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Nephrology/Questions
| Subject | Date Asked | Expert |
| anti iflammatory drug and relationship to hypertension | 2/9/2012 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
| Q: my name is abdikarin from somalia 27 years old when i was 17 years old i have sore eyes and then ... A: Abdikarin, Thanks for your question on "Allexperts". A careful history, physical examination, lab ... | ||
| APSGN | 2/9/2012 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
| Q: My daughter, aged 4, has had microhematuria for 8 months that we know of. Ultrasound normal, all ... A: Michelle, Thanks for following up with me. Low complement levels can be due to a variety of ... | ||
| APSGN | 2/8/2012 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
| Q: My daughter, aged 4, has had microhematuria for 8 months that we know of. Ultrasound normal, all ... A: Michelle, Thanks for your question on "Allexperts". You have not mentioned about protein in urine. ... | ||
| Kydney plot cyst and its effect on BP | 2/5/2012 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
| Q: Sir, my cousin age 39 is having poly-cyst in his left kidney which diagnosed 12 years back. Due to ... A: Mr. Qureshi, Thanks for your question. The headaches may be a result of uncontrolled hypertension. ... | ||
| protein in urine | 2/5/2012 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
| Q: My brother is 35 yrs old. He received the results of his physical yesterday. His doctor told him ... A: The presence of protein in urine is one of the red flags for the presence of kidney disease. It is ... | ||
| Cloudy urine | 2/4/2012 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
| Q: Doc, i have cloudy urine every now and then after eatting a large carb meal and other times is ... A: Glomerulonephritis High meat diet Kidney infection (pyelonephritis) Kidney failure ... | ||
| Cloudy urine | 2/4/2012 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
| Q: Doc, i have cloudy urine every now and then after eatting a large carb meal and other times is ... A: Scott. Some of the common causes of cloudy urine are: 1. Blood in urine 2. Protein in urine 3. ... | ||
| GFR | 2/2/2012 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
| Q: Dr. Shah, Thank you for your time and expertise. I am a 44yr/f. I recently went to my primary ... A: Chris, Thanks for your question on "Allexperts". You have not mentioned the normal reference range ... | ||
| elevated Scr and low eGFR | 2/1/2012 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
| Q: I’m a 42 yr. old male, H. 182cm W: 114kg My Scr readings have fluctuated between 1.25 and 1.44 ... A: Kevin, Thanks for your question on "Allexperts". It is quite unusual to have no anatomic changes ... | ||
| low gfr high bun | 1/23/2012 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
| Q: I have had a few UTIs in the last 2 months have been on antibiotics 3 times. I have 2nd stage kidney ... A: Gloria, Thanks for asking my help on "Allexperts". If you have a recent kidney infection or are ... | ||
| Female Underweight Donor | 1/22/2012 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
| Q: my friend is so kind to donate me her kidney, as she has been seeing me suffering from the kidney ... A: Bala, Thanks for your question on "Allexperts". I would do an ultrasound of the kidneys to look at ... | ||
| gfr | 1/21/2012 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
| Q: in your prior correspondence you keep insisting that gfr in elderly men is important.i did some ... A: Earl, Thanks for your note. Can you please point out the links to the "many" papers that you ... | ||
| Kidney Infections | 1/18/2012 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
| Q: When I was in 2nd grade I was in the hospital with a kidney infection. I was told not to drink sodas ... A: Lisa, Thanks for your question on "Allexperts". A careful history and physical examination are ... | ||
| High Creatinine 5.3 | 1/17/2012 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
| Q: My father has a single kidney from time of birth and in last week had very high blood pressure ... A: Tarundeep, Thanks for your question The decision to hospitalize a patient depends on his symptoms ... | ||
| kidney calcification | 1/2/2012 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
| Q: i was recently seen in the er for upper left abd pain. with the ct scan it showed calcification in ... A: The most common cause of calcification on kidneys is kidney stones. Without a proper history, ... | ||
| Microhematuria and low C3 | 12/26/2011 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
