, careful history: Hi Choosegod, Thanks for asking my help on Allexperts . A careful history, physical examination, lab tests, imaging of the urinary tract and urodynamic study may be required to diagnose your condition. Please get yourself evaluated by a Urologist....

Nephrology: CKD, low urine output, left kidney
low urine output, left kidney, dialysis patient: Hi Mark, Thanks for asking my help on Allexperts . I am afraid I agree with your doctor s diagnosis. You have CKD stage 5D and need a kidney transplant. Sepsis or UTI cannot produce a condition similar to yours. The rate of kidney shrinkage depends...

Nephrology: creatinine levels -post transplant, serum creatinine levels, glomerular filtration rate
serum creatinine levels, glomerular filtration rate, kidney function test: Hi Raju, Thanks for your question on Allexperts . Serum creatinine is an indirect measure of the glomerular filtration rate (GFR). It has a lot of limitations as a kidney function test. However, for want of a better, simple test, clinicians keep relying...

Nephrology: dialysis, chronic kidney disease, allexperts
chronic kidney disease, allexperts, dialysis: Hi Satish, Thanks for asking my help on Allexperts . If your father has Chronic Kidney Disease, one dialysis will not make him hungry. He will need to continue it thrice a week for some time before he feels better. I do not understand what you mean...

Nephrology: Low eGFR, kidney infection, kidney disease
kidney infection, kidney disease, egfr: Hi Lisa, Thanks for asking my opinion on Allexperts . Every person with a low eGFR does not have kidney disease. Please get yourself evaluated by a Nephrologist to rule out CKD. A careful history, physical examination, review of lab tests and imaging...

Nephrology: Low eGFR, chronic kidney disease, nephrologist
chronic kidney disease, nephrologist, proteinuria: Hi Lakshmi, Thanks for asking my help on Allexperts . Your test result indicates that you have proteinuria and an elevated serum creatinine. Are you a diabetic? You may have started having chronic kidney disease. A detailed history, physical examination...

Nephrology: Low egfr, routine blood test, low blood pressure
routine blood test, low blood pressure, serum creatinine: Hi Tracy, Thanks for asking my opinion on Allexperts . I am afraid the information that you have provided is not enough to form an opinion. What is your serum creatinine value? What are the medications are prescribed for your depression? Please mention...

Nephrology: NEPHROLOGY, glomerular filtration rate, glomerular filtration rate gfr
glomerular filtration rate, glomerular filtration rate gfr, serum creatinine level: Thanks for following up with me, Dr. Raj. Statins and glucosamine do not interfere with S. Creatinine levels. Very high consumption of raw meat (ghoulash) may falsely elevate the S. Creatinine levels. A 24 hour urinary creatinine clearance is more...

Nephrology: Stage 3 chronic disease IGA Nephropathy, kidney disease, d team
kidney disease, d team, creatinine: Hi Esperanza, Thanks for asking my opinion on Allexperts . Congratulations on your upcoming wedding. As you probably know, your chances of becoming pregnant are a little less because you have CKD stage 3. However, that does not mean you cannot get...

Nephrology: Urine Protein: Creatinine ratio, urine protein creatinine ratio, protein in urine
urine protein creatinine ratio, protein in urine, urine creatinine: Hi Nanda, Thanks for asking my opinion on Allexperts . Normal people excrete less than 20 mg of protein in urine per day. Your result suggests that you pass about 173 mg of protein per day. Hence, you have microalbuminuria. You need further work...

Nephrology: Creatinine in glomerulonephritis, serum creatinine, chronic glomerulonephritis
serum creatinine, chronic glomerulonephritis, creatinine clearance: Hi Laurie, Thanks for asking my help on Allexperts . I agree with Dr. Falkinburg s opinion. When in doubt, I order a 24 hour urinary creatinine clearance for my patients. Two weeks is an adequate amount of time to re-test after stopping fish intake....

Nephrology: should i be concerned?, renal cell carcinoma, flank pain
renal cell carcinoma, flank pain, dull ache: Hi Joe, Thanks for asking my opinion on Allexperts . Your concern is valid. However, there is no need to get worked up. A renal cell carcinoma presenting as a varicocele occurs in less than 2%. More common presentations are hematuria (blood in urine),...

Nephrology: Dehydration, sodium levels, person drinks
sodium levels, person drinks, osmotic water: Hi Arman, Thanks for asking my help on Allexperts . After a game of soccer, the body loses fluid and also electrolytes with the fluid. Electrolytes are small molecules that pass easily through the cell membranes with water (a phenomenon known as solvent...

Nephrology: dad retaining water, liver failure, kidney failure
liver failure, kidney failure, giving medicine: Hi Shireen, Thanks for asking my help on Allexperts . It is important to know what is your dad s basic disease. Why is he on a ventilator? How bad is his kidney and liver function? In short, a careful history, physical examination, review of lab tests...

Nephrology: Can dialysis be delayed for a few weeks?, chronic kidney disease, peritoneal dialysis
chronic kidney disease, peritoneal dialysis, hemodialysis: Hi Yap, Thanks for asking my help on Allexperts . It is not advisable to wait longer without dialysis because long-term outcomes may be affected. Your doctor can insert a plastic tube (catheter) in your mother s neck to start hemodialysis. This catheter...

Nephrology: High BUN and Creatinine, bun and creatinine, careful history
bun and creatinine, careful history, hctz: Hi Anne, Thanks for asking my opinion on Allexperts . It is difficult to comment because you have not mentioned the normal reference ranges for your lab. However, Lisinopril, atenolol or HCTZ do not commonly cause a drop in GFR. A careful history,...

Nephrology: Infant Bilateral Hydronephrosis...High Creatinine levels, high creatinine levels, nuclear renal scan
high creatinine levels, nuclear renal scan, antibiotic prophylaxis: Hi Maggie, Thanks for asking my help on Allexperts . Your son has what we call a Vesico-ureteric reflux . It is a condition in which urine flows retrogradely. If he does not have any features of a urinary infection, I would not do anything. If he...

Nephrology: incresed uric acid and serum creatnine level, chronic kidney disease, safe medicine
chronic kidney disease, safe medicine, high blood sugar: Hi Shadab, Thanks for asking my help on Allexperts . More than a third of diabetics develop chronic kidney disease known as Diabetic Nephropathy. An elevated serum creatinine suggests that your father is suffering from some form of kidney dysfunction....

Nephrology: Kidney function, kidney failure, kidney function
kidney failure, kidney function, red flags: Hi Deb, Thanks for asking my help on Allexperts . You have one of the two red flags of kidney disease, namely, proteinuria. It would ve helped if you d mentioned the result of your 24 hour urinary protein test. Anyway, please get yourself evaluated...

Nephrology: Nephrology, kidney function, clearance rate
kidney function, clearance rate, creatinine clearance: Hi Fai, Thanks for asking my help on Allexperts . A slightly low GFR does not mean that you have CKD. A careful history, physical examination, lab tests and imaging of the urinary tract are required to diagnose CKD. If your physical exam is normal...

Nephrology: Potassium level, acute kidney failure, congestive heart failure
acute kidney failure, congestive heart failure, internal medicine specialist: Hi Thomas, Thanks for asking my help on Allexperts . Drinking plenty of fluid can be dangerous. It is only recommended for people who are habitual stone formers and who don t drink fluid regularly. There can be number of reasons for ankle swelling:...

Nephrology: Protein levels..., albumin creatinine ratio, protein in urine
albumin creatinine ratio, protein in urine, kidney failure: Hi Amy, Thanks for asking my opinion on Allexperts . A single reading of 286 mg of protein in urine does not have much significance. I suggest that you get a 24 hour urinary protein estimation done. Alternatively, you can ask your doctor to order a...

Nephrology: Protein in Urine, kidney biopsy, stomach ache
kidney biopsy, stomach ache, protein in urine: Hi Silvana, Thanks for following up with me. Protein and blood in urine are two red flags for the presence of kidney diseases. Protein excretion more than 20 mg/day is abnormal. The presence of high blood pressure, abnormal kidney function or swelling...

Nephrology: Renal transplant and a CT w/contrast, native kidneys, urea nitrogen
native kidneys, urea nitrogen, adequate hydration: Hi Eddie Lee, Thanks for asking my opinion on Allexperts . It is difficult to say that contrast has damaged your kidney without knowing your previous S. Creatinine values. Even if contrast did affect your kidney, usually it is transient. I hope...

Nephrology: regarding my dad's diagnostic reports, soft tissue mass, kidney biopsy
soft tissue mass, kidney biopsy, left kidney: Hi Kanchan, Thanks for asking my help on Allexperts . A careful history, physical examination, review of labs and ultrasound are required to diagnose your father s condition. Unfortunately, I am unable to do so over the internet. You have not mentioned...

Nephrology: my son in trouble, pediatric nephrologist, pink spots
pediatric nephrologist, pink spots, allexperts: Hi Damir, Thanks for asking my help on Allexperts . On the surface, it seems that your son is passing some blood in his urine. However, this needs to be verified by urinalysis and other tests. I do not understand what you mean by We passed examination,...

Nephrology: Telmisartan + Uric acid, natrilix sr, zyloric 100
natrilix sr, zyloric 100, febuxostat: Hi Harsvadan, Thanks for asking my opinion on Allexperts . I do not see a reason to switch over to Febuxostat. It is always better to stick to time-tested drugs because, one, more is known about their side effect profile and two, because they are cheaper....

Nephrology: Contrast used in Nephrology, chronic kidney disease, kidney failure
chronic kidney disease, kidney failure, nephrology: Hi Sharita, Thanks for your question on Allexperts . Radiocontrast can sometimes cause acute kidney injury, especially in patients with underlying chronic kidney disease. As a general rule, contrast should be avoided. However, each situation is unique...

Nephrology: creatinine clearance vs eGFR, serum creatinine, hr urine
serum creatinine, hr urine, nephrologist: Hi Scott, Thanks for asking my help on Allexperts . A 24 hour urinary creatinine clearance is more accurate than an eGFR provided there have been no mistakes in urine collection. Your urinary creatinine clearance result should have mentioned your GFR...

Nephrology: Donor Diseases to avoid, kidney donor, hiv aids
kidney donor, hiv aids, nephrologist: Hi Ruban, Thanks for following up with me. The basic requirements of a donor are: 1. Age between 18 and 60 2. Absence of diabetes mellitus and high blood pressure 3. Blood group same as recipient or O positive If these conditions are met, a whole...

Nephrology: edema, causes of edema, legs feet
causes of edema, legs feet, allexperts: Hi Josey, Thanks for asking my help on Allexperts . There are many non-renal causes of edema. A detailed discussion is beyond the scope of this forum. A careful history, physical examination and review of lab tests is necessary to diagnose your condition....

Nephrology: eGFR, serum creatinine, renal ultrasound
serum creatinine, renal ultrasound, kidney function: Hi Tricia, Thanks for asking my help on Allexperts . I think your Nephrologist is doing the right thing by ordering a 24 hour urine test. Smaller body size does have an effect on the calculated GFR. Please do not hesitate to follow up with me...

Nephrology: eGFR, kidney biopsy, kidney failure
Nephrology: eGFR, kidney biopsy, kidney failure

Nephrology: GFR, creatinine clearance test, kidney disease
creatinine clearance test, kidney disease, physical findings: Hi Susan, Thanks for asking my help on Allexperts . An eGFR reading should always be viewed in light of suggestive symptoms and physical findings. If you don t have any features of kidney disease, you have nothing to worry about. If you are still...

Nephrology: high blood pressure after dialysis, dialysis session, oxygen mask
dialysis session, oxygen mask, swift reply: Hi Sajmir, Thanks for asking my help on Allexperts . Blood pressure shoot up during dialysis is less common than a fall. Some of the reasons are: 1. Infusion of saline or other fluids 2. High dialysate sodium 3. Wash out of anti-hypertensive drug...

Nephrology: Kidney problems, initial test results, kidney problems
initial test results, kidney problems, internist: Hi Mimi, Thanks for asking my help on Allexperts . Your symptoms and your initial test results suggest that you may be suffering from a urinary tract infection. A culture of your urine will provide the answer. Based on culture reports, you might need...

Nephrology: Low eGFR, serum creatinine, symptoms of kidney disease
serum creatinine, symptoms of kidney disease, creatinine clearance: Hi Irene, Thanks for your question on Allexperts . What is the normal reference range for S. Creatinine at your lab? It is important to realize that GFR declines at the rate of 1 ml/min/year after the third decade of life. Your serum creatinine...

Nephrology: longevity of dialysis patients, dialysis patients, kidney transplant
dialysis patients, kidney transplant, deceased donor: Hi Ruth, Thanks for asking my opinion on Allexperts . A lot of factors dictate longevity on dialysis. These include: Basic disease, age at starting dialysis, other co-morbid conditions, adherence to diet and medicines, frequency of dialysis, etc. ...

Nephrology: Maintaining healthier Renal function, progressive renal disease, urine creatinine
progressive renal disease, urine creatinine, creatinine level: Hi Ratan, Thanks for your question on Allexperts . You seem to be suffering from a slowly progressive kidney dysfunction. Your treatment is optimal at present. Please continue the same and keep a regular follow up with your Nephrologist. Good...

Nephrology: PKD Nephrectomy, left kidney pain, left nephrectomy
left kidney pain, left nephrectomy, kidney surgery: Hi Bala, Thanks for asking my opinion on Allexperts . One infection per year is not an indication for Nephrectomy. The transplanted kidney is not placed at the site of the diseased kidney. Surgery can be done at the same time, but actually speaking...

Nephrology: Serum Creatinine, Calcium and Sodium at High-end of Normal Range, bun creatinine ratio, c peptide
bun creatinine ratio, c peptide, serum c: Hi Terrie, Thanks for following up with me. Most standard labs reference range for protein is less than 20 mg/24 hours. Anything between 21-200 mg/day is considered as microalbuminuria. However, if your lab uses a different kit and has a different reference...

Nephrology: Supplements harmful to kidneys, kidney problem, kidney function
kidney problem, kidney function, poor circulation: Hi Lucy, Thanks for asking my help on Allexperts . I agree with your doctor. GFR declines at the rate of 1 ml/min every year after the 3rd decade of life. However, there is no harm in rechecking it after stopping horse chestnut. Sincerely, ...

Nephrology: Third stage Kidney failure, elevated serum creatinine, kidney failure
elevated serum creatinine, kidney failure, kidney stones: Hi Crystal, Thanks for your questions on Allexperts . The rate of progression and measures to slow the progression of CKD depend on the underlying basic disease. For example, if you have diabetic nephropathy, preventive measures will be a little different...

Nephrology: TRANSPLANT CHANCES, serum creatinine, kidney transplantation
serum creatinine, kidney transplantation, left kidney: Hi Eli, Thanks for asking my help on Allexperts . I am sorry to hear about your kidney problems. With an eGFR of 36, you don t need kidney transplantation right away. I agree with your doctor: your age and history of malignancy do not go in favor...

Nephrology: UTI or Kidney infection, laporoscopy surgery, high fevers
laporoscopy surgery, high fevers, kidney infection: Hi Mary, Thanks for asking my opinion on Allexperts . It is obvious that you are suffering from some sort of an infection. Intra-abdominal infection is more likely because you underwent surgery just a few days ago. A detailed work up is indicated...

Nephrology: Elevated PCR, pediatric nephrologist, stool cultures
pediatric nephrologist, stool cultures, left kidney: Hi Shauna, Thanks for asking my help on Allexperts . One abnormal reading of the PC ratio is not significant. If three consecutive samples show an abnormal value, the patient is investigated further for proteinuria. A simple renal cyst occurs in...

Nephrology: 0.3 PCR, albumin in urine, urinary albumin excretion
albumin in urine, urinary albumin excretion, kidney problem: Hi Amit, Please accept my hearty congratulations for your wife s pregnancy. A single reading of 0.3 is not very significant. If in doubt, I usually order a 24 hour urinary albumin excretion. Please discuss this with your Nephrologist and don t hesitate...

Nephrology: ACE Inhibitor to Retard Kidney Failure, low density lipoproteins, low cholesterol diet
low density lipoproteins, low cholesterol diet, physical fitness program: Dear Donna, The fact that you have athrosclerosis ( hardening of the arteries) and osteopenia contradicts any claim to good health. In fact, if left untreated, your athrosclerosis will kill you prematurely from heart disease, kidney failure or stroke....

Nephrology: ACR test results, chronic kidney disease, low serum albumin
chronic kidney disease, low serum albumin, albumin creatinine ratio: Your wife likely has Chronic kidney disease due to long term lithium use and may be from high BP. -Anemia is common in pt with CKD and your nephrologist will check iron levels in blood to determine need for iv iron supplements. -Albumin of 2.8 is very...

Nephrology: blood pressure, calcium channel blocker, hypoactive thyroid
calcium channel blocker, hypoactive thyroid, diavan: There can be many reasons for fatigue and medications are one of them. Out of the medication list you provided Cardizem can cause fatigue by slowing your heart rate. I would suggest changing this to Amlodipine which lowers BP but does not lower the heart...

Nephrology: CKD 5/ New symptoms, careful history, nephrologist
careful history, nephrologist, giddiness: Hi Rohit, Thanks for asking my help on Allexperts . A careful history, physical examination, lab tests and relevant medical imaging are required to diagnose your patient s condition. Unfortunately, I cannot do that over the internet. Please get the...

Nephrology: Complex Renal Cyst, complex kidney cysts, complex renal cyst
complex kidney cysts, complex renal cyst, kidney cyst: Hi Janelle, A “complex kidney cyst” is different from a simple kidney cyst as the cyst may be irregular in its outer shape. To be defined as a complex kidney cyst, the cyst must have some type of irregularities inside of it. The irregularities come in different...

Nephrology: Cysts on Kidney, cysts on kidney, high fever
cysts on kidney, high fever, recovery thanks: Hi Rajesh, Thanks for your question on Allexperts . Surgery to shrink cysts can relieve pain in the back and flanks. However, surgery provides only temporary relief and usually does not slow the disease s progression toward renal failure. Sincerely,...

