About Experts Sitemap - Group 69 - Page 13 2012-07-30
Nephrology: GFR numbers, proper diagnosis, kidney function
proper diagnosis, kidney function, doctors office: Kimberly, Thanks for asking my opinion on Allexperts . I am sorry to hear that you are disturbed by your kidney function results. It is important to get yourself evaluated by a Nephrologist. A careful history, physical examination, other lab tests...
Nephrology: High Blood pressure medication & Kidney Stones, taking blood pressure, blood pressure medication
taking blood pressure, blood pressure medication, blood pressure medicine: Roland, Thanks for your question. You have not mentioned the names of your anti-hypertensives. BP medicines have not been known to cause kidney stones. Some of the drugs that can cause stones are: 1. Indinavir 2. Antacids containing trisilicate...
Nephrology: High BP, creatinine level, atenolol 50mg
creatinine level, atenolol 50mg, losartan: Shritu, Thanks for asking my opinion on Allexperts . If I were your dad s physician, I would hike up the dose of Losartan. In addition to lowering the blood pressure, it has additional kidney protective effects. An elevated S. Creatinine is always...
Nephrology: Hydronephrosis, urologist, kidney
urologist, kidney, remedy: James, Thanks for your question on Allexperts . Hydronephrosis should be evaluated and treated aggressively. Please get in touch with a Urologist ASAP. I am an allopathic practitioner and am unable to comment on homeopathic medicine. Sincerely,...
Nephrology: Kidney disease or just an infection, high risk pregnancies, recurrence risk
high risk pregnancies, recurrence risk, allexperts: Carla, Thanks for asking my help on Allexperts . After preeclampsia, it can take up to 2 years for hypertension and proteinuria to resolve. Resolution of proteinuria is quicker if blood pressure has normalized. I would advise you to continue monitoring...
Nephrology: kidney stone, kidney stone, kidney function
kidney stone, kidney function, high blood pressure: Grisel, Thanks for your question on Allexperts . A careful history, physical examination and review of lab results and ultrasound are required to arrive at a diagnosis. It is important to know what was your husband s blood pressure and kidney function...
Nephrology: PKD, hepatitis b vaccination, phosphate binders
hepatitis b vaccination, phosphate binders, renal replacement therapy: Brij Mohan, Thanks for asking my help on Allexperts . Medicines like Ramipril or Telmisartan are known to cause a transient rise in S. Creatinine levels. However, it is likely that the worsening creatinine mirrors the deterioration of kidney function....
Nephrology: Possible congenital kidney atrophy, kidney stone, postpartum period
kidney stone, postpartum period, allexperts: Jacky, Thanks for asking my help on Allexperts . From the scan result, it seems that you were born with just one kidney. There is no cause for extra concern, though. Many people are born with just one kidney and do not face any medical issues due to...
Nephrology: gall bladder surgery/renal failure, gall bladder surgery, gall bladder
gall bladder surgery, gall bladder, excessive salt: Karl, Thanks for asking my opinion on Allexperts . A careful history, physical examination, review of lab results and imaging of the urinary tract are required to answer your question. Unfortunately, I cannot do that over the internet. Please follow...
Nephrology: High Uera and Creatinine, chronic kidney disease, homeopathic medicines
chronic kidney disease, homeopathic medicines, uera: Hariharasubramanian, Thanks for your question. Based on your lab results, you are definitely suffering from chronic kidney disease. I am an allopathic practitioner and am unable to comment on the usage or efficacy of homeopathic medicines. Sincerely,...
Nephrology: increased level of serum creatinine and blood urea, serum creatinine, kidney dysfunction
serum creatinine, kidney dysfunction, hbalc: Haris, Thanks for asking my opinion on Allexperts . You have not mentioned the normal reference range for lab results at your lab. However, from your latest results, it does appear that you are suffering from kidney dysfunction. A careful history,...
Nephrology: lab indicates, albumin globulin, liver disease
albumin globulin, liver disease, lab values: Hi CA, Thanks for asking my opinion on Allexperts . Your lab values are not indicative of any kidney or liver disease. Blood pressure can be measured by your physician - there are no lab values which can suggest hypertension. Sincerely, Dr. Sha...
Nephrology: Nocturia, causes of nocturia, careful history
causes of nocturia, careful history, nephrologist: Josey, Thanks for your question on Allexperts . It will be very difficult to guess the cause of nocturia without a careful history and physical examination. A discussion of all the possible causes of nocturia is beyond the scope of this forum. Please...
Nephrology: 21 Year old - Creatinine fluctuations, routine blood test, chronic kidney disease
routine blood test, chronic kidney disease, lean muscles: Dear Jack, Welcome back! I m gratified that everything seems to be on tract. Please get back to me with the results of your tests. I agree, of course, that there is probably nothing to worry about but, since they re your kidneys, you want to be certain....
Nephrology: 24hr urine test, basic metabolic panel, anion gap
basic metabolic panel, anion gap, csf protein: Hi Tom, Thanks for following up promptly. Your blood sugar level is high. If you have diabetes, you need to have your medication adjusted. If not, you might need to start on medication after consulting your doctor. The amount of protein in your urine...
Nephrology: 24hr urine test/creatinine, stroke test, kidney function
stroke test, kidney function, urine protein: Dear Kevin, Thanks for your question. Creatinine is a substance that is produced by muscles. Because your muscle mass is essentially constant, creatinine production is constant and does not vary from day to day. After it is produced, creatinine is excreted...
Nephrology: 3+ reading of blood in urine, traces of blood in urine, kidneys filter
traces of blood in urine, kidneys filter, hollow tubes: Jodie, I took this information from another site. It would behoove you to do a websearch for blood in the urine to get a better idea. The choice is ALWAYS yours, of course. Blood in the urine can appear for a various or combination of reasons. Sometimes...
Nephrology: 6 year old has increased urination & burning smell on head, burnt popcorn, symptoms of diabetes
burnt popcorn, symptoms of diabetes, diabetes insipidus: Hi Liz, Thanks for asking me to help with your nephew s medical problem. What you are describing seem to be symptoms of diabetes mellitus. However, pediatrics is not my area of expertise. I would suggest that you get in touch with a pediatrician /...
Nephrology: Allergic Reaction, laundry detergent, socks for diabetics
laundry detergent, socks for diabetics, soles of my feet: Dear Mike, Thanks a lot for the mail. I am sorry but your question is for dermatologist please so I am not able to answer that. Please consult a dermatologist. With best wishes for your treatment Your Wellwisher at AllExperts.com Dr.R.Srivastava...
Nephrology: Ammonia, dozen cats, mini strokes
dozen cats, mini strokes, kidney failure: Dear Audrey: Thanks for your question. I assume that by ammonia you refer to a strong ammonia odor in your mom s house. If so, then the most likely source is, in fact, the cats and their urine. Urine ( animal or human) contains large amounts of...
Nephrology: Aniexty Question, low sodium diet, benadrill
low sodium diet, benadrill, pharmacological interventions: Dear James, A blood pressure of 160/100 would be considered moderately elevated and, in and of itself, is not a significant short term health care threat, assuming that one s general health is otherwise normal. It is not uncommon for an acute, painful...
Nephrology: abnormal ultrasound and blood in urine, renal cortex, routine urine
renal cortex, routine urine, blood in urine: I might be freaked out , too. This is a medical question, but I am surprised that you have not been referred to a Urologist. The fact that the OB is not too concerned probably means just that it IS nothing to worry about. The fact that the entire workup...
Nephrology: absence of one kidney by birth, contralateral kidney, genitourinary system
contralateral kidney, genitourinary system, unilateral renal agenesis: Hi Padma, Thanks for asking my help on Allexperts . Your daughter is suffering from a condition called unilateral renal agenesis. Unilateral renal agenesis occurs in approximately 1 in 1,100 births. Usually, there are no signs to suggest a unilateral...
Nephrology: air embolism through catheter, air embolism, kidney dialysis
air embolism, kidney dialysis, decompression chamber: Leslie, Sorry to hear about you father. This is not a common occurrence, but it does happen. I can imagine how you and your family feel about the whole situation. The tenet of patient care is do no harm . Despite our best efforts things happen and...
Nephrology: albumin level in blood, serum albumin, renal transplant patient
serum albumin, renal transplant patient, plasma protein: Hi Nadia, Albumin is quantitatively the most important plasma protein. Approximately 300 to 500 g of albumin is distributed in the body fluids, and the average adult liver synthesizes approximately 15 g per day (200 mg/kg per day). The synthesis rate can...
Nephrology: BETA GLUCAN and IP-6, yeast cell wall, beta glucan
yeast cell wall, beta glucan, bakers yeast: Dear Maryann, I m not a real enthusiast of these natural remedies but I doubt that they will do your husband any harm. I think the real issue is what is going on with his kidneys. He seems to have had bilateral kidney disease BEFORE all of this began...
Nephrology: Benicar and kidney function, blood pressure medication, bladder spasms
blood pressure medication, bladder spasms, painful bladder: Hi Brenda, Thanks for asking my help. Benicar (Olmesartan) is not known to cause hematuria or urinary infections. I have a feeling that your urinary infection was probably not related to the use of Olmesartan. I agree that it is an excellent anti-hypertensive...
Nephrology: Bladder capacity, bladder capacity, indirect question
bladder capacity, indirect question, unavoidable reasons: Dear Cheryl Stein, I am thankful to you for the mail. Also I am extremely sorry for the delay in reply due to some unavoidable reasons of my being away from my office. Well the capacity to hold urine is approximately about 600ml and nearly same but little...
Nephrology: Blood Test, srivastava, blood test
srivastava, blood test, kidney: Dear Margaret, Thanks for the mail. I need to know what makes you think it is Kidney related? What are the symptoms and other reports of tests which suggest that kind of pathology? I can comment only when I know the complete details. With best wishes...