| Q: I have a 4 year old girl with microhematuria for 6 months (that we know of). We saw a nephrologist a ... A: Michelle, Thanks for asking my help on "Allexperts". Microscopic hematuria with low C3 is most ... | ||
| high protein | 12/23/2011 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
| Q: during my pregnancy 2 years ago i had +3 protein in my urine since then my levels have gone up i did ... A: The presence of protein in urine is one of the red flags for the presence of intrinsic kidney ... | ||
| gfr | 12/17/2011 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
| Q: i am 78 years old and just got back my kidney tests.mt serum creatinine was 1.4 and gfr was 49.my ... A: Howard, Thanks for your vote of confidence for Asian and Indian doctors. If the normal reference ... | ||
| my son Mohamad haidar | 12/13/2011 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
| Q: My son Is 19 years old he has been on dialysis since april of 2008 he was on pd at home 10 hours ... A: A careful history, physical examination, lab tests and imaging of the abdomen are required to arrive ... | ||
| gfr | 12/4/2011 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
| Q: i am 78 year old man with controlled diabetes.my last kidney test done 2 months ago showed no ... A: In your previous question, you mentioned that your S. Creatinine was 1.2 mg/dl. I assumed that it ... | ||
| SYMPTOMS ? KIDNEYS ? | 11/29/2011 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
| Q: Over the past 5/6 months I've been experience the following: - Fatigue, very fatigued. - Tightness ... A: It is not possible to arrive at a diagnosis without a detailed physical examination and running ... | ||
| gfr | 11/27/2011 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
| Q: i am 78 year old man with controlled diabetes.my last kidney test done 2 months ago showed no ... A: What is the normal reference range for your lab? A Creatinine of 1.2 mg/dl is within normal limits. ... | ||
| protienuria | 11/26/2011 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
| Q: "Hello Dr. I am sending this for my friend.He is suffering from diabetes fotr the last 12years., Bp ... A: Your friend is suffering from early stages of diabetic kidney disease, namely, proteinuria. To find ... | ||
| Atrophic kidney and junctional syndrome | 10/10/2011 | RAJ P. SINGH M.D. |
| Q: I am a breast cancer survivor and during a routine ultrasound as follow up it was discovered that my ... A: It appears that you have chronic kidney disease possibly the effect of chemotherapy. The left kidney ... | ||
| cyst in suprarenal region | 10/2/2011 | RAJ P. SINGH M.D. |
| Q: I am 33years old and works as a music teacher.Recently i have diagnosed a complex renal cyst of size ... A: The problem with complex cysts is that they can sometime hide a cancer in the background. CT with iv ... | ||
| losartan | 9/25/2011 | RAJ P. SINGH M.D. |
| Q: i am 77 year old male with controlled diabetes and mild kidney impairment.i was being treated ... A: Enalapril and Losartan belong to two different class of medications. Enalapril belongs to ACE ... | ||
| creatinine level | 9/23/2011 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
| Q: i am 78 years old with diabetes well under control.my last a1c was 6.2anyway i recently took blood ... A: It is true that GFR decreases by 1 ml/min/year after the 3rd decade of life. At the same time, there ... | ||
| elevated BUN/CREAT Ratio | 9/20/2011 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
| Q: ..I was seen recently at the ER for Upper Right Side pain. My gallbladder area is very painful, but ... A: A careful history, physical examination, review of lab tests and imaging of the urinary tract are ... | ||
| Bun:Creatinine ratio | 9/20/2011 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
| Q: First, some background... I am hypoparathryoid. I was on HZTZ up until last week for over 8 1/2 ... A: Are you a really small woman? A Serum Creatinine of 0.6 mg/dl is really low. The slight rise in ... | ||
| 5.9cmx5.2cmx6cm upper left pole kidney cyst | 9/19/2011 | RAJ P. SINGH M.D. |
| Q: It was diagnosed as mildly complex left renal cyst arising from the upper pole. History of malignant ... A: Cysts are very common after age 50. There are simple and complex cysts. Complex cysts are clinically ... | ||
| Kidney specialist refera | 9/16/2011 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
| Q: Doctor Shah: My GP wants me to see a Kidney specialist because some blood work values are "slightly ... A: A careful history, physical examination and imaging of the urinary tract are required to diagnose ... | ||
| foamy urine, protein and blood in urine | 9/14/2011 | Dr.Rangadhar Satapathy.MD(Hom) |
| Q: My son recently( friday night) took an overdose of 50 paracetamol tablets, on top of several pints ... A: haematuria has so many causes and among them kidney stone and urinary tract infection (UTI), any ... | ||
