About Experts Sitemap - Group 37 - Page 17 2014-09-30

Nephrology: MINIMAL CHANGE NEPHROPATHY, high cholesterol levels, kidney biopsy
high cholesterol levels, kidney biopsy, microscopic hematuria: Hi Ujjwal, Good to hear from you again. Microscopic hematuria is usually absent in patients with Minimal Change Nephropathy. If you have proteinuria now, it warrants another kidney biopsy. After a tissue diagnosis, I can comment further on the treatment...

Nephrology: microalbuminuria, potassium levels, lime water
potassium levels, lime water, nephrologist: Hi, Thanks for asking my help on Allexperts . I apologize for the delay in answering your question. I was on vacation Feb 4 through Feb 9, 2008 and did not have internet access during this time. However, it seems that the system on allexperts had not...

Nephrology: Previous question, you were kind enough to respond, but I need to explain more, bladder capacity, kidney specialist
bladder capacity, kidney specialist, minimal leakage: Dear Diana, I don t think that there is a fluid problem if he only drinks if he is thirsty and then only enough to quench his thirst. If he drinks too large a volume, his bladder will either empty by its usual mechanism or it will dilate and enlarge to...

Nephrology: Protein in Urine- Other Test Fine, kidney biopsy, biopsy findings
kidney biopsy, biopsy findings, renal biopsy: Hi Mykii, Thanks for asking my help on Allexperts . I apologize for the delay in answering your question. I was on vacation Feb 4 through Feb 9, 2008 and did not have internet access during this time. However, it seems that the system on allexperts...

Nephrology: polycistic kidneys, serum creatinine level, ruptured cyst
serum creatinine level, ruptured cyst, blood pressure medicine: Hi Heidi, Good to hear from you again. The recent rise in creatinine is probably due to elevated blood pressure and the injury to your kidney. Patients with kidney disease can only take selected pain medications. If your pain is not better, please...

Nephrology: psoas abcess, psoas abscess, psoas abcess
psoas abscess, psoas abcess, pyrexia of unknown origin: Hi Stephanie, Thanks for asking my help on Allexperts . Psoas abscess is a rare disorder that is often difficult to identify. The abscess may present as back pain, pyrexia of unknown origin, groin pain that mimics a septic hip, increased frequency of...

Nephrology: Questiion about high normal creatinine, serum creatinine, creatinine level
serum creatinine, creatinine level, persistent elevation: Hi Danielle, Thanks for asking my help on Allexperts . Different labs have different normal reference values for serum creatinine. 1.04 does not seem to be high. If your physical examination is normal and if your other lab work is also normal, I...

Nephrology: Recovering Kidney donor, left kidney, kidney donor
left kidney, kidney donor, kidney stone: Hi Marshall, Good to hear from you again. The remaining kidney takes up most of the function of the other one in about a year s time. It is unlikely that your remaining kidney will make up the difference after so much time has passed. Sincerely, ...

Nephrology: Single Kidney at 38yo, renal anomaly, kidney infection
renal anomaly, kidney infection, kidney function: Dear Bruce, You need make NO lifestyle changes. A solitary kidney is a very common renal anomaly and is not associated with any adverse outcome. As you seem to know, the single kidney undergoes structural and functional hypertrophy and the kidney function...

Nephrology: How do supplements affect kidney and liver tests, kidney function tests, liver function tests
kidney function tests, liver function tests, serum creatinine level: Hi Jennifer, Thanks for asking my help on Allexperts . Serum creatinine level, the most commonly used measure of kidney function in clinical practice, varies with factors other than kidney function. These include age, sex, muscle mass, and dietary protein...

Nephrology: My symptoms, frequent urination, clinical diagnosis
frequent urination, clinical diagnosis, chewing ice: Hi Rhoda, Thanks for asking my help on Allexperts . I apologize for the delay in answering your question. I was on vacation Feb 4 through Feb 9, 2008 and did not have internet access during this time. However, it seems that the system on allexperts...

Nephrology: Vitamin D3 and Kidney Stones, excess vitamin c, vitamin d3
excess vitamin c, vitamin d3, deficiency of vitamin d: Hi Gerry, Thanks for asking my help on Allexperts . Excess vitamin C and vitamin D supplements increase the chance of new stones. If you don t have a deficiency of Vitamin D, I would advise against the use of Vit. D supplements. I hope this helps....

Nephrology: Bosniak cyst, bosniak cyst, renal cyst
bosniak cyst, renal cyst, renal cysts: Hi Suzanne, Thanks for asking my help on Allexperts . Strictly speaking, your question is best answered by a Urologist (my surgical counterpart). However, I will attempt to answer your question. The Bosniak renal cyst classification was first introduced...

Nephrology: Contrast Dye, serum creatinine, urine volumes
serum creatinine, urine volumes, drink alcohol: Hi Ross, Thanks for asking my help on Allexperts . The elimination of radiocontrast from the body depends on the type (iodinated vs. noniodinated), dose and the site (intravenous vs. intrarterial). Generally speaking, all dye will be eliminated within...

Nephrology: Contrast induced Nephropathy, serum creatinine, kind suggestion
serum creatinine, kind suggestion, kidney stone: Hi Keshav, Good to hear from you again. If the kidney has resolved after CIN, there is no need for further tests or worry. All patients do not develop CIN. You do not have any CIN so there is no need for any further tests. Sincerely, Dr. Sha...

Nephrology: Contrast induced nephrochtomy, chronic dialysis, kind suggestion
chronic dialysis, kind suggestion, kidney failure: Dear Keshav, Contrast induced nephropathy is a fairly common kidney disease due to intense spasm of the blood vessels of the kidney resulting in damage to the kidney tissues because they can t get enough blood. The x-ray contrast material is the culprit...

Nephrology: Cretanine level question, chemistry test, blood chemistry
chemistry test, blood chemistry, kidney health: Hi, Thanks for asking my help on Allexperts . It is very difficult to form an opinion on a single lab test result. Many factors affect the lab tests you have mentioned in your question. I would suggest that you repeat these tests when you are normally...

Nephrology: career related not health related, hematological malignancies, renal transplants
hematological malignancies, renal transplants, lung transplants: Hi Mazin, Good to hear from you again. Nephrologists do a fair amount of interventional work. These procedures include, but are not limited to insertion of non-tunneled and tunneled hemodialysis and peritoneal dialysis catheters, endovascular procedures...

Nephrology: complex renal cyst, complex renal cyst, ct urogram
complex renal cyst, ct urogram, flank pain: Dear Tiffany, You need to see a new nephrologist, if you have not already seen one. He is best qualifies to evaluate your stones to see if there is some metabolic issue that can be addressed to prevent you from having further stones. A complex renal...

Nephrology: creatinine bloodpressure, glomerular filtration rate, bud grant
glomerular filtration rate, bud grant, elevated creatinine: Hi Bud, Thanks for asking my help on Allexperts . If you can tell me your age and ethnicity, I will be able to calculate your glomerular filtration rate (GFR). This will then be useful in knowing the stage of your disease. I presume that you have had...

Nephrology: Diagnosis, normal blood glucose, renal glucosuria
normal blood glucose, renal glucosuria, pediatric nephrologist: Hi Elham, Thanks for your question on Allexperts . I cannot make a diagnosis without a detailed history, physical examination and supportive lab tests. From what you describe, these girls may be having Primary Renal Glucosuria. Classically, three...

Nephrology: elevated Creatinine, creatinine clearance test, urineanalysis
creatinine clearance test, urineanalysis, ultrasound evaluation: Hi Matt, Good to hear from you again. An elevated creatinine as far back as 1999 suggests to me that you might be having some underlying renal insufficiency. Creatinine is produced from muscle. Whenever there is strenuous activity like riding a mountain...

Nephrology: hair loss with hemodialysis, heparin, dialysis
Nephrology: hair loss with hemodialysis, heparin, dialysis, hair loss

Nephrology: High BUN/Creatinine ratio, bun creatinine ratio, squamous epithelial cells
bun creatinine ratio, squamous epithelial cells, elevated liver enzymes: Dear Raechel, First, I must advise you that allexperts is NOT a venue for the full medical evaluation of patients. I say this because you clearly have significant issues that should be addressed From a brief overview I would recommend that to you...

Nephrology: High cholesterol and urine protein levels, protein in the urine, excess protein
protein in the urine, excess protein, hypothryoidism: Hi Danielle, Thanks for asking my help on Allexperts . Protein in the urine is a red flag for kidney disease. People suffering from Nephrotic syndrome have excess protein in their urine associated with increased cholesterol in the blood. Also,...

Nephrology: High Level Protein/Lipids, bun creatinine ratio, kidney diseases
bun creatinine ratio, kidney diseases, ldl hdl: Dear Bridget, There are two red flags for kidney disease. The first is blood in the urine (hamaturia) either gross (seen with the naked eye) or microscopic. The second is protein in the urine (proteinuria). You have the second and therefore need a full...

Nephrology: High Level Protein/Lipids, ldl hdl, kidney diseases
ldl hdl, kidney diseases, protein in the urine: Hi Bridget, Thanks for asking my help on Allexperts . Protein in the urine is a red flag for kidney diseases. Your protein creatinine ratio suggests that you are excreting approximately 1 gm of protein in the urine per day. The normal limit is less...

Nephrology: High serum creatinine levels, serum phosphorus levels, serum calcium levels
serum phosphorus levels, serum calcium levels, glomerular filtration rate: Hi Monika, Thanks for asking my help on Allexperts . Based on the information you have given me, it seems that your father is suffering from some form of Chronic Kidney Disease (CKD). His Glomerular Filtration Rate (GFR) is 11 ml/min/1.73 m2, stage...

Nephrology: hair loss with hemodialysis, low albumin, dialysis center
low albumin, dialysis center, cause hair loss: 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: hematuria, lower back pain, cystoscopy
lower back pain, cystoscopy, dull pain: Hi Nino, Good to hear from you again. Without examining you, I cannot guess what is causing you pain. At this point, there is nothing we can do but wait for the cystoscopy. If it is possible, ask your Urologist to move up your appointment. There is...

Nephrology: high BUN&Creatinine levels, bun creatinine, nephrologist
bun creatinine, nephrologist, losartan: Hi Charles, Thanks for asking my help on Allexperts . A detailed history, physical examination, other lab tests and imaging of the kidneys is required to diagnose why your levels are high. If you have underlying CKD (which is unrecognized), Losartan...

Nephrology: Interpeting renal imaging, ureter stents, left kidney
ureter stents, left kidney, bladder stone: Dear Bill, It is difficult to comprehensively comment without all the records and this is not the intended venue for allexperts. You clearly have some kidney damage as a result of your stones and/or infection. If you do not have active obstruction to...

Nephrology: Kidney disease, glomerular filtration rate, metabolic bone disease
glomerular filtration rate, metabolic bone disease, chronic kidney disease: Hi Saiful, Thanks for asking my help on Allexperts . It seems that your son is suffering from some form of Chronic Kidney Disease (CKD) with metabolic bone disease. From the information you have given me, your son s glomerular filtration rate (GFR)...

Nephrology: Kidney disease caused by trauma, urine microscopy, kidney stones
urine microscopy, kidney stones, losing sleep: Hi Bruce, Thanks for asking my help on Allexperts . There are many conditions that can cause painless hematuria. However, I would suspect a hematoma, an AV malformation, hemangioma or an aneurysm after trauma. A detailed history, physical examination...

Nephrology: Low GFR, analgesic nephropathy, colicky pain
analgesic nephropathy, colicky pain, kidney stone: Hi Cindy, Thanks for asking my help on Allexperts . You definitely need to get evaluated by a Nephrologist to find out the cause of your low GFR. Long term ingestion of NSAIDs (Painkillers) can cause a condition known as analgesic nephropathy, which...

Nephrology: Methyldopa, omega 3 fish oil, fish oil omega 3
omega 3 fish oil, fish oil omega 3, aspirin regimen: Hi Lizberth, Good to hear from you again. Your symptoms should subside in about a week after stopping Methyldopa. Methyldopa is not for treatment of Alzheimer s disease. However, in patients who have Alzheimer s, it can cause cognitive impairment....

Nephrology: Nephro questions, cause kidney failure, low protein diet
cause kidney failure, low protein diet, kidney diseases: Dear Sneh, A CREATININE ELEVATED ABOVE THE NORMAL RANGE, IN THE ABSENCE OF ACTIVE MUSCLE DESTRUCTION, INDICATES KIDNEY FAILURE. MANY DISEASES CAUSE KIDNEY FAILURE. SOME OF THEM REVERSE THEMSELVES, OTHERS REQUIRE TREATMENT WHICH IS SUCCESSFUL IN REVERSING...

Nephrology: Any new data?, lithium therapy, bipolar disease
lithium therapy, bipolar disease, serum levels: Hi Stacy, Thanks for asking my help on Allexperts . In most patients the adverse effects of lithium on renal function are modest and of little clinical significance if maintenance serum levels are kept at the lowest effective level. However, it appears...

Nephrology: your opinion please, chronic kidney disease, kidney problem
chronic kidney disease, kidney problem, kidney transplant: Hi Jatinder, Thanks for asking my help on Allexperts . Your wife has progressive chronic kidney disease (CKD) and has progressed to ESRD. At present, a kidney transplant is the best bet for her as it gives the best possible quality of life. Sincerely,...

Nephrology: proteinuria, kidney biopsy, protein excretion
kidney biopsy, protein excretion, kidney diseases: Dear Shannon, There are two red flags for kidney disease. The first is blood in the urine (hematuria) and the second is protein in the urine (proteinuria). Your husband has the later and therefore, has some form of kidney disease. Kidney diseases,...

Nephrology: proteinuria, monostat 1, protein excretion
monostat 1, protein excretion, rotc scholarship: Dear Dave, Protein in the urine (proteinuria) is one of two red flags for kidney disease. The other is blood in the urine (hematuria). Yes , it is possible for your daughter s antibiotics to cause a yeast infection and yes it is possible for a yeast...

Nephrology: Renal Cysts, renal cysts, renal cyst
renal cysts, renal cyst, loss of kidney function: Dear Frank, What you describe are typical for multiple simple renal cysts and they almost NEVER require any kind of treatment. Uncommonly, a renal cancer can present as a cyst but they are complicated in that they have a thick, irregular wall, intracystic...

Nephrology: RTA type I and Bi-Med sponge kidneys, kidney deseases, kidney infections
kidney deseases, kidney infections, bladder infection: Hi Bonnie, Thanks for asking my help on Allexperts . As you probably know by now, Medullary sponge kidney (MSK)is a congenital, benign cystic disorder of the kidney. Medullary sponge kidney by itself is asymptomatic, but it may be complicated by, hematuria,...

Nephrology: regarding high BP and increased creatinine level, chronic kidney disease, elevated serum creatinine
chronic kidney disease, elevated serum creatinine, potassium intake: Hi Naveen, Thanks for asking my help on Allexperts . Potassium has nothing to do with creatinine levels. The reasons why your mom could have an elevated serum creatinine are: 1. She already had some underlying chronic kidney disease which is aggravated...

Nephrology: sclerosing peritonitis, abdominal adhesions, dialysis patient
abdominal adhesions, dialysis patient, peritoneal dialysis: Dear Jan, Sclerosing encapsulating peritonitis is a fairly uncommon complication of chronic peritoneal dialysis that is characterized by fibrous tissue and adhesions that infiltrate the peritoneal lining causing it to fail to adequately dialyze the patient...

Nephrology: sclerosing peritonitis, physical exam findings, abdominal adhesions
physical exam findings, abdominal adhesions, kidney transplantation: Hi Jan, Thanks for following up with me. A plain X-ray would not show adhesions if they are not calcified. A CT Scan with PD fluid instilled with radiocontrast will show adhesions. A peritoneal biopsy is the Gold Standard for diagnosis. It will...

Nephrology: side effects of dialysis on a mentally ill patient, phosphate binders, signs of dementia
phosphate binders, signs of dementia, psychiatric medicines: Hi Carrie, Thanks for asking my help on Allexperts . What you are describing can possibly be Dialysis encephalopathy or Dialysis disequilibrium syndrome. This is usually caused by excessive aluminum in the body. Diagnosis will rest on typical EEG...

Nephrology: urethera irritation, septra ds, blood in urine
septra ds, blood in urine, septra: Hi Rhonda, Thanks for asking my help on Allexperts . The symptoms you describe are suggestive of Urethral stricture. This could very well be due to the radiation that you have taken. Please get yourself evaluated by a Urologist (surgeon). If you...

Nephrology: Vascular access, continuous ambulatory peritoneal dialysis, ambulatory peritoneal dialysis
continuous ambulatory peritoneal dialysis, ambulatory peritoneal dialysis, permacath: Hi Christine, Thanks for asking my help on Allexperts . Vascular access options for hemodialysis are: 1. Arteriovenous fistula 2. PTFE (Goretex) arteriovenous Graft 3. Permacaths I am presuming that an arteriovenous fistula has not been tried...

Nephrology: xanthragranulosispyelonephritis, kidnet stones, xanthogranulomatous pyelonephritis
kidnet stones, xanthogranulomatous pyelonephritis, chronic pyelonephritis: Dear Diane, Xanthogranulomatous pyelonephritis (XPN) is an unusual variant of chronic pyelonephritis (usually caused by chronic and repeated infection of the urine and kidney) that, in two-thirds of cases, is a complication of obstruction to the flow of...

Nephrology: 38 male Agi nephropathy?, tissue diagnosis, urine protein
tissue diagnosis, urine protein, benifical: Hi Dharmindra, Thanks for asking my help on Allexperts . Your doctor is probably suspecting IgA Nephropathy , not AGI Nephropathy. I agree with her. A biopsy will give a definite tissue diagnosis about your condition. She has put you on a BP medication...

Nephrology: albumin trace in sugar, protein in the urine, specilist
protein in the urine, specilist, red signal: Mr. Gupta, Thanks for asking my help on Allexperts . Protein in the urine is a red signal for the presence of kidney disease. A quantitative protein test is warranted. You can do a 24 hour urinary collection and get it analyzed for protein, or ask your...

Nephrology: blood and protein in urine, danger flags, blood and protein in urine
danger flags, blood and protein in urine, protein in the urine: Dear Ellen, Blood and protein in the urine are the two red danger flags for serious kidney disease. Unfortunately, urinary infection can also present with blood and protein in the urine. Additionally, cancer of the urinary tract can also present with blood...

Nephrology: blood in urine, painless hematuria, white blood cells
painless hematuria, white blood cells, blood and protein in urine: Hi Lynn, Thanks for asking my help on Allexperts . Blood and protein in urine are two flags for presence of kidney disease. Painless hematuria can signal the presence of some form of glomerulonephritis. Did you also have protein in the urine? Please...

Nephrology: Child Kidney trouble?, hard boiled eggs, pediatric nephrologist
hard boiled eggs, pediatric nephrologist, bicuspid aortic valve: Hi Dave, Thanks for asking my help on Allexperts . Your wife is absolutely wrong. Passing protein in the urine is a big deal. Protein and blood in the urine are two red flags for kidney disease. They should not be taken lightly. With a family history...

Nephrology: CRF, ARF Where to go from here, chronic kidney disease, left kidney
chronic kidney disease, left kidney, irreversible decline: Hi Diane, Thanks for asking my help on Allexperts . Acute Kidney Injury (AKI), the new name for ARF means that there is a sudden, reversible decline in kidney function. Chronic Kidney Disease (CKD), the new name for CRF means that there is a gradual,...

Nephrology: Createnine, chronic kidney disease, kidney transplantation
chronic kidney disease, kidney transplantation, kidney transplant: Hi Raju, Thanks for asking my help on Allexperts . Elevated S. Creatinine can be due to an acute kidney injury (AKI) or due to chronic kidney disease (CKD). I am presuming that your brother has CKD. To answer what foods he can take, I need more information...

Nephrology: elevated creatine and calcium, kidney dysfunction, breast cancer
kidney dysfunction, breast cancer, propylthiouracil: Dear Rose, A calcium of 10.4 is at the upper limits of normal unless your lab uses different standards, which is very possible. Hypercalcemia (elevated calcium)and acute kidney dysfunction are not a side effects of your arimidex therapy. The creatinine...

Nephrology: high creatinine, bun; kidney scars, mail id, facp
Nephrology: high creatinine, bun; kidney scars, mail id, facp, newell

Nephrology: GFR estimate tests, urine creatinine, creatinine clearance
urine creatinine, creatinine clearance, differential diagnosis: Hi Rebecca, Thanks for asking my help on Allexperts . A 24 hour urinary creatinine clearance is a better indicator of GFR. It seems that your doctor is suspecting Wilson s disease. It is an autosomal recessive genetic disorder in which copper accumulates...