Nephrology: chronic renal insufficiency, estimated creatinine clearance, chronic renal insufficiency
estimated creatinine clearance, chronic renal insufficiency, insurance paperwork: His creatinine of 1.3 possibly is a little elevated. He needs to have an estimated creatinine clearance or a measured creatinine clearance performed. If this is normal then one can confidently say that he does not have significant kidney disease. If it is...

Nephrology: chronic renal insufficiency, chronic kidney disease, serum creatinine
chronic kidney disease, serum creatinine, insurance paperwork: Kidney problems develop 10-15 years after diagnosis of diabetes is established and are unaviodable in most cases. Being over weight increases risk of kidney disease progression. There are certain diseases which develop in obese individuals and affect the kidneys...

Nephrology: cyst and tumor pn kidneys, rapid weight gain, anechoic cyst
rapid weight gain, anechoic cyst, extreme fatigue: Hi Kelly, Thanks for asking my opinion on Allexperts . Your questions are best answered by a diagnostic radiologist. Growth in the size of the cyst alone is not alarming. However, it is important to know the position, wall thickness, contents, etc....

Nephrology: Diabetes Dialysis, chronic kidney disease, blood sugar levels
chronic kidney disease, blood sugar levels, insulin injections: Hi George, Thanks for your question. One of the early signs of diabetic chronic kidney disease is that a patient with previously uncontrolled blood sugar levels starts having a good control of diabetes. Most patients with ESRD are treated with frequent...

Nephrology: Diabetes and water, taking medicine, kidney disease
taking medicine, kidney disease, stupid answer: The normal color of urine is yellow. If you drink a lot of water your urine will become light yellow or clear. This has nothing to do with diabetes. Diabetes does not effect the color of your urine unless your diabetes is out of control and you become dehydrated,...

Nephrology: Diabetes and water, mechanism of thirst, kidney stones
mechanism of thirst, kidney stones, yellow urine: Yellow urine could be from the color added to prescription medications. The other reason is jaundice and highly concentrated urine in case of not drinking enough water. Their is no established benefit of drinking excess water except in cases where one is...

Nephrology: Dialysis, ketan desai, serum creatinine
ketan desai, serum creatinine, kidney damage: Hi Santosh, Thanks for asking my help on Allexperts . A careful history, physical examination, review of lab tests and imaging of the urinary tract are required to arrive at a diagnosis. If serum creatinine is 12 mg/dl and if there is evidence of kidney...

Nephrology: Dialysis Querry, kidney transplant surgery, native kidneys
kidney transplant surgery, native kidneys, dialysis session: Three times a week about 4 hour dialysis session is the the industry minimum. Getting dialysis less often causes problems with fluid gain, electrolyte problems and leads to poor quality of life. Dialysis has side effects but this is a life saving therapy...

Nephrology: Elevated Serum Creatinine level, serum creatinine level, kidney function
serum creatinine level, kidney function, creatinine clearance: Hi John, Thanks for asking my opinion on Allexperts . An abnormal creatinine value for more than 3 months is necessary to classify someone as having CKD. When in doubt, I order a 24 hour urinary creatinine clearance to get an exact value of the GFR....

Nephrology: Fasting, kidney problem, routine diet
kidney problem, routine diet, formation of kidney stones: I donot anticipate any kidney problem with a 24 hour fast as long as you have access to water. If you are also refraining from water drinking while observing fast this could increase the risk of formation of kidney stones. There is no scientific data on fasting...

Nephrology: Foaming Urine (since a long time), urine protein creatinine ratio, foaming urine
urine protein creatinine ratio, foaming urine, kidney disorder: Foamy urine can signify presence of large amount of protein in the urine which can represent underlying kidney problems. I would recommend the following tests to start the work up - Urine Analysis - Urine protein creatinine ratio - Renal Panel - CBC...

Nephrology: chronic renal insufficiency, blood chemistry, solution to pollution is dilution
Nephrology: chronic renal insufficiency, blood chemistry, solution to pollution is dilution, plain water

Nephrology: Vitamin D and Kidneys, partial nephrectomy, happenstance
Nephrology: Vitamin D and Kidneys, partial nephrectomy, happenstance, internist

Nephrology: follow up question, chronic renal insufficiency, insurance paperwork
chronic renal insufficiency, insurance paperwork, kidney failure: Symptoms of kidney disease are non specific such as nausea, itching , lack of apetite and usually present when patient is close to requiring dialysis which is stage V. That s why it is very important to have blood work every 3-5 months to monitor the renal...

Nephrology: Glomerular obsolscence, serum creatinine level, intrauterine fetal death
serum creatinine level, intrauterine fetal death, chronic kidney disease: She appears to have developed significant kdieny disaese and likley stage III-IV chronic kidney disease. Stage V is when you are close to requiring dialysis. From the biopsy it appears that more than 2/3 of the kidney is almosts non functional and this puts...

Nephrology: High BUN reading, high protein diet, exercise regimen
high protein diet, exercise regimen, kindeys: Hi Joan, Thanks for your question on Allexperts . A high protein intake can affect the results of your BUN test. However, without examining you and running some other tests, it is impossible for me to say that your kidneys are fine. If you are concerned,...

Nephrology: High creatinine level in young male, high creatinine level, kidney damage
high creatinine level, kidney damage, kidney function: NSAIDS such as Motrin are very harmful when taken in large quantities over long period of time and patients can develop analgesic nephropathy. His doctors are right that the creatinine will plateau in few days which is usually followed by renal recovery. I...

Nephrology: hypertension, labile hypertension, stimulant drugs
labile hypertension, stimulant drugs, kidney infections: You have very labile hypertension which is not unusual in patients taking stimulant drugs. It is true that if you are taking any NSAIDS they will increase your BP by 5-10 mm Hg. Long term use of NSAIDS can cause chronic kidney problems and hypertension and...

Nephrology: Iga Neph(sp), albumin creatinine ratio, albumin levels
albumin creatinine ratio, albumin levels, protein in the urine: GFR depends on several factors such as age, gender, albumin levels and can vary depending on the method of calculation. Creatinine is more stable number and creat of 1.1 is a good number. Your doctor probably started you class of medications called ACE inhibitors...

Nephrology: Kidney function reduced, serum creatinine, check ups
serum creatinine, check ups, renal panel: Certain antibiotics can cause allergic response with in the kidneys and cause the creatinine to rise. Amoxycillin could have caused mild increase in serum creatinine at that time. Since we are talking about a level measured in 2008 that does not carry much...

Nephrology: Kidney lesion on ultrasound, simple kidney cysts, renal cyst
simple kidney cysts, renal cyst, kidney cancer: Simple kidney cysts are common and are a incidental finding in 30-40 % of ultrasounds done in individuals older than age 50. The older you are the higher the likelihood of a renal cyst. Most of the time they donot cause any problems, however in rare circumstances...

Nephrology: Kidney stone in upper fundibulum, calcium oxalate stones, kidney stone
calcium oxalate stones, kidney stone, stone formation: 7 mm stone is very small and should not cause any problems. Stones that are more than 5 mm are rarely passed in the urine so this stone is going to stay with you unless removed by lithotripsy or surgical removal. I would not recommend any procedure to remove...

Nephrology: Kidney Transplant, intravenous immunoglobulins, kidney transplantation
intravenous immunoglobulins, kidney transplantation, antibody formation: Antibody formation is common after any organ transplantation so kidney transplantation is no exception. After each transplant the level of antibody rises and can make it difficult to find a compatible match. The various antibodies are collectively called panel...

Nephrology: Kidneys, high potassium level, renal artery stenosis
high potassium level, renal artery stenosis, high potassium level in blood: You have chronic kidney disease stage III- IV from long standing diabetes and hypertension. Your ultrasound will likley show the long ongoing damage to the kidneys. Potassium of 5.2 is acceptable. Possible changes I can recommend are - stopping Alllopurinol...

Nephrology: kidney disease, lab norms, urinalisis
lab norms, urinalisis, allexperts: Hi Scott, Thanks for asking my help on Allexperts . I d definitely be concerned about your wife s lab values. Please ask your PCP to refer her to a Nephrologist. It is difficult to predict the rate of decline in GFR. An educated guess can be hazarded...

Nephrology: low BUN test, bun creatinine ratio, normal kidney function
bun creatinine ratio, normal kidney function, liver patients: Creatinine level of 0.7 gives you normal kidney function unless you are a diabetic and kidneys are overworking. BUN levels fluctuate all the time and are not reliable. A heavy meal can raise your BUN level. Low BUN levels are common after starvation, in...

Nephrology: PCR 0.3, albumin in urine, vaginal secretions
albumin in urine, vaginal secretions, kidney problem: This is a very low level of protein and can sometimes appear if the urine sample is contaminted with vaginal secretions. If your wife is otherwise healthy than this just needs to be repeated in few months to confirm presence of protein in urine. This is a...

Nephrology: Possible Kidney Failure?, weird taste in mouth, normal creatinine level
weird taste in mouth, normal creatinine level, kidney failure: Serum creatinine of 3 places you in stage 4 kidney disease and if your creatinine has been in the 3 range for sometime than I don t expect this to improve much. If you are underweight than creatinine of 3 is even more worrisome. screening for autoimmune...

Nephrology: persistent proteinurea, kidney biopsy, renal biopsy
kidney biopsy, renal biopsy, protein in the urine: Protein in the urine can represent kidney disease however this is not always the case. Transient proteinuria can occur after exercise and sometimes after a certain posture called postural proteinuria . If your BP is normal, you are not a diabetic and in someone...

Nephrology: protein in urine, urine protein electrophoresis, routine blood tests
urine protein electrophoresis, routine blood tests, urine microscopy: Hi Penny, Thanks for asking my help on Allexperts . First off, please accept my hearty congratulations for coming forward to donate a kidney. Not many people can do this. I would approach this problem in the following manner: - Urine microscopy...

Nephrology: regarding kidney and urinary protein, high protein diets, kidney ailments
high protein diets, kidney ailments, diabetic nephropathy: Most patients with kidney problems die from heart disease and if his heart is in good shape than I would expect a decent survival. Combination of diabetes, high blood pressure and kidney problems increases risk of dying compared to general population. If with...

Nephrology: Simple Kidney Cyst, kidney cyst, kidney tissue
kidney cyst, kidney tissue, left kidney: The research is in phase 1 study (non human trial phase )being conducted at University of Kansas however you will not qualify for the trial as the research is primarily on polycystic kidney disease and not simple cystic disease. I don t expect any successful...

Nephrology: urology, urine protein, operating surgeon
urine protein, operating surgeon, careful history: Hi Antony, Thanks for asking my help on Allexperts . You have microalbuminuria which needs further evaluation. A careful history, physical examination, lab tests and imaging of the urinary tract are required to arrive at a diagnosis. Unfortunately,...

Nephrology: Vitamin D and Kidneys, partial nephrectomy, vitamin d deficiency
partial nephrectomy, vitamin d deficiency, bone pain: Hi Debbie, Thanks for asking my help on Allexperts . The symptoms that you were experiencing were due to Vitamin D deficiency. However, I think it is unlikely that your partial nephrectomy caused the problem. Low vitamin D does not make the kidneys...

Nephrology: Atrophic kidney and junctional syndrome, breast cancer survivor, chronic kidney disease
breast cancer survivor, chronic kidney disease, gallbladder polyps: It appears that you have chronic kidney disease possibly the effect of chemotherapy. The left kidney is scarred and small so it is likely not contributing much to the overall kidney function. Your right kidney is enlarged with a distended pelvis which is called...

Nephrology: cyst in suprarenal region, complex renal cyst, surgical excision
complex renal cyst, surgical excision, ct scan: The problem with complex cysts is that they can sometime hide a cancer in the background. CT with iv contrast will show as bright spot if there is a cancer in the background. If that is the case than surgical excision is recommended. If the CT scan is negative...

Nephrology: gfr, serum creatinine, normal kidney function
serum creatinine, normal kidney function, psa test: Hi Roswell, Thanks for following up with me and for appreciating my answers. In your previous question, you mentioned that your S. Creatinine was 1.2 mg/dl. I assumed that it was within the normal reference range for your lab. If your creatinine...

Nephrology: protienuria, protein excretion, diabetic kidney disease
protein excretion, diabetic kidney disease, albumin creatinine ratio: Hi Rasheed, Thanks for asking my opinion on Allexperts . Your friend is suffering from early stages of diabetic kidney disease, namely, proteinuria. To find out the exact amount of protein in urine, I d order a spot urinary albumin/creatinine ratio....

Nephrology: SYMPTOMS ? KIDNEYS ?, bleeding gums, unexplained weight loss
bleeding gums, unexplained weight loss, relevant tests: Hi Joshua, Thanks for asking my opinion on Allexperts . It is not possible to arrive at a diagnosis without a detailed physical examination and running relevant tests. Please get yourself evaluated by your family doctor. Sincerely, Dr. Sha...

Nephrology: gfr, serum creatinine, kidney desease
serum creatinine, kidney desease, western doctors: Howard, Thanks for your vote of confidence for Asian and Indian doctors. If the normal reference range for S. Creatinine in your lab is up to 1.2, your result is abnormal. It is not necessary for all patients with kidney disease to have protein in their...

Nephrology: high protein, c reactive protein, protein in urine
c reactive protein, protein in urine, bladder cancer: Hi Laura, The presence of protein in urine is one of the red flags for the presence of intrinsic kidney damage. You have not mentioned the normal reference range for your lab, so it becomes difficult to comment about the level of proteinuria. A careful...

Nephrology: Microhematuria and low C3, kidney function tests, kidney biopsy
kidney function tests, kidney biopsy, chronic inflammation: Michelle, Thanks for asking my help on Allexperts . Microscopic hematuria with low C3 is most likely due to an immune system disorder. A kidney biopsy will provide a definitive answer. Vasculitis can be renal-limited. A negative ANA does not rule out...

Nephrology: my son Mohamad haidar, kidney transplant surgery, stomach pain
kidney transplant surgery, stomach pain, facebook: Hi Raeda, Thanks for your question on Allexperts . A careful history, physical examination, lab tests and imaging of the abdomen are required to arrive at a diagnosis. Unfortunately, I cannot do this over the internet. We need to know what is causing...

Nephrology: acute glomerulonephritis (AGN), normal creatinine level, acute glomerulonephritis
normal creatinine level, acute glomerulonephritis, kidney function: Light color urine is normal and expected response to excessive water drinking. Creatinine level will decrease by 0.1-0.2 points due to dilutional effect. So if the creatinine is going down this represents renal recovery and improvement in kidney function....

Nephrology: How bad it is ?, calcium oxalate crystals, calcium oxalate crystals in urine
calcium oxalate crystals, calcium oxalate crystals in urine, oxalate diet: The cysts in your kidney appear to be simple cysts and they tend to occur with increasing frequency after age 50 . Most of the time these cysts do not cause any problems and are an incidental finding. It appears that you have urinary infection and you are...

Nephrology: blood test?, serum creatinine levels, urine protein creatinine ratio
serum creatinine levels, urine protein creatinine ratio, creatine supplements: Creatinine of 2.3 is very abnormal and needs immediate attention and evaluation by a nephrologist. If you were or are taking creatine supplements to increase muscle mass than this can increase the serum creatinine levels as well. You will need kidney ultrasound,...

Nephrology: chronic renal insufficiency, blood test results, ultrasound results
blood test results, ultrasound results, protein in the urine: Since the duration of diabetes and hypertension is very short I doubt that these two are the only culprits. Diabetes has to present for at least 10 years before the kidneys are affected. If he had a eye exam and there was no damage of diabetes in the eyes...

Nephrology: My Father is a Kidney Patient, heart arteries, dialysis unit
heart arteries, dialysis unit, dialysis center: At this stage of kidney disease dialysis is the only option available. Delaying dialysis further could results in bad outcomes. If his blood sugars are in decent control and he is not overweight than PD is a better modality. Patients on PD live longer,...

Nephrology: GFR levels
Nephrology: GFR levels

Nephrology: kidney dialysis and weight training, quality fitness equipment, weights bench
Nephrology: kidney dialysis and weight training, quality fitness equipment, weights bench, external weights

Nephrology: kidney disease and eating disorders, renal failure, starvation
Nephrology: kidney disease and eating disorders, renal failure, starvation, muscles

Nephrology: GFR, creatinine level, diabetic nephropathy
creatinine level, diabetic nephropathy, kidney problem: You appear to have kidney problem. This is called diabetic Nephropathy supported by the fact that the creatinine level is elevated and you have protein in the urine. Creat of 1.9 gives you about 60 % kidney function at this time. It is possible that the...

Nephrology: GFR 7, high potassium level, heart arrythmias
high potassium level, heart arrythmias, facing tough choices: The blood tests are clearly very abnormal and kidneys are essentially non functional. If your father has decided not to do dialysis than the outcome is poor and he could become disoriented and pass away in few weeks. Once kidneys shut down completely most...

Nephrology: GFR levels, comprehensive metabolic panel, creatinine level
comprehensive metabolic panel, creatinine level, renal blood flow: Creatinine of 1.1 is normal in a healthy female. Creatinine is a waste product of muscle metabolism so the creatinine level can fluctuate depending on whether you gained or lost muscle mass. GFR is calculated by several formulas and results can vary if the...

Nephrology: GFR Test and Kidney, serum creatinine levels, cholesterol blood tests
serum creatinine levels, cholesterol blood tests, serum creatinine level: Creatinine of 2.4 in a 80 year old is abnormal but not to worrisome. I donot expect major kidney problems leading to dialysis in the short term. Typically we start dialysis when creatinine is in the 5 range. You father has chronic kidney disease stage IV...

Nephrology: Hematuria, symptoms of bladder cancer, kidney doctor
symptoms of bladder cancer, kidney doctor, kidney stones: It all depends on your age and if you have history of smoking. If you are over the age of 50 and are or have been a smoker than the presence of blood in the urine is concerning. One of the symptoms of bladder cancer is blood in the urine. That being said...

Nephrology: Kidney Disease, cholesterol blood tests, serum creatinine level
cholesterol blood tests, serum creatinine level, serum creatinine levels: I need the following inforrmation to answer this question. serum creatinine level, amount of protein in urine, and current medications being taken. Egfr can not be interpreted without comparing with serum creatinine levels. It is true that we lose kidney...

