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Nephrology/Questions Answered by Expert Newell R. Falkinburg, M.D., FACP

SubjectDate Asked
ACE Inhibitor to Retard Kidney Failure1/5/2011
  Q: I’m a very healthy, active 59 year old with a family history and diagnoses of osteopenia and ...
  A: The fact that you have athrosclerosis ( hardening of the arteries) and osteopenia contradicts any ...
chronic renal insufficiency1/4/2011
  Q: During routine blood work a few years ago, my 54 year old husband had slightly elevated creatine ...
  A: 3 possibly is a little elevated. He needs to have an estimated creatinine clearance or a measured ...
Diabetes and water1/3/2011
  Q: I have diabetes since last three years. I am taking medicine and regular exercises. Sugar is in ...
  A: The normal color of urine is yellow. If you drink a lot of water your urine will become light ...
eGFR score of 503/5/2009
  Q: I’m a 33 year old white male with an eGFR score of 50. Should I be concerned?
  A: This GFR estimation is abnormal and you need to follow up with a 24 hour urine collection to ...
Estimated Glomerular Filtration Rate6/15/2008
  Q: I recently obtained copies of all the lab work I have had done since 2006. I'm most puzzled as to ...
  A: The estimated GFR is low and suggests some form of kidney disease. However, that test is oftem ...
eGFR and high ANA6/14/2008
  Q: I am 52, was in great shape until a hysterectomy three years ago, since have gained 40# A recent ...
  A: First of all, your weight gain has virtually NOTHING to do with your hysterectomy. Ther most common ...
Urine test6/13/2008
  Q: The Dr. has ordered a urine protien and creatinine for my husband and we would like to know what ...
  A: A kidney disease called diabetic nephropathy often complicates long standing diabetes. This is ...
kidney removal5/12/2008
  Q: I have a friend who is 39 years old and has an obstructed kidney. I am 28 and totally healthy and ...
  A: In general, one can be totally healthy with 20% of one kidney. One becomes ill from kidney failure ...
3.6cm cyst on my kidney5/11/2008
  Q: 2 and 1/2 years ago, i did a ct scan 64 of my body. Every thing checked out ok, but there was a 3.6 ...
  A: Simple renal cysts ( thin walled, without partitions, without bloody cotnents) are very common and ...
dark urine5/10/2008
  Q: I'm a beer drinker (more beer than most people) and my urine has always been quite pale but recently ...
  A: Beer drinking per se does NOT alter the color or character of one's urine. copious quantities of ...
hypertension tRx results5/6/2008
  Q: I'm studying hypertension treatment protocols and have seen some perplexing (to me!) results & I'm ...
  A: Most nephrologists consider a blood pressure of 140/90 as frank hypertension with all of the ...
renal cysts5/1/2008
  Q: My mother has a 4.0cm renal cysts near her ureter. what's the treatment for that? is minimally ...
  A: Simple renal cysts (that is, a thin walled cyst with no partitions, that contain no blood or mucin) ...
Low EGFR4/30/2008
  Q: Following routine blood work, my estimated GFR came back as 56. I am a 38 year old, fit female and ...
  A: Creatinine is a substance that is produced by muscle. The more muscles you have, the more ...
High Serum CO24/27/2008
  Q: Dr. Falkinburg, I am a 37 year old male who is 5' 10" and weighs 165 lbs. I am somewhat athletic ...
  A: All of your values, except your GFR are WITHIN THE NORMAL RANGE. Therefore, you are within the ...
kidney cyst4/23/2008
  Q: I had a benign simple kidney cyst for 3-4 yrs now. I just did my ultrasound for kidney stones & ...
  A: No. A benign simple renal cyst has no malignant potential and is not a precursor to a complex renal ...
high creatinine, bun; kidney scars4/22/2008
  Q: Husband, age 70, creatinine level 1.8, up from 1.6 five weeks earlier, BUN 34, up from 28 in March. ...
  A: (1) Your husband clearly has mild chronic kidney failure and he had it back in 1993 and 1996. The ...
elevated creatine and calcium4/17/2008
  Q: I have my recent blood works and both my creatinine (23)and calcium (10.4)were out of range. I am 57 ...
  A: A calcium of 10.4 is at the upper limits of normal unless your lab uses different standards, which ...
