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.
Experience 8 years
Publications 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.
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 2007. ISBN 08247-2920-X
Shah SH, Mehta RL. “Non-dialytic management of acute kidney disease”; Evidence based Nephrology, BMJ, (In press)
Education/Credentials MBBS, MD (Internal Medicine), Diplomate of National board (Nephrology)
Awards and Honors Fellowship of the International Society of Nephrology 2005.
Young Investigator Award by the International Society of Peritoneal Dialysis, June 2001
Q: I have had hard to control high blood pressure for 6 years now. I just had an echcardiography done ... A: Why did your doctor refer you to a Nephrologist? Accelerated hypertension? Proteinuria? Elevated ...
Q: I have been diagnosed with CKD stage 3 with a GFR of 43. We have been working on my blood pressure ... A: Many patients with chronic kidney disease have mild reductions in thyroid function, or subclinical ...
Q: Iwould like to ask about the interpretation of a renal biopsy ( done 2 weeks ago) for one of my ... A: I presume that the biopsy sample was adequate and that a PAS, H & E and Immunofluorescence staining ...
Q: My father is 43 years now, and he has diabetes and taken insulin for treatment since 1991. His test ... A: According to the information that you have provided, your father's GFR Value is 50 mL/min/1.73 m2. ...
Q: I am having blood in urine again.This was found during the urine analysis. The sample was submitted ... A: Blood in urine is not a common problem and should not be taken lightly. A detailed history, physical ...
Q: Please excuse me, I forgot to add my high bun/creatinine ratio which is 29 (calc) that is how it is ... A: No problem. I would do a serum protein electrophoresis to rule out multiple myeloma. Are calcium ...
Q: I am a 65 year old white female who was told I had kidney disease since I was 18. I also had ... A: After the 3rd decade of life, GFR declines by 1 ml/min every year. With your normal serum ...
Q: am 24 years old diagnosed with Iga Nephropathy 3 months back. My consultant nephrologist advised me ... A: 1. Elevated WBC count can be due to steroid therapy. 2. Yes, you are not responding to the ...
Q: Shah Have a complex case but will limit it to the aspects that have to do with Nephrology. Recent ... A: I would not give much importance to a low eGFR if the history, physical examination and other lab ...
Q: Shah Have a complex case but will limit it to the aspects that have to do with Nephrology. Recent ... A: 1. Kidney perfusion defects can be anatomical and functional. In other words, even if there is no ...
Q: Shah, A few years ago due to some medical problems I was having I had some blood work done. I had a ... A: Systemic sclerosis and/or Sjogren's syndrome can affect the kidneys. The early signs usually will ...
Q: My mother is now 80 years old. She has been going for dialysis since end feb of this year. ... A: According to the US guidelines, for 3x/week dialysis a Kt/V (without rebound) should be 1.2 at a ...
Q: My mother is now 80 years old. She has been going for dialysis since end feb of this year. ... A: Usually, patients are advised to undergo dialysis three times a week. Kt/V is a measure of dialysis ...
Q: Shah, A few years ago due to some medical problems I was having I had some blood work done. I had a ... A: You seem to have some autoimmune connective tissue disorder. Systemic sclerosis, or an overlap with ...
Q: I just had some lab work done because of fatigue. My eGfr came back at 57. I am a 51 yr old female ... A: An infection cannot cause a drop in GFR. That said, any eGFR value must be seen in the light of ...
Q: my son has kidney failure and he is 25 but he does not want treatment at all ...we were told thatyy ... A: It is very difficult to say how long a patient will survive without dialysis. This depends on a lot ...
Q: i am a 31 yr old male caucasian, 238 lbs. three to four weeks ago i started experiencing dull, lower ... A: 1. I would never start an antifungal without a proper urine culture and sensitivity reports. 2. You ...
Q: I am a 62 year old man. I just has a health exam for life insurance and my bun was high at 31 mg/dl. ... A: An elevated BUN can be due to many reasons. Some of the common ones are: 1. Dehydration 2. ...
Q: My GFR is 53. Urea Nitrogen (BUN) is 14. Creatinine 1.11. My CBC all came out normal. I have an ... A: Many times, when the creatinine is not standardized, it can lead to falsely low eGFR readings. Till ...