Nephrology: Kidney stones and pain, old wives tales, fever and chills
old wives tales, fever and chills, urinary bladder: Cramping pain occurs when a stone is being passed through the ureter in to the urinary bladder and often the pain is unbearable. This is likely to be the 5 mm stone as the diameter of ureter rarely allows stones larger than 5 mm to pass. You need some anti...

Nephrology: Kidney test result questions, bun creatinine ratio, glomerular filtration rate
bun creatinine ratio, glomerular filtration rate, kidney function tests: All the kidney function tests are normal, so there is nothing to worry. BUN = blood urea nitrogen which is end product of protein metabolism. Creatinine = waste product of muscles, normal level is less than 1 GFR= glomerular filtration rate, this is also...

Nephrology: kidney dialysis and weight training, high protein diet, catheter exit
high protein diet, catheter exit, creatine supplements: Exercise is always recommended in dialysis patients however when it comes to body building there are a few concerns. 1. High protein diet, aminoacid supplements and creatine supplements will results in high phosphorus intake and as you know high phosphorus...

Nephrology: kidney disease and eating disorders, laxative abuse, chronic dehydration
laxative abuse, chronic dehydration, medical lingo: Subclinical dehydration induced by diuretic and laxative abuse can cause renal failure and long term damage. It is also possible that some of the renal tissue was damaged due to recurrent stones. The evidence of medical renal disease on ultrasound does not...

Nephrology: low eGFR; primary IM not concerned, chronic digestive disorder, serum albumin
chronic digestive disorder, serum albumin, bun creatinine: GFR is simply a formula which takes various factors into account such as height, weight, serum albumin level, BUN, creatinine and race. The GFR level can vary depending upon which formula has been used by the lab. It is very unlikely to have a low GFR in...

Nephrology: low urination output/burning when urinating, impeccable hygiene, antibiotic susceptibility
impeccable hygiene, antibiotic susceptibility, bladder infection: Your symptoms suggest bladder infection. You need to see a Physician and will need antibiotics for 5-7 days. If symptoms persist after taking these antibiotics than the urine will need to be cultured and antibiotic susceptibility will be done. Drink Plenty...

Nephrology: MicroAlbumin Results, diabetic nephropathy, pre eclampsia
diabetic nephropathy, pre eclampsia, protein in the urine: You have developed diabetic nephropathy which basically means that diabetes has damaged the filters in the kidney so they allow the protein such as albumin to leak into the urine. The level of protein in the urine is not very high but significant. The usual...

Nephrology: MRI dye reaction, foley catheter, urine ph
foley catheter, urine ph, urine analysis: The most commonly used dye is gadolinum however there are others and urethritis is not a known association with gadolinum. If you had a foley catheter in place during hospital stay that might explain some of your symptoms. If this persists than get a urine...

Nephrology: Nephrology, calcium channel blockers, serum creatinine level
calcium channel blockers, serum creatinine level, phosphate binder: Reduction of mushrooms, legume foods like peas, beans and lentil, and vegetables such as cauliflower, spinach and asparagus will decrease uric acid level and prevent gout attacks. In patients with beta thalassemia minor excretion of uric acid is decreased...

Nephrology: when does protein in the urine become a major concern?, kidney biopsy, kidney doctor
kidney biopsy, kidney doctor, urine creatinine: Stage IV lupus is a combination of scarring and inflammation however the scarring is more and inflammation tends to be less. For this reason immunosuppresive drugs such as cellcept are not able to eliminate proteinuria completely. more than 1 gm of proteinuria...

Nephrology: solutary kidney, nephrologist, medical problems
nephrologist, medical problems, kidney: One kidney is enough to sustain normal life. Regular follow up with Nephrologist is recommended to intervene if needed. If the child does not develop diabetes or other major medical problems in the later life than no special measures are needed. I will...

Nephrology: Transplant, serum creatinine level, cyst kidney
serum creatinine level, cyst kidney, long term disability: Your serum creatinine is elevated which tells me that the transplant kidney is not working at full capacity. If your creatinine level stays in this range than you are okay however; if the creatinine starts to go up in the near future than would suggest that...

Nephrology: bad lab results, functions of the kidneys, systolic blood pressure
functions of the kidneys, systolic blood pressure, kidney specialist: You have moderate kidney disease likely stage III kidney disease from high blood pressure and aging and possibly some contribution from BPH. Your HCTZ needs to be stopped as it is not effective at this level of kidney function. you can ask your primary care...

Nephrology: bladder/kidneys, right sided abdominal pain, ultrasound scan
right sided abdominal pain, ultrasound scan, white cells: I am suspecting that you have a stone in your urethra or inflammation of your prostate. The symptoms of burning urination suggest urine infection or stone in urethra. I think in your urine test there were white cells which prompted the doctor to prescribe...

Nephrology: Kidney failure, creatinine level 6, hyaline casts, tubular atrophy
Nephrology: Kidney failure, creatinine level 6, hyaline casts, tubular atrophy, interstitial fibrosis

Nephrology: High creatinine value, serum creatinine, kidney infection
serum creatinine, kidney infection, sodium content: Hi Arindam, Thanks for asking my opinion on Allexperts . Although no clear cut guidelines for the initiation of dialysis exist in acute kidney injury, I would dialyze your father if he were my patient at this stage. In my experience, early dialysis...

Nephrology: Hypertension and High Creatinine levels, uric acid levels, high creatinine levels
uric acid levels, high creatinine levels, chronic kidney disease: Hi Beatrice, Thanks for asking my help on Allexperts . Long standing hypertension, elevated serum creatinine and uric acid levels point to the possibility of chronic kidney disease (CKD). Your HbA1c value does not seem to be in the diabetic range. ...

Nephrology: Kidney failure, creatinine level 6, kidney biopsy, kidney failure
kidney biopsy, kidney failure, chronic allograft nephropathy: Hi Satish, Thanks for asking my opinion on Allexperts . I am sorry to hear that your S. Creatinine has gone up. It is important to know what is causing the rise in creatinine. What was the kidney biopsy report? My suspicion is that it might be showing...

Nephrology: kidney spasms post nephrectomy for kidney cancer, renal cell carcinoma, partial nephrectomy
renal cell carcinoma, partial nephrectomy, kidney cancer: Hi Sharon, Thanks for your question on Allexperts . I am afraid I won t be able to make a diagnosis without a careful history and physical examination. Please schedule a follow up visit with the operating surgeon to get a better insight. Sincerely,...

Nephrology: Low GFR - High Creatinie, creatinie, allexperts
creatinie, allexperts, lifting weights: Hi Maria, Thanks for asking my help on Allexperts . I m afraid it is not possible to hazard a diagnosis without a careful history, physical examination, lab tests and imaging of the urinary tract. You mention that his mother had Lupus. Was is systemic...

Nephrology: Nephrology, kidney biopsy, chronic kidney disease
kidney biopsy, chronic kidney disease, dear doctor: Thanks for following up with me, John. The indication for a biopsy is to know the exact cause of chronic kidney disease. If the cause is known, a specific management plan can be made. The possibility of reversal depends on what comes out in the biopsy....

Nephrology: Nephrology, tsh level, hyperurecemia
tsh level, hyperurecemia, mg hs: Hypothyroidism tends to occur with higher frequency in patients with kidney disease for unclear reasons. Thyroxine 25 is the starting dose and is adjusted over time to keep the TSH level in normal range. It is not uncommon to see that a previous stable creatinine...

Nephrology: Nephrology dysplasia, bladder cancer, renal cancer
bladder cancer, renal cancer, dysplasia: Hi Carlotta, Thanks for asking my opinion on Allexperts . I am afraid a detailed description of Kidney dysplasia is beyond the scope of this forum. I am interested in knowing why an IVP and an ultrasound were ordered. However, I agree with your Urologist....

Nephrology: nephrology fsgs, renal failure, question thanks
renal failure, question thanks, nephrologist: Hi Naima, Thanks for following up with me. You will require a blood relation who can donate a kidney. The main concern after transplant is not rejection but recurrence of the disease in the transplanted kidney. We usually discharge patients on the 10th...

Nephrology: Protein, kidney biopsy, biopsy results
kidney biopsy, biopsy results, urinealysis: Hi Shacenci, Thanks for your question on Allexperts . You seem to be suffering from a disorder known collectively as the Nephrotic Syndrome . A discussion of all the causes of the Nephrotic Syndrome is beyond the scope of this forum. However, your...

Nephrology: How much protein should I eat with one kidney?, chronic kidney disease, protein restriction
chronic kidney disease, protein restriction, left kidney: Hi Mary, Thanks for asking my help on Allexperts . If you have one kidney with normal function, I do not see any reason to restrict protein intake. Protein restriction is advised only for patients with chronic kidney disease. Sincerely, Dr. Sha...

Nephrology: Question, kidney cysts, liver cysts
kidney cysts, liver cysts, potters syndrome: Hi Chris, Thanks for asking my opinion on Allexperts . What evidence suggests that you have CKD? Angiomyolipomas of one kidney will not cause renal failure. Angiomyolipomas may grow such that kidney function is impaired or the blood vessels may dilate...

Nephrology: Stage 3 Kidney Disease, phosphate binders, calcium phosphate
phosphate binders, calcium phosphate, loop diuretic: Hi Liz, Thanks for following up with me. Unfortunately, I am unable to recall our previous conversations. The issues that need to be addressed in a patient with stage 3 CKD are: 1. Establishing the cause of the CKD 2. Optimize BP (target less...

Nephrology: my son, pediatric nephrologist, kidney functions
pediatric nephrologist, kidney functions, vesico ureteric reflux: Hi Lesley, Thanks for asking my help on Allexperts . Vesico-ureteric reflux seems to have damaged your son s kidneys. However, there is no need for alarm at the moment. Please make sure that you get him evaluated by a Pediatric Nephrologist and follow...

Nephrology: 2 uti in 4 months, intravenous pyelogram, voiding cystourethrogram
intravenous pyelogram, voiding cystourethrogram, septrin: Hi Evi, Thanks for following up with me. Unfortunately, I cannot predict what will go wrong in 25 days. However, if he is symptom free, and if you have completed the complete course of the antibiotics, there are less chances of contracting an infection...

Nephrology: Albumin Urine Random, sign of diabetes, protein in the urine
sign of diabetes, protein in the urine, kidney damage: Annual urine exam is recommended for all diabetics as the presence of significant protein or albumin in the urine is a sign of diabetes induced kidney damage called diabetic Nephropathy . You do not have significant protein in the urine at this time which...

Nephrology: Cyst Infections Post Transplant, pkd patients, kidney removal
pkd patients, kidney removal, left kidney: Urinary infections are more common in transplant patients compared to general populations. The possible reasons are immuno-suppression and small ureter in transplant kidney. The risk is much higher in PKD patients. The precise management varies depending...

Nephrology: High Creatinine Serum Level, serum creatinine level, creatine supplements
serum creatinine level, creatine supplements, serum level: Creatinine by itself does not mean much. We need to look at other factors, medical history, calculation called GFR. I think simple elevation of creatinine when someone is taking creatine is not accurate. If you are really concerned than you need to be off...

Nephrology: Can you help dignose me?, menstrual cramp, careful history
menstrual cramp, careful history, macrobid: Hi Jessiejo2005, Thanks for asking my help on Allexperts . A careful history, physical examination, review of lab tests and imaging of the urinary tract are required to diagnose your condition. Unfortunately, I cannot do this over the internet. If...

Nephrology: husband dx accute renal insufficiency, creatin levels, heart attack risk
creatin levels, heart attack risk, long term care insurance: Acute renal insufficiency is a very common diagnosis and is often made when the creatinine levels are elevated. However if previous creatinine levels are not available for review then this becomes a very subjective diagnosis. Acute kidney insufficiency is...

Nephrology: One kidney, kidney biopsy, scarred kidney
kidney biopsy, scarred kidney, kidney disease: Dear Bill, At stage IV kidney disease there is no value in doing biopsy as its will mostly show scarring. At this stage there is no possibility of reversibility even if any pathological process is identified. You mentioned one kidney in the subject line....

Nephrology: kidney pains, kidney pains, workout routine
kidney pains, workout routine, kidney stone: Creatine is a supplement so no clinical research has been done to study its negative effects. It is true that when you stop taking creatine you get tired easily as your muscles are used to an environment of unlimited energy from creatine. I am suspecting...

Nephrology: kidney and uti, mucus in urine, recurrent uti
mucus in urine, recurrent uti, kidney ureter: Recurrent UTI are common after urinary instrumentation however tend to go away over time. Since you had a negative CT for stone 6 months ago the recurrence of stone in such a short time is less likely. The appearance of mucus is from the urinary tract...

Nephrology: kindney pain, left flank pain, left kidney
left flank pain, left kidney, doctors office: Hi Michele, This simply means that the left kidney is being drained by 2 ureters instead on one. As the ureters approach the bladder they become one again and drain into the bladder. This is a embryological defect that happens in 1-2 % of population. This...

Nephrology: Random urine microalbumin 38mg/l, urine microalbumin, protein in the urine
urine microalbumin, protein in the urine, random urine: You have very low degree of protein. I would recommend checking your urine again in 6 months. Its not possible to interpret the significance of one urine sample. If you have protein in the urine at the next sample than further work up will be indicated. For...

Nephrology: serum creatinine, serum creatinine test, kidney desease
serum creatinine test, kidney desease, diabetes doctor: Daily use of Aspirin is beneficial in kidney patients and should be continued. Water pills or diuretics are indicated for swelling in legs or to control Blood pressure. There is no direct toxic effect to the kidneys from these medications and they can be used...

Nephrology: complex kidney cyst, kidney cyst, left kidney
kidney cyst, left kidney, urinalisys: Hi Christian, Thanks for asking my help on Allexperts . The pain in your flank may be due to an infection in the cyst. You will realize, of course, that I cannot make a diagnosis without a detailed history and physical examination. I suggest that...

Nephrology: Follow up to question, kidney biopsy, kidney dysfunction
kidney biopsy, kidney dysfunction, pain meds: Thanks for following up with me, Liz. You still have not mentioned the normal reference range for your laboratory. Long term ingestion of painkillers can damage the kidneys. There are many other conditions that can cause kidney dysfunction in a young individual,...

Nephrology: High protein in urine, renal cell carcinoma, high protein in urine
renal cell carcinoma, high protein in urine, radical nephrectomy: Hi Amit, Thanks for asking my help on Allexperts . I am sorry to hear about your RCC. The presence of protein may be related to hypertension and the recent nephrectomy. Please continue following up with your local Nephrologist. Sincerely, Dr....

Nephrology: increased creatinine leveldue to intake of valsartan, transient rise, valsartan
transient rise, valsartan, oral intake: Hi Jonathan, Thanks for your question on Allexperts . Ingestion of Valsartan may cause a transient rise in S. Creatinine levels, especially for patients suffering from CKD. Usually, the levels return to baseline after a few days. Sincerely, Dr....

Nephrology: Kidney disease, kidney dysfunction, hyper tension
kidney dysfunction, hyper tension, kidney disease: Hi Khan, Thanks for asking my help on Allexperts . I m sorry to hear that your mother is suffering from kidney dysfunction. It is very important to know whether the kidney dysfunction is acute, acute on chronic, or chronic. Unfortunately, I cannot...

Nephrology: telmisartan vs serum creatinine, serum creatinine, telmisartan
serum creatinine, telmisartan, acid level: Hi Manish, Thanks for asking my opinion on Allexperts . ACEi/ARBs should not be used if S. Creatinine is more than 3 mg/dl. From the data available at this point, it does not have any specific effects on serum uric acid level. Sincerely, Dr....

Nephrology: URGENT HELP FOR CKD PATIENT, sudden deterioration, careful history
sudden deterioration, careful history, urgent basis: Hi Syed, Thanks for your question. A careful history, physical examination and review of lab tests and medical imaging is required to find the cause of sudden deterioration in your mother s kidney status. Unfortunately, I cannot do that over the internet....

Nephrology: blood in urine-ana, connective tissue disorder, serum creatinine level
connective tissue disorder, serum creatinine level, pediatric nephrologist: Hi Angela, Thanks for asking my help on Allexperts . Microscopic hematuria is a red flag for the presence of kidney dysfunction. Does your son also have protein in his urine? What is his serum creatinine level? He may be suffering from a connective...

Nephrology: BUN/Creatinine, protein in urine, high protein diet, bilirubin level
high protein diet, bilirubin level, bun creatinine: Hi Caryn, You have mild degree of proteinuria which is expected based on your history. Any time you take lot of OTC meds such as Ibuprofen it causes damage to renal cells which results in leakage of protein. The healing from such an injury can take several...

Nephrology: Creatinine level raised, thyroid test, meat intake
thyroid test, meat intake, creatinine levels: Hi John, Thanks for asking my help on Allexperts . The reason for the improvement in S. Creatinine levels is not very clear. A reduction in meat intake may be the cause. It cannot be explained by treatment with thyroxine. Sincerely, Dr. Shah ...

Nephrology: GFR 18, kidney biopsy, urinary tract ultrasound
kidney biopsy, urinary tract ultrasound, mri of the brain: Hi Pam, Thanks for asking my help on Allexperts . Please accept my congratulations for standing by your husband s side during all that he has gone through. There are too many variables to be considered when evaluating the cause of worsening of kidney...

Nephrology: gfr and benicar, olmesartan medoxomil, serum potassium
olmesartan medoxomil, serum potassium, kidney doctor: Hi James, Thanks for asking my opinion on Allexperts . Benicar (olmesartan medoxomil) is a powerful new drug belonging to the class of angiotensin receptor blockers. One of the side effects is a transient drop in GFR. However, I agree with your doctor...

Nephrology: High Creatinine Level, hereditary optic neuropathy, kidney biopsy
hereditary optic neuropathy, kidney biopsy, high creatinine level: Hi Joyce, Thanks for asking my opinion on Allexperts . If I were you, I would move up the appointment for a kidney biopsy. A late biopsy will miss something which is potentially reversible. In the meantime, avoid pain medications (NSAIDs)and other pain...

