| Subject | Date Asked | Expert |
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| cretiighnine h | 11/21/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: My father is 80 ys and nohistory of high BP or diabetis. the creteninine levels in the blood is 3.1 ...
A: It is important to get your father evaluated by a Nephrologist to ascertain the cause of kidney ...
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| Kidney function | 11/20/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: Firstly thanks for helping out. In the past months I've been experiencing freqeunt urination at ...
A: A careful history, physical examination, review of relevant lab tests and imaging of the urinary ...
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| V U R | 11/18/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: sir, i underwent an ultrasound one month back,i was diagnosed with smaller sized rt kidney.MCU WITH ...
A: I do not see a need for surgery if you are asymptomatic. What is the indication for surgery as ...
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| kidney functions | 10/27/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: hey doc,um I just received my test results on why my creatinine levels are elevated. reason is ...
A: Stones in one kidney should not cause an elevation in S. Creatinine. This means your other kidney is ...
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| GFR | 10/25/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: I am 69 years old. My GFR in July was 56 and now is 49. 6 months ago my BUN and Creatinine were ...
A: Since you have Diabetes, Hypertension and a family history of kidney disease, you must get yourself ...
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| Kidney Transplant patient Bodybuilding | 10/24/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: I had a kidney transplant. I am doing great right now. What I wanted to know if I can take creatine ...
A: I do not know of any contraindication to taking creatine after transplant. However, it is know to ...
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| high BUN, low eGFR | 10/22/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: My husband was very sick last year with hemoraghing behind his eyes, loss of hearing, debilitating ...
A: GFR is the measurement of kidney function. eGFR is estimation of GFR from S. Creatinine taking into ...
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| information for last question | 10/20/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: Sir, You have asked 2 question and i am sending the answer. 1. what percentage of HLA maching? at ...
A: I did not ask the percentage of Lymphocyte Cross match (LCM). HLA typing and LCM are two different ...
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| recovering from Rhabdomyolysis | 10/19/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: I am a male 33 years of age. I was hospitalized and diagnosed with Rhabdo Sept 11/09. Was in care ...
A: Rhabdomyolysis results from excessive muscle breakdown and it takes some time for the damaged muscle ...
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| Kidney not functioning properly. | 10/18/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: My Father is a diabetic patient and had by pass surgery in 2004 in Delhi, Now He got kidney problem ...
A: A careful history, physical examination, lab tests and imaging of the urinary tract are required to ...
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| Dull constant RT sided flank pain | 10/18/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: I have had a right sided dull flank pain for about 3 months now. I saw a specialist who performed a ...
A: There are a number of differential diagnoses for flank pain. A discussion of all these conditions is ...
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| Dull constant RT sided flank pain | 10/17/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: I have had a right sided dull flank pain for about 3 months now. I saw a specialist who performed a ...
A: A careful history, physical examination, lab tests and a review of your CT scan are required to ...
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| kidney problem | 10/15/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: My blood test report is as follows: Hb-9 creatinine-2.01 protein is very high in 24 hours urine test ...
A: A careful history, physical examination, other lab tests and imaging of the urinary tract are ...
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| Peripheral Edema in feet and ankle | 10/15/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: I suffer from moderate permanent pitting edemas and I am taking loop diuretics but they seem to work ...
A: A careful history, physical examination, lab tests and imaging of the urinary tract are required to ...
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| c2 level & medicines | 10/14/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: my c2 level is 495, body weight 67kg.i am taking cyclosporine 75 mg b/d and mycophenolate 750 bd and ...
A: Before I answer your question, I need some more information: 1. What was the level of HLA match with ...
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| 22% kidney func. Diabetic,need antidepressant | 10/13/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: I have been a diabetic for many years and for the past 12, have been insulin dependant. I had a CVA ...
A: I am sorry to hear that you have been through a lot. I agree with your pharmacist. Bupropion ...
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| Membraneous Glomular Nephritis. | 10/12/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: I have been doing my Complete Medical's 3-4 times a year from the last 15 years. Dec 2008 I did my ...
A: Upto one third of patients with Membranous Nephropathy will have spontaneous remission (cure). Some ...
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| protein creatinine ratio test | 10/12/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: s.purpura last year she now has blood and protein in her urine can u tell me why shes getting ...
A: One important test to estimate the extent of kidney damage has been the 24-hour urinary protein ...
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| Bun/Creat ratio | 10/6/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: I have a ratio of 19. My BUN is 29 & Creat is 1.5. Can this be reversed? I have been taking 1 tablet ...
A: What are the normal reference ranges for your lab? As I have said earlier on this forum, a number of ...
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| renal cyst | 10/6/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: i am 22 yrs old and i was rejected in the medical examination of indian air force because of renal ...
A: I am sorry to hear about your rejection. If it is a simple renal cyst, no intervention (medicines or ...
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| Question related with kidney creatinine | 10/5/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: I have a question related with my father's health. He is a diabetic for past 15 yrs.His job ...
A: A careful history, physical examination, lab tests and imaging of the urinary tract are required to ...
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| Possible CKD | 10/4/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: Creatinine is 1.23, eGFR is 48, 49 yo white female, symptoms: hiccups, itching, fatigue, aversion to ...
A: A careful physical examination, review of other lab tests and imaging of the urinary tract are ...
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| Diagnoses to Consider | 10/2/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: Good morning, I have a persistent ache on the right side of my back, just under the ribcage. It is ...
A: It is difficult to hazard a differential diagnosis without examining you. However, if your ache is ...
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| estimated GFR is low | 10/1/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: I had my yearly physical this month and my eGFR was 53. My creatinine is 1.1 mg/dL. My creatinine ...
A: As I have said earlier on this forum, eGFR readings must always be viewed in light of suggestive ...
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| UTI | 9/30/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: i had a right kidney stone of 7mm six months back and i was treated using cystone tablet.After six ...
A: The presence of pus cells alone in urine does not signify infection. A Urine culture must be done ...
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| Test results from 24hr urine and UA | 9/29/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: Dr. Shah, I am a 46 yr old w/lupus. I just got back my test results from my 24hr urnine and renal ...
A: Urinary albumin more than 200 mg in 24 hours is considered abnormal. You can have no systemic ...
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| glomerulonephritis | 9/29/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: Ill keep it short Im 28 yrs male , am a doc myself Had chronic diarrhea (from Jan to April ...
A: The biopsy picture is the key to both your questions. What was the exact biopsy report? How many ...
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| Losing water? | 9/28/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: I've pretty much run out of ideas and need help please. My symptoms: Orthostatic hypotension (often ...
A: Your perception that the urine gets concentrated is not enough. Lab evidence is needed to confirm ...
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| Test results from 24hr urine and UA | 9/28/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: Dr. Shah, I am a 46 yr old w/lupus. I just got back my test results from my 24hr urnine and renal ...
A: When you said you had lupus, it was not clear whether you have systemic lupus or lupus nephritis. ...
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| Understanding the numbers..... | 9/27/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: I am a 63 year old white female trying to understand my situation. In May '09 I had blood work done ...
A: While looking at eGFR numbers, it is important to know that even in normal people, GFR declines by 1 ...
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| nephrotic syndrome | 9/26/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: My neice went out on flight for life 2 days ago. Her symptoms were high protein in the blood and in ...
A: Without a careful history and physical, I am unable to diagnose your niece's condition. However, I ...
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| Losing water? | 9/25/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: I've pretty much run out of ideas and need help please. My symptoms: Orthostatic hypotension (often ...
A: You may be suffering from a condition called Diabetes Insipidus. In assessing patients with ...
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| nephrology-kidney stones | 9/25/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: sir..my friend's father was apparently asymptomatic 2 days back..expect for some loin pain ...
A: A careful history, physical examination and review of the medical imaging is needed to prognosticate ...
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| Father dying from PKD pain! | 9/24/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: Please help with any info or referals! my dad in hospital for one week.has pkd. not getting better. ...
A: It would be difficult to comment without a careful history, physical examination and review of the ...
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| Elevated creatinine level | 9/23/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: My creatinine serum was measured at 1.57. BUN is 13. All other results are within normal ...
A: A diet high in protein with creatine supplements could very well be the cause of elevated serum ...
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| foamy urine with mild right side back ache, no urination discomfort | 9/23/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: I'm female 34 years, 104 lbs, 5' - 4 6/10", latin american, not sportive but walk some and have been ...
A: Foamy urine is sometimes associated with protein in the urine. Please get your urine checked for the ...
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| AIN related question | 9/22/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: Shah, My brother was recently suffering from high creatinine levels ranging from 8 to 11. He is 37 ...
A: Your brother is being treated correctly. It may take some time for his kidneys to recover. The ...
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| gross hematuria & microscopic hematuria | 9/22/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: Dr. Shah, I am a 40 year old female with a history of 3-4 kidney stones within the past 22 years. ...
A: Although your question is lengthy, it provided all details, especially the lab values with their ...
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| Zpack and high blood pressure | 9/21/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: I had/have high blood pressure. Most meds do not agree with me, finally found one that was working ...
A: I need to understand the content of the medications to answer your question. What do Coreg and Zpack ...
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| low GFR and bacirial infection | 9/19/2009 | Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow |
Q: Recently I had a blood test that showed a marked decline in GFR from 84 to 39. My doctor took a ...
A: Very severe infection of the kidneys, known as Pyelonephritis, can cause a transient drop in GFR. ...
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