Nephrology: Blood test results, glomerular filtration rate, blood test results
glomerular filtration rate, blood test results, creatine levels: Dear Virginia, Prednisone can cause slight elevation in BUN and creatine levels due to the increase of catabolism.Since you have antiphospholipid syndrome and 79 years of age,you naturally have lost a little bit of the functions of the kidney besides the...
Nephrology: Blood in Urine, kidney diseases, yeast overgrowth
kidney diseases, yeast overgrowth, antibiotic therapy: Thanks for the additional information. There are two red flags for kidney disease, protein in the urine (proteinuria) and blood in the urine (hematuria). Obviously, you have at least one of them. The most common cause of hematuria if the female is a...
Nephrology: Blood/Urine 24hr Results, chronic prostatitis, foamy urine
chronic prostatitis, foamy urine, urine chemistry: Creatinine is a substance that is produced by muscles. Its production is essentially constant because your muscle mass is constant. If you are a weight lifter and/or engage in vigorous physical activity, your muscle mass increases over time (that s the idea)and...
Nephrology: Blood In Urine After Auto Accident, full bladder, kidney problem
full bladder, kidney problem, taking medicine: Dear Ricky, The accident, per se, could result in hematuria if the kidney were severely contused and a communication developed between the vascular tree of the kidney and the urinary pelvis(that is the conduit for urine flow between the kidney and the ureter),...
Nephrology: Blood in urine?Lower back ache, papillary necrosis, pain while urinating
papillary necrosis, pain while urinating, function of the kidneys: Hi Nancy, Good to hear from you again. Papillary necrosis means that one of the renal papillae is permanently destroyed due to lack of blood supply. This condition is permanent. However, this does not affect the overall function of the kidneys because...
Nephrology: BUN Count over 200 how would patient act, wasting precious time, nephrologist
wasting precious time, nephrologist, ampute: Dear Carolyn Fleming, Sorry I was out at weekend. Thanks for the mail. Clearly he was having uremic encephalopathy. You will not expect this from now on but you must get the treatment done immediately with a nephrologist. I think he should be seen and treated...
Nephrology: BUN/Creat, glomerular filtration rate, bun and creatinine levels
glomerular filtration rate, bun and creatinine levels, bun and creatinine: Hi Andy, Thanks for following up with me. Based on the information you have provided, the elevation in BUN and Creatinine seems to be rather recent. All the more reason to get an evaluation done as soon as possible. With regards to investigations to...
Nephrology: BUN/creatinine, B12, bun and creatinine levels, bun and creatinine
bun and creatinine levels, bun and creatinine, bun creatinine: Dear Kim, If there is a patient who is being treated for an elevated BUN and creatinine with vitamin B12, he is being treated by a quack who is committing fraud. I strongly suggest that this clinician (and I use the term loosely) be reported to the state...
Nephrology: Bun/Creatinine Ratio, bun creatinine ratio, kidney function tests
bun creatinine ratio, kidney function tests, high protein diet: Both the BUN and creatinine are kidney function tests. The creatinine in the more accurate of the two. The reason is that the bun is effected by more than kidney function. The bun consists of urea and urea is derived from protein metabolism. It is then...
Nephrology: baby with one kidney, low protein diet, kidney diseases
low protein diet, kidney diseases, long and happy life: Dear Danielle, Thanks for your question. The reflux that your baby has needs to be evaluated in and of itself and independently from the issue of one kidney.It is common and generally, very easily managed. The congenital absence of one kidney is also...
Nephrology: bladder, pelvic bone, blood in urine
pelvic bone, blood in urine, allexperts: Dear Martin. Thanks for the mail. Please immediately go to your doctor and show him. You may be having possibly some infection/inflammation/??? obstrutive lesion. What is your age? Have you passed blood in urine? You may be asked to get your urine analyzed...
Nephrology: bloating/fluid retion, female hormone levels, pound weight gain
female hormone levels, pound weight gain, cyclic fluctuations: If you have been worked up and have normal kidney function and structure then you should be able to maintain normal fluid balance. One of the responsibilities of the kidney is to maintain the constancy of the internal environment. It does so by retaining...
Nephrology: all over body aches, enlarged kidneys, vitamin d deficiency
enlarged kidneys, vitamin d deficiency, vitamin d defiency: Dear Rose, I have never heard of avenza and it is not in my medication data base. PKD can cause abdominal discomfort and abdominal fullness due to the large kidney size and unfortunately,aside from simple analgesics which are not too effective, there...
Nephrology: bodybuilding (moderate) and PKD, dietary protein restriction, chronic kidney disease
dietary protein restriction, chronic kidney disease, protein intake: Hi Darin, Thanks for asking me to help with your problem. Based on the information you have provided me, your estimated MDRD GFR is 51 ml/min/1.73 sq. m, CKD stage 3 (I am presuming that you are a white male). I suggest that you get in touch with...
Nephrology: bubbles and foam in urine, kidney problems, lonly
kidney problems, lonly, backache: Hi Penny, Thanks for asking me to help with your kidney related concerns. Sometimes foam in the urine signifies protein leak in the urine. I am not sure if your backache is related to your kidney problems, though. I will encourage you to have your...
Nephrology: about bubbly..soapy and cloudy urine, sinus medication, doctor asap
sinus medication, doctor asap, foamy urine: Hi Haseeb, Historically, foamy urine has been associated with Proteinuria - excessive protein leak in the urine. Sometimes, though, the velocity of the urinary stream also causes an impression of foamy urine. You say that there is no foam if you sit...
Nephrology: bun/creatine ration climbing, high protein diet, bun creatinine
high protein diet, bun creatinine, anti inflammatory drugs: Dear connie, The causes of an elevated BUN/Creatinine are: 1. Obstruction to the flow of urine. This is possible is your case. 2. A catabolic state. That consists of a condition where your body breaks down protein. This is seen in chronic infection...
Nephrology: bun/creatinine ratio, bun creatinine ratio, gilbert syndrome
bun creatinine ratio, gilbert syndrome, blood test: Hannah I am not sure what the BUN RATIO means. I see your creatinine is normal. What was your BUN? Was that normal? It looks as if your numbers were in the high normal state, and if it s high normal, the doctor will probably just watch it. Did you...
Nephrology: Calculation of GFR, serum creatinine concentration, serum creatinine levels
serum creatinine concentration, serum creatinine levels, concentration measurement: Unfortunately, all currently used simple calculations of GFR are very inaccurate. All of them use the serum creatinine concentration, then factor it by the age and size of the patient, to come up with a derived clearance. Creatinine is a substance, excreted...
Nephrology: Cause to worry?, routine blood tests, diet soda
routine blood tests, diet soda, protein in the urine: Dear Ashley, Thanks for your question. Two red flags for kidney disease are protein in the urine (proteinuria) and blood in the urine (hematuria). You apparently have both. The most common cause of hematuria is infection in the urine and if you have...
Nephrology: Chest Pain, target, information thanks
target, information thanks, chest pains: Dear Faith, Chest pains are very common during dialysis. They can occur in patients with heart disease but most often occur when the blood pressure falls too low during the procedure. This may mean that his target wright is too low and needs to be raised....
Nephrology: Confused, calcium channel blockers, stress echocardiogram
calcium channel blockers, stress echocardiogram, hypertension specialist: Dear Kathryn Plaska, Thanks for the mail and faith in me. Your local treating doctor normally always knows more about you than anyone else, so if he thinks it is better to see another specialist please go ahead and do it. Later on if you want you may...
Nephrology: CREATININE, normal creatinine level, dear ivan
normal creatinine level, dear ivan, two different things: Dear Ivan I m a bit confused at your question. Are you talking about the blood test that measures the BUN and Creatinine? There is something in the blood as well as the creatinine level which is something completely different. A normal Creatinine level...
Nephrology: Creatine Clearance, kidney transplant, creatinine clearance
kidney transplant, creatinine clearance, allexperts: Dear Ed, Thanks for the mail. But I really need to know the report of the Creatinine Clearance and for whom it is age and sex also. This is not a disease but is an investigation so let me know. Tell me ASAP may be I can be of some help to you. Thanks ...
Nephrology: Creatinine, polycystic kidneys, kidney function
polycystic kidneys, kidney function, greek man: Dear Angelo, A creatinine is not terribly high but it is probably abnormal. You need a 24 urine collection for a creatinine clearance determination. This will tell you exactly how abnormal it is and whether there is anything to worry about. The beer...
Nephrology: Creatinine Clearance, glomerular filtration rate, prune belly syndrome
glomerular filtration rate, prune belly syndrome, iron infusion: Dear Kathy, I fail to understand why it is so important the percentage? In clinical practice we go by the Creatinine Clearance or GFR reports and not by percentage as it is calculated by these only and varies with What the Ideal Creatinine Clearance for...
Nephrology: Creatinine Clearance, kidney functions, kidney failure
kidney functions, kidney failure, kidney function: Dear Kathy, Well as per the report the Kidney functions are poor and what they are is the level of Creatinine Clearance level 13. Best would be to have an opinion from your local nephrologist urgently and take action as advised by him as he will know better...
Nephrology: Creatinine levels, serum creatinine level, short gap
serum creatinine level, short gap, abdominal cat scan: Dear Caroline, Thanks for the mail. I would rather have another test done after a short gap and also from a different lab and then proceed further. Presently I also do not see any abnormal reason indicating reduced renal functions. With best wishes...
Nephrology: Creatinine ratio, acute kidney failure, kidney stone
acute kidney failure, kidney stone, bun to creatinine ratio: There are many implications to the high ratio. Here is a simple explanation: High BUN-to-creatinine ratio. High BUN-to-creatinine ratios occur with sudden (acute) kidney failure, which may be caused by conditions such as shock or severe dehydration. An...
Nephrology: case, albumin creatinine ratio, symptoms of renal failure
albumin creatinine ratio, symptoms of renal failure, ultrasound investigation: Dear Mody, The very important feature of your Father s case is the fact that he had/has bilaterally small kidneys. If I found that feature in a patient I would not have even preceded with a biopsy because with small kidneys, his process is chronic and...
Nephrology: chronic kidney disease, chronic kidney disease, 24 hour urine collection
chronic kidney disease, 24 hour urine collection, wendy dear: Dear Wendy, All I can tell you with the information that you gave me is that you do have some form of chronic kidney disease. To speculate whether or nor you have kidney FAILURE and what stage, I need to know your BUN, creatinine, electrolytes (like sodium,potassium,...
Nephrology: does concentration affect result of dipstick test, accurate test result, symptoms of kidney failure
accurate test result, symptoms of kidney failure, urine dipstick test: Dear Ben, Thanks for the follow up. I would not worry about the proteinuria at this point. You may wish to have your urine checked again in six months or so to be reassured that it is still gone. Regarding the hematuria, you need only a routine urinalysis...
Nephrology: constipation, milk of magnesia, water ingestion
milk of magnesia, water ingestion, phosphate binding: Peritonitis is not confused with constipation. constipation is the infrequent defectation of hard stool. Peritonitis is a life threatening, severe, intra abdominal infection usually associated with a perforation of the bowel. These patients are critically...
Nephrology: contrast dye on kidneys, kidney failure, left kidney
kidney failure, left kidney, kidney function: The basic underlying issue with your mom is hardening of the arteries, also called arteriosclerosis. This is very common at her age and is the cause of her shrunken kidneys. What happens is that the arteriosclerosis(hardening of the arteries)in the artery...
Nephrology: creatinine level, kidney biopsy, enlarged kidneys
kidney biopsy, enlarged kidneys, kidney diseases: Dear Kim, Thanks for the follow up. It is important for me to have all available information... like the ultrasound results... because, as it helps your physician when he orders it, it also has the same information that permits me to engage in a more...
Nephrology: creatinine level before hemodialysis, kidney function, urr
kidney function, urr, muscle mass: It is and it isn t in that it is affected by your physical size (muscle mass), residual kidney function, level of physical activity. After dialysis you will have removed some but not all of it. I would NOT be too concerned. I am sure that your Nephrolgist...
Nephrology: creatinine level, serum creatinine levels, marathon runners
serum creatinine levels, marathon runners, state marathon: Creatinine comes from the breakdown of muscle. Normal creatinine is 0.7 to 1.5 mg/dL with more of the labs leaning to 1.0 mg/dL. Elevated creatinines after exercise is NOT unusual. Are you taking any supplements (Creatine?.) Are you taking Ibuprofen?...
Nephrology: creatinine levels, glomerular filtration rate, glomerular filtration rate gfr
glomerular filtration rate, glomerular filtration rate gfr, chronic kidney disease: Thanks for the follow-up, Shannon. It is very difficult to comment on kidney function without knowing the units of the test. Presuming that the test was reported in micromoles/L, the estimated glomerular filtration rate (GFR) of your friend is 11 ml/min/1.73...
Nephrology: creatinine levels, kidney disorder, rapid deterioration
kidney disorder, rapid deterioration, serum creatinine: Hi Kay, Thanks for asking me to help with your father s problem. Long-standing diabetes mellitus can lead to a condition called Diabetic Nephropathy. The natural history of diabetic nephropathy is one of rapid deterioration. You say that your father...
Nephrology: creatinine levels, glomerular filtration rate, kidney fuction
glomerular filtration rate, kidney fuction, invasive bladder cancer: This is a medical question, but here goes. I am sure that this was explained at least to your dad. He more than likely had chemo and/or radiation therapy which is toxic to the kidneys. He is going into renal failure it seems. The rough equation is...
Nephrology: Demulcents, aloe vera gel, sodium diet
aloe vera gel, sodium diet, ureteroscopy: To my knowledge, there are no CONTROLLED trials that show any benefit whatever from the use of demulcents . The trick is to prevent the development of further stone formation. There are several interventions that can be tried, the easiest of which is...
Nephrology: DIALYSIS, malignant hypertension, mail question
malignant hypertension, mail question, head ache: Dear Kim, Thanks for the mail & question. I am sorry I could get it opened today only as till now the question was showing error & nothing else. Excuse me for this computer / server problem. I hope you will appreciate. Now let us come to the questions :...
Nephrology: Dialysis, home dialysis, dialysis center
home dialysis, dialysis center, peritoneal dialysis: Dear Mike, There are certain genes that determine tissue compatibility. They are manifested as the ABO blood group system and the HLA leucocyte system. The ABO system must match completely (like for blood transfusions, blood group O being a universal...
Nephrology: Dialysis Labs, initial paperwork, kidney function
initial paperwork, kidney function, protein intake: Dear Phyllis: Good to hear from you again. 1. If your family member has had the same vascular access (fistula) for 2.5 years then the discomfort is probably as good as it s going to get. Having said that, it would be useful to know if the discomfort...
Nephrology: Dialysis Problems, peritoneal dialysis, pet test
peritoneal dialysis, pet test, internal organs: Sorry about the tardiness of the answer. Had a system failure. Nuff about me! Are you sure that it is Peritoneal. That is, is she doing this procedure at home? Is is during the day (mostly) or at night (mostly)? Let s make the assumption that it is...
Nephrology: Dialysis side effect, least three times, kidney failure
least three times, kidney failure, dialysis patients: Dear Sandy, Itching is a common and perplexing problem in dialysis patients. Most often it is related to, as you alluded to, a high phosphorous. This is not the case in your case. It is very possible that, in your case, it is related to a neuropathy...
Nephrology: Dialysis side effects (faint, dizzy), continuous ambulatory peritoneal dialysis, ambulatory peritoneal dialysis
continuous ambulatory peritoneal dialysis, ambulatory peritoneal dialysis, psychological intervention: I am a bit confused. There should be no side effect after/during a peritoneal exchange. CAPD is Continuous Ambulatory Peritoneal Dialysis, that is, it is done all the time . Perhaps your mom is trying to tell you that she does not like this mode of therapy....
Nephrology: Dialysis, coronary artery disease, uremic pericarditis
coronary artery disease, uremic pericarditis, right on target: Dear Subhojit: It is very premature to be worrying about rejection. If it turns out that your uncle is going to be considered for a transplant then, at that time, I would consider transplant rejection and its ramifications. If, after he is stable, he...
Nephrology: Different renal lengths, academic exercise, allexperts
academic exercise, allexperts, srivastava: Dear Heather, Thanks for the mail. I am little confused. What is the context of your question? All organs are three dimensional so why concern about length only? The size may be different physiologically and pathologically and also since birth. There...
Nephrology: Dizziness, infectious disease specialists, heart palpitations
infectious disease specialists, heart palpitations, infectious disease specialist: Dear Kathy, I am so sorry you and your daughter are having such an awful time. The problem for me is that this is out of my field. I am a nephrologist; a specialist in kidney disease. Your daughter needs a neurologist and a infectious disease specialist....
Nephrology: dark brown/red urine, foley for 1 week, kidney transplant in 3/05, kidney rejection, kidney stone
kidney rejection, kidney stone, kidney transplant: Dear Cristina, I can t tell what s happening without a full work up. This could be an infection (possibly fungal since he is on an effective antibiotic for the usual bacterial infections). It could be a kidney stone. It could be an acute nephritis (unlikely)...
Nephrology: dark brown/red urine, foley for 1 week, kidney transplant in 3/05, kidney rejection, kidney biopsy
kidney rejection, kidney biopsy, acute rejection: Thanks for following-up, Christina. I am glad to hear that his urine is clearing up since yesterday. His serum creatinine should show a steady improvement and reach the baseline, 3.2, in his case. Let me know if you have any more doubts. Sincerely,...
Nephrology: dialyser, artificial kidney, sq meter
artificial kidney, sq meter, blood volume: I never really did pediactric dialysis, but did have one young girl on home HD for 5 years. Generally the HFAK s (hollow fiber artificial kidney) are smaller in terms of priming volume. Small children, about 50 cc volume. The surface area is therefore equally...
Nephrology: when do you have to have dialysis??, nephrologist, dialysis
nephrologist, dialysis, health issues: As low as 10% sometimes. The decision to start dialysis is based also on how you feel and your general condition (age, other health issues). Most of the time the patient will call the Nephrologist (assuming they are being followed!) and say that they feel...
Nephrology: dialysis, conjestive heart failure, congestive heart failure
conjestive heart failure, congestive heart failure, good luck chuck: At this juncture in time he has put himself into this situation. He doesn t exercise, doesn t watch his diet or probably monitor his diabetes properly. He has already shortened his life by the aforementioned and with the conjestive heart failure has...
Nephrology: dialysis or kidney transplant, coronary artery disease, stroke issues
coronary artery disease, stroke issues, kidney transplant: That is a tough question with no real good answer. Here goes. 77 years old...IS he 77 or is he, save for the renal disease, otherwise healthy? If he has other factors such as heart disease, diabetes, COPD, post-stroke issues, coronary artery disease and...
Nephrology: dialysis low and high blood pressure, dialysis session, kidney failure
dialysis session, kidney failure, cardiac issues: Blood pressure flucuations are not abnormal, but they can be lessened by reducing the amount of fluid intake. A 3.6 kilo weight gain is too much. Weight gains of 0.5-0.7 kg/day would be a little more appropriate. Underlying cardiac issues may also be...
Nephrology: dialysis and muscle spasms in limbs, chronic lymphatic leukemia, cellulose acetate
chronic lymphatic leukemia, cellulose acetate, baxter ca: Dear Gail, Phone would not be a good idea at the moment as I have not much to offer. I would appreciate if a neurological consult is also obtained may be that may solve the problem/diagnose correctly. If Serum Electrolytes - Na, K, Cl, Ca, P, Mg are...
Nephrology: dialysis, low blood pressure, mental faculties
low blood pressure, mental faculties, talkative person: Dear Diane, Thanks for the mail. Low blood pressure is a very good reason for the symptoms which you say but any change in the dosage or stopping should be done in consultation with your local physician/nephrologist but do it very urgently (ASAP) as it is...
Nephrology: dizziness and fainting, low blood pressure, dizzy spells
low blood pressure, dizzy spells, good luck chuck: I have seen hair loss before, but the cramps in the neck seems really strange. Usually cramping in the extremities is not that unusual, but continued cramping may be a sign of getting too dry. Cramping with low blood pressure is generally consdered dry...
Nephrology: dizziness, high blood pressure, trouble breathing, pediatric pulmonologist, chest x ray
pediatric pulmonologist, chest x ray, saline drip: Dear Mariam, My e-mail is doc3255@aol.com (sorry about that). Pheos are diagnosed by a combination of blod and urine tests. They are called plasma catacholamines, urine and/plasma metanephrines. They are usually elevated. Sometimes, however, they need...
Nephrology: Eating before dialysis, dialysis treatment, dialysis unit
dialysis treatment, dialysis unit, dialysis machine: I am probably the biggest stickler when it comes to eating just prior to or on dialysis. The reason that it is not allowed is simple. Blood goes to the gut for digestion. This lowers the blood pressure and reduces the circulating blood volume. If your...
Nephrology: Effects of Dialysis (Dizzy, faint), blood sugar levels, peritoneal dialysis
blood sugar levels, peritoneal dialysis, nephrologist: Dear John, Thanks for the mail and I am sorry for the delay and apologize for the same as it was due to my preocupations out of town. The symptoms indicate that she is really having some problem and the dialysis may not be proper as it may not be yielding...
Nephrology: Effects from drugs for transplant, soles of my feet, peripheral neuropathy
soles of my feet, peripheral neuropathy, kidney failure: It sounds like you have a peripheral neuropathy which may be due to many different things, in your case, kidney failure prior to your transplant. The neuropathy of uremia (as it is called) often goes away after a transplant but can persist and rarely is first...
Nephrology: Evaluated Creatine, but normla BUN, serum creatinine, creatinine clearance
serum creatinine, creatinine clearance, wisdom teeth: Dear Bethany, The short answer is probably not. 0.8 mg% as the upper limit of normal for the creatinine seems really low. Most labs define their upper limit of normal at or around 1.2 or 1.3 gm%. To be sure, after the issues of your infection have resolved,...
Nephrology: Evaluated Creatinine, but normal BUN, wisdom teeth, ct scanning
wisdom teeth, ct scanning, oral surgeon: Hi Bethany, Thanks for asking me to help with your problem. Radiocontrast, sometimes used during CT scanning can cause an elevation in serum creatinine. Was it used during your study? I would not be very concerned about the slight rise in serum creatinine....
Nephrology: Excessive Protein in urine, protein excretion, kidney biopsy
protein excretion, kidney biopsy, renal ultrasound: Dear Elisabeth, Thanks for your follow up. If the blood sugar was 145 on a fasting specimen then your husband has diabetes and needs to be treated for it. Adult onset diabetes is very common, occurring in individuals who are often over weight. The association...
Nephrology: Excessive Urination, excessive urination, signs of diabetes
excessive urination, signs of diabetes, normal urination: Dear Dee Lightner, The answer varies with the age, sex, health and disease conditions, environment and several other factors. This also is an individual variation. Please be very specific what and why you want to know and for whom? Best wishes...
Nephrology: elevated BUN reading of 30, kidney function test, urea nitrogen bun
kidney function test, urea nitrogen bun, blood urea nitrogen: Dear Erik, Blood urea nitrogen (BUN) is not only a kidney function test but is a chemical that increases in the blood when the diet is high in protein or if you become dehydrated or if there is an obstruction to the flow of urine or for a variety of other...
Nephrology: elevated creatine & bun levels, bun and creatinine, trigylcerides
bun and creatinine, trigylcerides, high cholesterol: Dear Margaret, Thanks for the mail. Your regular medical doctor is right and you should see a nephrologist. There is a huge list of possibilities but they are better ruled out/confirmed by actually seeing the patient. Currently I have no information available...
Nephrology: I have something ON my eye.. right in the corner, minor trauma, kidney disease
minor trauma, kidney disease, lens solution: Dear Sabrina, This question has nothing to do with kidney disease and therefore is out of my area of expertise. However, what you describe sounds like a condition called a subconjuntival hemorrhage which occurs commonly as a consequence of minor trauma...
Nephrology: FACP, american board of internal medicine, board of internal medicine
american board of internal medicine, board of internal medicine, american college of physicians: Dear Pam: Thanks for your question. The suffix after my name, FACP, stands for Fellow of the American College of Physicians . The college or ACP is an organization formed around the turn of the 20th century to foster academic excellence in medicine....
Nephrology: My Father, blood pressure meds, normal blood pressure
blood pressure meds, normal blood pressure, blood pressure medications: You dohn t get to 80 if you are not doing something right. The big but here is that he is overweight and had blood pressure issues. You said that he is dizzy, is that because of the blood pressure medications? Is he taking the blood pressure meds during...
Nephrology: Fatigue, kidney function tests, liters of water
kidney function tests, liters of water, psychological depression: DEar Mohana, There is no relationship between your son s imbibing 5-6 liters a day of water (irrespective of its mineral content) and his fatigue. I m inclined to agree with his doctors and say that he is normal, if his kidney function tests are normal...
Nephrology: Fetal pelvic kidneys, pediatric nephrologist, pediatric urologist
pediatric nephrologist, pediatric urologist, flexible tubes: Dear Yuri, Pelvic kidneys and other abnormal anatomic locations are fairly common. In general, they do NOT cause any difficulties. Having said that, because the ureters, (the flexible tubes connecting the kidney to the bladder through which urine flows...
Nephrology: Is Foam/Frothy urine an acurate indicator of proteinuria?, negative test result, routine urinalysis
negative test result, routine urinalysis, foamy urine: Hi Michael, Here are the answers to your questions: 1. This does not sound like it would be caused by proteinuria. What you are describing is the normal physical behavior of a urine specimen. 2. False negativity for urine protein may occur in the...
Nephrology: Foam in urine, protein in the urine, kidney problems
protein in the urine, kidney problems, high velocity: Dear Mike: Foam in the urine is common and is almost always normal. It has been suggested in the past that it is related to protein in the urine but that is essentially an old wives tale. Although massive proteinuria can be associated with foam the usual...
Nephrology: Foamy Urine, foamy urine, protein in the urine
foamy urine, protein in the urine, proteinuria: Dear demitri: The changes you describe in your urine are likely due to changes in the concentration of urine in response (as you suggested) to fluid depletion. Protein in the urine is not a significant pathologic finding in the urine but, as I have said...
Nephrology: Foamy Urine, uti test, foamy urine
uti test, foamy urine, protein in the urine: dear Barbara, Foamy urine, in the past, has been attributed to protein in the urine (proteinuria). However, many patients complain of foamy urine and have normal urinanalyses. It is felt by some that the foamy phenomenon is probably due to the velocity...
Nephrology: Foamy Urine, abnormal quantities, foamy urine
abnormal quantities, foamy urine, kidney disorder: Dear Joe, In years past foamy urine was thought to be associated with abnormal quantities of protein in the urine. This condition (proteinuria)will, in fact, tend to make the urine foam but inconsistently so...so that it isn t a very useful sign. Usually,...
Nephrology: Foamy urine...again, protein excretion, 24 hour urine collection
protein excretion, 24 hour urine collection, serum creatinine: Dear Ida, Foamy urine was first attributed to proteinuria (protein in the urine) in the 1700 s by a physician named Richard Bright. Since then, that abnormality has been blamed on proteinuria. In fact, if a patient has massive proteinuria (that is 3000...
Nephrology: Foamy urine for no apparent reason, protein shakes, weight lifter
protein shakes, weight lifter, foamy urine: There are two big red flags for kidney disease. Bloody urine (hematuria) and protein in the urine (proteinuria). A routine urinalysis gives only the most gross estimation of protein and, as you are doing, a 24 hour urine is essential to quantify the degree...
Nephrology: Foamy urine, foamy urine, frothy urine
foamy urine, frothy urine, bed wetter: In years past, foamy urine was considered to be a sign of protein in the urine. Today, however, it is considered to be an inconsistent and grossly flawed sign because most urine containing protein does not foam, while occasionally urine without protein does...
Nephrology: Follow up, polycystic ovarian syndrome, kidney biopsy
polycystic ovarian syndrome, kidney biopsy, butterfly rash: Dear Ashley, Good to hear from you again. I think I could summarize your case by saying that you are a premenopausal girl with the metabolic syndrome, one autoimmune disorder (Hashimotos),a kidney stone,who has been referred to a nephrologist for presumed...
Nephrology: Frequent urination, frequency of urination, foul odor
frequency of urination, foul odor, good night sleep: Dear Rebekah: Good to hear from you again. Diabetes could come on that fast but I don t think it s likely that you have it. However, you need to be sure so I would suggest that you check with your doctor s office since there was probably a blood sugar...
Nephrology: FSGS, gentilini, wits end
gentilini, wits end, unine: Dear Cynthia, Thanks for the mail. I will need your blood reports for Hemoglobin, Blood Sugar, Urea, Creatinine, S. Proteins with A/G ratio, S. Sodium and Potassium and Soidum. Please send me these With best wishes for your health Dr. R. Srivastav...
Nephrology: abnormal ultrasound and blood in urine, renal pyramids, ultrasound assessment
Nephrology: abnormal ultrasound and blood in urine, renal pyramids, ultrasound assessment, benign condition
Nephrology: Benicar and kidney function, benicar, internist
Nephrology: Benicar and kidney function, benicar, internist, blood pressure
Nephrology: Bladder capacity, ml capacity, bladder
Nephrology: Bladder capacity, ml capacity, bladder, desire
Nephrology: baby with one kidney, mineral water, reflux
Nephrology: baby with one kidney, mineral water, reflux, sodium
Nephrology: bun/creatinine ratio, bun creatinine ratio, kidney damage
Nephrology: bun/creatinine ratio, bun creatinine ratio, kidney damage, pathologies
Nephrology: contrast dye on kidneys, kidney specialist, stomach pain
Nephrology: contrast dye on kidneys, kidney specialist, stomach pain, high blood pressure
Nephrology: Dialysis side effects (faint, dizzy), capd, physical therapist
Nephrology: Dialysis side effects (faint, dizzy), capd, physical therapist, dialysis treatment
Nephrology: dizziness, high blood pressure, trouble breathing, blood pressure, autonomic nervous systems
Nephrology: dizziness, high blood pressure, trouble breathing, blood pressure, autonomic nervous systems, orthostatic tachycardia
Nephrology: Eating before dialysis, precise science, coffee tea
Nephrology: Eating before dialysis, precise science, coffee tea, kemo
Nephrology: FACP, mustard, acronym
Nephrology: FACP, mustard, acronym, competence
Nephrology: Fetal pelvic kidneys, pelvic kidney, wrestling match
Nephrology: Fetal pelvic kidneys, pelvic kidney, wrestling match, laceration
Nephrology: Foam in urine, protein in the urine, kidney disease
Nephrology: Foam in urine, protein in the urine, kidney disease, old wives
Nephrology: Frequent urination, bladder problem, overactive bladder
Nephrology: Frequent urination, bladder problem, overactive bladder
Nephrology: FSGS, kidney disease, s hospital
Nephrology: FSGS, kidney disease, s hospital, brigham and women
Nephrology: My father is having Uramia, empty stomach, urinary obstruction
Nephrology: My father is having Uramia, empty stomach, urinary obstruction, information thanks
Nephrology: High Bun/Creatine Ratio, high protein diets, diovan hct
Nephrology: High Bun/Creatine Ratio, high protein diets, diovan hct, low carbohydrate fruits
Nephrology: high protein level, serum albumin, serum creatinine
Nephrology: high protein level, serum albumin, serum creatinine, kidney function
Nephrology: Kidney pain and burning during urination, kidney stone, lemons
Nephrology: Kidney pain and burning during urination, kidney stone, lemons, lemonade
Nephrology: Large single left kidney cyst (4.2x 3.6x4.0cm), pain under right rib cage, liver enzymes
Nephrology: Large single left kidney cyst (4.2x 3.6x4.0cm), pain under right rib cage, liver enzymes, kidney cyst
Nephrology: Lisinopril VS Diovan, doctors, falkinburg
Nephrology: Lisinopril VS Diovan, doctors, falkinburg, eplipsey
Nephrology: Long term effects/possible dangers of plasmapheresis, calcium phosphate, electrolyte imbalance
Nephrology: Long term effects/possible dangers of plasmapheresis, calcium phosphate, electrolyte imbalance, low calcium
Nephrology: Low creatinine level in one-time urine test, first response
Nephrology: Low creatinine level in one-time urine test, first response
Nephrology: M.D.?, apples and oranges, theoretical physicists
Nephrology: M.D.?, apples and oranges, theoretical physicists, industrial mathematics
Nephrology: men on dialysis and fertility, hemodialysis, good doctor
Nephrology: men on dialysis and fertility, hemodialysis, good doctor
Nephrology: Possible kidney disease - suggestions for tests?, diet change, dissappeared
Nephrology: Possible kidney disease - suggestions for tests?, diet change, dissappeared
Nephrology: Protein in Urine, protein in urine, renal functions
Nephrology: Protein in Urine, protein in urine, renal functions, proteinuria
Nephrology: Protein in urine, specific gravity, kidney disease
Nephrology: Protein in urine, specific gravity, kidney disease, salt intake
Nephrology: pain in area of right kidney, kidney pain, google search
Nephrology: pain in area of right kidney, kidney pain, google search, tick bite
Nephrology: peritoneal dialysis, 4th month of pregnancy, kidney problem
Nephrology: peritoneal dialysis, 4th month of pregnancy, kidney problem, bed rest
Nephrology: ph. value of urine, sublingual salivary gland, mucous secretion
Nephrology: ph. value of urine, sublingual salivary gland, mucous secretion, parotid salivary gland
Nephrology: protein in urine ..., uia, proteins
Nephrology: protein in urine ..., uia, proteins, protein
Nephrology: Renal Cyst and Back pain, flank pain, nearby structures
Nephrology: Renal Cyst and Back pain, flank pain, nearby structures, renal cyst
Nephrology: Second kidney transplant., doctores, kidney
Nephrology: Second kidney transplant., doctores, kidney
Nephrology: Serum Creatine and 24 hrs Urine, betahistine, antiemetic
Nephrology: Serum Creatine and 24 hrs Urine, betahistine, antiemetic, glimepiride
Nephrology: Specialist for Goodpasture's Syndrome, kentucky women, god
Nephrology: Specialist for Goodpasture's Syndrome, kentucky women, god
Nephrology: slightly elevated creatinine, creatinine levels
Nephrology: slightly elevated creatinine, creatinine levels
Nephrology: strange side effects of dialysis, restless leg syndrome, numbness
Nephrology: strange side effects of dialysis, restless leg syndrome, numbness, ankles
Nephrology: symptoms/possible diseases nephrology, nephrology department, rochester minnesota
Nephrology: symptoms/possible diseases nephrology, nephrology department, rochester minnesota, mayo clinic
Nephrology: treatment options for medullary sponge kidney, kidney pelvis, giant stones
Nephrology: treatment options for medullary sponge kidney, kidney pelvis, giant stones, coping mechanisms
Nephrology: Vitamin D levels very low, vitamin d, periods
Nephrology: Vitamin D levels very low, vitamin d, periods, regime
Nephrology: Vitamin D levels very low, parathyroid tumor, elevated pth
Nephrology: Vitamin D levels very low, parathyroid tumor, elevated pth, dexa scan
Nephrology: My father is having Uramia, kidney function tests, congestive heart failure
kidney function tests, congestive heart failure, signs of heart disease: Dear Ravi, Thanks for the additional information. Your father s kidneys , as I suspected, are not the problem. His echocardiogram also suggests that he does not have heart failure. This is also evidenced by the fact that his heart is not enlarged on...
Nephrology: Left flank pain, left flank pain, protein excretion
left flank pain, protein excretion, serum creatinine: Hi Emmie, Thanks for your question on Allexperts . Please get in touch with a Nephrologist as soon as possible. A detailed history, physical and other lab tests are needed to diagnose your condition: -The 24 hour urinary protein excretion. -BUN...
Nephrology: left flank pain and blood in urine, left flank pain, serum electrolytes
left flank pain, serum electrolytes, serum creatinine: Hi Helga, Thanks for asking me to help with your query related to the kidneys. Without doing a physical examination on you, it will be very difficult for me to judge what is causing the flank pain and hematuria. In addition to the IVP and CT scan,...
Nephrology: flank pain and elevated creatinine, right flank pain, bun creatinine ratio
right flank pain, bun creatinine ratio, hyaline casts: Dear Cindy, Internet diagnosis is difficult but, that said, there are some thoughts that I could share. We are assuming that her creatinine elevation is acute and related to her flank pain. If her kidney size were small or low normal, it would suggest...
Nephrology: fluid retention from rapamune ?, kidney transplant patient, immunosuppressive regimen
kidney transplant patient, immunosuppressive regimen, rapamune: Dear Rose, You should absolutely not be modifying your medications without the supervision of your physician. A kidney transplant patient is an extremely complicated patient and perturbing your immunosuppressive regimen is a prescription for disaster....
Nephrology: foamy urine, serum creatinine, foamy urine
serum creatinine, foamy urine, protein in the urine: Hi Kat, Thanks for asking my help on Allexperts . Foamy urine is not ALWAYS associated with proteinuria. From a kidney standpoint, if your urinalysis did not show any protein in the urine and if your BUN and serum creatinine are within normal range,...
Nephrology: foamy urine hydration, foamy urine, dipstick test
foamy urine, dipstick test, physical behaviour: Hi Ben, Good to hear from you again. You are right, the commonly available reagent strip is less sensitive to other proteins in the urine. However, these other proteins are far less common than albumin in the urine. They are tested when there is circumstantial...
Nephrology: frequent urination, frequent urination, health care issue
frequent urination, health care issue, auto trip: Dear Goli, First, it is not likely that you have a serious health care issue. If you weight is pretty stable during these episodes and if the electrolytes in your blood and your blood sugar are normal and you don t have to get up at night to urinate more...
Nephrology: GFR low, creatinine normal, bubbles, low globulin, kidney doctor
low globulin, kidney doctor, kidneys filter: Hi Sue, Thanks for asking me to help with your question. Serum creatinine is the most widely used test to assess kidney function. It is well known among kidney doctors that somebody can have a “normal” creatinine and decreased kidney function. This has...
Nephrology: Glomerularnephritis and hypertension, physiology books, human physiology
physiology books, human physiology, academic exercise: Dear Ann, I am supposed to help patients mostly. If this is academic exercise let me know and I can tell you accordingly. Most of the books on human physiology, pathology and internal medicine besides nephrology deal with the subject in details. You must...
Nephrology: Goodpastures, hydrocarbon solvents, health care provider
hydrocarbon solvents, health care provider, goodpasture: Hi Abby, Thanks for asking me to help with your question. No known prevention of Goodpasture s syndrome exists. People should avoid glue sniffing and siphoning gasoline which expose the lungs to hydrocarbon solvents and can cause the disease. Stopping...
Nephrology: glomerularnephritis, symptoms of renal failure, chronic renal failure
symptoms of renal failure, chronic renal failure, loss of kidney function: Dear Sally Smith, Please excuse me for the delay. Here is the answer to your question: Glomerulonephritis Causes and Risks: Glomerulonephritis is a slow progressive destruction of the kidney glomeruli, with progressive loss of kidney function...
Nephrology: glomerulonephritis, high protein diet, bun creatinine
high protein diet, bun creatinine, urea nitrogen: One can have abnormal urinalysis for up to two years after an episode of acute glomerulonephritis. Foamy urine is usually associated with the velocity of urine flow but, in the past, has been attributed to protein in the urine. This is not a phenomenon that...
Nephrology: Haemodialysis and Analgesics, kidney failure, hardening of the arteries
kidney failure, hardening of the arteries, arteries of the brain: First, I m sorry that your dad and you are all having such a difficult time. Opiates, morphine, demerol, oxycodone are essentially metabolized in the liver. It is true that some of their metabolites are excreted into the urine and,therefore, have delayed...
Nephrology: Hi Chuck, I notice that when..., filtration rate, coffee and tea
filtration rate, coffee and tea, reabsorption: Sorry this was late. I have been in Louisana and Mississippi rescuing animals the past 3-4 weeks. Caffeine and theophyline are xanthines found in coffee and tea and cause increased glomerular (the kidney s filter) filtration rate (increased kidney filktration)...
Nephrology: High Bun/Creatine Ratio, high protein diet, bun creatinine
high protein diet, bun creatinine, avapro for high blood pressure: Dear Nancy, No, I do not feel that this is at all related to any recurrence of your breast cancer. I think that the odds are highly in favor of this being do to the protein in your diet which raises the BUN relative to the creatinine. I am comfortable...
Nephrology: High Creatinine Level, acute interstitial nephritis, normal blood pressure
acute interstitial nephritis, normal blood pressure, anti inflammatory drugs: Hi Joyce, I Would be so happy if I can answer your questions and help you. You are a 51 years old female,with no previous diabetes and high blood pressure. Your nephrologist mentioned that you are now stage IV CKD with acute interstitial nephritis and...
Nephrology: High Creatinine Levels, high creatinine levels, high creatinine level
high creatinine levels, high creatinine level, kidney diseases: Dear Brad, A creatinine of 1.7 mg% is abnormal and should have been worked up to see what is causing your kidney failure. Creatinine is a substance produced by muscle that is excreted into the urine. If your kidney function is reduced by one half your...
Nephrology: High Creatinine levels etc., serum creatinine levels, high creatinine levels
serum creatinine levels, high creatinine levels, omega 3 oil: Hi Chuck, Thanks for asking me to help with your Nephrology related queries. Was any work-up done to find out why you have high serum creatinine levels? In other words, what is your basic kidney disease? For most people, a rise in serum creatinine denotes...
Nephrology: High kidney and liver functions, worse case scenario, kidney functions
worse case scenario, kidney functions, kidney tissue: Dear Sandy: Thanks for your question. It is difficult for me to be specific without definitive lab values. Having said that, it is possible that your husband had a subclinical kidney disease at the time of his surgery. We all have an extraordinary...
Nephrology: High Protein in Urine but normal Creatinine, high protein in urine, blood preassure
high protein in urine, blood preassure, albumin in urine: Hi Sachin, Thanks for your question on Allexperts . I would suggest that you get a Nephrology consult. Proteinuria is a flag for kidney disease and should not be taken very lightly. I would also repeat a 24-hour urine protein test. Please do not...
Nephrology: Husband's Kidney Stones, low sodium diet, calcium diet
low sodium diet, calcium diet, low calcium: Kidney stones are common and a real pain in the side. I ve had five myself and I can empathize with you and your husband. The ER doctor is quite correct that your husband needs nephrology follow up. There are many conditions that can CAUSE kidney stones...
Nephrology: headaches, good luck chuck, hemodialysis
good luck chuck, hemodialysis, headaches: Was your mother prone to headaches prior to starting HD? I hope that she has been worked up for the problem. Headaches can be caused by virtually anything and without a proper workup you cannot even venture a guess. I am sorry that I am vague, but...
Nephrology: health questions, bun creatinine ratio, ldl cholestrol
bun creatinine ratio, ldl cholestrol, kidney function tests: Dear Mary, I have never ordered an insulin level. I haven t the foggiest idea what the normal values are. I expect they would vary wildly depending upon the blood sugar levels. If you are not diabetic I don t know why it would be ordered anyway. Additionally,...
Nephrology: high bun/creative ratio., high protein diet, creatine levels
high protein diet, creatine levels, stool specimens: Dear Rosanne, Thanks for your question. You probably have nothing to worry about with your BUN/Cr ratio of 25. The normal should be approximately 10 to 15 to one. The most common causes of a high ratio are a high protein diet and dehydration. Other...
Nephrology: high consumption of salt, low salt diet, precious cargoes
low salt diet, precious cargoes, camel caravans: Hi Claire, Thanks for asking me to answer your query related to salt and hypertension. The human race is considered to have been on the earth for about 3 million years, and those living inland had to eat a low-salt diet (approximately 10 to 15 mmol/day)...
Nephrology: high consumptionof salt, normal blood pressure, salt restriction
normal blood pressure, salt restriction, blood pressure problems: Dear claire, The quantity of salt in the diet tends to correlate with the height of the blood pressure. Additionally, a type of hypertension (high blood pressure) is salt sensitive in nature and dietary salt reduction is a very effective adjunctive treatment....
Nephrology: high creatinine level, serum creatinine level, high creatinine level
serum creatinine level, high creatinine level, kidney transplantation: Dear Hassan, Thanks for asking me to help with your kidney related issue. There are many factors that affect the serum creatinine level after kidney transplantation. One of the most important factors is the level of HLA mismatch. I presume that as the...
Nephrology: high protein level, cancer of the bladder, kidney diseases
cancer of the bladder, kidney diseases, protein in the urine: Dear Natalie, There are two red flags for kidney disease. One is protein in the urine (proteinuria) and the other is blood in the urine (hematuria). You have both and need to be thoroughly evaluated for kidney disease. This needs to be done with some expediency...
Nephrology: high serum creatinine level, serum creatinine level, serum creatinine levels
serum creatinine level, serum creatinine levels, left kidney: Hi Nooshin, Thanks for asking my opinion on your Nephrology related question. Serum creatinine assay is measured in various labs using different commercially available kits. Each kit has its own normal reference values. You say that your husband s results...
Nephrology: hypocalcemia/kidneys, parathyroid glands, creatinine clearance
parathyroid glands, creatinine clearance, calcium tablets: Dear Connie, Your creatinine is (despite being in the normal range) slightly elevated for a woman. Additionally, your creatinine clearance is low, documenting depressed kidney function. You need to get a 24 hour urine collection for creatinine clearance...
Nephrology: IGA Nephropathy, serum creatinine levels, kidney biopsy
serum creatinine levels, kidney biopsy, current bun: Hi Kristin, Thanks for asking my help on Allexperts . If your diagnosis was made based on a kidney biopsy, I would like to know the details of that report. Each patient s rate of decline of GFR varies. I can make an educated guess based on your biopsy...
Nephrology: IgA Nephropathy diagnosis, kidney biopsy, flank pain
kidney biopsy, flank pain, extreme tiredness: Hi Jeremy, Thanks for your question on Allexperts . IgA Nephropathy is a pathological diagnosis. I am afraid a definitive diagnosis cannot be made without a kidney biopsy. Flank pain and tiredness, per se, would not suggest IgA nephropathy as the...
Nephrology: Inquiring about ESRD patient/friend, tissue antigens, kidney failure
tissue antigens, kidney failure, kidney transplant: Dear Anthony, How long any patient lives after dialysis is instituted depends upon what other diseases they develop. One, of course, cannot accurately predict this without life insurance tables. It is important to remember that dialysis only keeps one...
Nephrology: Interpret results of 24 hr urine test, protein excretion, kidney biopsy
protein excretion, kidney biopsy, hr urine: Thanks for following-up, Eric. Overt Proteinuria means that your protein excretion is more than 150 mg/day. I would not be worried about cancer, though. After a detailed history and physical examination, I would advise a kidney biopsy to my patients...
Nephrology: increased creatnine level, primary care physicians, care doctors
primary care physicians, care doctors, kidney disease: Dear Diabetic: Your creatinine is abnormal and needs to be worked up. You do need further tests and this is potentially very serious. You are in dire need of a good nephrologist to do this for you. Obviously, neither your endocrinologist nor your primary...
Nephrology: iritation on urine path while go for urine, blood sugar test, culture sensitivity
blood sugar test, culture sensitivity, sensitivity test: Hi Chinnasamy, Thanks for asking me to help with your problem. Without examining you, it will be very difficult to diagnose your condition. From your description, it seems that you are suffering from a urinary tract infection. If you are not currently...
Nephrology: KIDNEY CANCER STONES AND FAILURE, renal cell carcinoma, generic drug name
renal cell carcinoma, generic drug name, left kidney: Dear Maryann, I need to make sure that I understand the details here. your husband had a RIGHT nephrectomy for renal cell carcinoma which was found incidentally when he was being investigated for a stone in his LEFT kidney. Initially, his creatinine...
Nephrology: KIDNEY DISEASE, focal glomerulosclerosis, kidney biopsy
focal glomerulosclerosis, kidney biopsy, low protein diet: Dear Ron: If you are not a diabetic and are under 50 years old, then you almost certainly have some form of glomerulonephritis, possibly membranous or focal glomerulosclerosis. Whatever it is, it has progressed far enough to severely damage your kidney...
Nephrology: KIDNEY FAILURE, red blood count, low red blood count
red blood count, low red blood count, low hemoglobin: Hi Maryann, Thanks for asking my help on Allexperts . The boils are not related to kidney disease. Most likely, they start out with an infection in the root of hair follicles. I would not advise my patients to apply heat. Sometimes, that can cause worsening...
Nephrology: KIDNEY PROBLEM, left kidney, bladder cancer
left kidney, bladder cancer, kidney problem: Hi John. Thanks for asking me to help with your questions. I need some more information about the patient. What is the age, gender and ethnicity? How long has he had bladder cancer? I presume that the values you have quoted are serum creatinine readings....
Nephrology: Kidney blood tests help, high protein foods, blood test results
high protein foods, blood test results, amino acids: Roberto, You are obviously into body building or running. First off, the panel is fine. The substance that you are taking is creatine, not creatinine. The latter, creatinine is a waste product produced by your muscles as you exercise. Here is the...
Nephrology: Kidney blood tests help, high protein foods, blood test results
high protein foods, blood test results, kidney problems: Dear Roberto The BUN is a tad bit high. But being one point above the range given by the lab is not terrible. Your Creatinine is 1.0 which would tell me that your kidneys seem to be fine. If you do not have any health problems, I d probably not worry...
Nephrology: Kidney cysts, renal cortical cysts, kidney cysts
renal cortical cysts, kidney cysts, renal cysts: Hi Janice, Thanks for asking me to help with your problem. People can have two different kinds of renal cysts. One kind is known as Simple renal cortical cysts and the other are known as Complex cysts . Simple cysts do not cause any problems and hence,...
Nephrology: Kidney cysts, kidney cysts, cysts in kidneys
kidney cysts, cysts in kidneys, kidney complications: Dear Ramona Ivy, Please excuse me for the dealy in reply. My apologies for the delay as I was out of town on a conference tour. Thanks for the mail & faith in me. Your mother has shown 5 cysts in kidneys on an ultrasound for her severe pain. Should my...
Nephrology: Kidney dialysis, dialysis nurse, kidney pancreas
dialysis nurse, kidney pancreas, kidney dialysis: Betty, First, I am not a transplant recipient........I am a dialysis nurse with 24+ years of experience. I make the assumption that she is going onto peritoneal dialysis. That is a reasonable choice for her. Not knowing what her age and general physical...
Nephrology: Kidney disease, kidney function tests, high protein diet
kidney function tests, high protein diet, kidney biopsy: Dear Jim: The BUN and creatinine are two kidney function tests that measure the ability of your kidneys to filter your blood. Of the two, the creatinine is the most accurate. A creatinine of 1.7 mg% is too high unless you are a giant on a very high protein...
Nephrology: Kidney diseases in family, polycystic kidney disease, alex dear
polycystic kidney disease, alex dear, genetic fingerprints: Dear Alex, Merry Christmas to you also dear Alex. Also I wish you a very happy new year. I am sorry for the delay but you know that this is the time for holidays and outing so probably I may be excused for the same by you. However I still apologize for...
Nephrology: Kidney function/oxygen levels in blood, blood oxygen, oxygen level
blood oxygen, oxygen level, kidney problems: Thanks for the mail. Best wishes for speedy recovery of your father and wish him good health. Meanwhile only thing you have given me is his age 68, blood oxygen-50% and diagnosed as Diabetes & Hypertension. I also need blood reports for all of them. Oxygen...
Nephrology: Kidney Pain, trouble urinating, kidney pain
trouble urinating, kidney pain, ultrasound examinations: Dear Jeremy Mathis, Thanks for your mail. I will certainly need some reports of your urine, blood and radilogical and Ultrasound examinations. If not done please get an appointment ASAP and do it right away. Take care and wish you a speedy recovery ...
Nephrology: Kidney pain and burning during urination, burning sensation while urinating, flank pain
burning sensation while urinating, flank pain, kidney pain: Dear Julie, Clearly, both endometriosis and kidney stones can cause abdominal and flank pain. You have both endometriosis and stones so you are vulnerable to pain from either source. The pain from kidney stones tends to be quite characteristic. It...
Nephrology: Kidney pain with infection, kidney pain, kidney infection
kidney pain, kidney infection, abdominal ultrasound: Dear Beth, I am sorry for delay in reply. I was out of town. For your daughter the tests needed may be Urine Examination - Routine & Microscopic, Urine for Culture & Sensitivity, S. Creatinine, Blood Urea and S. Electrolytes besides Abdominal Ultrasound...
Nephrology: Kidney problems & Hypertension, diastolic blood pressure, blood urea nitrogen
diastolic blood pressure, blood urea nitrogen, trichomonas vaginalis: Dear M.Ca, All your workup results are normal. You do not have any kidney disease. For your back pain, I suggest that you get yourself examined by a good family physician. (S)he will be able to guide you further. Get your blood pressure examined again....
Nephrology: Kidney Simptoms, kidney transplantation, survival advantages
kidney transplantation, survival advantages, chinese herbs: Hi Chandani, Thanks for asking me to help with your Nephrology related query. To better answer your questions, I need to know what is your basic kidney disease. In other words, what led to ESRD? Please be very careful while taking Chinese herbs. Some...
Nephrology: Kidney Stone, kidney stone, biochemical pathways
kidney stone, biochemical pathways, kidney stones: Dear Stacey, Since the problem has been present for two years, waiting another two weeks probably is not going to make any difference in your child s health. However, the sooner it s removed the better. You (and your child) need BOTH a urologist AND...
Nephrology: Kidney Stones - 2nd opinion, flank pain, left kidney
flank pain, left kidney, kidney stone: The radiologist probably said or meant that there are no changes in the findings. Rather than a second radiology opinion, I would be inclined to go for a urology opinion or second opinion if she has already seen one. It sounds like she has a staghorn stone...
Nephrology: Kidney stone in child, painful kidney stones, pediatric urologist
painful kidney stones, pediatric urologist, renal colic: My pleasure! I really think he needs a nephrologist and I m glad you re going to see one. Your son also needs a real urine culture because the dip stick tests do not pick up all organisms, only the very common ones. Please let me know what turns up. ...
Nephrology: Kidney transplantation, kidney failure patients, kidney transplantation
kidney failure patients, kidney transplantation, diseased kidneys: Dear Ranko, Many patients coming to dialysis have small, chronically diseased kidneys and the precise diagnosis cannot be determined. It is,as you suggested, most often a form of chronic glomerulonephritis which is often asymptomatic until it reaches end...
Nephrology: Kidney & urinary tract infections, e coli bacteria, urinary tract diseases
e coli bacteria, urinary tract diseases, uncomplicated uti: You didn t tell me you were taking ural. The purpose of cranberry juice is to acidify the urine. Taking an alkalinizing agent defeats the purpose of the cranberry juice. Therefore, one of them is contraindicated( namely the ural). Having said that, neither...
Nephrology: Kidneys, renal arteries, renal physician
renal arteries, renal physician, arteris: Dear Carolanne, Thanks for the mail. I am sorry for the delay due to my being away. I apologize for the same. Hope you will forgive me. Regarding your case I am with you in thinking that you require more detailed work up by a renal physician ASAP. Don...
Nephrology: kidney bloat, ammonium phosphate, chronic urinary tract infection
ammonium phosphate, chronic urinary tract infection, struvite stones: Hi Bill, Thanks for asking me to help with your query. Nephroptosis (also called floating kidney or renal ptosis) is an abnormal condition in which the kidney(s) drops down into the pelvis when the patient stands up.It is believed to result from deficiency...
Nephrology: kidney cysts, transitional cell carcinoma, high chlorestoral
transitional cell carcinoma, high chlorestoral, kidney cysts: Patrick, I doubt very seriously that you have PKD. It is not unusual for the kidney to have cysts. If you had PKD, you would have thousands of cysts on your kidneys. The only applicable medications would be for high blood pressure or high chlorestoral....
Nephrology: kidney's and dialysis, congestive heart failure, kidney functions
congestive heart failure, kidney functions, kidney failure: Thanks for your question. If your grandmother lived 25 years on dialysis she would die at 90 years of age and everyone would want dialysis. The point is that dialysis prevents a patient from dying of kidney failure and only that. One s longevity, after...
Nephrology: kidney disease, renal pelvis, kidney diseases
renal pelvis, kidney diseases, left kidney: Hi Diane, Ureteropelvic junction obstruction is a blockage in the area where the ureter and the renal pelvis meet. The ureter is the tube that carries urine from the kidney to the bladder. The ureter drains the urine from a collecting area, called the renal...
Nephrology: kidney disease / bladder cancer, left kidney, bladder cancer
left kidney, bladder cancer, renal ultrasound: Hi Diane, Thanks for asking me to address your Nephrology related concern. The attending urologist informed you about the possibility of a non-functional left kidney. Some persons have a non-functioning kidney since birth. However, I do not understand...
Nephrology: kidney failure, kidney failure, kidney condition
kidney failure, kidney condition, chronic kidney: Well unfortunately like your friend i had no idea what the symptoms where and i almost died and spent alongt time in the hospital. but i know waht they are now and i d be happy to share with you what i experienced. Well first off i slept alot, and i fell...
Nephrology: kidney function and medication, creatinine levels, creatinine clearance
creatinine levels, creatinine clearance, kidney functions: Dear Marc, Thanks for the mail and question. Also I am sorry for the delay in reply. The only info I have of your kidney functions is S. Creatinine levels of 1.1-1.2 which is not much and does not need any change in dosage if the creatinine clearance is...
Nephrology: one kidney/hypertension, kidney hypertension, renal dietitian
kidney hypertension, renal dietitian, behavioral measures: Hi Jerry, Good to hear from you again. It is difficult to diagnose what is making your hypertension shoot up without a detailed history and physical examination. In my patients, I would like to rule out renal artery stenosis. Has your Nephrologist looked...
Nephrology: kidney insuffiency, stomach ache, stomache ache
stomach ache, stomache ache, kidney trouble: Dear Tammy, You certainly need surgeon s help in the matter. If the urea and pottasium levels are not high and the urine output is not low dialysis is not to be considered. Your treating surgeon remaions the best doctor to advise as he alone knows best...
Nephrology: one kidney & male fertility, dialysis techniques, kidney failure
dialysis techniques, kidney failure, dialysis patient: Dear Tempestt, Your partner has only 40% of ONE kidney. If his kidney function is stable and he does not have a progressive kidney disease, then with 40% of one kidney he PROBABLY would not be infertile. This also assumes that he has no other issues...
Nephrology: kidney problem, serum creatinine, chronic kidney disease
serum creatinine, chronic kidney disease, kidney problem: Hi Rony, Thanks for asking me to help with your mother s problems. 1. From what you have described, it seems that she has some sort of a chronic kidney disease (CKD). For a 58 year old lady with a creatinine of 2.3, her estimated GFR is 23 ml/min/1.73...
Nephrology: kidney problem, urine protein electrophoresis, protein excretion
urine protein electrophoresis, protein excretion, kidney problem: Dear Rony, First, I m very sorry your Mother is having these difficulties. She clearly has some form of kidney disease and it may well be due to damage from repeated infections of the urine and kidney. Unfortunately, it is impossible to tell exactly...
Nephrology: kidney spasms?, kidney spasms, health recovery
kidney spasms, health recovery, urine output: Dear MArk Wright, Thanks for the mail. Sorry or the delay. I would like to know what happens to your urine output before, during and after the spasm in the back? This may also be related to gaseous distension as it ocurs with Soda ingestion. Let me know...
Nephrology: kidney stone resulting in high blood pressure, kidney stone, essential hypertension
kidney stone, essential hypertension, kidney stones: Hi again! Essential hypertension (garden variety high blood pressure) doesn t develop that fast in and of itself. Usually, one goes through a variable period during which time the patient has what is called labile hypertension. The pressure tends to bounce...
Nephrology: kidney stones and blood pressure: a link?, cause of high blood pressure, kidney stone
cause of high blood pressure, kidney stone, kidney stones: I ve had five stones myself so you have my sympathy! Stress is NOT a cause of high blood pressure. Stress however can cause a fleeting rise in pressure because of the outpouring of adrenalin that occurs with the stress. The rise seen with a kidney stone...
Nephrology: kidneys functions, gfr test, kidney problem
gfr test, kidney problem, relativly: Tiffany, I really don t know, but it seems that you have been properly worked up. Estimated GFR has a lot of slop in the results. The only true GFR test would be a 24 urine collection for urea & creatinine. That still might leave you with open answers...
Nephrology: kidneys, bun and creatinine, electronic weighing scale
bun and creatinine, electronic weighing scale, chronic kidney disease: Hi Betty, Thank you for asking me to help with your Nephrology related question. There are many factors to consider when discussing edema. What is the level of renal dysfunction of your son (in other words, what are his BUN and creatinine values)?; does...
Nephrology: LAB WORK, acute kidney failure, creatinine clearance
acute kidney failure, creatinine clearance, dear carmen: Dear Carmen, A creatinine of 1.6mg% is very likely abnormal. Unfortunately, the calculated GFR gleaned from your creatinine, age and weight is notoriously inaccurate! You need a 24 hour urine collection for a creatinine clearance determination. This is...
Nephrology: Lab Results Question, normal creatinine clearance, elevated creatinine level
normal creatinine clearance, elevated creatinine level, mild dehydration: Dear Crystal, Your chemistries can be caused by mild dehydration, perhaps, associated with diarrhea &/or vomiting. If this is the case, correcting the underlying issue will correct any abnormalities in your chemistries. Having said that, it is important...
Nephrology: Lab Results, c peptide, a1c
c peptide, a1c, bun: Currently you are doing very well with Diabetes in good control with A1C of 5.6. Good job!!! Normal Bun is 20 and normal creatinine is 1.0 or less. Seems like you are doing an excellent job over all. All diabetics have some form of nephropathy and...
Nephrology: Laparoscopy for dialysis patient, dialysis patient, good luck chuck
dialysis patient, good luck chuck, banladesh: I really think that this is beyond me BUT I will try to help. The fact that he is on dialysis in Banladesh is amazing! I don t understand the need for laparoscopy for nausea and delirium.....To do the scoping is relatively easy. Light anesthesia. Small...
Nephrology: Large single left kidney cyst (4.2x 3.6x4.0cm), simple renal cyst, kidney cyst
simple renal cyst, kidney cyst, doctor of internal medicine: Dear Debbie, Cysts (large or small) are exceedingly common in the kidney and if simple require neither treatment nor observation. A simple cyst is large or small, is thin walled, is NOT blood filled (this can determined by the CT), and does not have...
Nephrology: Lisinopril VS Diovan, bun creatinine ratio, kidney diseases
bun creatinine ratio, kidney diseases, protein in urine: Dear Richard, These two medications do the same thing in different ways. Lisinopril lowers angiotension II by preventing its generation in the lung. Diovan is an angiotension II receptor blocker and lowers angiotension II by preventing it from binding...
Nephrology: Lisinopril VS Diovan, bun creatinine ratio, serum creatinine level
bun creatinine ratio, serum creatinine level, atenolol 25mg: Hi Ed, Your lipid profile right know is perfect. Your total cholesterol should be less that 200, your LDLs less than 100 and your HDL above 40. Personally, I m a firm believer in pharmacologic Rx for lipids because my experience is that over the long...
Nephrology: Long term effects/possible dangers of plasmapheresis, epstein barr virus, low grade fever
epstein barr virus, low grade fever, fever 99: Dear Jennifer, Thanks for the mail. I really have no idea about your past episodes as that can be known and told by the doctor then attending you best. May be it was hypotension(transient)??but I can not say for sure. I have no knowledge of genetic...
Nephrology: Long-term lithium use and Chronic Renal Insufficiency, lithium carbonate, chronic renal insufficiency
lithium carbonate, chronic renal insufficiency, lithium treatment: Hi Shane, Thanks for asking me to help with your problem. Based on the information you have provided me, your estimated GFR is 56 ml/min/1.73 m2. This puts your renal function as CKD stage 3. Please set up a consult with a Nephrologist as early as...
Nephrology: Low creatinine level in one-time urine test, protein excretion, low creatinine level
protein excretion, low creatinine level, urine concentration: Dear Kate, There is a kidney condition called the nephrotic syndrome which is characterized be massive amounts of protein in the urine (proteinuria) (up to 50-60 grams/day), low concentrations of protein in the blood, fat in the urine, massive swelling...
Nephrology: Lupus Nephritis and Transplant, kidney transplant patients, lupus nephritis
kidney transplant patients, lupus nephritis, plasma proteins: Dear Gary: I do not necessarily agree that the best therapeutic option you you is a transplant.Each modality of treatment of ESRD has it s unique downsides. Your treatment, for example, tends to be associated with nutritional issues because of the protein...
Nephrology: lithium and creatinine levels, chronic interstitial nephritis, lithium toxicity
chronic interstitial nephritis, lithium toxicity, pylenephritis: Dear Patricia, Good to hear from you again. If your doctor won t refer you for another opinion then you clearly need another doctor. When you are dealing with your own life and limb, the physician s sorry ego is simply not a consequence. Here is what...
Nephrology: low BUN/Creatime ratio, bun blood urea nitrogen, bun creatinine
bun blood urea nitrogen, bun creatinine, blood urea nitrogen: Dear Laura, The BUN (blood urea nitrogen) is an indirect measure of urea. Urea is the end product of protein metabolism and its production in the body reflects the amount of protein in the diet. The more protein in the diet, the more urea is produced and...
Nephrology: low creatinine levels, low creatinine levels, good luck chuck
low creatinine levels, good luck chuck, kidney infections: I am not an MD. The problem with recurrent infections and treatment thereof is that drugs are excreted through the kidneys (for bladder/kidney infections which does make sense) or they are broken down or changed into a usable form in the liver. If the liver...
Nephrology: low urine creatinine, critical care nurse, urine drug screen
critical care nurse, urine drug screen, urine specimen: Hi Kim, Thanks for following-up with me. When giving a sample for urine creatinine, patients are advised to void, drink a large glass of water, and then provide a urine specimen for analysis within an hour. If a urine sample is too dilute (specific...
Nephrology: very low Vit D, anion gap, collagen vascular disease
anion gap, collagen vascular disease, vitamin d deficiency: Dear Deborah, I think I understand that you are a physician. Since vitamin D assays have been available, it has become apparent that vitamin d deficiency is extremely common in the United States. Clinically, it is characterized by arthralgias and myaligas...
Nephrology: lower back pain and blood in urine, kidney stone disease, renal ultrasound
kidney stone disease, renal ultrasound, ultrasound exam: Dear Kori, I have an old saying.. back pain in the absence of fever is never from the kidney, it s from the back . The main exception to this is kidney stone and the red flag for kidney stone is blood in the urine. Therefore, I believe you need to be...