Protein in Urine and excessive urination4/14/2008
  Q: For the past 2 and a half weeks I've had to go to the bathroom more and more frequently I'm not up ...
  A: There are two red flags for serious kidney disease. The first is blood in the urine (hematuria) and ...
blood and protein in urine4/13/2008
  Q: , My 85 year old grandma was told by her doctor that she has blood and protein in her urine. Her ...
  A: Blood and protein in the urine are the two red danger flags for serious kidney disease. ...
Kidney removal4/11/2008
  Q: I am 54 yrs old female and was told I have Crohns 3 yrs ago, around the same time I started having ...
  A: How long pain persists in the perioperative period is very variable. It can persist for several ...
Polycystic Kidney Disease4/8/2008
  Q: My father has Polycystic Kidney Disease and he did an operation one year back to remove the cyst of ...
  A: If, in fact, you father has polycystic kidney disease (PKD) and his creatinine in 2, he has already ...
sclerosing peritonitis3/29/2008
  Q: sclerosing peritonitis/abdominal adhesions in dialysis patient. What is standard/recognised ...
  A: Sclerosing encapsulating peritonitis is a fairly uncommon complication of chronic peritoneal ...
proteinuria3/24/2008
  Q: After three urine tests, including a 24-hour, my 18 year old .daughter's proteinuria reading is ...
  A: Protein in the urine (proteinuria) is one of two red flags for kidney disease. The other is blood ...
Contrast induced nephrochtomy3/15/2008
  Q: I have removed right kidney 13 years before because of kidney stone. I have getting abdominal pain ...
  A: Contrast induced nephropathy is a fairly common kidney disease due to intense spasm of the blood ...
proteinuria3/13/2008
  Q: my husband has been diagnosed with proteinuria. I think approx 1430mg. He also has had ...
  A: There are two red flags for kidney disease. The first is blood in the urine (hematuria) and the ...
Nephro questions3/12/2008
  Q: Hi I would like to know if elevated creatinine (150) can be lowered and is it a sign of kidney ...
  A: A CREATININE ELEVATED ABOVE THE NORMAL RANGE, IN THE ABSENCE OF ACTIVE MUSCLE DESTRUCTION, INDICATES ...
complex renal cyst3/11/2008
  Q: I recently went to Dr with flank pain thinking it was another stone, & Dr did CAT & Sonogram & said ...
  A: You need to see a new nephrologist, if you have not already seen one. He is best qualifies to ...
High BUN/Creatinine ratio3/10/2008
  Q: I have had 4 bun/creatinine tests over the last 6 months that had abnormal ratios. I was on a ...
  A: First, I must advise you that "allexperts" is NOT a venue for the full medical evaluation of ...
Interpeting renal imaging3/7/2008
  Q: I am a 67-year-old man who had undergone three surgeries to remove a large bladder stone plus ...
  A: It is difficult to comprehensively comment without all the records and this is not the intended ...
Renal Cysts3/6/2008
  Q: I have a renal cyst which were discovered in 1988 during a cholecystectomy. At that time there was ...
  A: What you describe are typical for multiple simple renal cysts and they almost NEVER require any kind ...
High Level Protein/Lipids3/4/2008
  Q: I took a physical for life insurance and failed due to high level protein. Of coarse, 32 yrs old ...
  A: There are two red flags for kidney disease. The first is blood in the urine (hamaturia) either ...
xanthragranulosispyelonephritis3/1/2008
  Q: Can you tell me what this is? My hospital entered a small hospital 2 days ago with what he thought ...
  A: Xanthogranulomatous pyelonephritis (XPN) is an unusual variant of chronic pyelonephritis (usually ...
Single Kidney at 38yo2/21/2008
  Q: Dr, I just found out that I have just one Kidney during an ultrasound to determine the cause of my ...
  A: You need make NO lifestyle changes. A solitary kidney is a very common renal anomaly and is not ...
Previous question, you were kind enough to respond, but I need to explain more2/16/2008
  Q: and urodynamics test taken when bladder was at maximum. I did not mention this, and this is why I ...
  A: I don't think that there is a fluid problem if he only drinks if he is thirsty and then only enough ...
Kidney Stones2/14/2008
  Q: I have flank pain on the right side.....it hurts when I touch this area...could this be a stone?
  A: The pain that you describe in inconsistant with renal colic which is the pain associated with kidney ...
kidney cysts / blood in urine2/12/2008
  Q: I am a 44 yr old woman,I have had moderate to large traces of blood in my urine for the past 10 ...
  A: The bad news is that your doctors incompetent. The good news is that if you can get your self to a ...
glomerularnephritis2/9/2008
  Q: RESPECTED SIR, THIS IS TO STATE THAT MY MOTHER WHO IS 35 YEARS OLD HAS DIABETES ...
  A: Your doctor is a fool! Your mother may have a urinary infection and , in a diabetic patient this is ...
can i become with normal kdney ?2/8/2008
  Q: sir I have been suggested enapril 2.5 once for microalbumin 73.5,,occ tracealbumin,,. occ plus one, ...
  A: The presence of microalbuminuria in the urine of a long standing diabetic means that the patient's ...
Kidney Transplant Q's2/6/2008
  Q: Dr. Falkinburg, so much for taking my questions. I'm needing some research help for my current ...
  A: Glad to help. 1. Any form of chronic glomerulonephritis, especially focal glomerulosclerosis can ...
foamy urine, but protein in urine is normal.2/4/2008
  Q: for a few months now my urine has been bubbly but not as foamy as this ...
  A: Foamy urine can be due to protein in the urine but it usually has no definable cause. It may be due ...
12 mm Simple Kidney Cyst2/2/2008
  Q: I am a 25 year old male, I recently had a MRI (without and with Gadolinium) to rule out "question of ...
  A: Simple cysts of the kidney are extremely common. Additionally, your age greatly mitigates against ...
High Dose Vitamin E1/29/2008
  Q: Dr. Falkinburg, My 76 yo mother is bipolar and was treated with lithium for approx. 25 years. ...
  A: yes. Vitamin E is NOT nephrotoxic is any dose. But there are absolutely NO data in ALL of the ...
microalbuminuria1/25/2008
  Q: age 49 weight 102 kg height 5.8 male Diabetes hb a1c arround 6 never more than 7 But occ. ppbs ...
  A: Diet is very important in treating your medical problem. You should be on a 1200 calorie diabetic, ...
decreased kidney function and pregnancy1/23/2008
  Q: I am 26 years old and was told 2 years ago that I only have 25% function in my right kidney and 75% ...
  A: Heather, Your urologist is NOT expert in treating kidney disease. In fact, waiting two years ...
Scheduled for a CT scan with contrast1/20/2008
  Q: I have one kidney. The kidney that was removed had a massive non-cancerous tumor.I now have lower ...
  A: A CT WITH contrast gives the best overall image but for the evaluation of the pain you are having, ...
Scheduled for a CT scan with contrast1/19/2008
  Q: I have one kidney. The kidney that was removed had a massive non-cancerous tumor.I now have lower ...
  A: First, you are at no greater risk for contrast induced nephropathy than any other normal person. ...
Low GFR, Creatinine1/18/2008
  Q: My last checkup with Cardiologist showed GFR 46.8, creatinine 1.5 - What is your recommendation for ...
  A: If the GFR is a calculated number derived from your serum creatinine, your age and weight, it is ...
vancomycin1/4/2008
  Q: Dr. Falkinburg, I am a doctor of audiology in California. I had a 12 year old male patient present ...
  A: In a patient with NO kidneys, a gram of vancomycin lasts 24 hours. Therefore, I think it is safe to ...
does concentration affect result of dipstick test12/7/2007
  Q: yesterday i did a urine dipstick test for protein.the test yesterday lets name it test one.test ...
  A: I would not worry about the proteinuria at this point. You may wish to have your urine checked ...
My father is having Uramia12/7/2007
  Q: My Father age-76yrs,Blood urea content is 129mg/dl(previous-154). Cretins 1.5 1)Doctor suggests ...
  A: Your father's kidneys , as I suspected, are not the problem. His echocardiogram also suggests that ...
Husband's Kidney Stones12/6/2007
  Q: My husband recently just had his 4th surgery to have a kidney stone removed. I think over the past ...
  A: Kidney stones are common and a real pain in the side. I've had five myself and I can empathize with ...
Proteinuria / Foamy bubbly urine12/5/2007
  Q: I have read that kidney disease can cause bubbly urine. Usually in the morning my urine will bubble ...
  A: Protein in the urine can result in foamy urine. This is easily checked with a urinalysis to exclude ...
urine12/5/2007
  Q: A 5 year old boy has one day of cola-colored urine with red blood cell casts, two weeks ago, he had ...
  A: Nosheen, 1. The blood pressure is irrelevant. It may or may not be elevated in patients with AGN. ...
My father is having Uramia12/4/2007
  Q: My Father age-76yrs,Blood urea content is 129mg/dl(previous-154). Cretins 1.5 1)Doctor suggests ...
  A: If understand you correctly, you do not understand what your doctor is telling you and/or he is not ...
Stage II Kidney Disease12/3/2007
  Q: Each year I have a full physical and blood test. Last year I had an elevated Glom Filt rate. I ...
  A: Creatinine is a substance that is produced by muscle at a fairly constant rate because your muscle ...
Could this be a nephrology realted concern?12/1/2007
  Q: I have had problems off and on for 31 years. It started when I was 8 with constant and severe kidney ...
  A: You do need to see a nephrologist. He is best suited to manage the medical aspects if your ...
Fatigue12/1/2007
  Q: My son who is 16yrs old (wt 60kg,ht165c.m) is drinking around 5 to 6 liters of water(hard water and ...
  A: There is no relationship between your son's imbibing 5-6 liters a day of water (irrespective of ...
does concentration affect result of dipstick test11/30/2007
  Q: yesterday i did a urine dipstick test for protein.the test yesterday lets name it test one.test ...
  A: A concentrated urine will result is a more sensitive test for protein on the dip stick. So, a ...
Inquiring about ESRD patient/friend11/30/2007
  Q: I have a friend that is an ERSD patient since he was 15 yrs/old and he is 35 now. He has went ...
  A: How long any patient lives after dialysis is instituted depends upon what other diseases they ...
creatinine level11/30/2007
  Q: My husband is 42 years old and his creatinine levels are fluctuating between 1.5 to 1.7. Does this ...
  A: It is important for me to have all available information... like the ultrasound results... because, ...
creatinine level11/29/2007
  Q: My husband is 42 years old and his creatinine levels are fluctuating between 1.5 to 1.7. Does this ...
  A: If your husband's creatinine is 1.5-1.7 mg% and if he is of relatively normal size and not a body ...
BUN/creatinine, B1211/27/2007
  Q: I have a pt receiving B12 because of high BUN and Creatinine levels. How is this vitamin helpful?
  A: If there is a patient who is being treated for an elevated BUN and creatinine with vitamin B12, he ...
High Creatinine Levels11/26/2007
  Q: I am 55 years old and have recently seen a jump in my Creatinine level from 1.7 to 2.9 to 3.1 within ...
  A: A creatinine of 1.7 mg% is abnormal and should have been worked up to see what is causing your ...
rhabdomyolysis 2 months later11/25/2007
  Q: two months ago was diagnosed with rhabdomyolysis (rigorous workout and 40mg simvastatin believed to ...
  A: When the nephrotoxic pigment, myoglobin is released into the blood, it is excreted into the urine. ...
chronic kidney disease11/24/2007
  Q: I am 63 years old. For 40 years my urine has contained albumin and microscopic blood. Over the years ...
  A: All I can tell you with the information that you gave me is that you do have some form of chronic ...
protein levels in kidneys11/21/2007
  Q: I just visited the doctor and he mentioned I have a protein levels in the kidneys(small leakage)? I ...
  A: The issue with protein in the urine is called diabetic nephropathy. Diabetic neuropathy is ...
protein levels in kidneys11/21/2007
  Q: I just visited the doctor and he mentioned I have a protein levels in the kidneys(small leakage)? I ...
  A: You didn't say that you were diabetic but in case you didn't know it ... you are and your diabetes ...
QUESTION ON BLOOD TEST RESULTS11/21/2007
  Q: Falkinburg, It is me again with yet another question. If you remember my husband had a nephrectomy ...
  A: Let me address the normal stuff first. The microalbumin is a test looking for subtle abnormalities ...
Proteinuria.11/20/2007
  Q: I have a son who is 15 years old. He was very fatigued and I brought him to his PCP. They did a ...
  A: I would suggest that your son see a nephrologist. He has an abnormal protein on urinalysis and it ...
Creatinine11/20/2007
  Q: I am a 31 year old Greek man, diagnosed with Polycystic Kidneys Disease since my early teenage ...
  A: A creatinine is not terribly high but it is probably abnormal. You need a 24 urine collection for a ...
Large single left kidney cyst (4.2x 3.6x4.0cm)11/19/2007
  Q: I have been told my cyst is located in the middle of the kidney. I have dietbetes, just found out my ...
  A: Cysts (large or small) are exceedingly common in the kidney and if "simple" require neither ...
Kidney Stone11/19/2007
  Q: My child has been having episodes of pain and vomiting for almost 2 years now. (Around once every ...
  A: Since the problem has been present for two years, waiting another two weeks probably is not going ...
elevated BUN reading of 3011/18/2007
  Q: Do I need to worry about an elevated BUN reading of 30 when I was normal 2 or 3 years ago? I had 2 ...
  A: Blood urea nitrogen (BUN) is not only a kidney function test but is a chemical that increases in the ...
urine problem11/17/2007
  Q: I have had bubbly urine for about a month or so now. The dipstick has been negative for protein ...
  A: Yes, your kidneys are NOT involved. Foamy/bubbly urine was described over a century age to be ...
Pheo11/17/2007
  Q: Doctor, I have had a MRI done and the local doctors seem to think I have Pheocromocytimia(probably ...
  A: If I understand you correctly... you have had an adrenal tumor that has a necrotic center and you ...
I have something ON my eye.. right in the corner11/16/2007
  Q: about a week ago i had problems with my lens solution. as soon as i out my lenses on it burnt my ...
  A: This question has nothing to do with kidney disease and therefore is out of my area of expertise. ...
QUESTION ON CT SCAN CONTRAST11/16/2007
  Q: Falkinburg, Thank you for answering my last question. Now I have another. In addition to having ...
  A: There are two types of contrast. One type in injected intravenously and is excreted via the kidney. ...
health questions11/15/2007
  Q: My bun/creatinine ratio 23, my protein total 8.6 and my globulin is 4.0 and my insulin is 11. Are ...
  A: I have never ordered an insulin level. I haven't the foggiest idea what the normal values are. I ...
QUESTION ON VITAMIN C AND POTASSIUM11/15/2007
  Q: Falkinburg, I emailed you last week with a question about IP-6 and Beta Glucan. You said it ...
  A: You need not worry about vitamin C. It does neither good nor harm. If he feels it makes him feel ...
health questions11/14/2007
  Q: My bun/creatinine ratio 23, my protein total 8.6 and my globulin is 4.0 and my insulin is 11. Are ...
  A: The BUN and creatinine are both kidney function tests. Of the two, the creatinine is more reliable ...
health questions11/14/2007
  Q: My bun/creatinine ratio 23, my protein total 8.6 and my globulin is 4.0 and my insulin is 11. Are ...
  A: Unfortunately, I cannot intelligently comment on an incomplete set of lab values without any other ...
frequent urination11/13/2007
  Q: Falkinburg, I'm a 24-year old girl. I used to have frequent urination from my childhood but now I'm ...
  A: First, it is not likely that you have a serious health care issue. If you weight is pretty stable ...
Aniexty Question11/13/2007
  Q: My wife had an accident with a chemical burn to the scalp while having her hair done that sent her ...
  A: A blood pressure of 160/100 would be considered moderately elevated and, in and of itself, is not a ...
dark brown/red urine, foley for 1 week, kidney transplant in 3/0511/11/2007
  Q: 23 year old male, transplant in march of 2005 from father friday he was put on a foley cath because ...
  A: I can't tell what's happening without a full work up. This could be an infection (possibly fungal ...
Evaluated Creatine, but normla BUN11/11/2007
  Q: I had blood drawn on 11-7-07 and when I received the results I have a high Creatinine, but a normual ...
  A: The short answer is probably not. 0.8 mg% as the upper limit of normal for the creatinine seems ...
Post Laparoscopic Radical Nephrectomy elevated Creatinine levels11/10/2007
  Q: Dr. Falkinburg, