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Hello Dr. Shah

i will try to make my background story as short as possible.
5 years ago i had some antibiotics (gentamaicin) and started to feel pain in my back then my creatinine level went up from 0.9-1 to 1.3. my doctor said that it is not something serious so i just need to keep it under control. during the next months i brought it down to 1.1 and the pain went away. during the next years i was checking myself every 3 months and i had some up and downs but still fine. recently i wanted to travel to africa so i had to take the yellow fever shot, i talked to my doctor and he said it doesnt have anything to do with my condition and i can take it without a problem. but after taking the shot i started to feel back pain and muscle stiffness. now after 20 days i still feel the mild back pain and nausea and lack of energy. i have also lost some weight from 82 kg to 78 Kg i am 189 cm tall. I am still not sure if i am suffering from kidney disease or not, i have a few questions and then i will list my full lab test results:

1- what are the lab tests i should take to make sure that i am not suffering from the early stage kidney disease (besides the ones that i have already taken)?

2- if i am suffering from the early stage kidney disease, how can i reverse the kidney damage anyhow?

3- i know a kidney hospital in china that claim they can reverse the damage, is it possible? http://www.sjzhospital.com/treatment/

I am Male, 78 Kg 189 cm

my creatinine level at  different dates are as below:

august 2013: 0.96 mg/dl (normal range 0.7-1.4)
24 hour urine volume: 2000cc (normal range 600-2500cc)
calcium (in 24hrs urine): 160 mg/24hours
19 march 2014: 1.21 mg/dl (normal range (0.67-1.17)
27 march 2014: 0.97 mg/dl (normal range 0.4-1.2)

i am really getting frustrated with this problem so i will really appreciate it if you help me through this please.
if any other info is needed please let me know.

many Thanks  in advance.

Matin

Answer
Matin,

Thanks for your question on Allexperts.

1. The tests to diagnose chronic kidney disease are S. Creatinine and BUN. A DTPA renal scan or a 24 hour urinary creatinine clearance can also be done to measure GFR.

2. In allopathic medicine, there is no way to reverse the damage already done in patients with Chronic Kidney Disease

3. I am not qualified to comment on traditional Chinese therapy as I am an allopathic practitioner.

Sincerely,

Dr. Shah

Nephrology

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Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow

Expertise

I can answer all questions related to kidney diseases, hypertension, plasmapheresis and kidney transplantation. I am an Indian-Board certified Nephrologist. 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

Ten years as a Critical Care & Transplant Nephrologist

Organizations
International Society of Nephrology
Indian Society of Nephrology
Indian Medical Association
European Renal Association


Publications
- Shah SH, Cerda J. Acute Tubular Necrosis; Lerma, Edgar V., Rosner, Mitchell eds. Clinical Decisions in Nephrology, Hypertension and Kidney Transplantation. Springer ISBN 978-1-4614-4453-4, pp. 191-198
- Shah SH, Cerda J. Management of Acute Kidney Injury; Lerma, Edgar V., Rosner, Mitchell eds. Clinical Decisions in Nephrology, Hypertension and Kidney Transplantation. Springer ISBN 978-1-4614-4453-4
- Cerda J, Tolwani A, Shah SH, Ronco C. Continuous Renal Replacement Therapies in Modeling and Control of Dialysis Systems edited by Azar AT, Springer-Verlag, Heidelberg, Germany (In Press)
- Shah SH, Cerda J, Kellum JA. Acute Kidney Injury in Special Circumstances. John Kellum, Jorge Cerda, eds. Renal and Metabolic Disorders, Oxford University Press (In press)
- 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


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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