Q: I recently had a 24 hr creatinine test. My clearance was 85 ML/MIN lab range 85-125), creatinine ... A: Please do not take this lightly. You need to be evaluated by a Nephrologist ASAP. At this stage of ...
Q: My wife has been on peritoneal dialysis since 2001. For the past 2 1/2 she has had difficulty ... A: Generally speaking, the "honeymoon period" of a patient on PD lasts for about 2-3 years. After this ...
Q: My husband was told the other day that he had renal failure.His creatinine was 2.9 ok he has a cath ... A: I presume that your husband is a caucasian. Based on the information that you have provided, your ...
Q: I lost a kidney in 2005 to cancer. My creatinine currently runs about 1.5. BUN is always in normal ... A: What is the normal reference range for your lab? Based on that value, I might be able to say if 1.5 ...
Q: Shah, I have been studying a bit, on the internet that is, concerning sodium/potassium imbalance as ... A: Estimated safe and adequate daily dietary intake of potassium is 1.9 gm to 5.6 gm. This information ...
Q: Shah, I have a friend who has been diagnosed with chronic tubulointerstitial nephritis probably ... A: Patients with CTIN usually have little or no proteinuria. To slow the progression of disease, the ...
Q: My mother is diabetic patients, due to constant high sugar she is suffering high serum urea 18 ... A: It seems from your question that your mother is suffering from some sort of chronic kidney disease ...
Q: My Mom removed her left Kidney in Dec 2005 due to cancer.Her Bun/Creatinine Ratio in 9/22/06 was ... A: Your mom's creatinine is within normal limits. The last two BUN values are higher. However, I would ...
Q: About 2 years ago I was diagnosed with hypertension. I've been taking 25mg/day of Atenelol. Is ... A: High blood pressure and hypertension are the same. The discussion of causes and long term effects ...
Q: Recent tests results, Creatine 1.39, AST48, eGFR53, Triglycerides 272, HDL Cholesterol 38. The ... A: What is the normal reference range for creatinine in your lab? What is your age, ethnicity and ...
Q: I'm studying hypertension protocols, and you have helped me in the past, thanks. One particular pt ... A: I would ask the patient to cut down his salt intake to 3 grams per day, 1 each with breakfast, lunch ...
Q: My husband is 77 years old. He have a 16 year old son at home still. He still works. My questions ... A: Your question is very short and not very clear. I presume that your husband has CKD stage 5 and has ...
Q: Just yesterday my husband,in low 30s in age, had a 24hr. urine test turned in. results are protein ... A: It is a pleasure to be of help to a fellow health care provider. Your husband has overt ...
Q: is createnine level related to acidity that can be a neutralized with sodium bicarbonate? A: Creatinine is a chemical molecule that is present in the serum (liquid portion) of the blood. It's ...
Q: I have a very low eGFR reading of 58. My creatine was normal--86. I weigh 145lbs. I am also a ... A: It has been postulated that GFR in normal, vegetarian people will be low due to less protein intake. ...
Q: My father-in-law has been on dialysis since February. Lately I have noticed that he has been ... A: Many patients with ESRD do not have a drop in urine output, especially if they are suffering from ...
Q: My husband was just dx with diabetes (glucose 138). He takes blood thinners (mechanical aeortic ... A: Good to hear from you again. A Hematologist will be able to guide you more on the MCHC issue. The ...
Q: My husband was just dx with diabetes (glucose 138). He takes blood thinners (mechanical aeortic ... A: The most common cause of kidney dysfunction in diabetics is diabetic nephropathy. The issues that ...
Q: I know I told you a bit of history on myself already and I don't want to seem bothersome.. But to ... A: Low sperm count and petechiae usually present in late stages of CKD. CKD stage 4 or 5. A visible ...
Q: I recently had some blood work done and found my cholesterol was 322 mg/dL and had a 24 hour urine ... A: Good to hear from you again. As the name suggests, a spot urine protein/creatinine ratio should be ...
Q: I recently had some blood work done and found my cholesterol was 322 mg/dL and had a 24 hour urine ... A: High cholesterol and proteinuria with normal creatinine and BUN can occur in patients who have ...