Nephrology: kidney failure, kidney failure, creatinine
kidney failure, creatinine, kidneys: Hi Valerie, At sustained creatinine of 7 kidneys are not removing any toxins form the body. If not started on dialysis most patients can not survive beyond a few weeks. This is not true in case of acute kidney where kidneys are expected to recover over time....

Nephrology: Question on blood Urea and Serum Creatinine, serum creatinine, kidney dysfunction
serum creatinine, kidney dysfunction, kidney function: Hi Anil, Thanks for following up with me. According to my calculations, your estimated GFR (a measure of kidney function) is 43.3 ml/min/1.73 m2. It is important to know if this elevated value has been present for more than 3 months and also what is...

Nephrology: Your assistance, chronic kidney disease, serum creatinine level
chronic kidney disease, serum creatinine level, bile pigment: Hi Arshad Your serum creatinine level is normal ( normal range is within 1.5, you have 1.2. urine report is normal nothing abnormalities. Do you have high blood pressure or diabetic complain? Generally consistence hypertensive patient who does not take the...

Nephrology: creatinine, low creatinine level, dialysis adequacy
low creatinine level, dialysis adequacy, maintenance hemodialysis: Hi Tarvinder, Thanks for your question. When a patient needs dialysis, it means that his GFR is below 15 ml/min/1.73 m2. Creatinine is something that is produced from muscle and is a surrogate marker for GFR and in turn, for kidney function. A low creatinine...

Nephrology: diabetes complications, kidney failure, kidney transplant
kidney failure, kidney transplant, kidney function: Hi Claire, Thanks for following up with me. Regular check-ups will not reduce your chances of getting kidney disease, they will merely pick them up earlier. At present, all we can offer is reducing the rate of decline of kidney function if a patient...

Nephrology: eGFR: 74, Creatinine 1.32 mg/dl, BUN: 16 mg/dl, am I at risk?, chronic kidney disease, lower left side abdominal pain
chronic kidney disease, lower left side abdominal pain, left side abdominal pain: Dear Adnan Creatinine and urea level increases in blood when the kidney does not work properly because those substances are the bio waste products should be execrated out. So if the kidney function will be maintained well then automatically those will never...

Nephrology: End Stage Renal Failure, end stage renal failure, doctors visits
end stage renal failure, doctors visits, lab result: Hi, Thanks for your question on Allexperts . It would be extremely difficult to predict how long he ll survive without dialysis because it depends on multiple factors like his age, comorbid conditions, rate of decline of GFR, associated complications...

Nephrology: Hi BUN/Creat ratio, pediatric nephrologist, ultrasound reports
pediatric nephrologist, ultrasound reports, e coli infection: Hi Ruchi, Thanks for asking my help on Allexperts . Your son needs further work up for repeated urinary tract infections. Please get him evaluated by a Pediatric Nephrologist. At this age, Vesico-ureteric reflux needs to be ruled out. Also, the presence...

Nephrology: High creat level 9 mo. post trx, elevated creatinine, drug toxicity
elevated creatinine, drug toxicity, sodium chloride: Hi Susan, Thanks for asking my help on Allexperts . Although dehydration may be one of the causes of an elevated creatinine, I doubt that your son is dehydrated. There can be a number of reasons why creatinine is elevated. A detailed discussion is beyond...

Nephrology: Kidney transplantation - protein leakage, kidney biopsy, kidney transplantation
kidney biopsy, kidney transplantation, urine protein: Hi Rajesh, Thanks for your question. A number of conditions can lead to proteinuria after transplantation and a full discussion is beyond the scope of this forum. It is important to know what was your basic kidney disease before transplantation. Although...

Nephrology: follow up question RE spot on kidney, glomerular filtration rate, serum creatinine
glomerular filtration rate, serum creatinine, left kidney: Hi Cheri, Thanks for following up with me. GFR - Glomerular filtration rate is the measure of kidney function. In normal persons, it ranges between 100-140 ml/min and decreases at the rate of 1 ml/min every year after the third decade of life. It...

Nephrology: blood in urine, ct scan of abdomen, potassium levels
ct scan of abdomen, potassium levels, kidney dysfunction: Hi Leslie, Thanks for asking my help on Allexperts . The presence of blood in urine is one red flag for the presence of kidney dysfunction. A variety of conditions can cause hematuria. I cannot go into details because that discussion is beyond the scope...

Nephrology: Chronic Renal Failure, chronic kidney disease, heart bypass surgery
chronic kidney disease, heart bypass surgery, chronic renal failure: Dear Suhail Yes he is having CKD2 Mild Chronic Kidney disease. Yes in this case the constitutional homeopathy treatment will help a lot to normalize the kidney function. With all his medicines if he is adding the constitutional homeopathy treatment that will...

Nephrology: Com Metab Pan, Cholesterol tests, chronic kidney disease, glomerular filtration rate
chronic kidney disease, glomerular filtration rate, anion gap: Hi Garry your anion gap is little bit on higher side. It should be below 11. Higher anion gap could be due to diabetic keto acidosis, lactic acidosis, uremia, chronic kidney disease etc. Your serum albumin and calcium level is in normal range. THough your...

Nephrology: CRF & cramps, cramps in legs, peripheral vascular disorder
cramps in legs, peripheral vascular disorder, chronic renal failure: Dear Madhu jain singh THe creatinine level is rising due to malfunction of kidneys. The severe crmaping pain in legs might be due to electrolyte imbalanace, peripheral neuropathy, peripheral vascular disorder etc. you consult your nephrologist for detail...

Nephrology: Diabetes Microalbuminuria, diabetic kidney disease, urine specimen
diabetic kidney disease, urine specimen, protein in the urine: Microalbuminuria means that the kidney has some damage, and is starting to spill some albumin (a kind of protein) in the urine. Microalbuminuria is the first sign of diabetic kidney disease.It can be measured by a specific urine test, either on a single urine...

Nephrology: enalapril, serum creatinine level, kidney doctor
serum creatinine level, kidney doctor, angiotensin converting enzyme: Hi Earl Enalpril is an angiotensin converting enzyme (ACE) inhibitor used in the treatment of hypertension. Hypertension is one major cause of kidney dysfunction. If your blood pressure will not control under 20 mg then the dose should be increased. perhaps...

Nephrology: enanalpril, serum creatinine, kidney doctor
serum creatinine, kidney doctor, microalbumin test: Hi Howard, Thanks for asking my help on Allexperts . Hiking up the dose of Enalapril might temporarily cause a rise in Serum Creatinine. However, it is known to have a kidney protective effect and all efforts must be made to raise the dose to the maximum...

Nephrology: high s .creatinine, thyroid tests, lipids
Nephrology: high s .creatinine, thyroid tests, lipids, tsh

Nephrology: gfr, serum creatinine, kidney failure
serum creatinine, kidney failure, kidney problem: Hi Earl, Your Nephrologist is absolutely right and low GFR in elderly is normal if age appropriate. We start losing kidney function with age (mostly after age 50 )and this is entirely normal part of aging. Creatiine level of 1.6 represents good function in...

Nephrology: High Creatinine Level, high creatinine level, kidney function
high creatinine level, kidney function, pain killers: Hi Chase, Creatinine of 1.7 is clearly abnormal. Normal level for someone your height and weight would be in in 1.2-1.3 range. The recent rise in creatinine is from celebrex. This class of medications restrict blood supply to the kidney and kidney function...

Nephrology: high s .creatinine, diabetic nephropathy, kidney function
diabetic nephropathy, kidney function, serum creatinine: You have diabetic nephropathy based on the information provided. Your serum creatinine of 2.1 gives you about 50 % kidney function. This degree of kidney function can be expected after several years (usually more than 10 years)of Diabetes. You will benefit...

Nephrology: HTN and Abnormal Kidney Panel, cardiac stress test, lisinopril hctz
cardiac stress test, lisinopril hctz, protein in urine: Hi Rhonda, Thanks for asking my help on Allexperts . The presence of protein and RBCs in urine point to some underlying kidney abnormality. The panel of tests that your Nephrologist has ordered is to diagnose any connective tissue disorder like Lupus...

Nephrology: ivf/icsi after kidney failure, intrauterine insemination procedure, low sperm count
intrauterine insemination procedure, low sperm count, blood pressure meds: Hi If you are going for IVF then the low sperm count and low motility will not come under consideration. The intrauterine insemination procedure involves direct placing of washed and prepared sperm inside the cavity of the womb around the time of ovulation....

Nephrology: kidney, chronic kidney disease, microalbumin test
chronic kidney disease, microalbumin test, high creatinine level: Dear Howard Your bursitis can be cured completely with clinical Homeopathy treatment and does not have any side effects. I have cured lots of cases. As you have kidney impairment so I think you should start my clinical homeopathy treatment for your bursitis...

Nephrology: kidney, urine microalbumin, protein excretion
urine microalbumin, protein excretion, albumin creatinine ratio: Hi Howard, Thanks for your question. Urine albumin/creatinine ratio gives an estimate of the 24 hour urinary protein excretion in an individual. GFR is the measure of kidney function. It is believed that the GFR is in the range of 110-120 ml/min in...

Nephrology: kidney failure/bladder/prostate cancer, prostate cancer surgery, left kidney
prostate cancer surgery, left kidney, kidney dysfunction: Hi Marcia, Thanks for asking my help on Allexperts . I am sorry to hear about your Husband. From what you have described, obstruction seems to be causing kidney dysfunction. At this point, you should take the risk of contrast-induced worsening of...

Nephrology: kidney function, connective tissue disease, serum creatinine
connective tissue disease, serum creatinine, urine creatinine: Hi Kathy If you cant get the appointment of any nephrologist then for the time you can consult to your primary care physician to go for few more investigation like to check for creatinine clearance rate (from serum creatinine and urine creatinine), eGFR,...

Nephrology: Kidney function, bun and creatinine, kidney function
bun and creatinine, kidney function, history of diabetes: Hi Joseph, Thanks for asking my opinion on Allexperts . A careful history, physical examination, review of lab tests and imaging of the urinary tract are required to diagnose what is wrong with your kidneys. Unfortunately, I cannot do that over the...

Nephrology: kidney impairment, serum creatinine, kidney malfunction
serum creatinine, kidney malfunction, kidney failure: Dear Mark Attention should be given to both GFR and albuminuria. Any abnormality of any sign or symptom is not a healthy indication. But low GFR can occurred in aging process, loss kidney mass due to aging, any arterial degenaration etc. Above the age of...

Nephrology: kidneys shrunken, homeopathy treatment, ultrasound report
homeopathy treatment, ultrasound report, left kidney: Dear Mr Qaiser She is CKD4 with almost 50% shrinkage of both the kidney. But the positive thing is her urine output which has not been remarkably reduced as per the chronic nature and stage of the disease. Dialysis is the only management for CKD. But once...

Nephrology: lab results, blood pressure meds, kidney malfunction
blood pressure meds, kidney malfunction, kidney disorder: Hi jenna Greetings from all expert.com web health forum. Thank you for contacting me Your eGFR is low i.e. 50. The normal healthy eGFR should be above 80. Your creatinine is normal i.e. 1.14. The normal range is below 1.2. The kidney malfunction occured...

Nephrology: microalb/creat ratio, urine specific gravity, ha1c
urine specific gravity, ha1c, microalbumin: Hi your all reports are within normal range. Nothing to be worry. BUT you must keep your blood pressure within normal range. Continue al your medications and keep in touch with your physician. Maintain a healthy lifestyle. avoid all sorts of junk foods and...

Nephrology: Renal Agenesis, renal agenesis, congenital anomalies
renal agenesis, congenital anomalies, ultrasound examination: Hi Kate Please again recheck and confirm the findings. It is usually recommended that a repeat ultrasound examination be performed at about 28 weeks of pregnancy at this stage if the abnormality persists, the baby will have his or her own ultrasound examination...

Nephrology: right kidney is not present, healthy life style, usg
healthy life style, usg, 24 years: Hi If you dont believe on that report then do USG at other reputed hospital and confirm the report. In some cases there is congenital with some anomalies. If the same thing is coming then you will have to set your mind to live with that. There are so many...

Nephrology: serum creatinine, chronic kidney disease, glomerular filtration rate
chronic kidney disease, glomerular filtration rate, glomerular filtration rate gfr: Dear Roger Welcome to all expert.com free health web forum In CRF or CKD the kidney condition is estimated and graded with its Glomerular Filtration Rate (GFR). In the early stage the malfunction of the kidney will show by its GFR rate. When the disease...

Nephrology: serum creatinine, serum creatinine levels, chronic kidney disease
serum creatinine levels, chronic kidney disease, urine microalbumin: Dear Max Your doctor told you of stage 3 kidney damage considering from the GFR value. The GFR value can be lowered as per the age. But if your serum protein level and urine microalbumin is withing normal range then it will be not included under chronic kidney...

Nephrology: simple cortical cysts, cortical cysts, rama krishna
cortical cysts, rama krishna, cystic kidneys: Dear Rama Krishna In poly cystic kidneys has not any sure shot remedical measure except dialysis or kidney transplant in conventional treatment. But a proper systematic constitutional and clinical treatment can be helpful in such cases. How far it will be...

Nephrology: 5.9cmx5.2cmx6cm upper left pole kidney cyst, renal cell cancer, kidney cyst
renal cell cancer, kidney cyst, kidney function: Hi Patricia, Cysts are very common after age 50. There are simple and complex cysts. Complex cysts are clinically significant as they can mask an underlying renal cell cancer. If a complex cyst is diagnosed on an ultrasound than the next step is to have CT...

Nephrology: Bun:Creatinine ratio, bun creatinine ratio, cirrhosis of liver
bun creatinine ratio, cirrhosis of liver, high protein diet: Hi Jana, Thanks for your question on Allexperts . Are you a really small woman? A Serum Creatinine of 0.6 mg/dl is really low. The slight rise in BUN:Creatinine ratio can be due to many reasons. 1. Dehydration 2. Lab error 3. Cirrhosis of liver...

Nephrology: creatinine level, protein in urine, western doctors
protein in urine, western doctors, serum creatinine: Hi Earl, Thanks for your question on Allexperts . It is true that GFR decreases by 1 ml/min/year after the 3rd decade of life. At the same time, there is a gradual reduction in muscle mass. As creatinine is produced from muscle, the reduced mass ensures...

Nephrology: dates and sapota -reg, eating fruits and vegetables, fruits and vegetables
eating fruits and vegetables, fruits and vegetables, sapota: Dear Kumar You should eat fruits and vegetables. Eating fruits and vegetables is good for health. It does not damage kidneys.The fruits are restricted generally which are rich with pottasium ONLY to renal failure patients because extra potassium will cause...

Nephrology: elevated BUN/CREAT Ratio, hida scan, careful history
hida scan, careful history, nephrologist: Hi Tina, Thanks for your question on Allexperts . A careful history, physical examination, review of lab tests and imaging of the urinary tract are required to diagnose your condition. Unfortunately, I cannot do this over the internet. Please get...

Nephrology: foamy urine, protein and blood in urine, pain in lower abdomen, paracetamol tablets
pain in lower abdomen, paracetamol tablets, gram of cocaine: hi haematuria has so many causes and among them kidney stone and urinary tract infection (UTI), any growth,nephritic syndrome, traumatic injury are common. You are telling bleding, pain with foamy urine. Why he took extra dose of paracetamol? id there any...

Nephrology: gfr, glomerular filtration rate, serum creatinine level
glomerular filtration rate, serum creatinine level, glomerular filtration rate gfr: Dear Joan Glomerular filtration rate (GFR) is the volume of fluid filtered from the renal (kidney) glomerular capillaries into the Bowman s capsule per unit time. Kidney malfunction is not only the one cause of reduced GFR. There are others factors like aging...

Nephrology: Hematuria, hyaline casts, renal tubule cells
hyaline casts, renal tubule cells, kidney cells: Microalbumin level is minimal and not significant. Renal tubule cells and other debris do not mean anything on a computerized urine analysis unless confirmed under microscope by your nephrologist. Sometimes OTC meds like alleve, ibuprofen and advil can cause...

Nephrology: Kidney specialist refera, kidney specialist, kidney dysfunction
kidney specialist, kidney dysfunction, fluoxetine 20mg: Hi Tim, Thanks for asking my help on Allexperts . A careful history, physical examination and imaging of the urinary tract are required to diagnose your condition. Simvastatin may rarely cause a condition called Rhabdomyolysis, which, in turn may...

Nephrology: losartan, high creatinine levels, serum creatinine
high creatinine levels, serum creatinine, coozar: Enalapril and Losartan belong to two different class of medications. Enalapril belongs to ACE inhibitors and Losartan belongs to ARB s. Both of these medications are excellent in preventing diabetes induced kidney disease. Enalapril belongs to class of ACE...

Nephrology: lostan, serum creatinine, high potassium
serum creatinine, high potassium, potassium levels: Losartan is an excellent medication and its side effect profile is very similar to enalapril with notable exception of dry cough which is more common with enalapril. Cozaar is expected to increase creatinine up to 30 % in most individuals and high potassium...

Nephrology: Percutaneous Nephrostomy Tube, high potassium levels, nephrostomy tube procedure
high potassium levels, nephrostomy tube procedure, percutaneous nephrostomy tube: Dear Jenny his renal failure is obstructive renal failure caused by obstruction at the ureteric level and must have hydronephrosis condition. The nephrostomy is the best option to drainage the kidney and side by side the bypass operation if done will prevent...

Nephrology: Female Underweight Donor, bala bala, kidney failure
bala bala, kidney failure, unrelated transplant: Bala, Thanks for your question on Allexperts . I would do an ultrasound of the kidneys to look at the kidney size and also estimate the renal volume. There are plenty of cases of mothers donating to their grown up children or wives donating to husbands...

Nephrology: gfr, serum creatinine, protein in urine
serum creatinine, protein in urine, kidney damage: Earl, Thanks for your note. Can you please point out the links to the many papers that you quote? Do you know that there are as many papers which provide a contrary view? Have you gone through the full text of these articles or are just quoting from...

Nephrology: High Creatinine 5.3, blood urea nitrogen, chronic kidney disease
blood urea nitrogen, chronic kidney disease, kidney function test: Tarundeep, Thanks for your question The decision to hospitalize a patient depends on his symptoms and signs. Without actually examining the patient, I am afraid I cannot answer that question. If kidney damage is chronic (more than 3 months old),...

Nephrology: kidney calcification, left kidney, kidney stones
left kidney, kidney stones, proper history: Hi Tiffany, Thanks for asking my opinion on Allexperts . The most common cause of calcification on kidneys is kidney stones. Without a proper history, physical examination and other lab tests, I am unable to arrive at a diagnosis. Please get yourself...

Nephrology: Kidney Infections, kidney infections, kidney infection
kidney infections, kidney infection, careful history: Lisa, Thanks for your question on Allexperts . A careful history and physical examination are required to diagnose your condition. Unfortunately, I am unable to do this over the internet. Please get yourself evaluated by your family doctor, Sincerely,...

Nephrology: low gfr high bun, kidney infections, kidney infection
kidney infections, kidney infection, polycystic disease: Gloria, Thanks for asking my help on Allexperts . If you have a recent kidney infection or are recovering from a serious infection, the eGFR reading might be lower than your previous readings. I would repeat the test two weeks after you are infection...

Nephrology: 1.7 Creatinine-Kidney Stones, creatine supplements, bodybuilding supplements
creatine supplements, bodybuilding supplements, left kidney: Mike, Thanks for your question on Allexperts . Yes, the factors that you have listed could be a cause of elevated S. Creatinine. Please stop creatine supplements and repeat the test after 2 weeks. If serum creatinine is still elevated, you will need...

Nephrology: GFR rate, plant protein, diabetic program
plant protein, diabetic program, animal protein: Cindy, Thanks for asking my opinion on Allexperts . First off, you have to remember that in normal human beings, GFR is believed to decline at the rate of 1 ml/min/year after the 3rd decade of life. Your GFR and S. Creatinine are well within the normal...

Nephrology: Medicines and Diet for Diabetic and Kidney Patient, renal dietitian, kidney patient
renal dietitian, kidney patient, careful history: Ishtiaq, Thanks for your question on Allexperts . Please get yourself evaluated by a Nephrologist to answer your questions. A careful history, physical examination, imaging of the urinary tract and review of blood tests is required to arrive at a diagnosis....

Nephrology: Bubbly Urine, worst case scenarios, bone marrow transplant
worst case scenarios, bone marrow transplant, bubbly urine: TGP, Thanks for asking my opinion on Allexperts . Bubbly urine can sometimes be caused by the presence of protein in urine. Please ask your doctor to order a spot urine albumin/creatinine ratio. This will provide a quick answer to your anxiety. In most...

Nephrology: Scared by Diagnosis of Stage 3 CKD, serum creatinine levels, uric acid levels
serum creatinine levels, uric acid levels, lift weights: Hi, First of all I regret the delay in getting back to you. I was on vacation and forgot to activate vacation setting. now lets get to your issue of ckd stage III. ckd is a slowly progressive disease provided that the kidneys are not exposed to repeated...

Nephrology: Is this a sign of kidney stone or any other kidney ailment?, kidney ailment, kidney ailments
kidney ailment, kidney ailments, protein in urine: Good Morning presence of protein in the urine can represent underlying kidney disease in some cases. Simple presence of protein in a urine sample which is showing bacteria as well usually represents urinary tract infection. I expect the protein in urine to...

Nephrology: Help me discover why I have such bad hypertension at 23?, plasma acth, stress echocardiogram
plasma acth, stress echocardiogram, information on strokes: Dante, Thanks for asking my help on Allexperts . I would definitely rule out secondary hypertension for someone who is your age. Have your doctors done a doppler examination of the renal vasculature to rule out renal artery stenosis? Your doctor...

Nephrology: kidney, mdrd gfr calculator, serum creatinine
mdrd gfr calculator, serum creatinine, kidney function: Howard, Thanks for asking my opinion on Allexperts . In my opinion, serum creatinine is still a good screening tool. The best way to estimate GFR is by radionuclide scans. The other option is to do a 24 hour urinary creatinine clearance. However,...

Nephrology: microalbuminuria , hypertension, albumin in urine, kidney specialist
albumin in urine, kidney specialist, red flags: Gayatri, Thanks for asking my help on Allexperts . The presence of albumin in urine is one of the red flags for the presence of kidney disease. A careful history, physical examination, lab tests and imaging of the urinary tract are required to reach...

Nephrology: Protien in Urine, protien in urine, protein spill
protien in urine, protein spill, stage renal disease esrd: Zach, Thanks for asking my opinion on Allexperts . MPGN type I with nephrotic syndrome is a progressive disease, with 50% of patients developing end-stage renal disease (ESRD) after 10 years and 90% of patients developing ESRD after 20 years. I hope...

Nephrology: Does Amlodac reduces kidney function?, serum creatinine, renal replacement therapy
serum creatinine, renal replacement therapy, kidney transplantation: Bala, It is important to reduce your blood pressure to 130/80 mmHg. How you achieve this goal is immaterial. Amlodipine is not known to increase S. Creatinine. As always, please avoid self-medication. Please get yourself evaluated by a Nephrologist....

Nephrology: anti iflammatory drug and relationship to hypertension, internal medicine specialist, normal blood pressure
internal medicine specialist, normal blood pressure, normal blood pressure reading: Abdikarin, Thanks for your question on Allexperts . A careful history, physical examination, lab tests and imaging of the urinary tract are required in your case. Unfortunately, I cannot do that over the internet. Even if you don t have a Nephrologist,...

Nephrology: APSGN, connective tissue disorders, connective tissue disease
connective tissue disorders, connective tissue disease, recurring impetigo: Michelle, Thanks for following up with me. Low complement levels can be due to a variety of reasons and a discussion is beyond the scope of this forum. Usually, the complement levels will return to normal after an episode of PIGN. Sincerely, ...

Nephrology: Cloudy urine, congestive heart failure, high meat diet
congestive heart failure, high meat diet, water soluble vitamins: High urinary creatinine can be non specific or due to a number of reasons: Glomerulonephritis High meat diet Kidney infection (pyelonephritis) Kidney failure Muscular dystrophy (late stage) Myasthenia gravis Prerenal azotemia...

Nephrology: elevated Scr and low eGFR, kidney biopsy, kidney dysfunction
kidney biopsy, kidney dysfunction, allexperts: Kevin, Thanks for your question on Allexperts . It is quite unusual to have no anatomic changes to the kidneys, no urinary abnormalities and normal blood work for a patient having stage 3 CKD. It would be absolutely unthinkable to wait for a year...

Nephrology: GFR, congestive heart failure, gastrointestinal symptoms
congestive heart failure, gastrointestinal symptoms, low thyroid: Chris, Thanks for your question on Allexperts . You have not mentioned the normal reference range for your lab. However, your kidney function appears to be in the normal range. For edema, please check if you have protein in your urine. Hypothyroidism...

Nephrology: KNEE REPLACEMENT FOR KIDNEY PROBLEM, kidney problem, knee replacement
kidney problem, knee replacement, nephrologist: Saurav, Thanks for your question. As such, there is no direct effect of knee replacement on the kidneys. In your father s case, one has to be careful about not using painkiller medicines like NSAIDs, and avoiding certain types of anesthesia preparations....

Nephrology: Kydney plot cyst and its effect on BP, normal blood pressure, acute headache
normal blood pressure, acute headache, left kidney: Mr. Qureshi, Thanks for your question. The headaches may be a result of uncontrolled hypertension. Please ask your Nephrologist to review his BP medicines and change the dose, if needed. A careful history, physical examination, lab tests and imaging...

Nephrology: protein in urine, causes of proteinuria, protein in urine
causes of proteinuria, protein in urine, red flags: Hi Iyeisha, The presence of protein in urine is one of the red flags for the presence of kidney disease. It is important to know the amount and evaluate it in light of the history, physical examination, imaging and other lab tests. As you can understand,...

Nephrology: Protein in Urine, protein in urine during pregnancy, labile blood pressure
protein in urine during pregnancy, labile blood pressure, protein in urine: Diana, Thanks for your question on Allexperts . The presence of protein in urine is one of the red flags for the presence of kidney disease. A careful history, physical, lab tests and a biopsy of the kidney may be required to arrive at a diagnosis....

Nephrology: Blood Pressure, bala bala, initial screening
bala bala, initial screening, blood group: Bala, Thanks for your question on Allexperts . For live related donors, for initial screening, the following guidelines are to be followed: 1. Age 18-60 2. No Diabetes Mellitus 3. No Hypertension 4. Same blood group or O group I hope this...

Nephrology: Chronic renal failure stage 4 progression?, chronic renal failure, upper spine
chronic renal failure, upper spine, sinus infections: Becky, Thanks for your question on Allexperts . Unfortunately, CKD stage 4 is irreversible. The progression to stage 5 is determined by a lot of factors: 1. Basic kidney disease 2. Control of blood pressure 3. Control of blood sugar 4. Concomitant...

Nephrology: cyst in the transplanted kidney, urea nitrogen, kidney transplant
urea nitrogen, kidney transplant, time size: Chetna, Thanks for your question on Allexperts . A non-contrast CT of the transplanted kidney may help in giving more information about the cyst. The reasons for a rise in S. Creatinine in the transplanted kidney are legion and cannot be discussed...

Nephrology: cysts, hemorrhagic cyst, creatinine level
hemorrhagic cyst, creatinine level, anti hypertensives: Joe, Thanks for asking my opinion on Allexperts . Cysts per se do not cause hypertension. However, it is important to know if the cysts have damaged your kidney function. What is your S.Creatinine level and your eGFR? Please ask your doctor to adjust...

Nephrology: Kidney Infection Concern, kidney biopsy, low grade fever
kidney biopsy, low grade fever, protein in urine: Kate, Thanks for asking my opinion on Allexperts . The presence of protein in urine is one of the red flags for the presence of structural kidney disease. A careful history, physical examination, imaging of the urinary tract and other lab tests...

Nephrology: pradaxa, serum creatinine levels, therapeutic drug
serum creatinine levels, therapeutic drug, renal impairment: Hi Roger, Thanks for asking my opinion on Allexperts . Therapeutic Drug Level Monitoring (if your lab has that facility), will help in determining how your body is handling pradaxa. It is not known to elevate S. Creatinine levels. However, dose modification...

Nephrology: allegra, kidney doctor, creatinine clearance
kidney doctor, creatinine clearance, kidney damage: Howard, Thanks for your question on Allexperts . I am not sure I am able to understand your question. 1. What is your eGFR or Creatinine Clearance? 2. Are you on Pradaxa? 3. If so, what dose? 4. What dose of Allegra are you on? For what specific...

Nephrology: blood thinners, serum creatinine level, creatinine clearence
serum creatinine level, creatinine clearence, normal serum creatinine: Thanks for following up with me, Mark. In your previous question, you mentioned your age as 75. Now it is 78. Anyway, regarding your question, it is important to remember that in normal people, GFR reduces by 1 ml/min/year after the third decade of...

Nephrology: BUN/CREAT/ESTGFR, low oxygen saturation, cold extremities
low oxygen saturation, cold extremities, seizure control: Mrs. Bush, Thanks for asking my opinion on Allexperts. The symptoms you describe may be due to an enlarged prostate and/or an infection. Please get your husband s urine evaluated for the presence of bacteria. Elevated BUN can be due to a number of...

Nephrology: CKD Progression Rate, lithium level, tubulointerstitial nephritis
lithium level, tubulointerstitial nephritis, ace inhibitor: Steve, Thanks for your question. Generally speaking, Chronic Tubulointerstitial Nephritis is a type of CKD which progresses very slow. However, an informed guess about reaching stage 5 can only be made if serial readings of 1/creatinine are plotted on...

Nephrology: FSGS and Gout, fsgs, allexperts
fsgs, allexperts, proteinuria: Junita, Thanks for asking my help on Allexperts . There is no direct connection between FSGS and Gout. For patients with proteinuria, it is recommended that they continue eating normal amounts of protein. If they eat more, more will be lost in urine....

Nephrology: High Creantinie, Serum but LOW Bun/Creatinine, bun creatinine ratio, lap band surgery
bun creatinine ratio, lap band surgery, serum creatinine: Debbie, Thanks for your question on Allexperts . Congratulations on losing weight. Many patients face issues with nutrients and minerals after bariatric surgery. A serum creatinine of 1.1 is usually within normal limits. You have not mentioned the...

Nephrology: History of Kidney Stones and contrast dye, kidney area, left kidney
kidney area, left kidney, left sided pain: Julie, Thanks for asking my opinion on Allexperts . The abdominal pain and swelling need immediate attention. IV radiocontrast is less likely to cause these symptoms. However, they could be due to some other serious issues. A discussion of all likely...

Nephrology: Normal Creatine and Low GFR of 54, glomerular filtration rate, kidney biopsy
glomerular filtration rate, kidney biopsy, estimated glomerular filtration rate: Brenda, Thanks for asking my opinion on Allexperts . All patients with a low eGFR do not have CKD. Unfortunately, our equations for estimated glomerular filtration rate (eGFR) are not as accurate as we would like, especially for female that might be...

Nephrology: Protein in Urine with >10mg/dl, urea nitrogen, serum cholesterol
urea nitrogen, serum cholesterol, mdrd formula: Deepak, Thanks for your question on Allexperts . Please get a 24 hour urinary protein estimation for an accurate measure of protein leak in your urine. Your serum cholesterol also is high. Please get yourself evaluated by a Physician. Sincerely,...

Nephrology: high creatinine clearance level, creatinine clearance test, period cramps
creatinine clearance test, period cramps, liters of water: Josh, Thanks for asking my help on Allexperts . After going through the symptoms and lab results, Nephrotic Syndrome seems less likely. Hypothyroidism would be high on the cards. Please get her evaluated by an Internal Medicine specialist. Check...

Nephrology: 1.7 creatinine level, glomerular filtration rate, diabetic nephropathy
glomerular filtration rate, diabetic nephropathy, kidney function: George, Thanks for asking my opinion on Allexperts . First off, S. Creatinine is an important indicator of kidney function, not liver. Kidney function is measured in terms of Glomerular filtration rate (GFR). Based on the information you have provided,...

Nephrology: Creatinine elevates by 0.3 mg/dl in 3 months, normal blood pressure, creatinine level
normal blood pressure, creatinine level, careful history: Ta, Thanks for asking my opinion on Allexperts . If both tests were done at the same lab, further evaluation is in order. A careful history, physical examination, other lab tests and imaging of the urinary tract will provide a diagnosis. Please get...

Nephrology: GFR numbers, proper diagnosis, kidney function
proper diagnosis, kidney function, doctors office: Kimberly, Thanks for asking my opinion on Allexperts . I am sorry to hear that you are disturbed by your kidney function results. It is important to get yourself evaluated by a Nephrologist. A careful history, physical examination, other lab tests...

Nephrology: High Blood pressure medication & Kidney Stones, taking blood pressure, blood pressure medication
taking blood pressure, blood pressure medication, blood pressure medicine: Roland, Thanks for your question. You have not mentioned the names of your anti-hypertensives. BP medicines have not been known to cause kidney stones. Some of the drugs that can cause stones are: 1. Indinavir 2. Antacids containing trisilicate...

Nephrology: High BP, creatinine level, atenolol 50mg
creatinine level, atenolol 50mg, losartan: Shritu, Thanks for asking my opinion on Allexperts . If I were your dad s physician, I would hike up the dose of Losartan. In addition to lowering the blood pressure, it has additional kidney protective effects. An elevated S. Creatinine is always...

Nephrology: Hydronephrosis, urologist, kidney
urologist, kidney, remedy: James, Thanks for your question on Allexperts . Hydronephrosis should be evaluated and treated aggressively. Please get in touch with a Urologist ASAP. I am an allopathic practitioner and am unable to comment on homeopathic medicine. Sincerely,...

Nephrology: Kidney disease or just an infection, high risk pregnancies, recurrence risk
high risk pregnancies, recurrence risk, allexperts: Carla, Thanks for asking my help on Allexperts . After preeclampsia, it can take up to 2 years for hypertension and proteinuria to resolve. Resolution of proteinuria is quicker if blood pressure has normalized. I would advise you to continue monitoring...

Nephrology: kidney stone, kidney stone, kidney function
kidney stone, kidney function, high blood pressure: Grisel, Thanks for your question on Allexperts . A careful history, physical examination and review of lab results and ultrasound are required to arrive at a diagnosis. It is important to know what was your husband s blood pressure and kidney function...

Nephrology: PKD, hepatitis b vaccination, phosphate binders
hepatitis b vaccination, phosphate binders, renal replacement therapy: Brij Mohan, Thanks for asking my help on Allexperts . Medicines like Ramipril or Telmisartan are known to cause a transient rise in S. Creatinine levels. However, it is likely that the worsening creatinine mirrors the deterioration of kidney function....

Nephrology: Possible congenital kidney atrophy, kidney stone, postpartum period
kidney stone, postpartum period, allexperts: Jacky, Thanks for asking my help on Allexperts . From the scan result, it seems that you were born with just one kidney. There is no cause for extra concern, though. Many people are born with just one kidney and do not face any medical issues due to...

Nephrology: gall bladder surgery/renal failure, gall bladder surgery, gall bladder
gall bladder surgery, gall bladder, excessive salt: Karl, Thanks for asking my opinion on Allexperts . A careful history, physical examination, review of lab results and imaging of the urinary tract are required to answer your question. Unfortunately, I cannot do that over the internet. Please follow...

Nephrology: High Uera and Creatinine, chronic kidney disease, homeopathic medicines
chronic kidney disease, homeopathic medicines, uera: Hariharasubramanian, Thanks for your question. Based on your lab results, you are definitely suffering from chronic kidney disease. I am an allopathic practitioner and am unable to comment on the usage or efficacy of homeopathic medicines. Sincerely,...

Nephrology: increased level of serum creatinine and blood urea, serum creatinine, kidney dysfunction
serum creatinine, kidney dysfunction, hbalc: Haris, Thanks for asking my opinion on Allexperts . You have not mentioned the normal reference range for lab results at your lab. However, from your latest results, it does appear that you are suffering from kidney dysfunction. A careful history,...

Nephrology: lab indicates, albumin globulin, liver disease
albumin globulin, liver disease, lab values: Hi CA, Thanks for asking my opinion on Allexperts . Your lab values are not indicative of any kidney or liver disease. Blood pressure can be measured by your physician - there are no lab values which can suggest hypertension. Sincerely, Dr. Sha...

Nephrology: Nocturia, causes of nocturia, careful history
causes of nocturia, careful history, nephrologist: Josey, Thanks for your question on Allexperts . It will be very difficult to guess the cause of nocturia without a careful history and physical examination. A discussion of all the possible causes of nocturia is beyond the scope of this forum. Please...

Nephrology: 2nd Blocked Ureter, nephrostomy tube, mild hydronephrosis
nephrostomy tube, mild hydronephrosis, creatine levels: John, Thanks for asking my opinion on Allexperts . I am sorry to hear about your wife s condition. She should certainly fly back to her own doctors. A delay of 24-36 hours is not going to be a huge problem, in my opinion. Sincerely, Dr. Sha...

Nephrology: Diarrhea and abnormal numbers, blood glucose level, sources of potassium
blood glucose level, sources of potassium, orange juices: Costis, Thanks for following up with me. I don t see any reason to worry as all results are within normal limits, except your urine. The presence of ketones and proteins needs further work up. Please get yourself evaluated by your primary care physician....

Nephrology: frequent urination and Protein in Urine, albumin creatinine ratio, ultrasound report
albumin creatinine ratio, ultrasound report, bubbly urine: Imran, Thanks for your question. Proteinuria needs to be evaluated. Please ask your doctor to order a 24 hour urinary protein estimation or a spot urine albumin/creatinine ratio. If the test result is abnormal, please get yourself evaluated by a Nephrologist....

Nephrology: Hypertension, CKD and electrolyte imbalance, modified corn starch, mg chondroitin
modified corn starch, mg chondroitin, chinese scullcap: Sherry, Thanks for your question on Allexperts . Your father s hyponatremia needs to be evaluated if it is causing problems in activities of daily living. He needs to be clinically evaluated for his volume status. In addition, I would order the following...

Nephrology: Immuron, kidney transplant, azathioprine
kidney transplant, azathioprine, immunosuppressant: Edward, Thanks for your question on Allexperts . Azathioprine is a less potent immunosuppressant than Cyclosporine. This could be the reason of switching over - to treat tuberculosis. The side effects are mainly low white cell counts and infections....

Nephrology: kidney function, serum creatinine level, creatinine clearence
serum creatinine level, creatinine clearence, kidney function: Howard, Thanks for asking my opinion on Allexperts . A level of 1.7 mg/dl is definitely abnormal. You may not have microalbuminuria, but that does not mean you don t have kidney disease. Please get yourself evaluated by a Nephrologist. Sincerely,...

Nephrology: Proteinaura, renal ultrasound, history of hypertension
renal ultrasound, history of hypertension, intercurrent illness: Angela, Thanks for your question on Allexperts . It is unlikely that elevated blood pressure for a short period of time will damage the kidney. A 24 hour urinary protein estimation of 387 mg/dl is just above the normal reference range for microalbuminuria....

Nephrology: Rise in serum urea, serum urea, santosh singh
serum urea, santosh singh, histroy: Santosh, Thanks for your question on Allexperts . An elevated urea level could be due to a number of reasons. I have discussed this many times in the past on Allexperts. Please go through my earlier answers. I cannot comment on your father s improvement...

Nephrology: serum creatinine, irregular heart beat, kidney doctor
irregular heart beat, kidney doctor, serum creatinine: Howard, Thanks for asking my opinion on Allexperts . The definitive solution to your dilemma is to undergo a 24 hour urinary creatinine clearance. This will provide the actual GFR. Please ask your doctor to order this test for you. Sincerely, ...

Nephrology: slightly high BUN & creatinine, scarred kidney, bun creatinine
scarred kidney, bun creatinine, kidney infection: Denise, Thanks for asking my help on Allexperts . A scarred kidney denotes previous kidney infection - Pyelonephritis. From what you describe, you could have had an infection in early life that you were not aware about. However, scarring in one kidney...

Nephrology: Stage 5 Renal Failure, iron infusions, kidney transplant
iron infusions, kidney transplant, allexperts: Lucy, Thanks for asking my help on Allexperts . I am sorry to hear about your granddaughter. However, people can survive a very long time with regular dialysis. I have seen patients who have been on hemodialysis for 22 years. That said, studies have...

Nephrology: dialysis and removing fluid, anion gap, bottom number
anion gap, bottom number, unsat: Doris, Thanks for your question on Allexperts . The main function of dialysis is to remove waste products from the patient s body. At the same time, fluid can also be removed from the patient s body, if needed. The patient s weight at the end of...

Nephrology: Foamy Urine, serum creatinine test, high protien diet
serum creatinine test, high protien diet, routine microscopy: Mustafa, Thanks for asking my help on Allexperts . Please get your urine tested for routine & microscopy, which will show the presence of albumin and protein. If the result is abnormal, please get yourself evaluated by a Physician. Sincerely, ...

Nephrology: Answer #4 to Dr. Falkinburg, renal ultrasound, high fevers
renal ultrasound, high fevers, ultrasound study: Good afternoon Jorge, Ace inhibitors as well as angiotension receptor blockers (ARB S) have been prescribed to preserve kidney even if the BP is normal. Certainly this has the potential of reducing the blood pressure too much. That seems to be the case...

Nephrology: gfr, glomerular filtration rate, serum creatinine
glomerular filtration rate, serum creatinine, creatinine clearance: Good evening, Howard. I have read the study you mention and I essentially agree with the points that they made. However, those more accurate tests, such as cystatin C and others, are not routinely available in the clinical labs that primary care doctors...

Nephrology: gfr 49, creatinine clearance, serum cholesterol
creatinine clearance, serum cholesterol, occasional headache: Anita, Thanks for your question on Allexperts . I am sorry to hear that your daughter is suffering from health issues. What are the normal reference ranges and the units for the lab results that you have mentioned? A serum cholesterol of just 33 seems...

Nephrology: higher creatinine in two months, high potassium level, serum creatinine level
high potassium level, serum creatinine level, creatine monohydate: Joe, Thanks for asking my opinion on Allexperts . The sudden rise in your serum creatinine level may well be due to the supplement that you are consuming. Please be careful about consuming a lot of fruit juices: they are a rich source of potassium...

Nephrology: Kidney Cysts, kidney cysts, left kidney
kidney cysts, left kidney, careful history: Hi Mike, I agree with your doctor. A careful history, physical examination, lab tests and review of the imaging studies are required to arrive at a diagnosis. Unfortunately, I am not able to do this over the internet. Please discuss this issue with...

Nephrology: kidney testing, creatinine clearance test, serum creatinine
creatinine clearance test, serum creatinine, cystatin c: Howard, Thanks for asking my opinion on Allexperts . It is well known that in normal humans, GFR reduces at the rate of 1 ml/min/year after the 3rd decade of life. Creatinine is produced by muscle. Although GFR falls, the serum creatinine does not rise...

Nephrology: MCD and Blood in Urine, minimal change disease, causes of hematuria
minimal change disease, causes of hematuria, renal cysts: Good morning, Dash, I am going to assume (always a dangerous proposition) that by MCD you mean minimal change disease . I call (as do all of my colleagues) this kidney disease minimal change glomerulopathy . It is always best to use the full unabbreviated...

Nephrology: microalbumin/creatine ratio, albumin in urine, protein in urine
albumin in urine, protein in urine, kidney damage: Mel, Thanks for rating my answer on Allexperts . Your comments are quoted below: i think the answer had absolutely nothing to do with my question! And the answer they did give said something about the protein and albumin in the urine has nothing to...

Nephrology: ckd and fertility
Fiona, Thanks for your question on Allexperts. It is well known that patients on dialysis have reduced fertility than the normal population. I suggest that your husband undergo semen analysis to know the amount, motility and morphology of his sperm....

Nephrology: Foam in urine, swelling
Brenda, Thanks for your question on Allexperts. From your husband s symptoms, it seems likely that he may be suffering from the Nephrotic Syndrome. This is a group of diseases which cause protein leak in the urine. Please get him evaluated by a Nephrologist....

Nephrology: High Creatinine Level
Kalyan, Thanks for following up with me. The advise given on this forum is not a substitute for a real consultation with a doctor. I cannot advise tests without examining you. Please get yourself evaluated by a Nephrologist. Sincerely, Dr. Sha...

Nephrology: High Creatinine Level
you most likely have chronic kidney disease aka CKD likely stage III. Your kidneys are not functioning at normal which is most likely from damage caused by high blood pressure in your case. Your medications are appropriate. Your nephrologist will likely order...

Nephrology: KIDNEY SWELLING
Kelly, Thanks for your question on Allexperts. Were the 2011 and 2013 scans done by the same Radiologist? An ultrasound examination is a very subjective investigation. I would not be terribly worried if your labs are within normal limits. Sincerely,...

Nephrology: low sodium
Your doctor is correct and one abnormal sodium level is not very significant. You should restrict your water intake, and get a repeat sodium level in few days. If sodium level remains low then get a TSH level to ensure that your synthyroid dosing is adequate...

Nephrology: To Need Help
Your ultrasound is normal. Bladder infections are dioagnosed by urine examination, culture and not be ultrasound. If your kidney function is normal on blood test and you are not a diabetic then you can definately eat dark choclates. Avoid Soda such as coke...

Nephrology: focal segmental glomerulosclerosis
Dr. Ambegaonkar, Thanks for asking my opinion on Allexperts. I am sorry to hear that your daughter is suffering from FSGS. For treatment, my policy is to keep on increasing the dose of ACE inhibitors and/or Angiotensin Receptor Blockers every week till...

Nephrology: gfr
Hi Franklin, GFR is simply a calculation based on several blood tests and has to be evaluated on a case by case basis. It is true that GFR formula has not been validated for the very young or the very old. If you are 80 , have no protein in the urine...

Nephrology: kidney disease
Body loses water in form of urine,sweat, stool, from breathing etc. Urine output is primarily dependent upon the fluid intake if the kidneys are healthy. If the kidneys are diseased and not able to remove all the water consumed then fluid build up in the...

Nephrology: pitting edema
Chris, Thanks for asking my opinion on Allexperts. It would be important to rule out protein excretion in your urine. Please ask your primary care provider to order a spot urine albumin/creatinine ratio. If the result is within normal limits, you...

Nephrology: High BUN/Creatinine, urea nitrogen bun, moderate protein intake
urea nitrogen bun, moderate protein intake, diet sodas: Jason, Thanks for asking my help on Allexperts . I have discussed the causes of high BUN/Creatinine ratio many times on this forum. If you can look up my past responses, you will find a discussion of the causes of elevated BUN and BUN/Creatinine ratio....

Nephrology: Probable kidney damage., creatinine level, body mass index
creatinine level, body mass index, kidney damage: Good morning, Matis. Firstly, your complaints regarding your heart rate and activity are more in the field of cardiology than Nephrology. However, I think you would be best served by having a through and comprehensive physical exam, to define and sort...

Nephrology: microscopic hematuria, microscopic hematuria, flank pain
microscopic hematuria, flank pain, careful history: Kim, I am sorry to hear of your problem. A careful history, physical examination and lab tests are required to arrive at a diagnosis. Unfortunately, I cannot do this over the internet. A lot of conditions can cause such symptoms - a detailed review...

Nephrology: urine, bubbles in urine, protein in urine
bubbles in urine, protein in urine, foamy urine: Howard, Thanks for asking my opinion on Allexperts . You have no need to worry because your test result was normal 3 months ago. Foamy urine can be due to many other reasons: 1. Forceful urination 2. Concentrated urine 3. Reaction with toilet cleaner,...

Nephrology: follow-up question to my mother's kidney problem, heavy menstrual bleeding, chronic dialysis
heavy menstrual bleeding, chronic dialysis, kidney failure: Good morning, Mohit, Thank you for the additional information. It seems clear that your Mother s kidney disease is chronic and, likely, been present for many years. The fact that she has small kidneys means that she has lost much functional renal tissue...

Nephrology: Help needed for my mother with CKD, nephrologist, hemoglobin
nephrologist, hemoglobin, creatine: Mohit, Thanks for asking my help on Allexperts . Your mother needs the immediate attention of a Nephrologist. She will probably need to start on dialysis ASAP. Dialysis can be initiated and blood transfused during the procedure. Sincerely, Dr....

Nephrology: kidney tes ts, albumin creatinine ratio, serum creatinine
albumin creatinine ratio, serum creatinine, kidney function: Frank, Serum creatinine based GFRs are a good screening tool. I agree that this should not be used in men over 70. A 24 hour urinary creatinine clearance would be a more appropriate test. A spot urine albumin/creatinine ratio is a totally different test....

Nephrology: Regarding CKD of my mother, chronic kidney failure, chronic kidney disease
chronic kidney failure, chronic kidney disease, heavy menstrual bleeding: Good afternoon, Mohit, Your Mother is a complicated patient. The first question that I would ask is why is she in kidney failure? Is her kidney failure chronic? Are her kidneys obstructed so the urine cannot be excreted? These are questions that must...

Nephrology: ESRD and severe itching, chronic kidney failure, symptoms of kidney failure
chronic kidney failure, symptoms of kidney failure, symptoms of kidney: Good afternoon, Lynette, I m sorry your Mother is having such difficulties. Itching in patients with chronic kidney failure and in those on dialysis is very common and, unfortunately, often difficult to treat successfully. As kidney failure progresses...

Nephrology: flank discomfort, symptoms of urinary infection, flank area
symptoms of urinary infection, flank area, flank pain: Hello, Andey, good to hear from you again. Firstly, your blood pressure control is dreadful and over the intermediate to long term, is a significant danger to your health. I would suggest that you get on your physician s case and get it controlled, i.e.,...

Nephrology: Calcium Oxalate and Protein in urine, chronic kidney disease, calcium oxalate
chronic kidney disease, calcium oxalate, kidney ailment: Thanks for asking my help on Allexperts. A careful history, physical exam, relevant blood tests & imaging of the urinary tract are required before arriving at a diagnosis. She has normal S. Creatinine levels. A lower eGFR level does not mean that she...

Nephrology: Kidney stones, distal ureter, calcium oxalate
distal ureter, calcium oxalate, kidney stone: Good morning, Cathey, First, let me apologize the the delay in responding to your question. Somehow, my correspondence spun into cyberspace never to be seen again. So, let me respond again. Kidney stones are stones not clumps of protein which would...

Nephrology: remeron, mirtazapine remeron, albumin in urine
mirtazapine remeron, albumin in urine, kidney desease: Frank, banks for following up on our previous conversation. I do agree with what you mention. Even in normal individuals, GFR falls at the rate of 1 ml/min/yr after the 3rd decade of life. An eGFR calculation can be a useful tool in diagnosis just like...

Nephrology: CDK, zanidip lercanidipine, low haemoglobin
zanidip lercanidipine, low haemoglobin, left kidney: Good morning, Rose, First, please let me apologize to you for the delay in my response. Somehow, I managed to delete your original question and the copy on the all experts site did not extend to include your original questions. Therefore, I m going...

Nephrology: PKD & Testosterone Replacement Therapy, polycystic kidney disease, testosterone replacement therapy
polycystic kidney disease, testosterone replacement therapy, pkd patients: Amy, Thanks for asking my opinion on Allexperts. Androgens have been implicated in mediating disease escalation in autosomal dominant polycystic kidney disease (ADPKD). Animal experiments have shown that androgens potentiate renal cell proliferation...

Nephrology: pyelonephritis, left flank pain, low grade fever
left flank pain, low grade fever, urine culture and sensitivity: Mary, Thanks for your question on Allexperts . I do not think that toilet tissue may be the cause of pyelonephritis. If this was your first episode, I would just treat you with antibiotics according to the urine culture and sensitivity pattern. If...

Nephrology: remeron, seizures convulsions, protein in urine
seizures convulsions, protein in urine, kidney function: Good evening, Mickey, Your kidney function of 49 cc/min should not effect the dosing of remeron. That GFR should be more than adequate to excrete the drug. However, remeron is an antidepressant and drowsiness is one of its side effects. Its main use...

Nephrology: WHAT STAGE CKD AND WHY HIGH POTASSIUM, high potassium level, renal calculi
high potassium level, renal calculi, potassium levels: Rose, Thanks for following up with me. Increased cortical echogenicity with cortical thinning is bad news. In addition, compensatory hypertrophy should have increased the size more than 11.5 cm. That said, ultrasound is a very subjective assessment and...

Nephrology: albumin, albumin in urine, kidney failure
albumin in urine, kidney failure, microalbumin test: Howard, Thanks for following up with me. There is a multitude of reports regarding Type II Diabetes Mellitus and CKD. Around 40% of diabetics will develop CKD. Although around 60% do not develop this dreaded complication, there is no way of knowing if...

Nephrology: fertility at 20-25% kidney function, bun creatinine ratio, anion gap
bun creatinine ratio, anion gap, protein urine: Mary, Thanks for asking my opinion on Allexperts. Fertility may be affected because your husband is suffering from chronic kidney disease (CKD). The best way to find this out is to get a semen analysis done. If the sperm count or motility are affected,...

Nephrology: Can pets be kept., tight fitting lids, fleas and ticks
tight fitting lids, fleas and ticks, garbage containers: Sayani, Thanks for asking my help on Allexperts. Most pets can remain in the household. However, transplant patients who own or wish to adopt pets should note the following concerns and responsibilities: • Have your new pet checked out by a veterinarian...

Nephrology: Uric Acid Stone, serum creatinine, low protein diet
serum creatinine, low protein diet, uric acid level: Hello, Eric. Good to hear from you. Uric acid kidney stones are not Uncommon. They constitute approximate 10% of all kidney stones formed. In general, stones that are LESS THAN 5mm in diameter tend to pass spontaneously. Stones that are greater than...

Nephrology: A bit High Serum Creatinine level
Good evening, Kalyan, Your creatinine is, in fact, abnormal. However, it needs to be further defined by the performance of a 24 hour urine collection for creatinine clearance, which gives an estimation of the filtering function of the kidney. There is,...

Nephrology: Causes for CKD when otherwise healthy, kidney biopsy, creatinine clearance
kidney biopsy, creatinine clearance, kidney dysfunction: Mia, Thanks for your question on Allexperts . The causes of CKD are legion and a discussion is beyond the scope of this forum. If I were your Nephrologist, I would perform a kidney biopsy to find out the cause of renal dysfunction. Sincerely,...

Nephrology: A bit High Serum Creatinine level
Nephrology: A bit High Serum Creatinine level

Nephrology: kidney stones, principle ingredient, potassium citrate
principle ingredient, potassium citrate, lime juice: Good evening, Celso, First, I know of no evidence that iron levels are SIGNIFICANTLY effected by the ingestion of citric acid, which is the principle ingredient of lime juice that may POSSIBLY reduce the formation of calcium containing stones. You should...

Nephrology: Protein and Creatinin in Urine, urine creatinine, creatinine clearance
urine creatinine, creatinine clearance, creatinin: Brad, Thanks for asking my opinion on Allexperts . You have not mentioned the normal reference range for your lab for urine creatinine. In any case, a spot sample of urine creatinine does not mean anything. A 24 hour urinary creatinine clearance is...

Nephrology: Chronic Kidney Disease
Yamini, Thanks for asking my help on Allexperts. I am sorry to hear that your husband is suffering from CKD. Intercurrent illness of any sort, like fever, can cause an acute rise in S. Creatinine level. I am not sure, though, that malaria can last for...

Nephrology: GFR
Len, Thanks for asking my opinion on Allexperts. Estimated GFR results are always to be interpreted in light of clinical symptoms, signs and evidence of kidney disease. As a number, a GFR of 35 means Chronic Kidney Disease Stage 3. Sincerely, Dr....

Nephrology: Slight elevation of Creatinine
Nephrology: Slight elevation of Creatinine

Nephrology: prunes
Howard, Thanks for asking my help on Allexperts. Prune and prune juice have a high potassium content. Hence, they should be avoided by patients having chronic kidney disease. I am not aware about prune juice causing kidney stones. Sincerely, Dr....

Nephrology: Slight elevation of Creatinine
Hi Richard, Creatinine is produced by muscles and the levels are affected by several factors. Creatinine level is higher in someone with high muscle mass, creatine supplements, after heavy exercise, dehydration etc. I don t see any reason for concern...

Nephrology: blood clot in urine
High doses of vitamin C increase risk of kidney stones and all her symptoms seem to be consistent with calcium oxalate stones. These oxalate crystals are sharp and cause intermittent bleeding. Sometimes the stone may not be big enough to be picked up on ultrasound....

Nephrology: eGFR Fluctuations
Mary, Thanks for asking my help on Allexperts. eGFR values are derived from S. Creatinine values. In addition to diet and water intake, a few more factors also affect S. Creatinine results. These are: medications, type of kit used in the lab and factors...

Nephrology: elevated b2 urine microglobulin
Kostas, Thanks for your question on Allexperts. It is important to know why were these tests carried out on your son. From the present test results, I would not be very worried about the urine beta 2 microglobulin tests. Please ask your doctor to...

Nephrology: Elevated creatinine / low GFR
James, Thanks for your question on Allexperts. You have not mentioned the normal reference range for your lab. If the normal range is up to 1.5 mg/dl, your result is within normal limits. It is also important to remember that in normal people. GFR...

Nephrology: laxative
Your doctor is correct and you have age related decline in kidney function which is common and not concerning. Miralax primarily works in the intestine and has very minimal absorption into the blood. I dont think there is any harm in taking Miralax in your...

Nephrology: urine test
Prasad, Thanks for asking my help on Allexperts. The presence of protein in urine is one of the red flags for the presence of kidney disease. The following things can be tried to decrease the amount of protein leaking in urine in consultation with your...

Nephrology: Abnormal Labs with Flank Pain, Hx Kidney Stones
Carrol, Thanks for asking my opinion on Allexperts. Based on your lab results, I would order a urine culture and sensitivity test to rule out urinary tract infection. I would also start you on oral antibiotics empirically while waiting for the culture...

Nephrology: Symptoms and lab tests
Matin, Thanks for your question on Allexperts. 1. The tests to diagnose chronic kidney disease are S. Creatinine and BUN. A DTPA renal scan or a 24 hour urinary creatinine clearance can also be done to measure GFR. 2. In allopathic medicine, there...

Nephrology: Elevated S.Creatinine
John, Thanks for asking my help on Allexperts. Without a careful history, physical examination and review of your past medical records, it won t be possible to hazard a guess why your s. creatinine value shot up. You probably have Hypertensive Nephrosclerosis,...

Nephrology: Edema and kidney function
Charmaine, Thanks for asking my opinion on Allexperts. If you were my patient, I would not wait for a month to repeat the test for kidney function. As a patient, you have a right to know what was wrong with your test result. Please ask your GP again....

Nephrology: Plasmapheresis question
Arun, Thanks for your question on Allexperts. Plasmapheresis is usually offered in all hospitals which have a functioning Nephrology department. There may be hundreds of hospitals in and around Delhi offering this service. Please contact your neighborhood...

Nephrology: raised s.creatinine value
John, Thanks for following up with me. For patients with CKD who have a creatinine less than 3.5 mg/dl, I would try and use ACE inhibitors or Angiotensin Receptor Blockers, which are found to be renoprotective. Patients on these drugs have to be under...

Nephrology: Cloudy urine
Sherri, Thanks for your question on Allexperts. Congratulations for being so conscientious about your condition and for taking good care of yourself. I wish all my patients were like you. Regarding cloudy urine, I agree with your Nephrologist. The...

Nephrology: Elevated Potassium Levels
Jana, Thanks for your question on Allexperts. You are right to be concerned about your elevated potassium levels. Three false high values is one too many. Please ask your primary care provider to refer you to a Nephrologist. Sincerely, Dr. Sha...

Nephrology: protein in urine
Roxy, I apologize for the delay in answering to your question on Allexperts. It is quite likely that the presence of protein in your urine is due to your autoimmune disease. Please ask your primary care provider to order a 24 hour urinary albumin measurement...

Nephrology: 21 Year old - Creatinine fluctuations, routine blood test, chronic kidney disease
routine blood test, chronic kidney disease, lean muscles: Dear Jack, Welcome back! I m gratified that everything seems to be on tract. Please get back to me with the results of your tests. I agree, of course, that there is probably nothing to worry about but, since they re your kidneys, you want to be certain....

Nephrology: 24hr urine test, basic metabolic panel, anion gap
basic metabolic panel, anion gap, csf protein: Hi Tom, Thanks for following up promptly. Your blood sugar level is high. If you have diabetes, you need to have your medication adjusted. If not, you might need to start on medication after consulting your doctor. The amount of protein in your urine...

Nephrology: 24hr urine test/creatinine, stroke test, kidney function
stroke test, kidney function, urine protein: Dear Kevin, Thanks for your question. Creatinine is a substance that is produced by muscles. Because your muscle mass is essentially constant, creatinine production is constant and does not vary from day to day. After it is produced, creatinine is excreted...

Nephrology: 3+ reading of blood in urine, traces of blood in urine, kidneys filter
traces of blood in urine, kidneys filter, hollow tubes: Jodie, I took this information from another site. It would behoove you to do a websearch for blood in the urine to get a better idea. The choice is ALWAYS yours, of course. Blood in the urine can appear for a various or combination of reasons. Sometimes...

Nephrology: 6 year old has increased urination & burning smell on head, burnt popcorn, symptoms of diabetes
burnt popcorn, symptoms of diabetes, diabetes insipidus: Hi Liz, Thanks for asking me to help with your nephew s medical problem. What you are describing seem to be symptoms of diabetes mellitus. However, pediatrics is not my area of expertise. I would suggest that you get in touch with a pediatrician /...

Nephrology: Allergic Reaction, laundry detergent, socks for diabetics
laundry detergent, socks for diabetics, soles of my feet: Dear Mike, Thanks a lot for the mail. I am sorry but your question is for dermatologist please so I am not able to answer that. Please consult a dermatologist. With best wishes for your treatment Your Wellwisher at AllExperts.com Dr.R.Srivastava...

Nephrology: Ammonia, dozen cats, mini strokes
dozen cats, mini strokes, kidney failure: Dear Audrey: Thanks for your question. I assume that by ammonia you refer to a strong ammonia odor in your mom s house. If so, then the most likely source is, in fact, the cats and their urine. Urine ( animal or human) contains large amounts of...

Nephrology: Aniexty Question, low sodium diet, benadrill
low sodium diet, benadrill, pharmacological interventions: Dear James, A blood pressure of 160/100 would be considered moderately elevated and, in and of itself, is not a significant short term health care threat, assuming that one s general health is otherwise normal. It is not uncommon for an acute, painful...

Nephrology: abnormal ultrasound and blood in urine, renal cortex, routine urine
renal cortex, routine urine, blood in urine: I might be freaked out , too. This is a medical question, but I am surprised that you have not been referred to a Urologist. The fact that the OB is not too concerned probably means just that it IS nothing to worry about. The fact that the entire workup...

Nephrology: absence of one kidney by birth, contralateral kidney, genitourinary system
contralateral kidney, genitourinary system, unilateral renal agenesis: Hi Padma, Thanks for asking my help on Allexperts . Your daughter is suffering from a condition called unilateral renal agenesis. Unilateral renal agenesis occurs in approximately 1 in 1,100 births. Usually, there are no signs to suggest a unilateral...

Nephrology: air embolism through catheter, air embolism, kidney dialysis
air embolism, kidney dialysis, decompression chamber: Leslie, Sorry to hear about you father. This is not a common occurrence, but it does happen. I can imagine how you and your family feel about the whole situation. The tenet of patient care is do no harm . Despite our best efforts things happen and...

Nephrology: albumin level in blood, serum albumin, renal transplant patient
serum albumin, renal transplant patient, plasma protein: Hi Nadia, Albumin is quantitatively the most important plasma protein. Approximately 300 to 500 g of albumin is distributed in the body fluids, and the average adult liver synthesizes approximately 15 g per day (200 mg/kg per day). The synthesis rate can...

Nephrology: BETA GLUCAN and IP-6, yeast cell wall, beta glucan
yeast cell wall, beta glucan, bakers yeast: Dear Maryann, I m not a real enthusiast of these natural remedies but I doubt that they will do your husband any harm. I think the real issue is what is going on with his kidneys. He seems to have had bilateral kidney disease BEFORE all of this began...

Nephrology: Benicar and kidney function, blood pressure medication, bladder spasms
blood pressure medication, bladder spasms, painful bladder: Hi Brenda, Thanks for asking my help. Benicar (Olmesartan) is not known to cause hematuria or urinary infections. I have a feeling that your urinary infection was probably not related to the use of Olmesartan. I agree that it is an excellent anti-hypertensive...

Nephrology: Bladder capacity, bladder capacity, indirect question
bladder capacity, indirect question, unavoidable reasons: Dear Cheryl Stein, I am thankful to you for the mail. Also I am extremely sorry for the delay in reply due to some unavoidable reasons of my being away from my office. Well the capacity to hold urine is approximately about 600ml and nearly same but little...

Nephrology: Blood Test, srivastava, blood test
srivastava, blood test, kidney: Dear Margaret, Thanks for the mail. I need to know what makes you think it is Kidney related? What are the symptoms and other reports of tests which suggest that kind of pathology? I can comment only when I know the complete details. With best wishes...

Nephrology: Blood test results, glomerular filtration rate, blood test results
glomerular filtration rate, blood test results, creatine levels: Dear Virginia, Prednisone can cause slight elevation in BUN and creatine levels due to the increase of catabolism.Since you have antiphospholipid syndrome and 79 years of age,you naturally have lost a little bit of the functions of the kidney besides the...

Nephrology: Blood in Urine, kidney diseases, yeast overgrowth
kidney diseases, yeast overgrowth, antibiotic therapy: Thanks for the additional information. There are two red flags for kidney disease, protein in the urine (proteinuria) and blood in the urine (hematuria). Obviously, you have at least one of them. The most common cause of hematuria if the female is a...

Nephrology: Blood/Urine 24hr Results, chronic prostatitis, foamy urine
chronic prostatitis, foamy urine, urine chemistry: Creatinine is a substance that is produced by muscles. Its production is essentially constant because your muscle mass is constant. If you are a weight lifter and/or engage in vigorous physical activity, your muscle mass increases over time (that s the idea)and...

Nephrology: Blood In Urine After Auto Accident, full bladder, kidney problem
full bladder, kidney problem, taking medicine: Dear Ricky, The accident, per se, could result in hematuria if the kidney were severely contused and a communication developed between the vascular tree of the kidney and the urinary pelvis(that is the conduit for urine flow between the kidney and the ureter),...

Nephrology: Blood in urine?Lower back ache, papillary necrosis, pain while urinating
papillary necrosis, pain while urinating, function of the kidneys: Hi Nancy, Good to hear from you again. Papillary necrosis means that one of the renal papillae is permanently destroyed due to lack of blood supply. This condition is permanent. However, this does not affect the overall function of the kidneys because...

Nephrology: BUN Count over 200 how would patient act, wasting precious time, nephrologist
wasting precious time, nephrologist, ampute: Dear Carolyn Fleming, Sorry I was out at weekend. Thanks for the mail. Clearly he was having uremic encephalopathy. You will not expect this from now on but you must get the treatment done immediately with a nephrologist. I think he should be seen and treated...

Nephrology: BUN/Creat, glomerular filtration rate, bun and creatinine levels
glomerular filtration rate, bun and creatinine levels, bun and creatinine: Hi Andy, Thanks for following up with me. Based on the information you have provided, the elevation in BUN and Creatinine seems to be rather recent. All the more reason to get an evaluation done as soon as possible. With regards to investigations to...

Nephrology: BUN/creatinine, B12, bun and creatinine levels, bun and creatinine
bun and creatinine levels, bun and creatinine, bun creatinine: Dear Kim, If there is a patient who is being treated for an elevated BUN and creatinine with vitamin B12, he is being treated by a quack who is committing fraud. I strongly suggest that this clinician (and I use the term loosely) be reported to the state...

Nephrology: Bun/Creatinine Ratio, bun creatinine ratio, kidney function tests
bun creatinine ratio, kidney function tests, high protein diet: Both the BUN and creatinine are kidney function tests. The creatinine in the more accurate of the two. The reason is that the bun is effected by more than kidney function. The bun consists of urea and urea is derived from protein metabolism. It is then...

Nephrology: baby with one kidney, low protein diet, kidney diseases
low protein diet, kidney diseases, long and happy life: Dear Danielle, Thanks for your question. The reflux that your baby has needs to be evaluated in and of itself and independently from the issue of one kidney.It is common and generally, very easily managed. The congenital absence of one kidney is also...

Nephrology: bladder, pelvic bone, blood in urine
pelvic bone, blood in urine, allexperts: Dear Martin. Thanks for the mail. Please immediately go to your doctor and show him. You may be having possibly some infection/inflammation/??? obstrutive lesion. What is your age? Have you passed blood in urine? You may be asked to get your urine analyzed...

Nephrology: bloating/fluid retion, female hormone levels, pound weight gain
female hormone levels, pound weight gain, cyclic fluctuations: If you have been worked up and have normal kidney function and structure then you should be able to maintain normal fluid balance. One of the responsibilities of the kidney is to maintain the constancy of the internal environment. It does so by retaining...

Nephrology: all over body aches, enlarged kidneys, vitamin d deficiency
enlarged kidneys, vitamin d deficiency, vitamin d defiency: Dear Rose, I have never heard of avenza and it is not in my medication data base. PKD can cause abdominal discomfort and abdominal fullness due to the large kidney size and unfortunately,aside from simple analgesics which are not too effective, there...

Nephrology: bodybuilding (moderate) and PKD, dietary protein restriction, chronic kidney disease
dietary protein restriction, chronic kidney disease, protein intake: Hi Darin, Thanks for asking me to help with your problem. Based on the information you have provided me, your estimated MDRD GFR is 51 ml/min/1.73 sq. m, CKD stage 3 (I am presuming that you are a white male). I suggest that you get in touch with...

Nephrology: bubbles and foam in urine, kidney problems, lonly
kidney problems, lonly, backache: Hi Penny, Thanks for asking me to help with your kidney related concerns. Sometimes foam in the urine signifies protein leak in the urine. I am not sure if your backache is related to your kidney problems, though. I will encourage you to have your...

Nephrology: about bubbly..soapy and cloudy urine, sinus medication, doctor asap
sinus medication, doctor asap, foamy urine: Hi Haseeb, Historically, foamy urine has been associated with Proteinuria - excessive protein leak in the urine. Sometimes, though, the velocity of the urinary stream also causes an impression of foamy urine. You say that there is no foam if you sit...

Nephrology: bun/creatine ration climbing, high protein diet, bun creatinine
high protein diet, bun creatinine, anti inflammatory drugs: Dear connie, The causes of an elevated BUN/Creatinine are: 1. Obstruction to the flow of urine. This is possible is your case. 2. A catabolic state. That consists of a condition where your body breaks down protein. This is seen in chronic infection...

Nephrology: bun/creatinine ratio, bun creatinine ratio, gilbert syndrome
bun creatinine ratio, gilbert syndrome, blood test: Hannah I am not sure what the BUN RATIO means. I see your creatinine is normal. What was your BUN? Was that normal? It looks as if your numbers were in the high normal state, and if it s high normal, the doctor will probably just watch it. Did you...

Nephrology: Calculation of GFR, serum creatinine concentration, serum creatinine levels
serum creatinine concentration, serum creatinine levels, concentration measurement: Unfortunately, all currently used simple calculations of GFR are very inaccurate. All of them use the serum creatinine concentration, then factor it by the age and size of the patient, to come up with a derived clearance. Creatinine is a substance, excreted...

Nephrology: Cause to worry?, routine blood tests, diet soda
routine blood tests, diet soda, protein in the urine: Dear Ashley, Thanks for your question. Two red flags for kidney disease are protein in the urine (proteinuria) and blood in the urine (hematuria). You apparently have both. The most common cause of hematuria is infection in the urine and if you have...

Nephrology: Chest Pain, target, information thanks
target, information thanks, chest pains: Dear Faith, Chest pains are very common during dialysis. They can occur in patients with heart disease but most often occur when the blood pressure falls too low during the procedure. This may mean that his target wright is too low and needs to be raised....

Nephrology: Confused, calcium channel blockers, stress echocardiogram
calcium channel blockers, stress echocardiogram, hypertension specialist: Dear Kathryn Plaska, Thanks for the mail and faith in me. Your local treating doctor normally always knows more about you than anyone else, so if he thinks it is better to see another specialist please go ahead and do it. Later on if you want you may...

Nephrology: CREATININE, normal creatinine level, dear ivan
normal creatinine level, dear ivan, two different things: Dear Ivan I m a bit confused at your question. Are you talking about the blood test that measures the BUN and Creatinine? There is something in the blood as well as the creatinine level which is something completely different. A normal Creatinine level...

Nephrology: Creatine Clearance, kidney transplant, creatinine clearance
kidney transplant, creatinine clearance, allexperts: Dear Ed, Thanks for the mail. But I really need to know the report of the Creatinine Clearance and for whom it is age and sex also. This is not a disease but is an investigation so let me know. Tell me ASAP may be I can be of some help to you. Thanks ...

Nephrology: Creatinine, polycystic kidneys, kidney function
polycystic kidneys, kidney function, greek man: Dear Angelo, A creatinine is not terribly high but it is probably abnormal. You need a 24 urine collection for a creatinine clearance determination. This will tell you exactly how abnormal it is and whether there is anything to worry about. The beer...

Nephrology: Creatinine Clearance, glomerular filtration rate, prune belly syndrome
glomerular filtration rate, prune belly syndrome, iron infusion: Dear Kathy, I fail to understand why it is so important the percentage? In clinical practice we go by the Creatinine Clearance or GFR reports and not by percentage as it is calculated by these only and varies with What the Ideal Creatinine Clearance for...

Nephrology: Creatinine Clearance, kidney functions, kidney failure
kidney functions, kidney failure, kidney function: Dear Kathy, Well as per the report the Kidney functions are poor and what they are is the level of Creatinine Clearance level 13. Best would be to have an opinion from your local nephrologist urgently and take action as advised by him as he will know better...

Nephrology: Creatinine levels, serum creatinine level, short gap
serum creatinine level, short gap, abdominal cat scan: Dear Caroline, Thanks for the mail. I would rather have another test done after a short gap and also from a different lab and then proceed further. Presently I also do not see any abnormal reason indicating reduced renal functions. With best wishes...

Nephrology: Creatinine ratio, acute kidney failure, kidney stone
acute kidney failure, kidney stone, bun to creatinine ratio: There are many implications to the high ratio. Here is a simple explanation: High BUN-to-creatinine ratio. High BUN-to-creatinine ratios occur with sudden (acute) kidney failure, which may be caused by conditions such as shock or severe dehydration. An...

Nephrology: case, albumin creatinine ratio, symptoms of renal failure
albumin creatinine ratio, symptoms of renal failure, ultrasound investigation: Dear Mody, The very important feature of your Father s case is the fact that he had/has bilaterally small kidneys. If I found that feature in a patient I would not have even preceded with a biopsy because with small kidneys, his process is chronic and...

Nephrology: chronic kidney disease, chronic kidney disease, 24 hour urine collection
chronic kidney disease, 24 hour urine collection, wendy dear: Dear Wendy, All I can tell you with the information that you gave me is that you do have some form of chronic kidney disease. To speculate whether or nor you have kidney FAILURE and what stage, I need to know your BUN, creatinine, electrolytes (like sodium,potassium,...

Nephrology: does concentration affect result of dipstick test, accurate test result, symptoms of kidney failure
accurate test result, symptoms of kidney failure, urine dipstick test: Dear Ben, Thanks for the follow up. I would not worry about the proteinuria at this point. You may wish to have your urine checked again in six months or so to be reassured that it is still gone. Regarding the hematuria, you need only a routine urinalysis...

Nephrology: constipation, milk of magnesia, water ingestion
milk of magnesia, water ingestion, phosphate binding: Peritonitis is not confused with constipation. constipation is the infrequent defectation of hard stool. Peritonitis is a life threatening, severe, intra abdominal infection usually associated with a perforation of the bowel. These patients are critically...

Nephrology: contrast dye on kidneys, kidney failure, left kidney
kidney failure, left kidney, kidney function: The basic underlying issue with your mom is hardening of the arteries, also called arteriosclerosis. This is very common at her age and is the cause of her shrunken kidneys. What happens is that the arteriosclerosis(hardening of the arteries)in the artery...

Nephrology: creatinine level, kidney biopsy, enlarged kidneys
kidney biopsy, enlarged kidneys, kidney diseases: Dear Kim, Thanks for the follow up. It is important for me to have all available information... like the ultrasound results... because, as it helps your physician when he orders it, it also has the same information that permits me to engage in a more...

Nephrology: creatinine level before hemodialysis, kidney function, urr
kidney function, urr, muscle mass: It is and it isn t in that it is affected by your physical size (muscle mass), residual kidney function, level of physical activity. After dialysis you will have removed some but not all of it. I would NOT be too concerned. I am sure that your Nephrolgist...

Nephrology: creatinine level, serum creatinine levels, marathon runners
serum creatinine levels, marathon runners, state marathon: Creatinine comes from the breakdown of muscle. Normal creatinine is 0.7 to 1.5 mg/dL with more of the labs leaning to 1.0 mg/dL. Elevated creatinines after exercise is NOT unusual. Are you taking any supplements (Creatine?.) Are you taking Ibuprofen?...

Nephrology: creatinine levels, glomerular filtration rate, glomerular filtration rate gfr
glomerular filtration rate, glomerular filtration rate gfr, chronic kidney disease: Thanks for the follow-up, Shannon. It is very difficult to comment on kidney function without knowing the units of the test. Presuming that the test was reported in micromoles/L, the estimated glomerular filtration rate (GFR) of your friend is 11 ml/min/1.73...

Nephrology: creatinine levels, kidney disorder, rapid deterioration
kidney disorder, rapid deterioration, serum creatinine: Hi Kay, Thanks for asking me to help with your father s problem. Long-standing diabetes mellitus can lead to a condition called Diabetic Nephropathy. The natural history of diabetic nephropathy is one of rapid deterioration. You say that your father...

Nephrology: creatinine levels, glomerular filtration rate, kidney fuction
glomerular filtration rate, kidney fuction, invasive bladder cancer: This is a medical question, but here goes. I am sure that this was explained at least to your dad. He more than likely had chemo and/or radiation therapy which is toxic to the kidneys. He is going into renal failure it seems. The rough equation is...

Nephrology: Demulcents, aloe vera gel, sodium diet
aloe vera gel, sodium diet, ureteroscopy: To my knowledge, there are no CONTROLLED trials that show any benefit whatever from the use of demulcents . The trick is to prevent the development of further stone formation. There are several interventions that can be tried, the easiest of which is...

Nephrology: DIALYSIS, malignant hypertension, mail question
malignant hypertension, mail question, head ache: Dear Kim, Thanks for the mail & question. I am sorry I could get it opened today only as till now the question was showing error & nothing else. Excuse me for this computer / server problem. I hope you will appreciate. Now let us come to the questions :...

Nephrology: Dialysis, home dialysis, dialysis center
home dialysis, dialysis center, peritoneal dialysis: Dear Mike, There are certain genes that determine tissue compatibility. They are manifested as the ABO blood group system and the HLA leucocyte system. The ABO system must match completely (like for blood transfusions, blood group O being a universal...

Nephrology: Dialysis Labs, initial paperwork, kidney function
initial paperwork, kidney function, protein intake: Dear Phyllis: Good to hear from you again. 1. If your family member has had the same vascular access (fistula) for 2.5 years then the discomfort is probably as good as it s going to get. Having said that, it would be useful to know if the discomfort...

Nephrology: Dialysis Problems, peritoneal dialysis, pet test
peritoneal dialysis, pet test, internal organs: Sorry about the tardiness of the answer. Had a system failure. Nuff about me! Are you sure that it is Peritoneal. That is, is she doing this procedure at home? Is is during the day (mostly) or at night (mostly)? Let s make the assumption that it is...

Nephrology: Dialysis side effect, least three times, kidney failure
least three times, kidney failure, dialysis patients: Dear Sandy, Itching is a common and perplexing problem in dialysis patients. Most often it is related to, as you alluded to, a high phosphorous. This is not the case in your case. It is very possible that, in your case, it is related to a neuropathy...

Nephrology: Dialysis side effects (faint, dizzy), continuous ambulatory peritoneal dialysis, ambulatory peritoneal dialysis
continuous ambulatory peritoneal dialysis, ambulatory peritoneal dialysis, psychological intervention: I am a bit confused. There should be no side effect after/during a peritoneal exchange. CAPD is Continuous Ambulatory Peritoneal Dialysis, that is, it is done all the time . Perhaps your mom is trying to tell you that she does not like this mode of therapy....

Nephrology: Dialysis, coronary artery disease, uremic pericarditis
coronary artery disease, uremic pericarditis, right on target: Dear Subhojit: It is very premature to be worrying about rejection. If it turns out that your uncle is going to be considered for a transplant then, at that time, I would consider transplant rejection and its ramifications. If, after he is stable, he...

Nephrology: Different renal lengths, academic exercise, allexperts
academic exercise, allexperts, srivastava: Dear Heather, Thanks for the mail. I am little confused. What is the context of your question? All organs are three dimensional so why concern about length only? The size may be different physiologically and pathologically and also since birth. There...

Nephrology: Dizziness, infectious disease specialists, heart palpitations
infectious disease specialists, heart palpitations, infectious disease specialist: Dear Kathy, I am so sorry you and your daughter are having such an awful time. The problem for me is that this is out of my field. I am a nephrologist; a specialist in kidney disease. Your daughter needs a neurologist and a infectious disease specialist....

Nephrology: dark brown/red urine, foley for 1 week, kidney transplant in 3/05, kidney rejection, kidney stone
kidney rejection, kidney stone, kidney transplant: Dear Cristina, I can t tell what s happening without a full work up. This could be an infection (possibly fungal since he is on an effective antibiotic for the usual bacterial infections). It could be a kidney stone. It could be an acute nephritis (unlikely)...

Nephrology: dark brown/red urine, foley for 1 week, kidney transplant in 3/05, kidney rejection, kidney biopsy
kidney rejection, kidney biopsy, acute rejection: Thanks for following-up, Christina. I am glad to hear that his urine is clearing up since yesterday. His serum creatinine should show a steady improvement and reach the baseline, 3.2, in his case. Let me know if you have any more doubts. Sincerely,...

Nephrology: dialyser, artificial kidney, sq meter
artificial kidney, sq meter, blood volume: I never really did pediactric dialysis, but did have one young girl on home HD for 5 years. Generally the HFAK s (hollow fiber artificial kidney) are smaller in terms of priming volume. Small children, about 50 cc volume. The surface area is therefore equally...

Nephrology: when do you have to have dialysis??, nephrologist, dialysis
nephrologist, dialysis, health issues: As low as 10% sometimes. The decision to start dialysis is based also on how you feel and your general condition (age, other health issues). Most of the time the patient will call the Nephrologist (assuming they are being followed!) and say that they feel...

Nephrology: dialysis, conjestive heart failure, congestive heart failure
conjestive heart failure, congestive heart failure, good luck chuck: At this juncture in time he has put himself into this situation. He doesn t exercise, doesn t watch his diet or probably monitor his diabetes properly. He has already shortened his life by the aforementioned and with the conjestive heart failure has...

Nephrology: dialysis or kidney transplant, coronary artery disease, stroke issues
coronary artery disease, stroke issues, kidney transplant: That is a tough question with no real good answer. Here goes. 77 years old...IS he 77 or is he, save for the renal disease, otherwise healthy? If he has other factors such as heart disease, diabetes, COPD, post-stroke issues, coronary artery disease and...

Nephrology: dialysis low and high blood pressure, dialysis session, kidney failure
dialysis session, kidney failure, cardiac issues: Blood pressure flucuations are not abnormal, but they can be lessened by reducing the amount of fluid intake. A 3.6 kilo weight gain is too much. Weight gains of 0.5-0.7 kg/day would be a little more appropriate. Underlying cardiac issues may also be...

Nephrology: dialysis and muscle spasms in limbs, chronic lymphatic leukemia, cellulose acetate
chronic lymphatic leukemia, cellulose acetate, baxter ca: Dear Gail, Phone would not be a good idea at the moment as I have not much to offer. I would appreciate if a neurological consult is also obtained may be that may solve the problem/diagnose correctly. If Serum Electrolytes - Na, K, Cl, Ca, P, Mg are...

Nephrology: dialysis, low blood pressure, mental faculties
low blood pressure, mental faculties, talkative person: Dear Diane, Thanks for the mail. Low blood pressure is a very good reason for the symptoms which you say but any change in the dosage or stopping should be done in consultation with your local physician/nephrologist but do it very urgently (ASAP) as it is...

Nephrology: dizziness and fainting, low blood pressure, dizzy spells
low blood pressure, dizzy spells, good luck chuck: I have seen hair loss before, but the cramps in the neck seems really strange. Usually cramping in the extremities is not that unusual, but continued cramping may be a sign of getting too dry. Cramping with low blood pressure is generally consdered dry...

Nephrology: dizziness, high blood pressure, trouble breathing, pediatric pulmonologist, chest x ray
pediatric pulmonologist, chest x ray, saline drip: Dear Mariam, My e-mail is doc3255@aol.com (sorry about that). Pheos are diagnosed by a combination of blod and urine tests. They are called plasma catacholamines, urine and/plasma metanephrines. They are usually elevated. Sometimes, however, they need...

Nephrology: Eating before dialysis, dialysis treatment, dialysis unit
dialysis treatment, dialysis unit, dialysis machine: I am probably the biggest stickler when it comes to eating just prior to or on dialysis. The reason that it is not allowed is simple. Blood goes to the gut for digestion. This lowers the blood pressure and reduces the circulating blood volume. If your...

Nephrology: Effects of Dialysis (Dizzy, faint), blood sugar levels, peritoneal dialysis
blood sugar levels, peritoneal dialysis, nephrologist: Dear John, Thanks for the mail and I am sorry for the delay and apologize for the same as it was due to my preocupations out of town. The symptoms indicate that she is really having some problem and the dialysis may not be proper as it may not be yielding...

Nephrology: Effects from drugs for transplant, soles of my feet, peripheral neuropathy
soles of my feet, peripheral neuropathy, kidney failure: It sounds like you have a peripheral neuropathy which may be due to many different things, in your case, kidney failure prior to your transplant. The neuropathy of uremia (as it is called) often goes away after a transplant but can persist and rarely is first...

Nephrology: Evaluated Creatine, but normla BUN, serum creatinine, creatinine clearance
serum creatinine, creatinine clearance, wisdom teeth: Dear Bethany, The short answer is probably not. 0.8 mg% as the upper limit of normal for the creatinine seems really low. Most labs define their upper limit of normal at or around 1.2 or 1.3 gm%. To be sure, after the issues of your infection have resolved,...

Nephrology: Evaluated Creatinine, but normal BUN, wisdom teeth, ct scanning
wisdom teeth, ct scanning, oral surgeon: Hi Bethany, Thanks for asking me to help with your problem. Radiocontrast, sometimes used during CT scanning can cause an elevation in serum creatinine. Was it used during your study? I would not be very concerned about the slight rise in serum creatinine....

Nephrology: Excessive Protein in urine, protein excretion, kidney biopsy
protein excretion, kidney biopsy, renal ultrasound: Dear Elisabeth, Thanks for your follow up. If the blood sugar was 145 on a fasting specimen then your husband has diabetes and needs to be treated for it. Adult onset diabetes is very common, occurring in individuals who are often over weight. The association...

Nephrology: Excessive Urination, excessive urination, signs of diabetes
excessive urination, signs of diabetes, normal urination: Dear Dee Lightner, The answer varies with the age, sex, health and disease conditions, environment and several other factors. This also is an individual variation. Please be very specific what and why you want to know and for whom? Best wishes...

Nephrology: elevated BUN reading of 30, kidney function test, urea nitrogen bun
kidney function test, urea nitrogen bun, blood urea nitrogen: Dear Erik, Blood urea nitrogen (BUN) is not only a kidney function test but is a chemical that increases in the blood when the diet is high in protein or if you become dehydrated or if there is an obstruction to the flow of urine or for a variety of other...

Nephrology: elevated creatine & bun levels, bun and creatinine, trigylcerides
bun and creatinine, trigylcerides, high cholesterol: Dear Margaret, Thanks for the mail. Your regular medical doctor is right and you should see a nephrologist. There is a huge list of possibilities but they are better ruled out/confirmed by actually seeing the patient. Currently I have no information available...

Nephrology: I have something ON my eye.. right in the corner, minor trauma, kidney disease
minor trauma, kidney disease, lens solution: Dear Sabrina, This question has nothing to do with kidney disease and therefore is out of my area of expertise. However, what you describe sounds like a condition called a subconjuntival hemorrhage which occurs commonly as a consequence of minor trauma...

Nephrology: FACP, american board of internal medicine, board of internal medicine
american board of internal medicine, board of internal medicine, american college of physicians: Dear Pam: Thanks for your question. The suffix after my name, FACP, stands for Fellow of the American College of Physicians . The college or ACP is an organization formed around the turn of the 20th century to foster academic excellence in medicine....

Nephrology: My Father, blood pressure meds, normal blood pressure
blood pressure meds, normal blood pressure, blood pressure medications: You dohn t get to 80 if you are not doing something right. The big but here is that he is overweight and had blood pressure issues. You said that he is dizzy, is that because of the blood pressure medications? Is he taking the blood pressure meds during...