Nephrology: GFR questions, chronic pain issues, creatinine clearance
chronic pain issues, creatinine clearance, protein in the urine: Hi Cindy, Thanks for asking my help on Allexperts . Not enough of the analyte to calculate does NOT mean that you have no protein in the urine. You need to repeat this test. I would wait for your 24 hour urinary creatinine clearance report to come...

Nephrology: High BUN - lowered creatinine, routine lab tests, congestive heart failure
routine lab tests, congestive heart failure, serum calcium: Hi David, Thanks for following up with me. Your creatinine value is normal. An elevated BUN can be due to various reasons: 1. High protein in diet. 2. Dehydration 3. Congestive heart failure. 4. Bleeding in the intestines (Black colored feces)...

Nephrology: High Serum CO2, arid environment, satisfactory answer
arid environment, satisfactory answer, creatinine: Dear Lynn, All of your values, except your GFR are WITHIN THE NORMAL RANGE. Therefore, you are within the normal range. No treatment necessary for normals! Your co2 when correlated with your sodium gives you an anon gap of 7 and therefore is normal...

Nephrology: high creatinine, bun; kidney scars, chronic kidney failure, type 2 diabetis
chronic kidney failure, type 2 diabetis, abnormal quantities: Dear Donna, (1) Your husband clearly has mild chronic kidney failure and he had it back in 1993 and 1996. The cause is not clear from the information you gave but the odds are that he has a condition called nephrosclerosis which is not uncommon in 70...

Nephrology: a high protein, high albumin levels, high globulin levels
high albumin levels, high globulin levels, serum protein: Hi, Thanks for asking my help on Allexperts . Your question is best answered by a Hemato-Oncologist. I will attempt to answer it here. A total serum protein test measures the total amount of protein in the blood. Two major groups of proteins in the...

Nephrology: Kidney removal, calcium oxalate stones, osteoporosis hope
calcium oxalate stones, osteoporosis hope, kidney removal: dear Maggie, How long pain persists in the perioperative period is very variable. It can persist for several months. Your surgeon would be the best person to answer this question for you as he is privy to the detail and nuance of the surgical procedure...

Nephrology: Kidney Transplant, kidney transplantation, kidney transplant
kidney transplantation, kidney transplant, soures: Hi Biju, Thanks for asking my help on Allexperts . Have you ever talked to your Nephrologist about this? Please do not trust many soures in internet . The 1st year survival of patients undergoing kidney transplant is around 90-95% and the five year...

Nephrology: kidney cyst, simple renal cyst, complex renal cyst
simple renal cyst, complex renal cyst, kidney cyst: Dear Naina, No. A benign simple renal cyst has no malignant potential and is not a precursor to a complex renal cyst. Further, a simple renal cyst requires NO follow up. You should also be advised that, in the absence of SPECIFIC symptoms, it is unnecessary...

Nephrology: Low EGFR, creatinine clearance calculation, glomerular filtration rate
creatinine clearance calculation, glomerular filtration rate, renal physiology: Dear Valerie, Creatinine is a substance that is produced by muscle. The more muscles you have, the more creatinine you produce. Because your muscle mass is relatively constant and doesn t vary much from day to day, your creatinine concentration in your...

Nephrology: Mother's low GFR, swelling of legs, accurate measurement
swelling of legs, accurate measurement, nephrologist: Hi Lois, Thanks for asking my help on Allexperts . 1. Rate of decline in GFR depends on her basic renal disease. Some diseases like diabetic nephropathy progress fast and some like chronic tubulointerstitial nephritides progress very slowly. 2. A...

Nephrology: microscopic hematuria, urinary bladder, breif history
urinary bladder, breif history, anti biotics: Dr. Nathani, A child with acute pyelonephritis would have been much sicker than what I gather from your daughter s history. Also, how trustworthy is the lab s urinalysis. In India, I do not think any pathologist looks at urine microscopy samples. Almost...

Nephrology: PKD, kidney condition, kidney failure
kidney condition, kidney failure, polycystic kidney disease: Hi Subinraj, Autosomal-dominant polycystic kidney disease (ADPKD)is a systemic hereditary disorder, affecting between 1 in 400 and 1 in 1,000 individuals. Approximately 50% of patients with ADPKD survive without kidney failure (ESRD) beyond 58 years...

Nephrology: Polycystic Kidney Disease, urea nitrogen, autosomal dominant polycystic kidney disease
urea nitrogen, autosomal dominant polycystic kidney disease, bread wheat: Hi Jeanette, Thanks for asking my help on Allexperts . Autosomal-dominant polycystic kidney disease (ADPKD)is a systemic hereditary disorder, affecting between 1 in 400 and 1 in 1,000 individuals. Overall, approximately 600,000 Americans have the disease,...

Nephrology: Polycystic Kidney Disease, kidney condition, chronic dialysis
kidney condition, chronic dialysis, kidney failure: Dear Subin, If, in fact, you father has polycystic kidney disease (PKD) and his creatinine in 2, he has already developed kidney failure. One can expect his kidney function to continue to decline over the next several years until he becomes ill from kidney...

Nephrology: Protein in Urine and excessive urination, kidney biopsy, protein excretion
kidney biopsy, protein excretion, excessive urination: Dear Hillary, There are two red flags for serious kidney disease. The first is blood in the urine (hematuria) and the other is protein in the urine (proteinuria). You have the second and, therefore, your physician did the right thing by referring you to...

Nephrology: Scan results of Kidney with polycystic, glomerular filtration rate, cyst on kidney
glomerular filtration rate, cyst on kidney, free photo hosting site: Hi, Based on the information that you have provided me, your father s glomerular filtration rate (GFR) is 37 mL/min/1.73 m2. Normal GFR should be about 100 ml/min/1.73 m2. Roughly, percentage wise, both of your father s kidneys together are functioning...

Nephrology: serum creatin, serum creatinine level, serum creatinine levels
serum creatinine level, serum creatinine levels, creatine supplements: Hi Umesh, Thanks for asking my help on Allexperts . What is the normal reference range for your lab? If your values fall in the normal range, nothing needs to be done. If these values are outside the reference range, creatine supplements may be causing...

Nephrology: ureteropelvic junction obstruction, creatinine level, lassix
creatinine level, lassix, kidney diseases: Hi Diane, Thanks for following up with me. Your husband s creatinine level has improved. His estimated GFR by the MDRD formula is 61 mL/min/1.73 m2. A non-emptying bladder is definitely abnormal. It probably has nothing to do with the UPJ obstruction....

Nephrology: more urine questions please, chronic kidney disease, hypertension division
chronic kidney disease, hypertension division, kdoqi guidelines: Hi Terry, Thanks for following up with me. Congrats on getting normal results on most of your tests. Your white cell count is a just a weeny bit high. I would not worry about that if you have no symptoms of an infection. Also, there is no need to...

Nephrology: 3.6cm cyst on my kidney, renal cysts, physician referral
renal cysts, physician referral, specialty service: Dear Cameron, Simple renal cysts ( thin walled, without partitions, without bloody cotnents) are very common and require NO treatment or follow up. Back pain, in the absense of significant fever is almost never from the kidney and nearly always is due...

Nephrology: +3protien in urine, protien in urine, diabetic retinopathy
protien in urine, diabetic retinopathy, protein in the urine: Hi Debbie, Normal people excrete less than 20 mg of protein in their urine in 24 hours. If a person s urine contains more than 20 mg, but less than 200 mg of protein, (s)he is said to be having microalbuminuria. If a person excretes more than 200 mg...

Nephrology: Bloodwork, bun creatinine ratio, kidney failure
bun creatinine ratio, kidney failure, nephrologist: Hi Stacey, Thanks for asking my help on Allexperts . Please get your labs done once again ASAP. If your repeat labs do not show any abnormality, you have nothing to worry about. If they are abnormal, get in touch with a Nephrologist. A detailed history,...

Nephrology: Creatinine levels, kidney disease, creatinine levels
kidney disease, creatinine levels, normal 8: Hi Parker, Thanks for asking my opinion on Allexperts . A 24 hour urinary collection is prone to errors, which in turn would affect the results. If you do not have any symptoms related to kidney disease, I suggest that you repeat the test after...

Nephrology: dark urine, routine urinalysis, beer drinker
routine urinalysis, beer drinker, copious quantities: Dear Bret, Beer drinking per se does NOT alter the color or character of one s urine. copious quantities of beer or any other liquid will dilute the urine and make it appear lighter in color, however. Amber colored urine can result from blood or hemoglobin...

Nephrology: dialyis, stroke risk, high blood pressure
stroke risk, high blood pressure, nephrologist: Hi Tara, Thanks for asking my help on Allexperts . There can be many reasons causing altered sensorium and high blood pressure in a patient who has been on dialysis for 4 years. To correctly diagnose your brother s condition, a detailed history,...

Nephrology: dialysis and haeparin with hair loss, hair loss, dialysis
hair loss, dialysis: Hi Dianne, 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. Hair loss can also be caused by a malnourished state (low...

Nephrology: Elevated blood creatinine, upper body strength, burning sensations
upper body strength, burning sensations, weakness and fatigue: Hi Kelley, Thanks for asking my opinion on Allexperts . I agree with your pathologist friend. A creatinine clearance of 59 is not normal. However, estimated GFR is not the best way to measure creatinine clearance. Whenever in doubt, I order a 24...

Nephrology: Fear of Urinary Rention, reflux nephropathy, voluntary retention
reflux nephropathy, voluntary retention: Hi Kevin, Thanks for asking my help on Allexperts . Prolonged urinary retention can lead to increased pressure in the urinary bladder. This pressure is reflected back on the ureters and the kidneys and can lead to reflux nephropathy. I advise you...

Nephrology: 3.6cm cyst on my kidney, pain increases, medical complications
Nephrology: 3.6cm cyst on my kidney, pain increases, medical complications, cyst on

Nephrology: Kidney dease and caffeine et al., cpap machine, v61
Nephrology: Kidney dease and caffeine et al., cpap machine, v61, doctor didn

Nephrology: kidney problems, amway products, bearing
Nephrology: kidney problems, amway products, bearing

Nephrology: Low GFR, age gender and race, egfr
Nephrology: Low GFR, age gender and race, egfr, gfr

Nephrology: foamy urine, urine feme, kidney problem
urine feme, kidney problem, foamy urine: Hi Justin, I would repeat a 24 hour urinary protein estimation after about two weeks and see. If microalbuminuria persists, it is a cause for concern. In that case, you should get yourself evaluated for the presence of diabetes or hypertension. Sincerely,...

Nephrology: High creatitine, routine blood test, normal lab values
routine blood test, normal lab values, high creatinine level: Hi Stephen, Thanks for asking my help on Allexperts . A detailed history, physical and other lab tests are needed to make a diagnosis. If you had normal lab values about 5 months back, you probably have an acute kidney injury. Please ask your GP...

Nephrology: HYPODENSE KIDNEY STRUCTURE, urinalysis results, wellbutrin xl
urinalysis results, wellbutrin xl, kidney structure: Hi Stephen, Thanks for following up with me. You should definitely get another opinion, preferably another urologist s. It would not be a very good idea to aspirate the cyst before making a proper provisional diagnosis. Sincerely, Dr. Sha...

Nephrology: Hyperparathyroidism, serum albumin, albumin levels
serum albumin, albumin levels, renal tubules: Hi Bob, Thanks for asking my opinion on Allexperts . Yes, hyperparathyroidism can cause kidney stones. Classically, the features of this disease are known as moans, groans, stones, and bones . Since the major function of the kidney is to filter...

Nephrology: hpodense renal, kidney abnormality, lower back pain
kidney abnormality, lower back pain, lab tests: Hi Veronica, Thanks for asking my opinion on Allexperts . Any radiological investigation result must be viewed in light of a detailed history, physical exam and other lab tests. For example, the interpretation of a lesion similar to what you describe...

Nephrology: hypertension tRx results, renin angiotensin system, normal blood pressure
renin angiotensin system, normal blood pressure, hypertension treatment: Most nephrologists consider a blood pressure of 140/90 as frank hypertension with all of the potential sequellae. Normal blood pressure is LESS THAN 140/90 and even here, further lowering, if tolerated, especially in diabetics, offers addditional vascular...

Nephrology: IgA Nephropathy, end stage renal failure, kidney failure
end stage renal failure, kidney failure, kidney transplant: Hi Theresa, Thanks for asking my help on Allexperts . Despite the risk of recurrence, the prognosis of transplants for this group is comparable with that of patients with other causes of end-stage renal failure because in the great majority of cases...

Nephrology: injury, doctor asap, blood in urine
doctor asap, blood in urine, blood in the urine: Hi Elizabeth, Thanks for asking my opinion on Allexperts . Please go back to your doctor ASAP. If he is not available, head for the ER. Ask for an ultrasound of the urinary tract. Blood in the urine should not be taken lightly. Sincerely, Dr....

Nephrology: Kidney Dysfunction and allowable tests, congestive heart failure, creatinine level
congestive heart failure, creatinine level, kidney dysfunction: Hi Benjamin, Good to hear from you again. From your lab s reference range, you do have renal dysfunction. There is no universal reference range because different labs use different commercially available kits for assay. In addition to a detailed history...

Nephrology: Kidney dease and caffeine et al., CKD, protein intake
CKD, protein intake: Hi Chuck, For a patient like you with stage 2 CKD, your protein intake may be limited to 12-15% of your calorie intake each day. This is the same level recommended by the Dietary Reference Intakes (DRIs) for a healthy diet for normal adults. It may seem...

Nephrology: Kidneys only work lying down, doppler ultrasound, supine position
doppler ultrasound, supine position, caucasian male: Hi Larry, Damage to medium or small arteries in the kidney will not show up on an arteriogram. This condition is diagnosed by the presence of active sediment in the urine e.g. protein and/or RBCs. You do not seem to have that. Sodium levels in the body...

Nephrology: kidney donation and 24 hr. urine test, kidney transplantation, foremost principle
kidney transplantation, foremost principle, donating a kidney: Hi Tracy, Thanks for asking my opinion on Allexperts . First off, your brother is a lucky man to have a sibling like you. Congrats, not many people have the affection, courage and determination to donate a kidney to their loved ones. I am afraid...

Nephrology: kidney problems, chronic kidney disease, kidney problems
chronic kidney disease, kidney problems, protein level: According to the information that you have provided me, your mother s glomerular filtration rate (GFR) is 27 mL/min/1.73 m2, chronic kidney disease (CKD) stage 4. Normal GFR ranges between 90-100 ml/min/1.73 m2. It is not necessary for the ultrasound to...

Nephrology: kidney removal, single kidney
single kidney: Hi Michelle, Thanks for asking my help on Allexperts . It is very heartening to see an altruistic attitude in people like you. Please help spread this attitude. Regarding your sister: Even if she loses the obstructed kidney, she will not have any...

Nephrology: kidney removal, kidney removal, kidney tissue
kidney removal, kidney tissue, kidney failure: Dear Michelle, In general, one can be totally healthy with 20% of one kidney. One becomes ill from kidney failure when the overall kidney function falls to less than 10% of normal. The message is that we are endowed an abundance of extra kidney tissue...

Nephrology: kidney spasm?, pain, kidney stone
pain, kidney stone: Hi Gloria, Thanks for asking my opinion on Allexperts . It is difficult to diagnose your condition without doing a physical exam. However, what you describe could be pain related to kidney stones. Stones are notorious for recurrence. Please get yourself...

Nephrology: Low egfr read in blood test, GFR
GFR: Hi Mike, Glomerular filtration rate (GFR) is a measure of kidney function. The normal GFR ranges from 110-120 ml/min/1.73 m2. A low GFR signifies a decrease in kidney function. There can be many causes of a low GFR. To discuss them would be beyond the...

Nephrology: Low GFR, chronic kidney disease, vegan diet
chronic kidney disease, vegan diet, holly davis: Hi Holly, Good to hear from you again. A drop from 54 to 49 is not too much. It does not change the staging of your CKD. I don t think that a visit to the ER is indicated just for that. However, if the pain is getting unbearable, by all means you...

Nephrology: Low GFR for age, creatinine clearance test, blood test results
creatinine clearance test, blood test results, allexperts: Hi Steven, Thanks for your question on Allexperts . If your blood test results are normal, I would suggest that you take a 24 hour urinary creatinine clearance test to know your GFR. This test is more accurate than an estimated GFR. It is important...

Nephrology: low eGFR, high neutrpphils, neutrophils, eGFR
neutrophils, eGFR: Hi Cindy, Thanks for asking my help on Allexperts . A 4 cm ovarian cyst will not have any effect on your bladder. High neutrophils are suggestive of an infection when associated with a high total leucocyte count (TLC). Groin pain could be due to...

Nephrology: low egfr levels, creatine supplements, blood test results
creatine supplements, blood test results, creatinine: Hi Sam, Thanks for asking my opinion on Allexperts . Creatine supplements can cause and elevation in S. Creatinine and hence, a low GFR reading. Please stop the supplements for two weeks and re-check your S. Creatinine and eGFR. Sincerely, ...

Nephrology: low GFR and UTI, protein electrophoresis, urine bacteria
protein electrophoresis, urine bacteria, reagent strip: Hi Holly, Good to hear from you again. As I have stated on the instructions page, please mention the units in which the results were reported. Albumin 3.9 low does not make much sense to me. Is it g/dl, mg/dl...? Anyway, you will need to consult a...

Nephrology: Normal Creatitine Levels, creatinine levels, valsartan
creatinine levels, valsartan, kidney disease: Hi Debbie, Thanks for asking my opinion on Allexperts . Normal S. Creatinine ranges from 0.5 mg/dl to 1.5 mg/dl depending on the kit used for the assay. Diovan (Valsartan) is an antihypertensive. Are under the impression that Valsartan is prescribed...

Nephrology: NS maybe FSGS, minimal change disease, fsgs
minimal change disease, fsgs: Hi Ami, Thanks for asking my help on Allexperts . From what you describe, your husband is probably suffering from a form of resistant Minimal change disease (MCD). Such patients sometimes start as MCD but may have focal segmental glomerulosclerosis...

Nephrology: Post nephrectomy hypertension, blood pressure measurements, radical nephrectomy
blood pressure measurements, radical nephrectomy, left kidney: Hi Igor, Thanks for asking my help on Allexperts . Patients who undergo a unilateral nephrectomy have an increased chance of developing hypertension in the future. However, in your wife s case, it is still too early. Probably the hypertension is...

Nephrology: Proteinuria., protein excretion, sodium potassium
protein excretion, sodium potassium, potassium deficiency: Hi Nihar, Good to hear from you again. Please get your father evaluated by a Nephrologist as soon as possible. A urinary protein excretion of 2.2 grams per day is significantly high. It cannot be caused by prostate medications. A detailed history,...

Nephrology: plasma urea, congestive heart failure, plasma protein
congestive heart failure, plasma protein, kidney dysfunction: Hi Evi, Thanks for asking my help on Allexperts . Increased plasma urea can be due to several factors: 1. Dehydration 2. Increased dietary protein intake 3. Gastrointestinal bleeding 4. Excessive protein breakdown in body 5. Kidney dysfunction...

Nephrology: Ref: Berger Diesease, IgA Nephropathy
IgA Nephropathy: Hi Deepa, Thanks for asking my help on Allexperts . Berger s disease or IgA Nephropathy is not life threatening. The principles of treatment are strict control of blood pressure, avoidance of medications that are toxic to the kidney and control of proteinuria....

Nephrology: renal cysts, renal cysts, dear doctor
renal cysts, dear doctor, invasive surgery: Dear Mag, Simple renal cysts (that is, a thin walled cyst with no partitions, that contain no blood or mucin) require NO treatment or any further follow up. Whether a cyst is simple or complex is easily determined by a CT scan or MRI. Thanks for the...

Nephrology: Straining During Urination - Kidney Damage, kidney damage, developmental abnormalities
kidney damage, developmental abnormalities, bladder pressure: Hi Kevin, Thanks for asking my help on Allexperts . In normal individuals, an increase in the bladder pressure causes the ureteral openings to close in a valve-like fashion. If you have no developmental abnormalities, there is no need to worry about...

Nephrology: Vit.. D deficiency and Calcium antacids use., Vitamin D, Calcium
Vitamin D, Calcium, CKD: Hi Mary, The source of calcium in Tums and similar antacids is limestone (calcium carbonate). Limestone is the cheapest form of calcium available. It is very effective at neutralizing stomach acid but it is an inferior source of calcium since it is not...

Nephrology: angiolypoma, mitral prolapse, lumps and bumps
mitral prolapse, lumps and bumps, low heart rate: Hi Margaret, Thanks for asking my opinion on Allexperts . A detailed history and physical examination are needed to make a provisional diagnosis. Unfortunately, these things cannot be done over the internet. Please take another primary care physician...

Nephrology: Blood work and back pain, chronic kidney disease, serum creatinine
chronic kidney disease, serum creatinine, kidney dysfunction: Hi Rich, Thanks for asking my opinion on Allexperts . Were there any abnormal findings on your physical examination? Is your blood pressure normal? Please get in touch with a Nephrologist as soon as possible. A GP will not be able to help you. A...

Nephrology: BUN level, VUR
VUR: Hi Michelle, Thanks for asking my opinion on Allexperts . I am not quite sure I understand your question correctly. Is your major concern regarding constipation or is it regarding the BUN levels? BUN levels can be affected by a number of factors,...

Nephrology: CKD, labile hypertension, south asian origin
labile hypertension, south asian origin, kidney donors: Hi Zakir, Good to hear from you again. Creatinine clearance overestimates actual GFR by 10-20%. The data in our unpublished study refers to GFR. GFR was estimated by looking at DTPA clearances on a radionuclide scan. Sincerely, Dr. Sha...

Nephrology: Do i have CKD, serum creatinine level, albumin in urine
serum creatinine level, albumin in urine, greenish color: Hi Parvaiz, 1. Estimated GFR is always to be seen in conjunction with a detailed history, physical examination, imaging of the kidneys and other lab tests. You do not have CKD. 2. Abstaining from animal protein will not affect 24 hour creatinine clearance....

Nephrology: Complicated Renal Cyst with Microscopic Hematuria, urine protein creatinine ratio, renal cyst
urine protein creatinine ratio, renal cyst, left kidney: Hi Ann, Thanks for following up with me. Is it the radiologist s opinion that your cyst does not even register on the Bosniak scale? If not, please get one. Please do not hesitate to follow up with me if you have any more questions/concerns. Good...

Nephrology: Creatinine Clearance, serum creatinine, hr urine
serum creatinine, hr urine, kidney foundation: Hi Joy, I already answered your question before. Drinking too much water will cause the urine to be dilute and that, in turn, will lead to a wrong estimation of the creatinine clearance. The lab tech also should not have discarded the extra 30 oz. urine....

Nephrology: complex cyst, simple renal cyst, complex renal cyst
simple renal cyst, complex renal cyst, left upper quadrant: Hi Helen, Although rare, malignant transformation of a simple renal cyst is reported in literature. Here are a few published reports on PubMed: http://www.ncbi.nlm.nih.gov/pubmed/11168693?dopt=Abstract http://www.ncbi.nlm.nih.gov/pubmed/18188723?ordinalpos=2&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum...

Nephrology: Estimated Glomerular Filtration Rate, kidney dialysis center, glomerular filtration rate
kidney dialysis center, glomerular filtration rate, estimated glomerular filtration rate: Dear Jan, The estimated GFR is low and suggests some form of kidney disease. However, that test is oftem inaccurate and neeeds to be confirmed or refuted by a 24 hour urine collection for determination of the creatine clearance which is much more reliable...

Nephrology: eGFR and high ANA, leg edema, kidney failure
leg edema, kidney failure, meat protein: First of all, your weight gain has virtually NOTHING to do with your hysterectomy. Ther most common cause of weight gain is too much food. Having said that, Systemic lupus erythyematous, which you most likely have, is often associated with a kidney disease...

Nephrology: encapsulated sclerosing peritonitis, sclerosing peritonitis, lab tests
sclerosing peritonitis, lab tests, physical examination: Hi Jan, Thanks for asking my opinion on Allexperts . Diagnosis of any condition depends upon a detailed history, physical examination, relevant lab tests and imaging studies. Your question is too broad for this forum. If you have any specific question(s),...

Nephrology: Forced to strain in middle or ending urination, bladder disorder, bladder muscle
bladder disorder, bladder muscle, urodynamic study: Hi Rose, Thanks for asking my opinion on Allexperts . Congrats !! Not many people are alive at 80, leave alone healthy and well. You have to thank your good genes and your healthy lifestyle. From what you describe, you seem to be suffering from some...

Nephrology: flank pain with drop of BP, thrombotic microangiopathy
thrombotic microangiopathy: Hi Kathy, Thanks for asking my opinion on Allexperts . Thrombotic microangiopathy is usually associated with malignant hypertension. Are you sure your husband s symptoms are related to a drop in blood pressure? Many people feel faint when the blood...

Nephrology: frequent urination, frequency of urination, frequent urination
frequency of urination, frequent urination, bad smell: Hi Sheila, Thanks for asking my opinion on Allexperts . Frequency of urination with a bad odor may suggest a urinary infection. Please get yourself evaluated by your primary care physician. A detailed history, physical and lab tests will be needed to...

Nephrology: High Creatinine, glomerular filtration rate, creatinine level
glomerular filtration rate, creatinine level, kidney biopsy: Hi Chas, Thanks for asking my opinion on Allexperts . I am presuming that you have chronic glomerulonephritis and that a kidney biopsy was not done. Drinking lots of water will not help you at all. In fact, it is dangerous to do so. Please follow the...

Nephrology: High Urea & Creatinine, kidney dysfunction, lab tests
kidney dysfunction, lab tests, urea: Hi Sumeet, Thanks for asking my opinion on Allexperts . Your father seems to be suffering from some sort of kidney dysfunction. A detailed history, physical examination, other lab tests and imaging of the kidney are needed to diagnose the cause of...

Nephrology: high creatinine/low bun, High BUN/Creatinine
High BUN/Creatinine: Hi Genee, Thanks for asking my opinion on Allexperts . There can be many reasons why the BUN/Creatinine ratio is high. Some of the common ones are: 1. Dehydration 2. High protein diet 3. Steroid therapy 4. Blood in the gastrointestinal tract ...

Nephrology: Increased biliruben levels, immunosuppressive regimen, transplant medications
immunosuppressive regimen, transplant medications, kidney transplant: Hi Sandra, Thanks for asking my opinion on Allexperts . Patients with underlying hepatitis C or hepatitis B may flare up after kidney transplant due to surgery, anesthesia or the immunosuppressive regimen being used. It is important to know your husband...

Nephrology: Kidney Damage From Reflux, reflux
reflux: Hi Kevin, Thanks for asking my opinion on Allexperts . In normal individuals, a physiological valve-like mechanism exists at the point of entry of the ureters into the bladder. This means that urine can flow from the kidneys into the ureter and into...

Nephrology: kidney, nephrologist, gfr
nephrologist, gfr, lab tests: Hi Bruce, Thanks for asking my opinion on Allexperts . A GFR this low cannot be due to removal of one kidney. Please get yourself evaluated by a Nephrologist ASAP. A detailed history, physical examination and lab tests are needed to diagnose your...

Nephrology: kidney damage, protein in urine, electrical therapy
protein in urine, electrical therapy, chiropractic principles: Hi Shun, Because I have no knowledge of chiropractic principles or practice, I am not qualified to comment. However, you should definitely be concerned about a drop in hemtocrit and an elevation in serum creatinine. Please get yourself evaluated by a...

Nephrology: kidney - renal left-sided 14mm cyst, wall thickness, allexperts
wall thickness, allexperts, blood work: Hi Desiree, Thanks for asking my opinion on Allexperts . What was the radiologist s report on the MRI? The margins, wall thickness, etc? Depending on the size, margins and wall thickness, cysts are classfied as simple or complex. If a complex cyst...

Nephrology: Low GFR, flank pain, hgb hct
flank pain, hgb hct, creatinine clearance: Hi Lance, Thanks for asking my opinion on Allexperts . When in doubt, I ask my patients to get a 24 hour urinary creatinine clearance for GFR. You might want to do the same thing. I am afraid I do not understand what a CMP means. Are your HgB,...

Nephrology: low GFR, signs of kidney disease, crohns disease
signs of kidney disease, crohns disease, gfr: Hi Karyn, Thanks for asking my opinion on Allexperts . An estimated GFR should always be viewed in conjunction with a history (suggestive of kidney disease), physical exam, other lab tests and imaging of the kidneys. If you do not have any symptoms...

Nephrology: low GFR and low creatinine clearance and low crea. in 24 hr. urine collection, hr urine, ml bottle
hr urine, ml bottle, kidney foundation: Hi Joy, Thanks for asking my opinion on Allexperts . Drinking too much water causes the urine to be dilute. That and/or too much acidic urine can affect the 24 hour urine collection results. GFR value is helpful in the diagnosis of kidney disease....

Nephrology: Microalbumin/Creatinine Ration, albumin creatinine ratio, urine microalbumin
albumin creatinine ratio, urine microalbumin, mike thanks: Hi Mike, Thanks for asking my opinion on Allexperts . Your albumin/creatinine ratio suggests that you are excreting about 1.8 grams of albumin in your urine every day. This is certainly high. Normal people excrete less than 20 mg/day. You are rightfully...

Nephrology: new dialysis, hemodialysis vs. peritoneal dialysis
hemodialysis vs. peritoneal dialysis: Hi Linda, Thanks for asking my opinion on Allexperts . My main concern at this age would be the condition of his blood vessels. If his arteries are thickened with age, the fistula will not function very well. I usually ask for a doppler mapping of the...

Nephrology: Primary Hyperoxaluria, Primary hyperoxaluria
Primary hyperoxaluria: Hi Zak, Thanks for asking my help on Allexperts . The key to treatment of an ESRD patient with PH is combined liver and kidney transplantation. Unfortunately, I do not have information about centers in the UK that specialize in treating patients...

Nephrology: Pus cells in urine, urinary tract infection
urinary tract infection: Hi Avtar, Thanks for asking my help on Allexperts . Your mother seems to be suffering from a urinary tract infection. Please get her evaluated by a physician as soon as possible. She should have her urine cultured. Medications can then be started based...

Nephrology: No pain from left kidney, left kidney, kidney stones
left kidney, kidney stones, rpf: Hi Michael, Thanks for asking my opinion on Allexperts . Kidney stones cause pain if they cause ureteric spasm while passing. If there is no ureteric spasm, they will not cause pain. Retroperitoneal fibrosis (RPF) is usually not associated with pain....

Nephrology: painful and burning urination, benign prostatic hyperplasia, burning sensation while urinating
benign prostatic hyperplasia, burning sensation while urinating, acute prostatitis: Dr. Mahesh, Thanks for following up with me. Benign prostatic hyperplasia is not to be confused with Acute prostatitis. What I meant in my earlier answer was that you should look for tenderness of the prostate on digital rectal examination, not enlargement....

Nephrology: post nephrectomy hypertention, hypertension, single kidney
hypertension, single kidney: Hi Percy, Good to hear from you again. There is really no consensus on how soon will hypertension develop after unilateral nephrectomy. I advise all kidney donors to check their blood pressure at least once a year. The reading recommendation is the same...

Nephrology: prealbumin, nonessential amino acids, high protein diet
nonessential amino acids, high protein diet, essential amino acids: Hi Ruth, Thanks for asking my opinion on Allexperts . Low prealbumin (also known as transthyretin) can indicate protein-calorie malnutrition. Prealbumin contains a large concentration of essential amino acids as compared to nonessential amino acids...

Nephrology: Reasons for an increased protein to creatine level, pediatric nephrologist, red blood cells
pediatric nephrologist, red blood cells, kidney biopsy: Hi Brooke, Thanks for asking my opinion on Allexperts . Your question is best answered by a Pediatric Nephrologist. I am an adult Nephrologist, but will attempt to answer your question. A protein creatinine ratio is a measure of how much albumin is...

Nephrology: Single Kidney, single kidney, UTI
single kidney, UTI: Hi Laurie, Thanks for asking my opinion 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: Solitary Kidney!!!, unilateral renal agenesis, kidney function test
unilateral renal agenesis, kidney function test, ultrasound of the abdomen: Hi Shashi, Thanks for following up with me. Normal people excrete less than 20 mg of protein per day. Proteinuria and hematuria are the two warning red flags for kidney disease. Kindly get yourself evaluated by a Nephrologist. It is important first...

Nephrology: Swollen Foot & Back Pain, enlarged kidney, kidney problem
enlarged kidney, kidney problem, kidney dysfunction: Hi Jayne, Thanks for asking my opinion on Allexperts . Yes, your symptoms could be due to kidney dysfunction. A detailed history, physical examination, imaging of the kidneys and lab tests like urinalysis, BUN, S. Creatinine, S. electrolytes, etc. will...

Nephrology: Test results, body surface area, allexperts
body surface area, allexperts, gfr: Hi De Neicie, Thanks for asking my opinion on Allexperts . I need some more information before I can answer your question. 1. What does A/A mean? 2. What is your age, ethnicity and gender? Also, the GFR value is always reported as ml/min/1.73...

Nephrology: Urine test, kidney function tests, diabetic nephropathy
kidney function tests, diabetic nephropathy, protein in the urine: Dear Cindy, A kidney disease called diabetic nephropathy often complicates long standing diabetes. This is probably what your doctor is looking for. Protein in the urine (proteinuria) and blood in the urine (hematuria) are the two big red flags for...

Nephrology: Acute Kidney Failure, Acute on CKD
Acute on CKD: Hi Lucy, What you are describing seems like acute on chronic kidney disease. Many people have underlying CKD which is not diagnosed because they do not have any symptoms of kidney disease. All along, their GFR is compromised. Your sister may have had this...

Nephrology: Boyfriend on Peritoneal Dialysis, kidney failure patients, low hemoglobin
kidney failure patients, low hemoglobin, thyroid cancer: Hi Christine, In this day of modern therapy, nobody dies of kidney failure. Patients do well both on HD and PD. I have seen patients more than 8 years on PD who are doing very well. This gives you enough time even on a cadaveric transplant waiting list....

Nephrology: CKD caused by kidney stones, prevention of kidney stones, kidney failure
prevention of kidney stones, kidney failure, protein in the urine: Hi Zak, Thanks for asking my opinion on Allexperts . Patients with CTIN usually have little or no proteinuria. To slow the progression of disease, the following measures are recommended: 1. Strict control of BP 130/70 mmHg. 2. Strict control of...

Nephrology: Creatinine, lean body mass, serum creatinine
lean body mass, serum creatinine, lab values: Hi Aman, Urine creatine (24-hour sample) values can range from 500 to 2000 mg/day. Results are highly dependent on your age and amount of lean body mass. Your lab values do not suggest any abnormality. You are excreting about 1000 mg of creatinine in...

Nephrology: Creatinine/Kidney Cancer, exercise load, kidney cancer
exercise load, kidney cancer, mdrd: Hi Tom, Thanks for asking my opinion on Allexperts . What is the normal reference range for your lab? Based on that value, I might be able to say if 1.5 is OK for you. You can keep on exercising. I don t think giving up exercise will bring down your...

Nephrology: createnine, serum creatinine
serum creatinine: Hi Angelita, Thanks for asking my help on Allexperts . Creatinine is a chemical molecule that is present in the serum (liquid portion) of the blood. It s produced from another molecule, creatine, which is a component of muscle. The amount of creatinine...

Nephrology: creatinine, hepatitis b vaccination, phosphate binders
hepatitis b vaccination, phosphate binders, dialysis fistula: Hi Amy, Good to hear from you again. A Hematologist will be able to guide you more on the MCHC issue. The tests looking at anemia are HgB and Hematocrit (Hct). Patients with CKD may also have iron deficiency. An internist is capable of taking...

Nephrology: diabetes after kidney transplant, kidney failure, kidney transplant
kidney failure, kidney transplant, kidney disease: Hi Maryanne, Thanks for your question on Allexperts . Maintaining a kidney graft requires use of immunosuppressive medication. Some of them can cause diabetes. This is the price we have to pay to maintain normal functioning of the graft. If diabetes...

Nephrology: dialysis and increased urination, chronic kidney disease, kidney function
chronic kidney disease, kidney function, tubulointerstitial nephritis: Hi Deb, Thanks for asking my opinion on Allexperts . Many patients with ESRD do not have a drop in urine output, especially if they are suffering from chronic tubulointerstitial nephritis. From your question, it appears that your father-in-law s...

Nephrology: eGFR, age, GFR
age, GFR: Hi Joanne, Thanks for your question. You are right, age and muscle mass both affect the interpretation of GFR. After the age of 30, GFR declines at the rate of 1 ml/min/1.73 m2 every year. Even if you started out with a GFR of 90, it would have dropped...

Nephrology: few more questions, chronic kidney failure, symptoms of renal failure
chronic kidney failure, symptoms of renal failure, fever chills: Hi Don, Thanks for your questions. Low sperm count and petechiae usually present in late stages of CKD. CKD stage 4 or 5. A visible pulse in the abdomen does not necessarily mean kidney disease. It can be present in people with hypertension. Symptoms...

Nephrology: guide, glomerular filtration rate, body surface area
glomerular filtration rate, body surface area, serum urea: Hi Ali, Thanks for following up with me. You really need to discuss these issues with your Nephrologist. The discussion of transplant vs. dialysis needs to be done with a Transplant team (Transplant Nephrologist, Transplant surgeon, social worker, etc.)...

Nephrology: HELP, dialysis, quality of life
dialysis, quality of life: Hi Terri, Thanks for asking my opinion on Allexperts . Your question is very short and not very clear. I presume that your husband has CKD stage 5 and has been asked to start dialysis. People on dialysis can live up to their normal life span. And...

Nephrology: high creatine/ MRI dye, radiocontrast, gadolinium
radiocontrast, gadolinium: Hi Jenny, Gadolinium is know to cause problems in people who have underlying kidney dysfunction. If you can find out which dye was used, I can be of more help. In any case, I don t think radiocontrast will continue to cause problems after 6 months. ...

Nephrology: high creatinine levels, high creatinine levels, left kidney
high creatinine levels, left kidney, ounce bottles: Hi Donnie, A lot of stuff can cause Acute Kidney Injury (the new word for ARF). However, I do not think that you have AKI. One of the cardinal features of AKI would be a drop in urine output and a rising creatinine level. Your elevated creatinine and...

Nephrology: high protein and very high cholesterol, urine protein creatinine ratio, bacon and egg
urine protein creatinine ratio, bacon and egg, cholesterol results: Hi Jill, Good to hear from you again. As the name suggests, a spot urine protein/creatinine ratio should be done only on a spot urine sample, not a 24 hour sample. Your 24 hour urinary protein excretion is 579 mg/day. Normal people excrete less than...

Nephrology: high protein in urine, proteinuria
proteinuria: Hi Michelle, Thanks for asking my opinion on Allexperts . It is a pleasure to be of help to a fellow health care provider. Your husband has overt proteinuria. I don t think eating poultry and meat affects the results. He has some pathology which needs...

Nephrology: high Serum Urea and Creatinine, serum urea, chronic kidney disease
serum urea, chronic kidney disease, urea and creatinine: Hi Muhammad, Thanks for asking my opinion on Allexperts . It seems from your question that your mother is suffering from some sort of chronic kidney disease (CKD), probably diabetic nephropathy. I need some more information before I can give any opinion....

Nephrology: hypertension?, medlineplus tutorials, effects of hypertension
medlineplus tutorials, effects of hypertension, high blood pressure: Hi Kayla, Thanks for asking my opinion on Allexperts . High blood pressure and hypertension are the same. The discussion of causes and long term effects of hypertension is beyond the scope of this forum. You may want to start by looking at this tutorial:...

Nephrology: hypertension protocol results, calcium channel blocker, impotence risk
calcium channel blocker, impotence risk, olmesartan: Hi Dax, I would ask the patient to cut down his salt intake to 3 grams per day, 1 each with breakfast, lunch and dinner. Most of the times, this will help. If this does not help, I would do the following (in that order): 1. Prescribe Atenolol or Olmesartan...

Nephrology: Kidney disease, kidney biopsy
kidney biopsy: Hi Elizabeth, Thanks for following up with me. Many countries have central glomerulonephritis registries. I know of two of them: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1705155 http://ndt.oxfordjournals.org/cgi/content/full/21/11/3098...

Nephrology: Kidney Failure, kidney failure, docotor
kidney failure, docotor, relevant readings: Hi Wain, What is the normal reference range for creatinine in your lab? What is your age, ethnicity and gender? Your eGFR seems to be low and your triglycerides are up. You should definitely ask for a specialist s opinion if you have persistent swelling...

Nephrology: kidney disease, BUN
BUN: Hi Linda, Thanks for asking my help on Allexperts . BUN and creatinine are two markers of kidney function. BUN can be affected by many factors. If you creatinine clearance is normal, I would not worry much. To clear any doubt, I suggest that you...

Nephrology: kidney infection, UTI, cephalexin
UTI, cephalexin: Hi Nicole, Thanks for asking my opinion on Allexperts . Community acquired UTI is most commonly due to E. Coli. Norfloxacin or Ciprofloxacin like drugs are most effective against this bug. If you have previous sensitivity results and find sensitivity...

Nephrology: kidney problems, protein in the urine, kidney problems
protein in the urine, kidney problems, range numbers: Hi Sheryl, Blood and protein in the urine are two red flags for presence of kidney disease. A detailed history, physical exam, lab tests and imaging of the urinary tract are required to diagnose your condition. Please get yourself evaluated by a...

Nephrology: kidneys, vegetarian, eGFR
vegetarian, eGFR: Hi Darlene, Thanks for asking my opinion on Allexperts . It has been postulated that GFR in normal, vegetarian people will be low due to less protein intake. In our own unpublished study of nearly 600 kidney donors, the average GFR was 90 ml/min/1.73...

Nephrology: Low urinary creatinine, serum creatinine, kidney dysfunction
serum creatinine, kidney dysfunction, crcl: Hi Wasim, You have a normal serum creatinine value. So, I don t see a cause of concern unless you have symptoms suggestive of kidney dysfunction. In a 24 hour collection, all the urine that was collected should be analyzed. Maybe you can ask your lab...

Nephrology: Nephrologist, trough levels, liver transplant
trough levels, liver transplant, therapeutic range: Hi Elaine, Thanks for asking my opinion on Allexperts . If your cyclosporin trough levels are in the therapeutic range, they should not cause proteinuria. To diagnose your condition, a detailed history, physical examination, lab tests and imaging...

Nephrology: Nephrology, Proteinuria
Proteinuria: Hi Qumar, Thanks for asking my opinion on Allexperts . A detailed history, physical examination, lab tests and imaging of the kidneys are required to diagnose your brother s condition. Unfortunately, I cannot do these over the internet. Without a...

Nephrology: Please Help!!!, bun creatinine ratio, high protein diet
bun creatinine ratio, high protein diet, left kidney: Hi Valentina, Thanks for following up with me. Your mom s creatinine is within normal limits. The last two BUN values are higher. However, I would not worry too much. The most common cause of an elevated BUN is dehydration. Some other causes may be:...

Nephrology: Potassium Limits, sodium potassium, potassium imbalance
sodium potassium, potassium imbalance, heart contraction: Hi Mike, Thanks for asking my opinion on Allexperts . Estimated safe and adequate daily dietary intake of potassium is 1.9 gm to 5.6 gm. This information is published in National Research Council. Recommended Dietary Allowances, 10th ed. Washington,...

Nephrology: Protein and Blood in urine, urine protein creatinine ratio, kidney biopsy
urine protein creatinine ratio, kidney biopsy, leukocyte esterase: Hi Jerome, Protein and blood in urine are two red flags for presence of kidney disease. They should not be taken lightly. If you were my patient, I would do a 24 hour urinary protein estimation or a spot urine protein/creatinine ratio. Based on that...

Nephrology: peritoneal dialysis, peritoneal dialysis, peripheral nerves
peritoneal dialysis, peripheral nerves, honeymoon period: Hi Albert, Thanks for asking my opinion on Allexperts . Generally speaking, the honeymoon period of a patient on PD lasts for about 2-3 years. After this time, the peritoneal membrane starts failing. If you wife were my patient, I would do the following:...

Nephrology: possible kidney disease, low urine output, burning urination
low urine output, burning urination, hello doctor: Hi William, Thanks for your question. To diagnose your condition, a detailed history, physical exam, lab tests and imaging of the abdomen are required. Unfortunately, I cannot do this over the internet. Please get in touch with a Physician ASAP. ...

Nephrology: Renal Failure, hepatitis b vaccination, phosphate binders
hepatitis b vaccination, phosphate binders, dialysis fistula: Hi Sheila, Thanks for asking my opinion on Allexperts . I presume that your husband is a caucasian. Based on the information that you have provided, your husband s GFR is 26 ml/min/1.73 m2, CKD stage 4. Normal GFR ranges between 120-130 ml/min/1.73...

Nephrology: Treatment for retroperitoneal fibrosis, retroperitoneal fibrosis
retroperitoneal fibrosis: Hi Michael, Many times, the extent of RPF is extensive and hence, cannot be removed surgically. Other important tissue like nerves, blood vessels, ureters, etc. are embedded in it and removal may harm this tissue. Thanks for your question. Sincerely,...

Nephrology: Vitamin D3, Calcium supplements/benefits/risks, Vitamin D supplementation
Vitamin D supplementation: Hi Joseph, Thanks for asking my help on Allexperts . Vitamin D supplmentation depends on the individual patient s deficiency. What were your levels before you were started on this medication? After starting, did you get your levels checked? Please...

Nephrology: Young Athlete with High Creatinine and BUN, elevated creatinine level, creatinine levels
elevated creatinine level, creatinine levels, natural bodybuilder: Hi Giovanni, Good to hear from you again. Probably your kidneys are healthy but are just being bombarded with increased protein. If you have doubts, please stop your protein supplements for about 7-10 days and then have your S. Creatinine measured....

Nephrology: Blood in urine., infection urine, premature ejaculation
infection urine, premature ejaculation, acid reflux: Hi Someshwar, Thanks for asking my opinion on Allexperts . Blood in urine is not a common problem and should not be taken lightly. A detailed history, physical examination, other lab tests and imaging of the kidneys are required to diagnose your condition....

Nephrology: BUN Level and creatinine, dialysis adequacy, target value
dialysis adequacy, target value, dialysis treatments: Hi Padma, Thanks for following up with me. According to the US guidelines, for 3x/week dialysis a Kt/V (without rebound) should be 1.2 at a minimum with a target value of 1.4 (15% above the minimum values). However, there is suggestive evidence that...

Nephrology: Bun/Creatinine Ratio, serum protein electrophoresis, bun creatinine ratio
serum protein electrophoresis, bun creatinine ratio, serum calcium: Hi Bernice, No problem. I would do a serum protein electrophoresis to rule out multiple myeloma. Are calcium supplements causing a high serum calcium? A high BUN/creatinine ratio is not very significant. It can be due to many conditions. Some of...

Nephrology: CKD and TSH, skin, CKD
skin, CKD: Hi Jessica, Thanks for asking my opinion on Allexperts . Many patients with chronic kidney disease have mild reductions in thyroid function, or subclinical hypothyroidism, which becomes more common as kidney function declines. In all probability,...

Nephrology: creatine & GFR, hepatitis b vaccination, phosphate binders
hepatitis b vaccination, phosphate binders, body surface area: Hi Mike, Thanks for asking my opinion on Allexperts . Please do not take this lightly. You need to be evaluated by a Nephrologist ASAP. At this stage of CKD, the major issues that need to be addressed are: 1. Establishing the cause of the CKD...

Nephrology: Diabetic Kidney Disease, chronic kidney disease, renal replacement therapy
chronic kidney disease, renal replacement therapy, recombinant human erythropoietin: Hi Andy, Thanks for asking my help on Allexperts . According to the information that you have provided, your father s GFR Value is 50 mL/min/1.73 m2. This means that he has chronic kidney disease (CKD) stage 3. Tight control of blood sugar and blood...

Nephrology: eGFR, post menopause, kidney infection
post menopause, kidney infection, nephrologist: Hi JR, Thanks for asking my opinion on Allexperts . An infection cannot cause a drop in GFR. That said, any eGFR value must be seen in the light of history, physical examination and other supportive lab tests. Please get yourself evaluated by a Nephrologist....

Nephrology: eGFR Non -Afr American, urea nitrogen bun, signs of kidney disease
urea nitrogen bun, signs of kidney disease, gfr: Hi Jan, Thanks for asking my opinion on Allexperts . Many times, when the creatinine is not standardized, it can lead to falsely low eGFR readings. Till then, if you do not have symptoms or signs of kidney disease, you need not worry. Good luck...

Nephrology: GFR and Hypertension, normal serum creatinine, protein in urine
normal serum creatinine, protein in urine, lisinopril hctz: Hi Bernice, Thanks for asking my opinion on Allexperts . After the 3rd decade of life, GFR declines by 1 ml/min every year. With your normal serum creatinine and 1+ protein in urine, I am not sure if you have kidney disease. A detailed history,...

Nephrology: GFR Low, perfusion defects, kidney involvement
perfusion defects, kidney involvement, kidney perfusion: Hi Farmer, Thanks for following up with me. I would not give much importance to a low eGFR if the history, physical examination and other lab tests do not suggest a kidney involvement. Any intravascular injection that affects the blood pressure can...

Nephrology: Hello dr.Shah, HUS
HUS: Hi Zeena, Thanks for asking my help on Allexperts . I presume that the biopsy sample was adequate and that a PAS, H & E and Immunofluorescence staining were done. The information that you have provided me does not say anything about the interstitium,...

Nephrology: high bun, High BUN
High BUN: Hi Jack, Thanks for asking my opinion on Allexperts . An elevated BUN can be due to many reasons. Some of the common ones are: 1. Dehydration 2. Ingestion of large amount of cooked meat 3. Steroid ingestion 4. Bleeding in the gut You do not...

Nephrology: Iga Nephropathy, angiotensin receptor blocker, iga nephropathy
angiotensin receptor blocker, iga nephropathy, ace inhibitor: Hi Dwaipayan, Thanks for asking my opinion on Allexperts . 1. Elevated WBC count can be due to steroid therapy. 2. Yes, you are not responding to the treatment. I would increase the dose of ACE inhibitor (Telepril) and add another angiotensin receptor...

Nephrology: kidney pain/high creatinine serum, cyst on left kidney, kidney biopsy
cyst on left kidney, kidney biopsy, urine culture and sensitivity: Hi Mike, Thanks for asking my opinion on Allexperts . 1. I would never start an antifungal without a proper urine culture and sensitivity reports. 2. You definitely have high creatinine. If history & physical do not give a clue to the cause, I would...

Nephrology: Low GRF, scleroderma, related?, Systemic sclerosis, kidney
Systemic sclerosis, kidney: Hi Anna, Thanks for following up with me. Systemic sclerosis and/or Sjogren s syndrome can affect the kidneys. The early signs usually will be: Proteinuria, microscopic hematuria or an elevation of serum creatinine. It would be prudent to get yourself...

Nephrology: my son alistair, Dialysis refusal
Dialysis refusal: Hi Sandra, Thanks for asking my help on Allexperts . It is very difficult to say how long a patient will survive without dialysis. This depends on a lot of factors: Patient s age, cause of ESRD, presence of other co-morbid conditions, etc. Most patients...

Nephrology: Autorecessive Infantile PKD, resistant hypertension
resistant hypertension: Hi Robyn, Thanks for asking my help on Allexperts . Your son is suffering from resistant hypertension. Have you discussed the AHA guidelines with his doctors? http://hyper.ahajournals.org/cgi/reprint/HYPERTENSIONAHA.108.189141 I will do some more...

Nephrology: Blood in Urine, red blood cells, red blood cells in urine
red blood cells, red blood cells in urine, kidney pain: Hi Ava, The presence of ruptured Red blood cells in urine suggests that you have some sort of glomerular disease. Discussing glomerulonephritis is beyond the scope of this forum. Please get a Nephrologist s opinion ASAP. It might lead to problems if...

Nephrology: Do I have CKD, serum urea, kidney biopsy
serum urea, kidney biopsy, protein excretion: Hi Joe, You have a condition called the Nephrotic Syndrome . One of the features of this condition is abnormal protein handling by the kidneys. Please get yourself evaluated by a Nephrologist ASAP and get a kidney biopsy done. Based on the pathological...

Nephrology: CREATININE 7.3 and UREA 99, chronic kidney disease, kidney patient
chronic kidney disease, kidney patient, kidney failure: Hi Vinay, 1. Your father was looking normal 4 months ago. That does not mean he did not have CKD, unless you have a normal serum creatinine value at that time. Most patients will not have symptoms because this is an insidious process and the body adapts...

Nephrology: congential stenosis at right ureteropelvic junction, UPJ obstruction
UPJ obstruction: Hi Nicole, The decision to operate or leave it alone depends on the status of that kidney. If the kidney is obstructed, surgery should be done. Laparoscopic surgery and a procedure in which a wire is inserted through the ureter to cut the blockage are less...

Nephrology: createnine level for a diabetes patient, diabetic nephropathy
diabetic nephropathy: Hi Pallavi, Thanks for asking my opinion on Allexperts . Unless proven otherwise, your uncle is suffering from Diabetic Nephropathy. A detailed history, clinical examination, lab tests and imaging of the kidneys are required. In patients with CKD,...

Nephrology: EGFR TEST, allexperts, good starting point
allexperts, good starting point, doubts: Hi Debbie, Thanks for asking my opinion on Allexperts . Here is a good starting point for your question: http://www.patient.co.uk/showdoc/27001111/ Please do not hesitate to follow up with me if you have any more concerns/doubts. Sincerely, ...

Nephrology: elevated lab results, bun creatinine ratio, high protein diet
bun creatinine ratio, high protein diet, elevated bilirubin levels: Hi Joe, Thanks for asking my opinion on Allexperts . Congratulations on your active and healthy life-style. Very few men of your age are as active as you are. An elevated BUN should not be a cause of worry. Most probably, the high protein intake...

Nephrology: Fluctuating GFR, serum creatinine, coronary catherization
serum creatinine, coronary catherization, kidney stones: Hi Laura, Thanks for asking my opinion on Allexperts . Estimated GFR is based on the patient s serum creatinine and other factors. Serum creatinine can be affected by the state of hydration and/or meat intake. If the recent eGFR was after an imaging...

Nephrology: GFR 53 after RRT, serum creatinine, renal replacement therapy
serum creatinine, renal replacement therapy, blood serum: Hi Kathy, Thanks for asking my help on Allexperts . I presume that you mean kidney transplant when you say RRT . Renal replacement therapy (RRT) can be hemodialysis, peritoneal dialysis or transplant. Estimated GFR, calculated by plugging in serum...

Nephrology: High Creatinine Level, high hemoglobin, high creatinine level
high hemoglobin, high creatinine level, giving up alcohol: Hi Christine, Thanks for asking my opinion on Allexperts . Congratulations on giving up alcohol. A detailed history, physical examination, other lab tests and imaging of the kidneys are needed to diagnose your condition. Unfortunately, I cannot...

Nephrology: Hypertension, nephrologist, high blood pressure
nephrologist, high blood pressure, atenelol: Hi KAI, I understand that your BP is hard to control and that your doctor has stepped up your medications. However, I am still not clear why you are being referred to a Nephrologist. One of the reasons could be that your doctor is suspecting renal artery...

Nephrology: about high urea and high blood pressure, proper diagnosis, cant sleep
proper diagnosis, cant sleep, sleep at night: Hi Amrita, Thanks for asking my opinion on Allexperts . It would be better if you discussed these questions with your grandmother s Nephrologist. To answer these questions, I need to arrive at a diagnosis. A proper diagnosis can be made only after...

Nephrology: my husband's gfr, diabetes conference, kidney damage
diabetes conference, kidney damage, nephrologist: Hi Kelly, Thanks for your question on Allexperts . You are rightly concerned about your husband. Please have him evaluated by a Nephrologist ASAP. However, eGFR values should always be viewed in conjunction with a detailed history, physical examination,...

Nephrology: iron deficiency, low vitamin D, receding gums and fatigue with GFR, normal blood sugar, chronic kidney disease
normal blood sugar, chronic kidney disease, vitamin d deficiency: Hi Susan, First off, congrats on your healthy life-style. You seem to be suffering from iron and vitamin D deficiency. I would advise switching to injectable Iron Sucrose (Venofer) if oral iron supplements are less effective. Vitamin D deficiency...

Nephrology: Kidney damage in relation to knee replacement surgey, knee replacement, CKD
knee replacement, CKD: Hi Robert, Thanks for your question on Allexperts . Patients who undergo knee replacement are at a greater risk or fat embolism than other major surgeries. Other risk factors are similar to that of any major surgery: dehydration, analgesia, anesthesia,...

Nephrology: kidney stones or problems?, calcium oxalate, left kidney
calcium oxalate, left kidney, kidney stone: Hi Hardesh, Thanks for asking my opinion on Allexperts . There is a high chance that a small fragment was left behind at the time of ESWL. It could have acted as a nidus for another stone formation. The key to success in treating kidney stones is...

Nephrology: kidney transplantee - problems, high lymphocytes, wbc count
high lymphocytes, wbc count, differential count: Hi Nirmal, Thanks for asking my opinion on Allexperts . Urine culture readings are meaningless without a colony count. If the E.Coli colony count is more than 1,00,000, you have significant UTI and should start treatment according to the antibiotic...

Nephrology: kidneys, function of kidneys, blood pressure drugs
function of kidneys, blood pressure drugs, serum creatinine: Thanks for following up with me. Microalbumin is tested in urine, not blood. As I mentioned earlier, it is possible to have absence of microalbumin in urine. Serum creatinine and microalbumin are good screening tests for kidney function. Other tests...

Nephrology: my mom, nerve cell bodies, recurrent problems
nerve cell bodies, recurrent problems, allexperts: Hi Lana, Thanks for asking my opinion on Allexperts . You are right: your doctors are supposed to check that your mom s organs are alright at least once a year. Shingles is caused by a virus known as Varicella Zoster. Varicella zoster virus can become...

Nephrology: Back Pain GFR 48, sick to my stomach, weird problems
sick to my stomach, weird problems, dry scalp: Hi Ann, Thanks for asking my opinion on Allexperts . Please get yourself evaluated by a Nephrologist. A detailed history, physical examination, lab tests and imaging of the kidneys are required to diagnose your condition. Sincerely, Dr. Sha...

Nephrology: Pregnant with abnormal Kidney Function Test, kidney function test, serum creatinine
kidney function test, serum creatinine, microscopic hematuria: Hi Penelope, Thanks for asking my opinion on Allexperts . You seem to be suffering from some form of glomerulonephritis- inflammation of the kidneys. It is characterized by swelling of the legs, elevated blood pressure, proteinuria,microscopic hematuria...

Nephrology: Re: elevated BUN level, congestive heart failure, kidney transplant
congestive heart failure, kidney transplant, protein intake: Hi Janice, Thanks for asking my opinion on Allexperts . First off, congrats on the excellent function of your transplanted kidney. An elevated BUN can be due to many reasons. Some of the common causes are: 1. Dehydration 2. Steroid therapy 3....

Nephrology: Renal cyst/mass, inhomogeneous mass, leasion
inhomogeneous mass, leasion, would like your opinion: Hi Tina, Good to hear from you again. Although rare, malignant transformation of a simple renal cyst is reported in literature. Here are a few published reports on PubMed: http://www.ncbi.nlm.nih.gov/pubmed/11168693?dopt=Abstract http://www.ncbi.nlm.nih.gov/pubmed/18188723?ordinalpos=2&itool=EntrezSystem2.PEn......

Nephrology: renal cyst, hypodense lesion, renal cyst
hypodense lesion, renal cyst, abdominal ct scan: Hi Ryan, Thanks for asking my opinion on Allexperts . I am sorry to hear that you have been plagued by all these problems for the past few months. It would definitely be wise to consult a Nephrologist with your CT findings. Please ask your primary...

Nephrology: Stage 3 Chronic Kidney Disease and Pregnancy, Pregnancy, CKD
Pregnancy, CKD: Hi Patricia, Thanks for asking my opinion on Allexperts . In patients with CKD, risks are inversely related to GFR at onset of pregnancy. Women with creatinine 1.3 seem to do quite well. Mean creatinine rise is 1.9 to 2.6, and 20% of women can have...

Nephrology: Which type of dialysis would you recomend?, Pregnancy, Hemodialysis
Pregnancy, Hemodialysis: Hi Christine, Thanks for asking my help on Allexperts . For women on maintenance dialysis, pregnancy is still uncommon. The outcome of pregnancies in such patients has markedly improved from approximately 20% live births during the 1980s to 4085% surviving...

Nephrology: Urea:Creatinine Ratios - Calculations, clinical diagnosis, umol
clinical diagnosis, umol, absolute values: Hi David, Why do you need to calculate this ratio? In my clinical practice, I have NEVER found it useful. The absolute values are fine to make a clinical diagnosis/judgment. It would probably be easier to convert both values to mg/dl and then calculate...

Nephrology: 32 Weeks pregnant, abnormal urine, bun and creatinine, kidney infection
bun and creatinine, kidney infection, difficulty urinating: Hi Kali, Thanks for asking my opinion on Allexperts . Hematuria and proteinuria are two red flags for the presence of some form of a glomerular disorder. You do not seem to have an infection. Also, it is unlikely that the kidney infection during your...

Nephrology: blood and protein in urine, urine microscopy, blood and protein in urine
urine microscopy, blood and protein in urine, mg aspirin: Hi Donald, Thanks for asking my help on Allexperts . Only unaccustomed exercise can lead to proteinuria. If you were my patient, I would do a 24 hour urinary protein estimation and a urine microscopy to confirm hematuria. Please get yourself...

Nephrology: blood in urin, careful history, drops of blood
careful history, drops of blood, lab tests: Hi Sivaprasad, A careful history, physical examination, lab tests and imaging of the urinary tract are required to diagnose your son s condition. Unfortunately, I cannot do that over the internet. Please get him evaluated by a Pediatrician ASAP. Sincerely,...

Nephrology: chronic renal failure on congestive heart failure, congestive heart failure, chronic renal failure
congestive heart failure, chronic renal failure, severe congestive heart failure: Hi Fran, Thanks for asking my opinion on Allexperts . I think your Cardiologist is right. I would advocate Peritoneal Dialysis for such a patient. If the patient cannot perform PD or has other concerns, I would offer Hemodialysis to this patient. HD...

Nephrology: creatinine blood test is 1.7 mg/dl, kidney problem, careful history
kidney problem, careful history, nephrologist: Hi Syada, Thanks for asking my opinion on Allexperts . What is the normal reference range for your lab? If 1.7 is outside your lab s normal reference range, you may have a kidney problem. A careful history, physical examination, lab tests and imaging...

Nephrology: Diabetic renal failure, prevention of kidney failure, oncolink
prevention of kidney failure, oncolink, ace inhibitors: Hi Santanu, Thanks for asking my help on Allexperts . The following general principles should be applied for prevention of kidney failure: 1. Control of Blood sugar. Target HbA1c 6.5% 2. Control of Blood Pressure. Target BP 130/80 mmHg 3. ACE...

Nephrology: eGFR, eGFR
eGFR: Hi Amber, Thanks for asking my help on Allexperts . The assumption that any eGFR less than 60 ml/min/1.73 m2 is abnormal is based on the false premise that GFR is diet-independent and conserved throughout life in healthy individuals. eGFR values characteristically...

Nephrology: eswl treatment, blood discharge, kidney stone
blood discharge, kidney stone, careful history: Hi Ruth, Thanks for asking my help on Allexperts . A careful history, physical examination, lab tests and a review of your CT scan are required to suggest an appropriate therapy for you. Please get yourself evaluated by a Urologist. Success of ESWL...

Nephrology: Potassium Levels in Acute/Chronic Metabolic Acidosis, electroneutrality, litre
Nephrology: Potassium Levels in Acute/Chronic Metabolic Acidosis, electroneutrality, litre, neutrality

Nephrology: High Creatinine, Low eGFR and Bradycardia, anion gap, kidney function
anion gap, kidney function, kidney disease: Hi Kirsten, Thanks for asking my opinion on Allexperts . 1. There is no direct relationship between bradycardia and kidney function. 2. Please get yourself evaluated by a Nephrologist. 3. Two large studies have shown that sleep apnea is common...

Nephrology: High creatinin level, centrum multivitamin, crunch cereal
centrum multivitamin, crunch cereal, nexium 40mg: Hi Sharwynne, Thanks for asking my opinion on Allexperts . I appreciate the efforts you are putting in as a family to battle your son s problems. A high urine creatinine may be caused by the body s response to dehydration. A high result may have...

Nephrology: hematuria, tb medicine, tuberclosis
tb medicine, tuberclosis, careful history: Hi Rahul, Thanks for asking my opinion on Allexperts . A careful history, physical examination, lab tests and imaging of the urinary tract are required to diagnose your condition. If you have non-glomerular hematuria, you probably don t have IgA...

Nephrology: high creatinine, chronic kidney disease, calcineurin inhibitors
chronic kidney disease, calcineurin inhibitors, kidney dysfunction: Hi Thanks for asking my opinion on Allexperts . You definitely have kidney dysfunction and need evaluation by a specialist. The causes may be: 1. Cyclosporine nephrotoxicity - The nephrotoxic effects of CNIs are well documented and extensively studied...

Nephrology: high EGFR, vitamin d deficiency, vitamin b 12
vitamin d deficiency, vitamin b 12, egfr: Hi Lindsay, Thanks for asking my opinion on Allexperts . Any eGFR above 90 is considered normal. You certainly do not have a high eGFR. An elevated eGFR is found in certain conditions e.g. Pregnancy and early stage of Diabetes Mellitus. A combination...

Nephrology: Left Kidney pain/R Kidney AVM, left kidney pain, microscopic hematuria
left kidney pain, microscopic hematuria, allexperts: Hi Denise, Thanks for asking my opinion on Allexperts . It seems less likely that an AVM in one kidney will cause pain in the one. To diagnose your condition, a careful history, physical examination, some lab tests and imaging of the urinary tract are...

Nephrology: kidney disease?, pediatric nephrologist, minimal change disease
pediatric nephrologist, minimal change disease, kidney disease: Hi Amanda, Thanks for following up with me. Your daughter most likely will have some form of glomerular disease. In children, one of the most common glomerular disorder is minimal change disease. Often, a biopsy is required to diagnose this condition....

Nephrology: Lab Test, hepatitis b vaccination, urea nitrogen bun
hepatitis b vaccination, urea nitrogen bun, renal replacement therapy: Hi Rose, Thanks for asking my help on Allexperts . Patients with eGFR 15 are advised to start dialysis. Serum creatinine is an indirect marker of GFR. Your assumption that serum creatinine needs to be around 8 mg/dl to start dialysis is wrong. ...

Nephrology: Low eGFR, frequent urinary tract infections, low blood pressure
frequent urinary tract infections, low blood pressure, chemistry profile: Hi Diane, Thanks for following up with me. Several case reports and at least one study has shown an association between Topiramate (Topamax) and kidney stone formation: http://news.bio-medicine.org/medicine-news-3/Drug-prescribed-for-migraines-and-seizures-increases-risk-of-kidney-stones-2567-1/...

Nephrology: Which medical school to attend, tennessee resident, medical degree
tennessee resident, medical degree, med school: Hi Mustafa, I am doing good. Thanks for asking. Always choose a med school which has a better reputation. As you move ahead in your career, you may want to take up a fellowship in your chosen discipline. Having a medical degree and a residency from...

Nephrology: Nephroptosis and sports, ultrasound tests, ultrasound test
ultrasound tests, ultrasound test, nephroptosis: Hi Ivan, Thanks for asking my opinion on Allexperts . Ultrasound is subjective - based on individual observation. An IVU is objective and I would rely more on the IVU than ultrasound. Contact sports should be avoided only by people who have polycystic...

Nephrology: Nephrotic Syndrome, hrs urine protein, kidney biopsy
hrs urine protein, kidney biopsy, water retension: Hi Anil, Thanks for following up with me. MCD is know to relapse and 3 relapses in a year can be treated with steroids. For an adult patient, I would suggest a re-biopsy to rule out transformation to FSGS. Please discuss this with your Nephrologist....

Nephrology: PKD and Morphine., anti inflammatory drugs, kidney specialist
anti inflammatory drugs, kidney specialist, non steroidal anti inflammatory drugs: Hi Thomas, Thanks for asking my opinion on Allexperts . Morphine is an opioid analgesic and is absolutely safe in patients with kidney dysfunction. On the other hand, Non-steroidal anti-inflammatory drugs (NSAIDs) need to be avoided. Sincerely, ...

Nephrology: Potassium Levels in Acute/Chronic Metabolic Acidosis, blood potassium levels, hydrogen ions
blood potassium levels, hydrogen ions, metabolic acidosis: Hi Benjamin, Thanks for asking my opinion on Allexperts . In metabolic acidosis, the kidneys must reabsorb all the filtered bicarbonate and contribute new bicarbonate through increased formation and excretion of NH4+ and titratable acid. This process...

Nephrology: pian, grammar and punctuation, proper grammar
grammar and punctuation, proper grammar, proper diagnosis: Hi Jod, The pillars of medical diagnosis are a careful history, physical examination, lab tests and imaging studies. Unfortunately, I cannot do this over the internet and hence, I am unable to help you further. Sincerely, Dr. Shah I just saw the...

Nephrology: protein in urine, low grade fever, serum creatinine
low grade fever, serum creatinine, stomach ache: Hi Tracy, Thanks for following up with me. The tests for kidney function are: BUN and Serum creatinine in addition to urinalysis. As always, a careful history and physical examination are needed to diagnose your son s condition. Sincerely, Dr....

Nephrology: Query related to my Father's Kidney problem, kidney biopsy, kidney problem
kidney biopsy, kidney problem, hello doctor: Hi Sarojini, Thanks for asking my opinion on Allexperts . Your father seems to be suffering from Acute Kidney Injury which might be related to some of the medications that he is taking. A careful history, physical examination, lab tests and imaging...

Nephrology: reguarding kidney transplanation, kidney transplantation, kidney function
kidney transplantation, kidney function, allexperts: Hi Divya, Thanks for asking my help on Allexperts . In a live-related kidney transplantation, the transplanted kidney starts functioning on the operating table. Typically, kidney function touches normal in a couple of days. Chances of infection are...

Nephrology: Could these symptoms be connected?, kidney stones
kidney stones: Hi Samantha, Thanks for asking my opinion on Allexperts . You have done the right thing in asking for an analysis of the kidney stones. I would also recommend doing a 24 hour urinary collection for calcium, oxalate, phosphate and uric acid. These tests...

Nephrology: Unilateral Renal Agenesis, unilateral renal agenesis, enlarged kidney
unilateral renal agenesis, enlarged kidney, liver failure: Hi Neema, Thanks for asking my help on Allexperts . Your enlarged kidney suggests that it has taken up almost all the work of its absent twin. However, at this rate, your alcohol consumption will land you in liver failure. Please refrain from all alcohol....

Nephrology: 22% kidney func. Diabetic,need antidepressant, kidney condition, insulin dependant
kidney condition, insulin dependant, kidney failure: Hi Rich, Thanks for your question on Allexperts . I am sorry to hear that you have been through a lot. I agree with your pharmacist. Bupropion (Wellbutrin) is indeed contraindicated in severe kidney disease. It is NOT okay to take even smaller doses...

Nephrology: Bun/Creat ratio, meat intake, steroid therapy
meat intake, steroid therapy, colchicine: Hi Pat, Thanks for your question on Allexperts . What are the normal reference ranges for your lab? As I have said earlier on this forum, a number of factors can affect the BUN/Creat ratio. Some of them are: 1. Dehydration 2. Steroid therapy 3....

Nephrology: c2 level & medicines, mycophenolate, cyclosporine
mycophenolate, cyclosporine, allexperts: Hi Biplab, Thanks for asking my help on Allexperts . Before I answer your question, I need some more information: 1. What was the level of HLA match with the donor? 2. How many months have passed after transplantation? Sincerely, Dr. Sha...

Nephrology: Diagnoses to Consider, differential diagnosis, ultrasound results
differential diagnosis, ultrasound results, back muscles: Hi Allie, Thanks for your question on Allexperts . It is difficult to hazard a differential diagnosis without examining you. However, if your ache is sore to touch, you must also consider inflammation/infection of the back muscles. If the ultrasound...

Nephrology: Dull constant RT sided flank pain, medical hx, flank pain
medical hx, flank pain, family hx: Hi Lawrence, Thanks for following up with me. There are a number of differential diagnoses for flank pain. A discussion of all these conditions is beyond the scope of this forum. Only a careful physical exam helps a doctor narrow down the possibilities....

Nephrology: estimated GFR is low, creatinine clearance test, lab test results
creatinine clearance test, lab test results, kidney disease: Hi Lisa, Thanks for your question on Allexperts . As I have said earlier on this forum, eGFR readings must always be viewed in light of suggestive history, physical examination and other lab test results. If these are negative and you/your doctor...

Nephrology: GFR, kidney dysfunction, kidney failure
kidney dysfunction, kidney failure, kidney disease: Hi Nancy, Thanks for asking my help on Allexperts . Since you have Diabetes, Hypertension and a family history of kidney disease, you must get yourself evaluated by a Nephrologist. A careful history, physical examination, lab tests and imaging of...

Nephrology: high BUN, low eGFR, congestive heart failure, bun and creatinine
congestive heart failure, bun and creatinine, acute renal failure: Hi Caroline, Thanks for your question on Allexperts . GFR is the measurement of kidney function. eGFR is estimation of GFR from S. Creatinine taking into account age, gender and ethnicity. In normal people, eGFR is about 110-140 ml/min. After the 3rd...

Nephrology: information for last question, cross match, two different things
cross match, two different things, mycophenolate mofetil: Hi Biplab, Thanks for following up with me. I did not ask the percentage of Lymphocyte Cross match (LCM). HLA typing and LCM are two different things. Also, I am not able to remember the context of your previous question. It is always helpful to post...

Nephrology: Kidney not functioning properly., continuous ambulatory peritoneal dialysis, ambulatory peritoneal dialysis
continuous ambulatory peritoneal dialysis, ambulatory peritoneal dialysis, chronic kidney disease: Hi Sachin, Thanks for asking my opinion on Allexperts . A careful history, physical examination, lab tests and imaging of the urinary tract are required to diagnose your father s condition. On the surface, it seems that your father is suffering from...

Nephrology: Kidney Transplant patient Bodybuilding, kidney transplant patient, serum creatinine levels
kidney transplant patient, serum creatinine levels, safer side: Hi Jerome, Thanks for your question on Allexperts . I do not know of any contraindication to taking creatine after transplant. However, it is know to raise serum creatinine levels even in normal individuals. To be on the safer side, I d advise you...

Nephrology: kidney functions, kidney functions, kidney stones
kidney functions, kidney stones, creatinine levels: Hi Lee, Thanks for your question on Allexperts . Stones in one kidney should not cause an elevation in S. Creatinine. This means your other kidney is also damaged. A careful history, physical examination, lab tests and imaging of the urinary tract...

Nephrology: kidney problem, blood sugar level, diabetic nephropathy
blood sugar level, diabetic nephropathy, lipid profile: Hi Yogendra, Thanks for asking my opinion on Allexperts . A careful history, physical examination, other lab tests and imaging of the urinary tract are required to diagnose your condition. Unfortunately, I cannot do that over the internet. However,...

Nephrology: Membraneous Glomular Nephritis., cod liver oil, createnine
cod liver oil, createnine, membranous nephropathy: Hi Rahul, Thanks for your question on Allexperts . Upto one third of patients with Membranous Nephropathy will have spontaneous remission (cure). Some others will have remisssion due to treatment. A lot depends on the biopsy picture. Please discuss...

Nephrology: Peripheral Edema in feet and ankle, interstitial nephritis, loop diuretics
interstitial nephritis, loop diuretics, peripheral edema: Hi Hector, Thanks for your question on Allexperts . A careful history, physical examination, lab tests and imaging of the urinary tract are required to diagnose your condition. Unfortunately, I am unable to do this over the internet. A number of...

Nephrology: Possible CKD, physical exam findings, creatinine clearance test
physical exam findings, creatinine clearance test, careful physical examination: Hi Samantha, Thanks for asking my help on Allexperts . A careful physical examination, review of other lab tests and imaging of the urinary tract are required to diagnose your condition. As I have said earlier on this forum, an eGFR reading must always...

Nephrology: protein creatinine ratio test, urine protein creatinine ratio, kidney damage
urine protein creatinine ratio, kidney damage, spot urine: Hi Bree, One important test to estimate the extent of kidney damage has been the 24-hour urinary protein estimation. However, this gold-standard test gives false results if urine is not collected properly. To obviate this issue, a spot urine protein/creatinine...

Nephrology: Question related with kidney creatinine, diabetic nephropathy, kidney dysfunction
diabetic nephropathy, kidney dysfunction, creatinine level: Hi Amit, Thanks for asking my help on Allexperts . A careful history, physical examination, lab tests and imaging of the urinary tract are required to diagnose your father s kidney issues. Unfortunately, I am not able to do this over the internet. On...

Nephrology: recovering from Rhabdomyolysis, fluid consumption, rhabdo
fluid consumption, rhabdo, protien shake: Hi Tim, Thanks for following up with me. Rhabdomyolysis results from excessive muscle breakdown and it takes some time for the damaged muscle to recover. Feeling fatigued and out of breath may be related to damaged muscle. However, I am unable to comment...

Nephrology: renal cyst, simple renal cyst, indian air force
simple renal cyst, indian air force, allexperts: Hi Madhukar, Thanks for asking my help on Allexperts . I am sorry to hear about your rejection. If it is a simple renal cyst, no intervention (medicines or surgery) is required. Please get yourself evaluated by a Nephrologist. Sincerely, Dr....

Nephrology: Creatinine level which is 4.8, chronic kidney disease, kidney center
chronic kidney disease, kidney center, creatinine levels: Hi Mohammad, Thanks for asking my help on Allexperts . A careful history, physical examination, lab tests and imaging of the urinary tract are required to diagnose your brother s condition. Unfortunately, I cannot do that over the internet. A complete...

Nephrology: cretiighnine h, cause of kidney failure, nephrologist
cause of kidney failure, nephrologist, careful history: Hi Nagaraj, Thanks for asking my help on Allexperts . It is important to get your father evaluated by a Nephrologist to ascertain the cause of kidney failure. A careful history, physical examination, other lab tests and imaging of the urinary tract...

Nephrology: eGFR, Cr, and extremely high TGF-Beta 1, toxic molds, microscopic changes
toxic molds, microscopic changes, egfr: Hi Cindi, Thanks for asking my help on Allexperts . Please get a 24 hour urinary creatinine clearance done. If the results are within normal limits, you have nothing to worry about. If not, please get yourself evaluated by a Nephrologist. A careful...

Nephrology: eGFR, Cr, and extremely high TGF-Beta 1, low blood pressure, inflammatory markers
Nephrology: eGFR, Cr, and extremely high TGF-Beta 1, low blood pressure, inflammatory markers, losartan

Nephrology: failure of kidney transplant, kidney biopsy, biopsy report
kidney biopsy, biopsy report, kidney failure: Mr. Thakur, Thanks for asking my help on Allexperts . I am sorry to hear that your son is going through so much suffering. A more detailed kidney biopsy report and a complete list of medications is needed for me to answer your questions. What is...

Nephrology: High Creatinine Level., shakeel ahmad, high creatinine level
shakeel ahmad, high creatinine level, proper diagnosis: Hi Shakeel, Thanks for asking my help on Allexperts . A careful history, physical examination, lab tests and imaging of the urinary tract are required to diagnose your mother s condition. Please get her evaluated by a Nephrologist. Specific remedies...

Nephrology: Kidney function, blood and protein in urine, kidney spasms
blood and protein in urine, kidney spasms, egrf: Hi Mpho, Thanks for asking my help on Allexperts . A careful history, physical examination, review of relevant lab tests and imaging of the urinary tract are required to diagnose the cause of low eGFR. Unfortunately, I cannot do that over the internet....

Nephrology: Kidney Transplant, male infertility test, normal kidney function
male infertility test, normal kidney function, kidney transplant: Hi Dee, Good to hear from you again. I am not an expert on male fertility. However, the test that you have mentioned does not give any information on two very important parameters: the morphology and motility of sperms. Sincerely, Dr. Sha...

Nephrology: Low EGFR, kidney function tests, kidney disorders
kidney function tests, kidney disorders, egfr: Hi Mary, Thanks for asking my help on Allexperts . All patients on lithium do not develop kidney disorders. Please get a 24 hour urinary creatinine clearance, which is more reliable than an eGFR estimation. Please don t hesitate to follow up with...

Nephrology: nail color and kidney problem?, kidney function test, liver function test
kidney function test, liver function test, kidney problem: Hi Vikram, Good to hear from you again. If a person has normal kidney function, there is no restriction on the type or amount of fruits/dry fruits consumed. For drinking water, I suggest that you have your water examined for hardness. If the amount...

Nephrology: V U R, surgical approach, sugery
surgical approach, sugery, medical therapy: Hi Gagandeep, Thanks for asking my opinion on Allexperts . I do not see a need for surgery if you are asymptomatic. What is the indication for surgery as explained by your Urologist. The philosophy of surgical management is based on the knowledge...

Nephrology: 24 hr Creatinine Clearance Test, cratinine, creatinine clearance test
cratinine, creatinine clearance test, hr test: Hi Andrea, Thanks for following up with me. A change in blood creatinine over time may be due to a number of reasons. Some of the common ones are: 1. State of hydration 2. Large meat meal 3. Change in muscle mass 4. Recent strenuous exercise I...

Nephrology: should I be concerned?, creatine serum, kidney specialist
creatine serum, kidney specialist, egfr: Hi Joyce, Thanks for asking my help on Allexperts . Please ask your primary care physician order a 24 hour urinary creatinine clearance for you. eGFR results are not always very accurate. If the result is normal, you have nothing to worry about. If...

Nephrology: eGFR, physical exam findings, creatinine clearence
physical exam findings, creatinine clearence, kidney problems: Hi Andrea, Thanks for asking my help on Allexperts . I agree with your doctor. eGFR results must always be viewed in light of suggestive history and physical exam findings. Just relax. Nothing is wrong with your kidneys. There is no diet or therapy...

Nephrology: Foamy Urine, foamy urine, specific gravity
foamy urine, specific gravity, proteinuria: Hi Hari, Thanks for following up with me. Now, the answers: 1. Proteinuria can present as foamy urine. 2. I have not heard of antibiotics causing foamy urine. 3. No. I cannot venture to say if you have proteinuria or not just based on the information...

Nephrology: Foamy Urine, foamy urine, allexperts
foamy urine, allexperts, pain killers: Hi Nadir, Thanks for following up with me. Your urinalysis clearly shows that you have no protein in your urine. The low specific gravity shows a dilute urine which may be due to increased water intake. That can also explain your frequent urge to urinate....

Nephrology: GFR Drop and Microalbumin, physical examination findings, crestor 10mg
physical examination findings, crestor 10mg, signs of kidney disease: Hi Connie, Thanks for asking my opinion on Allexperts . As I have said earlier on this forum: An estimated GFR must always be viewed in light of suggestive history and physical examination findings. If your husband does not have symptoms and signs of...

Nephrology: Increased urea and creatinine, pain killers, careful history
pain killers, careful history, acute attacks: Hi Prashant, Thanks for asking my help on Allexperts . Vasograin contains Ergotamine , it is used to treat acute attacks of migraine and should not be used regularly. It can cause serious problems like blood clots. I am sorry to hear that your doctor...

Nephrology: Is there improvement, pus cells, protien in urine
pus cells, protien in urine, creatinine levels: Hi Dolly, Thanks for asking my help on Allexperts . It is difficult to comment on response to treatment by looking at urinalysis reports. A lot of other things need to be considered, including: 1. Level of blood pressure 2. Edema (Swelling of face/legs)...

Nephrology: Kidney +Diabetic, urea and creatinine, kidney problem
urea and creatinine, kidney problem, serum creatinine: Hi Sanjay, Thanks for asking my opinion on Allexperts . It is important to know the cause of elevated urea and creatinine. A careful history, physical examination, lab tests and imaging of the urinary tract are required to diagnose your father-in-law...

Nephrology: kidney/bladder, red flags, blood in urine
red flags, blood in urine, careful history: Hi Julie, Thanks for asking my help on Allexperts . A careful history and physical examination are required to diagnose your condition. The presence of protein and blood in urine are red flags for the presence of kidney (glomerular) pathology. Please...

Nephrology: about kidney transplantation, kidney transplantation, kidney problem
kidney transplantation, kidney problem, kidney disease: Hi Sakshi, Thanks for asking my help on Allexperts . It seems that your father has End-stage kidney disease. He would require dialysis three times a week in addition to restricting salt and water to alleviate his breathlessness. As far as kidney...

Nephrology: Protein in urine, kidney doctor, kidney specialist
kidney doctor, kidney specialist, protein in urine: Hi Donna, Thanks for asking my help on Allexperts . If the lab had asked you to refrigerate the sample and you didn t, there is a problem. All labs have different kits and regimens. So, please follow your lab s instructions. It seems that a Nephrologist...

Nephrology: 24hr urine results and question, microhematuria, kidney damage
microhematuria, kidney damage, urine results: Hi Laura, Thanks for asking my opinion on Allexperts . Your urine readings suggest that you have microalbuminuria. You also mentioned that you had micro-hematuria. These findings point to the possibility of kidney damage due to Lupus - Lupus Nephritis....

Nephrology: 4yr old daughter urninating all night, nocturnal enuresis
nocturnal enuresis: Hi Lori, Thanks for asking my opinion on Allexperts . Most girls can stay dry at night by age six and most boys stay dry by age seven. Studies have shown that bedwetting is a self-limiting problem, since most children will grow out of it. Children 5...

Nephrology: Bladder infection, Three kidneys, bladder infection, bladder infections
bladder infection, bladder infections, running a fever: Hi Dawn, Thanks for asking my opinion on Allexperts . Cystitis (bladder infection) can have many components. Burning micturition is one of them. It is possible that the fevers that you had in childhood were actually bladder infections. It is also possible...

Nephrology: Bowel Preps, colonscopy, egfr
colonscopy, egfr, urine volume: Hi Joanne, Thanks for asking my opinion on Allexperts . 1. Colonlytely has an active ingredient which holds water in the bowel so that it is not absorbed. This preparation is not known to cause diuresis. 2. Urine production at night is usually less...

Nephrology: BUN/Creatinine ratio and Protein/Creat Ratio high in my toddler, bun creatinine ratio, acute kidney failure
bun creatinine ratio, acute kidney failure, pediatric nephrologist: Hi Maile, Thanks for asking my help on Allexperts . Melamine tainted formula is believed to cause acute kidney failure and kidney stones in children. In one of the studies, Microalbuminuria was found in more of the children with stones (10%) or suspected...

Nephrology: creatinine high, renal arteries, discoid lupus
renal arteries, discoid lupus, caucasian male: Hi Daniel, Thanks for asking my opinion on Allexperts . 1. I see no drug that can cause chest discomfort from your list. Valsartan (Diovan) can cause tiredness in some people. 2. Infarct in one kidney should not cause an elevation of serum creatinine...

Nephrology: difference betwen urea test and bun test, BUN conversion
BUN conversion: Hi Thanks for asking my opinion on Allexperts . To convert from mg/dL of blood urea nitrogen to mmol/L of urea, divide by 2.8 (each molecule of urea having 2 nitrogens, each of molar mass 14g/mol) Urea (in mmol/L) = BUN (in mg/dL of nitrogen)...

Nephrology: GFR, false premise, protein intake
false premise, protein intake, egfr: Hi Mary, Thanks for asking my opinion on Allexperts . The assumption that any eGFR less than 60 ml/min/1.73 m2 is abnormal is based on the false premise that GFR is diet-independent and conserved throughout life in healthy individuals. eGFR values characteristically...

Nephrology: Low GFR, chronic kidney disease, left kidney
chronic kidney disease, left kidney, careful history: Hi Jatinder, Thanks for asking my help on Allexperts . A careful history, physical examination and other lab tests are required for your mother. It appears that she has a single functioning kidney affected by chronic kidney disease (CKD). Please get...

Nephrology: Nephrology future, dialysis transplantation, dialysis technicians
dialysis transplantation, dialysis technicians, nephrologist: Hi Akash, Thanks for asking my opinion on Allexperts . As you know, India has a population of nearly 1.2 billion. At present, there are only about 850 qualified Nephrologists in the country. Based on these numbers, there must be a great demand of Nephrologists....

Nephrology: Proteinuria - what to do?, kidney biopsy, lab test results
kidney biopsy, lab test results, protein in the blood: Hi Lenora, Thanks for asking my opinion on Allexperts . I agree with the foreign Nephrologist. Proteinuria 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...

Nephrology: Proteinuria, high protein in urine, chronic renal disease
high protein in urine, chronic renal disease, pre eclampsia: Hi Duong, Thanks for asking my opinion on Allexperts . The presence of proteinuria is seen as a possible indication of many complications in pregnancy, from urinary tract infection to chronic renal disease and it remains central to the diagnosis of...

Nephrology: re: left flank pain, left flank pain, cyst on left ovary
left flank pain, cyst on left ovary, kidney stone: Hi Christi, Thanks for asking my opinion on Allexperts . The pain that you describe can be due to many causes. A careful history, physical examination and other lab tests are required to diagnose your condition. Unforunately, I am not able to do so...

Nephrology: Stage 1 CKD, routine urine, allexperts
routine urine, allexperts, ckd: Hi Chris, Thanks for asking my opinion on Allexperts . I think it will be wise to hold your research till you get a confirmed diagnosis. In most cases, CKD progression can be halted. Meanwhile, this is an excellent resource to start: http://www.nkdep.nih.gov/patients/index.htm...

Nephrology: urine protein to creatinine ratio, urine protein, iga nephropathy
urine protein, iga nephropathy, surrogate marker: Hi Dawn, Thanks for asking my help on Allexperts . A urinary protein-creatinine ratio is a surrogate marker of protein excreted in the urine in 24 hours. A 24 hour urinary collection for protein is the gold standard , but is fraught with many errors...

Nephrology: blood and urine samples, good shape, urine samples
good shape, urine samples, bun: Hi Jeff, Thanks for asking my opinion on Allexperts . Your urinalysis appears to be within normal limits. However, your BUN is high. I would repeat your BUN and s. creatinine after about two weeks. Sometimes, perioperative factors may cause this elevation....

Nephrology: Creatine, serum creatinine levels, low protein diet
serum creatinine levels, low protein diet, kidney disorder: Hi Marilyn, Thanks for asking my opinion on Allexperts . Creatine ingestion can cause an elevation in serum creatinine levels. I think it would be wise to have your son evaluated for presence of any kidney disorder before starting creatine. That...

Nephrology: Creatinine and uria, low protein diet, creatinine level
low protein diet, creatinine level, clinical signs: Hi Abhijit, Thanks for asking my help on Allexperts . The need to go on dialysis is determined by the patient s underlying disease, GFR, clinical signs and symptoms. Unfortunately, I am unable to do this on the internet. Please get your father evaluated...

Nephrology: eGFR levels after fasting, serum creatinine level, blood pressure measurement
serum creatinine level, blood pressure measurement, liver functions: Hi Brian, Thanks for asking my help on Allexperts . Absence of meat in diet may cause a lower serum creatinine level. eGFR values usually are inversely proportional to serum creatinine level. Thus, theoretically, your GFR should increase when fasting....

Nephrology: eGFR score of 50, weight lifter, dear philip
weight lifter, dear philip, kidney function: Dear Philip, This GFR estimation is abnormal and you need to follow up with a 24 hour urine collection to directly calculate the creatinine clearance which gives a more reliable measurement of GFR. Sometimes, if one has a large muscle mass, such as a...

Nephrology: Foamy urine and hypertension, signs of kidney disease, coat hypertension
signs of kidney disease, coat hypertension, inaccurate measurement: Hi James, Thanks for asking my help on Allexperts . Here are the answers to your questions: 1. You do not have albuminuria. You can have the test repeated once a year during your routine physical 2. You probably had white-coat hypertension. Home...

Nephrology: Re: Hematuria, gymkhana, joshi
Nephrology: Re: Hematuria, gymkhana, joshi, post office

Nephrology: infection in the kidney, lipid profile test, hdl ldl
lipid profile test, hdl ldl, kidney infection: Hi Muhammad, Thanks for asking my help on Allexperts . Urinary infection cannot be diagnosed on the basis of ultrasound alone. What was the urinalysis like? What did the urine culture show? There is no restriction on the type of food in urinary infection....

Nephrology: Kidney Failure, congestive heart failure, diabetic kidney disease
congestive heart failure, diabetic kidney disease, kidney failure: Hi Felecia, Thanks for following up with me. It seems that your mother has acute on chronic kidney disease. There can be many causes of high blood pressure after dialysis. It would not be possible to point out the exact cause over the internet. I...

Nephrology: Low eGFR, routine blood test, extrarenal pelvis
routine blood test, extrarenal pelvis, small red blood cells: Hi Kristy, Good to hear from you again. A careful history and physical examination form the pillars of a clinical diagnosis. Other lab tests and imaging may help in confirming the clinical diagnosis. Unfortunately, I am not able to do that over the internet...

Nephrology: low gfr young adult, serum creatinine, signs of kidney disease
serum creatinine, signs of kidney disease, normal heart rate: Hi Heather, Thanks for asking my opinion on Allexperts . eGFR is calculated from serum creatinine. In your case, s. creatinine may have been low because of vegetarian diet and weight loss (if you have lost muscle mass). If you have no symptoms/signs...

Nephrology: lower back pain in PKD patient, degenerative disc disease, flank pain
degenerative disc disease, flank pain, spine surgeon: Hi April, Thanks for asking my help on Allexperts . It is unlikely that the cyst is causing pressure on your spine. However, I cannot say that for sure unless it is radiologically proven. Cyst removal surgery may alleviate your flank pain. Your...

Nephrology: MSK and high Calcium, calcium oxalate, kidney area
calcium oxalate, kidney area, left kidney: Hi Sam, Thanks for asking my help on Allexperts . 1. One year between two appointments is a very long time. Hydronephrosis is usually asymptomatic. I feel that you should see your doctor four times in a year. Ultrasound scans can also be done at the...

Nephrology: Pregnacy after kidney transplantation, low birth weights, premature rupture of membranes
low birth weights, premature rupture of membranes, kidney transplantation: Hi Gundega, Thanks for asking my help on Allexperts . You need to be evaluated by a team comprising your transplant nephrologist and a high-risk obstetrician. Cyclosporin metabolism appears to be increased during pregnancy and higher doses may be...

Nephrology: protein loss in urine, urine protein, ranganath
urine protein, ranganath, careful history: Hi Ranganath, Thanks for asking my opinion on Allexperts . A careful history, physical examination, other lab tests and imaging of the urinary tract are required to diagnose your condition. Please get yourself evaluated by a Nephrologist. Sincerely,...

Nephrology: Re: Hematuria, red blood cells, macrocytosis
red blood cells, macrocytosis, hello doctor: Hi Shilpa, Thanks for asking my help on Allexperts . I appreciate the concern that you have for your father s health. A careful history, physical examination, other lab tests and imaging of the urinary tract are required to reach a diagnosis. Unfortunately,...

Nephrology: S Creatinine, routine blood tests, lipid profile
routine blood tests, lipid profile, bombay hospital: Hi Hareesh, Thanks for asking my opinion on Allexperts . I need some more information: Were both tests done at the same lab? What are the normal reference range for each lab? If the second reading falls within the normal reference range, you have...

Nephrology: Using Diuetics with kidney disease, congestive heart failure, pair of socks
congestive heart failure, pair of socks, kidney disease: Hi Sharon, Thanks for asking my opinion on Allexperts . If your father were my patient, I would put him on a diet which consisted of no more than 3 grams of salt and 1000 ml of liquids in 24 hours. The cornerstone of reducing congestion, especially...

Nephrology: Alleviated blood urea and creatinin, kidney function test, lipid profile
kidney function test, lipid profile, serum creatinine: Hi Chaman, Thanks for asking my help on Allexperts . What are the normal reference ranges for your laboratory? An elevated blood urea/BUN can be due to many reasons. I have written on this quite a few times on this website. Please refer to my earlier...

Nephrology: Alternative to Dylesis, machine in india, water treatment plant
machine in india, water treatment plant, home hemodialysis: Hi Shrirang, Thanks for asking my help on Allexperts . I presume that you are referring to hemodialysis. The other form of dialysis is CAPD, which can also be done at home, but does not require any machine. In India, no specialized machines are available...

Nephrology: Blood test results for Life Insurance, blood test results, protein level
blood test results, protein level, microalbumin: Hi Slate, Thanks for asking my opinion on Allexperts . You have microalbuminuria. A careful history, physical examination, other lab tests and imaging of the kidneys are required to diagnose your condition. Please get yourself evaluated by a Nephrologist....

Nephrology: Blood in urine, rhabdomyolysis
rhabdomyolysis: Hi Moe, Thanks for asking my help on Allexperts . You probably have rhabdomyolysis due to unaccustomed exercise. Please get yourself evaluated by a Nephrologist ASAP. If left untreated, it could result in acute kidney injury. Sincerely, Dr. Sha...

Nephrology: blood, serum creatinine level, minimal change disease
serum creatinine level, minimal change disease, level result: Hi Stacey, Thanks for asking my help on Allexperts . You have not mentioned a creatinine level result in your question. I encourage you to look at the normal reference range for your lab because each lab uses a different commercially available kit for...

Nephrology: A/C Ratio, protein excretion, albumin creatinine ratio
protein excretion, albumin creatinine ratio, urine creatinine: Hi Julie, Thanks for asking my opinion on Allexperts . An elevated albumin/creatinine ratio suggests abnormal protein excretion in the urine. For diabetics, it may suggest onset/presence of diabetic nephropathy. Please get yourself evaluated by a...

Nephrology: Creatinine clearance results, national kidney foundation, kidney function
national kidney foundation, kidney function, accurate calculation: Hi Art, Thanks for asking my opinion on Allexperts . A detailed discussion on your question is beyond the scope of this forum. However, I d like to point you to an excellent discussion on this topic by Dr. Glassock and colleague: http://www.nature.com/nrneph/journal/v4/n8/full/ncpneph0860.html...

Nephrology: creatine levels, serum creatinine levels, upper back pains
serum creatinine levels, upper back pains, protein excretion: Hi Jenn, Thanks for following up with me. Microscopic hematuria is indicated by the presence of red blood cells in urine. Dyes used for CT scan can cause acute kidney injury i.e. a fall in urine output and/or a rise in serum creatinine. Frequency...

Nephrology: elevated creatinine levels, elevated creatinine levels, left kidney
elevated creatinine levels, left kidney, kidney dysfunction: Hi Patti, Good to hear from you again! If I were your doctor, I would cut down your salt and fluid intake before putting you on diuretics. Yes, it would make more sense to get urine test results before moving up your appointment. Serum creatinine...

Nephrology: Husband Renial Failure, dialysis adequacy, careful history
dialysis adequacy, careful history, nephrologist: Hi Connie, Thanks for asking my help on Allexperts . The symptoms that you describe may be due to under dialysis. What are your husband s URR and Kt/V (markers of dialysis adequacy)? Please discuss this with your husband s Nephrologist. A careful...

Nephrology: Kidney and chelating, chelating agents, exjade
chelating agents, exjade, kidney function: Hi George, Thanks for following up with me. Yes, kidney function needs to be carefully monitored-like the majority of the drugs on the market. That does not mean that all patients will have kidney dysfunction. Also, it cannot be used in patients with...

Nephrology: Kidney Disease, kidney biopsy, blood pressure medicine
kidney biopsy, blood pressure medicine, protein levels: Hi Michelle, Thanks for asking my help on Allexperts . I am sorry to hear of your predicament. I think you are rightly concerned about your medical condition. Enalapril and Simvastatin are non-specific remedies for treating proteinuria and progression...

Nephrology: Kidney and Epo, iron infusions, iron binding capacity
iron infusions, iron binding capacity, epo levels: Hi George, Good to hear from you again. 1. if your natural Epo is normal, your bone marrow is normal. It cannot be sluggish. 2. Yes 3. Ferritin needs to be higher in patients with CKD 4. How can the exact cause of bleeding be not found ? Before...

Nephrology: Kidney Transplant, kidney donations, cadaver donor
kidney donations, cadaver donor, donor kidney: Hi Carl, Thanks for asking my opinion on Allexperts . It is a pleasure to be of service to a fellow expert. The rates of living kidney donations has nearly tripled in the US since 1990. Although paired donations have gone up, it can take from one month...

Nephrology: kidney atone and vit d3, low oxalate diet, calcium oxalate
low oxalate diet, calcium oxalate, serum calcium: Hi Sharad, Thanks for asking my opinion on Allexperts . I agree with your physician s prescription except the calcium and vitamin D3 supplement. If your serum calcium is normal, you need to be only on a normal calcium diet. If calcium is low, calcium...

Nephrology: low eGFR and misc., chronic kidney failure, free thyroxine index
chronic kidney failure, free thyroxine index, dna antibodies: Hi Patty, Thanks for asking my help on Allexperts . Your results do not indicate that you have kidney failure. That you have a temporary inflammation or a limited viral illness can only be determined after a careful history and physical examination....

Nephrology: Mother's Kidney Function, cancer of the bladder, glyberide
cancer of the bladder, glyberide, bun creatinine: Hi Mary, Thanks for asking my help on Allexperts . It is heartening to note that you are so much concerned for your mother. It appears that your mother has started to develop diabetic nephropathy (early stage). Please get her evaluated by a Nephrologist....

Nephrology: Nephroptosis, eur urol, j urol
eur urol, j urol, nephroptosis: Hi Cheryl, Thanks for asking my opinion on Allexperts . Your question is best answered by a Urologist. However, I will attempt to answer it here. Please look up the following references: 1. Moss SW (1997). Floating kidneys: a century of nephroptosis...

Nephrology: nephrology---creatinine., cyclosporine toxicity, aortic aneurysm
cyclosporine toxicity, aortic aneurysm, n acetylcysteine: Hi Viney, Thanks for asking my help on Allexperts . It is very important to find the cause of kidney dysfunction. I would presume that it is because of cyclosporine toxicity. 1. Make sure that your cyclosporin levels are in the therapeutic range. ...

Nephrology: back pain right side of back, kidney area, clinical diagnosis
kidney area, clinical diagnosis, careful history: Hi Swede, Thanks for asking my opinion on Allexperts . A careful history and physical examination are required to arrive at a clinical diagnosis. Other lab tests and imaging of the urinary tract may help in confirming the diagnosis. Unfortunately, I...

Nephrology: protein in kidneys, protein in kidneys, protein in urine
protein in kidneys, protein in urine, protein in the urine: Hi Pam, Thanks for asking my help on Allexperts . Can you be a little more specific? The amount of protein in the urine is reported as mg/dl or mg/day. 95% protein in urine does not mean anything. Also, please make it a point to mention the normal...

Nephrology: protein spill in kidneys and donating, kidney donation, protein spill
kidney donation, protein spill, kidney failure: Hi Carol, Thanks for asking my help on Allexperts . If your fiance has proteinuria, he is not fit to donate his kidney, period. There are no if s or but s about this. It looks like he might be suffering from hypertension as well. That is again a contraindication...

Nephrology: reflux nephropathy, reflux nephropathy, kidney desease
reflux nephropathy, kidney desease, left kidney: Hi Shrikant, Take another Nephrologist s opinion :-) In most cases, reflux is present in childhood and often corrects itself as age advances. However, by that time, reflux may damage one or both kidneys, as in your case. I agree with the Urologist....

Nephrology: Sent to a nephrologist, phase contrast microscopy, strong pain killers
phase contrast microscopy, strong pain killers, kidney area: Hi Lewis, Thanks for following up with me. Glomerular hematuria is almost always associated with proteinuria. The source of your hematuria can be anywhere from the renal pelvis to the urethra. I am afraid the Nephrologist will not be able to help you...

Nephrology: sudden elevation in creatnine/transplant pak, serum creatinine, prograf level
serum creatinine, prograf level, creatnine: Hi William, Thanks for asking my opinion on Allexperts . Congratulations on your new pancreas ! I would cut down on your salt intake and watch for blood pressure. Other than that, I would also look at your urinalysis and your CBC to make sure there...

Nephrology: Bosniac type II cyst, renal cysts, stereotactic biopsy
renal cysts, stereotactic biopsy, left kidney: Hi Mona, Thanks for asking my opinion on Allexperts . In 1986, Bosniak classified renal cysts in four categories on the basis of imaging appearances in an attempt to predict the risk of malignancy. Subsequent studies have shown that the Bosniak system...

Nephrology: Chromium Picolinate's effect on kidneys, chromium picolinate, nephrotoxic drugs
chromium picolinate, nephrotoxic drugs, urine protein: Hi Mary Ellen, Thanks for asking my opinion on Allexperts . Very large doses of chromium picolinate have been implicated in kidney dysfunction. More likely than not, it appears that your proteinuria is due to some other cause. Running and weight...

Nephrology: Cold urine., allexperts, body temperature
allexperts, body temperature, leaks: Hi Ashley, Thanks for asking my help on Allexperts . Because urine is stored in the body before being voided, it is always at body temperature. I am yet to come across a living person who had cold urine. If you have doubts, please ask your GP to...

Nephrology: Cold urine., hot bath, urine
Nephrology: Cold urine., hot bath, urine, low blood sugar

Nephrology: puffiness below eyes, low blood pressure, dialysis patient
Nephrology: puffiness below eyes, low blood pressure, dialysis patient, hands and knees

Nephrology: Glom filt rate, kidney disease, mmol
kidney disease, mmol, glom filt rate est: Hi Lois, Thanks for asking my opinion on Allexperts . eGFR results must always be viewed in light of history and physical examination. If you have no features suggestive of kidney disease, you have nothing to worry about. Ask your doctor to repeat the...

Nephrology: Henoch-Schonlein Purpurea with kidney involvement, serum creatinine level, microscopic hematuria
serum creatinine level, microscopic hematuria, kidney involvement: Hi Kellee, Thanks for asking my help on Allexperts . What is your son s Serum creatinine level? If that is within normal limits and the protein in his urine is decreasing, I would not be worried. Microscopic hematuria may take some time to clear. ...

Nephrology: High creatinine in young active male, kidney problems, g protein
kidney problems, g protein, labwork: Hi Tim, Thanks for asking my help on Allexperts. What are the normal reference ranges for your laboratory? If your readings fall within the normal reference range, you have nothing to worry about. If not, it would be wise to get yourself evaluated by...

Nephrology: High Kidney Count, elevated creatinine, kidney problems
elevated creatinine, kidney problems, history of asthma: Hi Daiq, Thanks for asking my opinion on Allexperts . A careful history, physical examination, lab tests and imaging of the urinary tract are required to find the cause of elevated creatinine. Unfortunately, I am not able to do so on the internet. ...

Nephrology: kidney disease age 33, kidney biopsy, elevated creatinine
kidney biopsy, elevated creatinine, protein levels: Hi Jen, Thanks for asking my help on Allexperts . The pillars on which a diagnosis rests are: Careful history, physical examination and lab tests including imaging of the urinary tract. It is very important to know what is the cause of elevated creatinine,...

Nephrology: kidney problems, ureteric stone, kidney stone
ureteric stone, kidney stone, lower back pain left side: Hi Ilona, Thanks for asking my help on Allexperts . A careful history, physical examination, lab tests and imaging of the urinary tract are required to diagnose your condition. Unfortunately, I am unable to do so over the internet. A ureteric stone...

Nephrology: protein in urine, blood in urine, hypertensive retinopathy, hemoglobin a1c
hypertensive retinopathy, hemoglobin a1c, diet sodas: Hi Stephanie, Thanks for asking my opinion on Allexperts . Microscopic hematuria and proteinuria often go hand-in-hand. If I were your nephrologist, I would definitely recommend a 24 hour urinary protein estimation. I would also have your eyes examined...

Nephrology: puffiness below eyes, amorphous urates, bun creatinine
amorphous urates, bun creatinine, protein in urine: Hi Parshuram, Thanks for asking my help on Allexperts . Facial puffiness with protein in urine is not a good sign. Your wife may be suffering from a condition called nephrotic syndrome. Please get her evaluated by a Nephrologist. Sincerely, ...

Nephrology: Renal Function Panel, bun creatinine ratio, urea nitrogen bun
bun creatinine ratio, urea nitrogen bun, chronic kidney disease: Hi Teresa, Thanks for asking my opinion on Allexperts . According to my calculations, your mother s eGFR is 27 ml/min/1.73 m2. If your mother has chronic kidney disease (CKD), her estimated GFR puts her at Stage 4. It is very important to find out...

Nephrology: Spot protein creatinine, donor mother, urine protein
donor mother, urine protein, kidney transplant: Hi Vyas, Thanks for asking my opinion on Allexperts . Your spot protein/creatinine ratio is 0.712. This means that you are excreting about 700 mg of albumin in your urine in 24 hours. You have some sort of graft dysfunction. If I were your transplant...

Nephrology: serum createnine, serum creatinine level, internal medicine specialist
serum creatinine level, internal medicine specialist, careful history: Hi Vishwambhar, Thanks for asking my help on Allexperts . By your own admission, your value is within normal range. Your question about how to maintain that level is very broad. A careful history and physical examination which takes into account your...

Nephrology: Abnormal Comprehensive Metabolic Profile, ast sgot, comprehensive metabolic profile
ast sgot, comprehensive metabolic profile, high protein diet: Hi Liz, Thanks for asking my opinion on Allexperts . As I have said in earlier answers, a high BUN:Creat ratio can be due to a number of reasons: 1. Dehydration 2. High protein diet 3. Steroid therapy, etc. It may not be significant in your case...

Nephrology: Cortical Cysts, cortical cysts, harmd
cortical cysts, harmd, thanks in advance: Hi Adarsh, Thanks for asking my help on Allexperts . A careful history, physical examination and lab tests are required to diagnose your father s condition. Unfortunately, I cannot do that over the internet. Please get him evaluated by a Nephrologist....

Nephrology: Creatinine clearance, red blood cells, hr urine
red blood cells, hr urine, creatinine level: Hi Kirsty, Thanks for following up with me. I am sorry that your specialist is not ready to order any other tests. I would recommend at least an ultrasound exam to see if there really is a PUJ obstruction. If there is no obstruction, I would rest...

Nephrology: Creatinine/eGFR levels, heavy drinker, alcohol consumption
heavy drinker, alcohol consumption, kidney disease: Hi Alison, Thanks for asking my opinion on Allexperts . eGFR values are only significant if the person has a history and/or physical findings suggestive of kidney disease. If your husband does not have any of these, he probably does not have to worry...

Nephrology: Creatinine Ratio, serum potassium, serum sodium
serum potassium, serum sodium, albumin creatinine ratio: Hi M J, Thanks for asking my opinion on Allexperts . Your mother has features suggestive of diabetic nephropathy. A careful history, physical examination, other lab tests and imaging of the urinary tract are required to diagnose your mother s condition....

Nephrology: creatine level and dialysis, serum creatinine level, kidney insufficiency
serum creatinine level, kidney insufficiency, kidney functions: Hi Cynthia, Thanks for asking my opinion on Allexperts . You are right: For a person on dialysis, the serum creatinine level does not reflect true kidney function. For patients with acute on chronic kidney insufficiency, we need to wait for the urine...

Nephrology: creatinine levels and bun levels, left side flank pain, high potassium
left side flank pain, high potassium, dr shaw: Hi Daureen, Thanks for asking my help on Allexperts . A careful history, physical examination, lab tests and imaging of the urinary tract are required to diagnose your condition. High potassium is due to kidney disease, not the other way around....

Nephrology: Foamy Urine and Other Conditions, high systolic pressure, foamy urine
high systolic pressure, foamy urine, ring worm: Hi Che, Thanks for asking my opinion on Allexperts . 1. You probably do not have any proteinuria. However, it would not hurt to get a dip stick test done. 2. Unlikely 3. I agree with your specialist 4. Beyond the scope of this forum 5. Yes...

Nephrology: Former HUS, a couple questions, glomerular filtration rate, serum creatinine levels
glomerular filtration rate, serum creatinine levels, glomerular filtration rate gfr: Hi Nikki, Thanks for asking my help on Allexperts . Serum creatinine or BUN are surrogate markers for Glomerular Filtration Rate (GFR). In normal healthy adults, it ranges from 100 to 140 ml/min/1.73 m2 of body surface area. Minor variations in serum...

Nephrology: GFR 49, focal mass or parapelvic cyst?, parapelvic cyst, careful history
parapelvic cyst, careful history, nephrologist: Hi Denise, Thanks for asking my help on Allexperts . A careful history, physical examination, lab tests and imaging of the urinary tract are required to diagnose your condition. Unforunately, I cannot do this over the internet. Please get yourself...

Nephrology: Hydronephrosis, pediatric urologist, new borns
pediatric urologist, new borns, spell checker: Hi Niki, Thanks for asking my opinion on Allexperts . One of the commonest causes of hydronephrosis in new-borns is a condition called Vesico-Ureteric Reflux (VUR). Your son needs to be evaluated by a Pediatric Urologist ASAP. Sincerely, Dr....

Nephrology: Do I have Kidney Chronic disease?, kidney disease, mdrd
kidney disease, mdrd, patients with hypertension: Hi Raul, Thanks for asking my help on Allexperts . All patients with hypertension do not have CKD. Are our plasma creatinine values within normal reference range for your lab? A 24 hour Creatinine clearance is more reliable than an eGFR. Your value...

Nephrology: Kidney Pain, thyroid hormones, kidney pain
thyroid hormones, kidney pain, protein in the urine: Hi James, Thanks for asking my help on Allexperts . A careful history and physical examination are required to diagnose your condition. Unfortunately, I cannot do this over the internet. Please get yourself evaluated by an Internist. Sincerely,...

Nephrology: kidney enlarged, mohan kumar, left kidney
mohan kumar, left kidney, careful history: Hi Mohan Kumar, Thanks for asking my help on Allexperts . The discussion of the causes of hydronephrosis (enlargement of the kidney) is beyond the scope of this forum. A careful history, physical examination, lab tests and imaging of the urinary...

Nephrology: kidney failure, kidney failure, poor appetite
kidney failure, poor appetite, head ache: Hi Arun, Thanks for asking my opinion on Allexperts . Weakness after dialysis is because they take off too much fluid on dialysis. This problem will not arise if he keeps his weight gain to a maximum of 500 gm per day on non-dialysis days. Headache...

Nephrology: Low Creatinine Levels in Drug screen combined with repeated kidney stones, low creatinine levels, ounce bottles
low creatinine levels, ounce bottles, ounce bottle: Hi John, Thanks for asking my help on Allexperts . The level of creatinine in urine is a measure of the concentration of urine. To escape the urine screen test, many offenders dilute the specimen with water or drink too much water before the test. The...

Nephrology: Protein / Creatinine Ratio, protein in urine, urine protein
protein in urine, urine protein, red flags: Hi Mila, Thanks for asking my help on Allexperts . Your protein/creatinine ratio suggests that you are excreting about 700 mg of albumin in your urine every day. Normal persons excrete less than 20 mg per day. Protein in urine is one of the red flags...

Nephrology: Protein in Urine, leukocyte esterase, congenital abnormality
leukocyte esterase, congenital abnormality, protein in urine: Hi Marc, Thanks for asking my opinion on Allexperts . If I were your doctor, I would definitely pursue proteinuria. A 24-hour urinary collection for protein estimation will give a definitive answer. Prostatic enlargement and proteinuria may not...

Nephrology: UTI, pediatric nephrologist, pus cells
pediatric nephrologist, pus cells, allexperts: Mr. Singh, Thanks for asking my help on Allexperts . If urine culture does not show the presence of pathological organisms, your son does not have UTI. Any male with UTI must be thoroughly investigated. Was vesico-ureteral reflux (VUR) ruled out...

Nephrology: ultrasound results, chronic kidney disease, renal parenchyma
chronic kidney disease, renal parenchyma, advanced chronic kidney disease: Hi Barbara, Thanks for asking my help on Allexperts . You seem to have advanced chronic kidney disease based on your lab results. A careful history, physical examinaton and other lab tests are required to diagnose your condition. I would move...

Nephrology: unusually high protein in urine, bun and creatinine, high protein in urine
bun and creatinine, high protein in urine, kidney biopsy: Hi Michelle, Thanks for following up with me. The presence of protein and RBCs in urine with an elevated serum creatinine suggest the possibility of some form of glomerulonephritis. Other lab tests and imaging of the kidneys and urinary tract are...

Nephrology: cellcept and lupus swelling, cellcept, fluid buildup
cellcept, fluid buildup, hydroxychloroquine: Hi Victoria, Thanks for asking my opinion on Allexperts . Swelling and fluid buildup can be caused by Mycophenolate Mofetil (Cellcept). However, prednisone is the more likely culprit. Also, a flare-up of Lupus can also cause edema. Sincerely, ...

Nephrology: chronic kidney diseaes, glomerular filtration rate, serum creatinine
glomerular filtration rate, serum creatinine, chronic kidney disease: Hi Fadheela, Thanks for following up with me. If a patient has chronic kidney disease (CKD), serum creatinine is unlikely to become normal. However, various measures to slow the progression of the disease can be tried. A patient with CKD can live...

Nephrology: Detection of trace albumin in urine, albumin in urine, routine physical examination
albumin in urine, routine physical examination, vaginal flora: Hi Sana, Thanks for asking my opinion on Allexperts . Trace proteinuria may be due to the infection. Please wait a couple of weeks before repeating the test. If repeat test shows an abnormality, you need to consult a specialist. Sincerely, Dr....

Nephrology: Elevated Creatinine ,negative microalbuminuria - what could be the problem, chronic kidney disease, pus cells
chronic kidney disease, pus cells, mild damage: Hi Sriram, I agree with your father s doctors. There does not seem to be any evidence of chronic kidney disease. An elevated Blood urea can be due to many factors, including dehydration. It is unlikely that your father has CKD in the absence of microalbuminuria....

Nephrology: cellcept and lupus swelling, lower leg edema, medication changes
Nephrology: cellcept and lupus swelling, lower leg edema, medication changes, cellcept

Nephrology: Kidney Problems, kidney problems, uncircumcised penis
kidney problems, uncircumcised penis, careful history: Hi Mike, Thanks for asking my help on Allexperts . A careful history, physical examination and lab tests are required to diagnose your condition. Unfortunately, I am unable to do so over the internet. Please get yourself evaluated by your family physician....

Nephrology: Large right upper pole renal cyst ( follow up), heart palpitation, kidney cyst
heart palpitation, kidney cyst, left kidney: Hi Jane, Thanks for following up with me. I am afraid I won t be able to speculate what the other black circles are on your ultrasound. Your question is best answered by a diagnostic radiologist. (S)he would also need to look at the pictures before commenting....

Nephrology: Low GFR, microscopic hematuria, vit b12
microscopic hematuria, vit b12, kidney disease: Hi Kathy, Thanks for following up with me. Cystoscopies and CT scans will only help in diagnosing non-glomerular blood in the urinary tract. If you have glomerular hematuria, only phase contrast microscopy of the urine and/or a kidney biopsy will help....

Nephrology: low GFR, kidney function, third decade
kidney function, third decade, lab values: Hi Peggy, Thanks for asking my opinion on Allexperts . GFR is a marker for kidney function. Normal GFR ranges between 110-140 ml/min/1.73 m2. After the third decade of life, GFR reduces by 1 every year. A low GFR reading must always be viewed in...

Nephrology: Pain associated with CKD, careful history, nephrologist
careful history, nephrologist, ckd: Hi Sande, Thanks for asking my opinion on Allexperts . A careful history, physical examination and imaging of the kidneys are required to diagnose your condition. More likely than not, the pain is due to something else. Sincerely, Dr. Sha...

Nephrology: Protein in Urine, elevated liver enzymes, numbness in hands and feet
elevated liver enzymes, numbness in hands and feet, numbness in hands: Hi Amanda, I agree with your physician. Please get yourself evaluated by a Nephrologist. A careful history, physical examination, lab tests and imaging of the urinary tract are required to diagnose your condition. Protein in urine is a red flag for the...

Nephrology: protein in urine, protein in urine, allexperts
protein in urine, allexperts, urine test: Hi Wanda, Thanks for asking my help on Allexperts . I ve never heard of dehydration causing proteinuria. Taking into consideration your son s history, a urine test is definitely indicated during a physical. Please take another doctor s opinion....

Nephrology: How severe is my kidney dysfunction, kidney dysfunction, kidney damage
kidney dysfunction, kidney damage, med md: Hi Kristy, Thanks for asking my opinion on Allexperts . What is the normal reference range for creatinine for your lab? If your creatinine falls within the normal reference range, you might not require any further tests. However, if your value is...

Nephrology: ultrasound results, serum creatinine, ultrasound results
serum creatinine, ultrasound results, urinary infection: Hi Barbara, Good to hear from you again. Your protein creatinine ratio says that you are excreting about 100 mg of albumin in your urine (microalbuminuria range). Serum creatinine appears to be within normal limits. All in all, the results are pretty...

Nephrology: Anemia, hemoglobin level, excessive tiredness
hemoglobin level, excessive tiredness, nephrologist: Hi Kathy, Thanks for asking my help on Allexperts . Anemia can certainly be the cause of excessive tiredness in patients with CKD. What is your Hemoglobin level? Target Hgb should be between 11 and 12 g/dl. If your Hgb is below 11, please discuss...

Nephrology: bun/creatine ratio high, bun blood urea nitrogen, fatty liver disease
bun blood urea nitrogen, fatty liver disease, bun and creatinine: Hi Alice, Thanks for asking my help on Allexperts . BUN (blood urea nitrogen) and creatinine are waste products that are produced by normal metabolic processes in the body and by the breakdown of foods, especially those high in protein. The normal...

Nephrology: Creatinine, minor stones, labortary
minor stones, labortary, ultrasound test: Hi Pushp, Thanks for your question on Allexperts . A careful history, physical examination, lab tests and imaging of the urinary tract are required to diagnose your father s condition. Unfortunately, I cannot do that over the internet. Please get...

Nephrology: Elevated Protein/Creatinine Ratio, estimation results, month old baby
estimation results, month old baby, urine protein: Hi Crystal, Thanks for following up with me. Discussing the causes of an elevated P/Cr ratio is beyond the scope of this forum. If your 24 hour collection also shows an abnormal reading, please get evaluated by a Nephrologist. Sincerely, Dr. Sha...

Nephrology: high blood pressure/bph/incontinence, hypertension medication, kidney stones
hypertension medication, kidney stones, passing urine: Hi Neeraj, Thanks for asking my opinion on Allexperts . The course of action is very clear - get your father operated. If he does not agree to surgery or if he thinks he does not need his hypertension medication, I don t see how anyone can help...

Nephrology: Kidney Disease and Lithium Carbonate, bi polar disorder, lithium carbonate
bi polar disorder, lithium carbonate, serum creatinine: Hi John, Thanks for asking my help on Allexperts . Estimated GFR, the unit that measures kidney function, depends on serum creatinine values. In addition, other factors like the patient s gender, age and ethnicity are also required. If you have had...

Nephrology: Kidneys GFR, chronic kidney disease, kidney diet
chronic kidney disease, kidney diet, allexperts: Hi George, Thanks for your question on Allexperts . What is the cause of low GFR? If you have chronic kidney disease (CKD), then I am afraid it is not possible to increase GFR. Measures to slow down the progression can certainly be tried based on the...

Nephrology: one kidney, compensatory hypertrophy, serum creatinine
compensatory hypertrophy, serum creatinine, left kidney: Hi Jack, Thanks for asking my opinon on Allexperts . An ultrasound is unlikely to miss a small right kidney. The increased size of your left kidney (compensatory hypertrophy) suggests that you were probably born with only one kidney. This does not...

Nephrology: kidney injury, kidney area, kidney function
kidney area, kidney function, back muscles: Hi Christine, Thanks for asking my help on Allexperts . 1. Yes, you should have blood tests for kidney function 2. Please go back to see your doctor. It is not OK to be still in so much pain. You probably have bruising of the internal back muscles....

Nephrology: kidney pain, kidney pain, kidney stone
kidney pain, kidney stone, hospital doctors: Hi Mir, Thanks for asking my help on Allexperts . This forum is not a substitute for medical care provided by a doctor. A careful history, physical examination, lab tests and imaging of the urinary tract are required to diagnose your condition. Unfortunately,...

Nephrology: Low GFR, physical examination findings, symptoms of kidney disease
physical examination findings, symptoms of kidney disease, hydrochlorothyazide: Hi Cynthia, Thanks for asking my help on Allexperts . I have not heard of HCTZ causing a fall in GFR. However, an eGFR must always be seen in light of a suggestive history and physical examination findings. If you do not have symptoms of kidney disease,...

Nephrology: low kidney function, chronic kidney disease, bun creatinine
chronic kidney disease, bun creatinine, kidney dysfunction: Hi Gail, Thanks for asking my help on Allexperts . As I have explained many times earlier, eGFR readings must always be viewed in light of other corroborative evidence like a suggestive history or symptoms, physical findings, other lab tests and imaging...

Nephrology: lower back pain/high potassium, high potassium levels, bone pathology
high potassium levels, bone pathology, frequent urination: Hi Heidi, Thanks for asking my help on Allexperts . Your back pain can be due to some bone pathology which may be related to low vitamin D. Leg cramping and weakness are also known to be due to Vit D deficiency. Frequent urination and high potassium...

Nephrology: PKD, low sodium diet, glomerular filtration rate gfr
low sodium diet, glomerular filtration rate gfr, glomerular filtration rate: Hi Robert, Thanks for your question on Allexperts . Serum Creatinine is an indicator of the glomerular filtration rate (GFR), which in turn depends on the age, ethnicity and muscle mass. GFR values below 15 ml/min/1.73 m2 indicate ESRD and the need...

Nephrology: Please guide me, kidney biopsy, frequent dialysis
kidney biopsy, frequent dialysis, lm report: Hi Ashok, Thanks for your question on Allexperts . I am afraid I don t remember the context of your question. Please understand that in addition to evaluating patients, I also answer questions on this website. It is not possible to remember details...

Nephrology: Polycystic kidneys, complex cyst, renal cysts, polycystic kidneys
renal cysts, polycystic kidneys, focal lesions: Hi Mary, Thanks for asking my help on Allexperts . Patients with ADPKD can have complex cysts. As long as she does not develop infection, we should just wait and follow up with repeat scans. Removal of cysts in many cases aggravates the disease. Hence,...

Nephrology: protein in urine, protein in urine, creatinine
protein in urine, creatinine, albumin: Hi Patti, Thanks for your question on Allexperts . Protein/creatinine ratios for follow up must always be viewed in light of earlier results. What were your earlier values? Your results show that you are excreting about 58 mg of albumin in your urine...

Nephrology: Renal trnsplant, docors, kidney transplant
docors, kidney transplant, biopsy: Hi Amir, Thanks for asking my help on Allexperts . Dialysis should be started when eGFR falls below 15 ml/min/1.73 m2. You can arrive at the eGFR by inputting age, ethnicity, creatinine, etc. on www.mdrd.com If I were your brother s nephrologist, I...

Nephrology: time frame for result of kidney biopsy, kidney biopsy, renal biopsy
kidney biopsy, renal biopsy, blood pressure levels: Hi Ashok, A kidney biopsy process takes at least 4 days. Add some more time because you are in another city. No doctor will leave a patient untreated. Some therapy must have been started based on a clinical diagnosis. Please check with your Nephrologist....

Nephrology: Urinalysis/ Urine FEME, Proteinuria, urine feme, muscle spasm
urine feme, muscle spasm, allexperts: Hi Colin, Thanks for following up with me. 1. No 2. Low BUN levels are not common and are not usually a cause for concern. They may be seen in severe liver disease, malnutrition, and sometimes when a patient is overhydrated (too much fluid volume)...

Nephrology: UTI, pus cells, urine specimen
pus cells, urine specimen, urologist: Hi Barjinder, Thanks for asking my help on Allexperts . Antibiotics should only be started after sending urine specimen for culture. This helps in knowing the kind of organism causing the infection and its sensitivity pattern to various antibiotics....

Nephrology: Variation in Serum Creatinine, elevated serum creatinine, creatinine level
elevated serum creatinine, creatinine level, white blood cells: Hi James, Thanks for your question on Allexperts . Low levels of immunosuppressants can trigger a rejection, resulting in an elevated serum creatinine. On the other hand, too high immunosuppression or very severe infection can result in low white cell...

Nephrology: Vit D3 kidney stones and HIv, kidney stones, pyrenees mountain
kidney stones, pyrenees mountain, hiv positive: Hi Sedrick, Thanks for asking my opinion on Allexperts . It would be wise to check with a doctor first. There can be potential interactions between Vit D3 and HIV meds. I don t think Vit D3 is indicated for building up the immune system . Is your friend...

Nephrology: AIN related question, high creatinine levels, renal biopsy
high creatinine levels, renal biopsy, nephritis: Hi Rajat, Thanks for your question on Allexperts . Your brother is being treated correctly. It may take some time for his kidneys to recover. The degree of recovery depends on multiple factors and discussing them is beyond the scope of this forum. ...

Nephrology: Bunc/creatine ratio?, bun creatinine ratio, high protein diet
bun creatinine ratio, high protein diet, epithelial cells: Hi Cindy, Thanks for asking my help on Allexperts . A high ratio can be due to many causes. Common among them are: 1. Dehydration 2. High protein diet 3. Ingestion of a large quantity of cooked meat 4. Steroid therapy 5. Blood in the gut I...

Nephrology: benicar and acute renal failure, kidney biopsy, chronic kidney disease
kidney biopsy, chronic kidney disease, elevated creatinine: Hi Ralph, Thanks for asking my help on Allexperts . Benicar (Olmesartan) usually helps prevent the progression of kidney dysfunction in patients who have chronic kidney disease. However, it can be harmful in patients who have an elevated creatinine...

Nephrology: Chronicle Kidney Disease, serum creatinine level, low hemoglobin
serum creatinine level, low hemoglobin, dialysis treatment: Hi Jaydeep, Thanks for asking my opinion on Allexperts . It is important to know what caused kidney failure in the first place. A careful history, physical examination, review of older investigations and imaging of the urinary tract are required to...

Nephrology: Do I have CKD based on lab results or Nephrologist opinion?, protein in the urine, symptomatology
protein in the urine, symptomatology, second opinion: Hi Diane, Thanks for following up with me. In normal people, GFR reduces by 1 ml/min/1.73 m2 every year after the third decade of life. If you are a small person, it is possible that you started out with a lower normal GFR. A 24 hour CC is more...

Nephrology: Elevated creatinine level, high protein diet, creatine supplements
high protein diet, creatine supplements, endurance races: Hi Chris, Thanks for asking my opinion on Allexperts . A diet high in protein with creatine supplements could very well be the cause of elevated serum creatinine. Please re-check your serum creatinine two weeks after stopping the supplements. Also...

Nephrology: Father dying from PKD pain!, careful history, teaching university
careful history, teaching university, allexperts: Hi Sylvia, Thanks for asking my opinion on Allexperts . It would be difficult to comment without a careful history, physical examination and review of the medical imaging. However, in this modern age, nobody dies of PKD. Your father might have developed...

Nephrology: FSGS and Allopurinol, minimal change disease, spontaneous remission
minimal change disease, spontaneous remission, fsgs: Hi Mike, Thanks for your question on Allexperts . Up to one third of patients with FSGS have spontaneous remissions. You may have been one of those. I have not heard of Allopurinol causing remission in nephrotic states. Sincerely, Dr. Sha...

Nephrology: foamy urine with mild right side back ache, no urination discomfort, foamy urine, protein in the urine
foamy urine, protein in the urine, care physician: Hi Paula, Thanks for your question on Allexperts . Foamy urine is sometimes associated with protein in the urine. Please get your urine checked for the presence of albumin. Regarding your back pain, it would be impossible for me to venture a diagnosis...

Nephrology: glomerulonephritis, renal pathologist, biopsy report
renal pathologist, biopsy report, interstitial nephritis: Hi Junaid, Thanks for your question on Allexperts . The biopsy picture is the key to both your questions. What was the exact biopsy report? How many glomeruli were seen in the sample? How many were viable? How many sclerosed? What was the morphology...

Nephrology: gross hematuria & microscopic hematuria, persistent microscopic hematuria, retrograde pyelogram
persistent microscopic hematuria, retrograde pyelogram, gross hematuria: Hi Michelle, Thanks for your question on Allexperts . Although your question is lengthy, it provided all details, especially the lab values with their proper units and the normal reference ranges. Ultrasound is not a very sensitive test to detect...

Nephrology: High Bun/Creatinine Ratio, heart transplant patient, bun creatinine ratio
heart transplant patient, bun creatinine ratio, congestive heart failure: Hi Annette, Thanks for your question on Allexperts . It would be important to know what are your husband s kidney problems . The BUN/Creatinine ratio is of little value in diagnosis. I can help you more if I know his age, ethnicity and his serum creatinine...

Nephrology: high creatitine level, dietary protein restriction, serum creatinine levels
dietary protein restriction, serum creatinine levels, allopathic medicine: Hi Cecilia, Thanks for following up with me. I am an allopathic practitoner and I know of no remedy to reduce creatinine levels. Dietary protein restriction may help maintain creatinine to some extent if done under proper physician guidance. Sincerely,...

Nephrology: Losing water?, alk phos, anion gap
alk phos, anion gap, serum sodium: Hi Rob, Thanks for following up with me. Your perception that the urine gets concentrated is not enough. Lab evidence is needed to confirm this fact. If your urine does get concentrated, another condition called Primary Polydipsia needs to be ruled out....

Nephrology: Low urine creatinine, shy bladder, urine specimen
shy bladder, urine specimen, liters of water: Hi Andrea, I am sorry to hear that you had to pass through such an ordeal to provide a urine specimen. Very dilute urine can cause abnormally low creatinine. It is entirely possible that the specimen you provided was human urine after all but was just...

Nephrology: low eFGR and high creatinine levels, high creatinine levels, non hodgkin s lymphoma
high creatinine levels, non hodgkin s lymphoma, hodgkin s lymphoma: Hi AH, Thanks for your question on Allexperts . A 24 hour creatinine clearance is more reliable than an estimated GFR. You have a normal CC test result. I d give you a clean bill of health as far as the kidneys are concerned. Sincerely, Dr. Sha...

Nephrology: low GFR and bacirial infection, streptococcus agalactiae group b, flank pain
streptococcus agalactiae group b, flank pain, urine specimen: Hi Liz, Thanks for your question on Allexperts . Very severe infection of the kidneys, known as Pyelonephritis, can cause a transient drop in GFR. However, the patient would be extremely sick with high grade fever, flank pain, nausea, vomiting and decreased...

Nephrology: Nehprotic Syndrome, minimal change disease, kidney biopsy
minimal change disease, kidney biopsy, frequent cough: Hi Gyan, Thanks for your question on Allexperts . I agree with your doctor. However, long term cyclosporine has its own side effects. Please discuss with your doctor the role of ACE inhibitors and/or ARBs in the management. Sincerely, Dr. Sha...

Nephrology: Nephrotic sendrome, allexperts, creatinine
allexperts, creatinine, albumin: Hi Qamer, Thanks for asking my help on Allexperts . I need more details before I can answer your question. 1. What was the biopsy result? 2. What treatment was given to you before two years? What medicine and in what doses? 3. What is your 24 hour...

Nephrology: nephrology-kidney stones, pus cells, hospitals in delhi
pus cells, hospitals in delhi, nephrostomy tube: Hi Anushka, Thanks for your question on Allexperts . A careful history, physical examination and review of the medical imaging is needed to prognosticate (forecast) what will happen to his kidney function. Unfortunately, I am not able to do this over...

Nephrology: nephrotic syndrome, kidney doctor, protein in the blood
kidney doctor, protein in the blood, allexperts: Hi Jamie, Thanks for your question on Allexperts . Without a careful history and physical, I am unable to diagnose your niece s condition. However, I tend to agree with your local nephrologist s opinion. A child with extra fluid and protein and RBCs...

Nephrology: nuclear renal scan and obesity, nuclear renal scan, renal ultrasound
nuclear renal scan, renal ultrasound, function of the kidney: Hi Jim, Thanks for your question on Allexperts . A nuclear renal scan shows the function of the kidney, whereas an ultrasound shows the structure. These tests are complimentary to each other. There can be no comparison because they provide different...

Nephrology: problem with my kidneys, kidney problem, global hospital
kidney problem, global hospital, mpgn: Hi Arun, Thanks for asking my help on Allexperts . The response of MPGN to therapy depends upon many factors; however, a discussion of all of them is beyond the scope of this forum. In addition to plasmapheresis, I am sure that your treating doctor...

Nephrology: Reference, chronic kidney disease, serum level
chronic kidney disease, serum level, careful history: Hi Abhishek, Thanks for your question on Allexperts . Your mother may be suffering from diabetic nephropathy, a type of chronic kidney disease. A careful history, physical examination, lab tests and imaging of the urinary tract are required to diagnose...

Nephrology: S/P Nephrectomy, ophthalmic migraine, magnesium levels
ophthalmic migraine, magnesium levels, radical nephrectomy: Hi Laura, Thanks for asking my help on Allexperts . It will take some time for your body to adjust after the major surgery. However, it will be wise to check your calcium and magnesium levels. Please do not hesitate to follow up with me with the...

Nephrology: Scared and confused about lab results, liver function test, serum calcium
liver function test, serum calcium, serum test: Hi Sam, Thanks for your question on Allexperts . Your blood and urine calcium tests suggest that you might be suffering from hypercalciuria. That can partly explain the presence of kidney stones. I am not an expert at interpreting the urinary cortisol...

Nephrology: Stant plasement, antibiotic therapy, kidney stones
antibiotic therapy, kidney stones, micro organisms: Hi Iliana, Thanks for asking my help on Allexperts . The ureteric stent acts as a conduit for micro-organisms that can cause infection. The usual practice is to remove/change the stent within 3 weeks of placement. Did his doctor order a urine culture...

Nephrology: Test results from 24hr urine and UA, kidney biopsy, microscopic hematuria
kidney biopsy, microscopic hematuria, lupus symptoms: Hi Laura, Thanks for following up with me. Urinary albumin more than 200 mg in 24 hours is considered abnormal. You can have no systemic features of SLE but still have Lupus Nephritis. It is not necessary that serum creatinine be elevated. Renal epi...

Nephrology: Understanding the numbers....., gerd symptoms, high blood pressure
gerd symptoms, high blood pressure, acceptable range: Hi Rosemary, Thanks for your question on Allexperts . While looking at eGFR numbers, it is important to know that even in normal people, GFR declines by 1 ml/min every year after the 3rd decade of life. With a history of NSAIDs and Naproxen usage...

Nephrology: Urine pH, vegetables and fruits, morning urine
vegetables and fruits, morning urine, urine ph: Hi Colin, Thanks for your question on Allexperts . An alkaline pH can be due to many factors: 1. Urinary tract infection 2. Vegetarian diet 3. Alkalosis 4. Pyloric stenosis/obstruction 5. Vomiting 6. Alkalizing drugs Please discuss this with...

Nephrology: UTI, pus cells, kidney stone
pus cells, kidney stone, urine culture: Hi Sabarinath, The presence of pus cells alone in urine does not signify infection. A Urine culture must be done every time for confirmation. Treatment with a proper antibiotic based on the culture is the remedy. Your present urine report does not suggest...

Nephrology: Zpack and high blood pressure, respitory infection, high blood pressure
respitory infection, high blood pressure, coreg: Hi Jacob, Thanks for your question on Allexperts . I need to understand the content of the medications to answer your question. What do Coreg and Zpack contain? In other words, what is the pharmacological name of these drugs? Sincerely, Dr. Sha...

Nephrology: bad mouth taste & pain in legs middle region, pus cells, proper punctuation
pus cells, proper punctuation, allexperts: Hi Amit, Thanks for asking my help on Allexperts . From your reports, you do not seem to have any kidney disease. Sincerely, Dr. Shah P.S: It helps if your question is written with proper punctuation and grammar. Please use the freely available...

Nephrology: Depressed husband who had a kidney transplant, organ rejection, drug to drug interactions
organ rejection, drug to drug interactions, drug toxicity: Hi Kathi, Thanks for asking my help on Allexperts . Following transplantation, concerns about potential drug-to-drug interactions become a greater focus. This is especially true when patients are either on cyclosporine (CsA) or tacrolimus (TAC)for immunosuppression,...

Nephrology: Kidney Cancer/Foamy Urine, other alternative therapies, foamy urine
other alternative therapies, foamy urine, kidney cancer: Hi Valerie, Thanks for asking my help on Allexperts . I am sorry to hear that your insurance does not provide adequate cover. It is important to find out what causes foamy urine. Sometimes, people with proteinuria have foamy urine. Please get your...

Nephrology: kidney, hepatitis b vaccination, phosphate binders
hepatitis b vaccination, phosphate binders, dialysis fistula: Hi Ramona, Thanks for asking my help on Allexperts . Some of the guidelines for patients with CKD stage 3 are: # Optimize BP (target less that 130/80 mmHg4) and diabetic management (Hemoglobin A1C less than 7%5) # Use of ACEI/ARB usually with a...

Nephrology: Polycystic kidney, glomerular filtration rate, glomerular filtration rate gfr
glomerular filtration rate, glomerular filtration rate gfr, liters of water: Hi Rob, Thanks for following up with me. There is no need to compulsively drink 2 liters of fluid every day. Let your thirst guide you for fluid intake. Now on to you questions: 1. Yes. You can et whole grain and wheat products 2. Yes. As your caregiver...

Nephrology: Previous Gross Hematuria, Now Protein in Urine, gross hematuria, lower back pains
gross hematuria, lower back pains, urine cytology: Hi Ang, Thanks for asking my help on Allexperts . A single reading of 30 mg is very difficult to interpret. If I were your doctor, I d also order a 24 hour urinary protein estimation before jumping to any conclusions. Please do not hesitate to follow...

Nephrology: Protein in urine, urine protein creatinine ratio, gross proteinuria
urine protein creatinine ratio, gross proteinuria, protein in urine: Hi Rob, Thanks for asking my help again on Allexperts . Normal people have less than 30 mg of protein in the urine per day. Between 30 and 300 mg, a person is said to have microalbuminuria. Anything more than 300 mg in 24 hours is gross proteinuria....

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...