| lostan | 9/12/2011 | RAJ P. SINGH M.D. |
| Q: my doctor changed my meds from enanalpril 30mg to losartan(coozar)i have taken the 100mg coozar for ... A: Losartan is an excellent medication and its side effect profile is very similar to enalapril with ... | ||
| Hematuria | 9/5/2011 | RAJ P. SINGH M.D. |
| Q: I am 69 years old. In 2001 I had an episode of post strep Glomerulonephritis. Then in 2007, every ... A: Microalbumin level is minimal and not significant. Renal tubule cells and other debris do not mean ... | ||
| Percutaneous Nephrostomy Tube | 9/4/2011 | Dr.Rangadhar Satapathy.MD(Hom) |
| Q: I am hoping to gain some clarity on a very a critical matter concerning my Dad. He was diagnosed ... A: his renal failure is obstructive renal failure caused by obstruction at the ureteric level and must ... | ||
| Hematuria | 9/4/2011 | RAJ P. SINGH M.D. |
| Q: I am 69 years old. In 2001 I had an episode of post strep Glomerulonephritis. Then in 2007, every ... A: Hematuria has limited significance in setting of normal BUN and creatinine. Some individuals can ... | ||
| kidney impairment | 9/3/2011 | Dr.Rangadhar Satapathy.MD(Hom) |
| Q: i am 78 years old.my doctor told me my serum creatinine was 1.8when i asked him what my gfr was/he ... A: Attention should be given to both GFR and albuminuria. Any abnormality of any sign or symptom is not ... | ||
| dates and sapota -reg | 9/3/2011 | Dr.Rangadhar Satapathy.MD(Hom) |
| Q: Rangadhar Satapathy.MD(Hom) , I'm 42 male ,good health,exercising alternate days,meditating ... A: You should eat fruits and vegetables. Eating fruits and vegetables is good for health. It does not ... | ||
| gfr | 9/1/2011 | Dr.Rangadhar Satapathy.MD(Hom) |
| Q: I am a white female age 67 of medium build about 15 lbs overweight.yesterday my doctor did blood ... A: Glomerular filtration rate (GFR) is the volume of fluid filtered from the renal (kidney) glomerular ... | ||
| Renal Agenesis | 8/31/2011 | Dr.Rangadhar Satapathy.MD(Hom) |
| Q: I am Kate. I have just been back from my 20th week scan and my baby girl is missing her right ... A: Please again recheck and confirm the findings. It is usually recommended that a repeat ultrasound ... | ||
Nephrology
Answers by Expert:
Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow
Top Expert on this page
Expertise
I can answer all questions related to kidney diseases, hypertension, plasmapheresis and kidney transplantation. I am a Board certified Nephrologist in India. I was a post-Doctoral Scholar at the Division of Nephrology & Hypertension,Department of Medicine, University of California, San Diego. My area of interest is Critical care Nephrology and Acute Kidney Injury.
Please mention the units in which your lab results were reported and the normal reference range for your laboratory.
Alternative Website
http://www.syndeohealth.com/doctors/shamik-shah/91
Experience
Seven years as a Critical Care & Transplant Nephrologist
Organizations
International Society of Nephrology
Indian Society of Nephrology
Indian Medical Association
Publications
- Shah SH, Mehta RL. “Anticoagulation in CRRT: Is Citrate better?”; Vineet Nayyar Ed. Critical Care Update 2009, Jaypee Brothers (In press)
- Shah SH, Mehta RL. “Non-dialytic management of acute kidney disease”; Evidence based Nephrology, BMJ, (In press)
- Shah SH, Mehta RL. “Epidemiology of Community-acquired AKI”; Ronco C, Bellomo R, Kellum J Eds. Critical Care Nephrology, Saunders. ISBN 1-4160-4252-0
- Abdeen O, Shah SH, Mehta RL; “Dialysis therapies in the surgical intensive care unit”; William Wilson, Christopher Grande, David Hoyt Eds. Trauma: Resuscitation, Anesthesia, and Critical Care, Informa Healthcare, NY 2007. ISBN 0-8247-2920-X
- Shah SH, Mehta RL. Acute kidney injury in critical care: time for a paradigm shift? Curr Opin Nephrol Hypertens. 2006 Nov;15(6):561-5.
- Shah, SH, Soroko S, Lischer E, Mehta RL. Delivered vs. Prescribed dose of Dialysis in Hospitalized Patients: Results of an Audit. J Am Soc Nephrol 17(Abstracts Issue): 2006, 107A.
- Shah SH et al “Biochemical Nutritional Parameters in Non-vegetarian and Vegetarian CAPD patients” Perit Dial Int 2001; 21 Suppl 2: S1-182
- Shah SH et al “Basiliximab in renal transplantation – Does it prevent acute rejections?” Indian J Nephrol 2000: 10: 100-144.
Education/Credentials
MBBS, MD (Internal Medicine), Diplomate of National board (Nephrology), ISN Fellow
Awards and Honors
Educational Ambassador of the International Society of Nephrology 2010
Fellowship of the International Society of Nephrology 2005.
Young Investigator Award by the International Society of Peritoneal Dialysis 2001
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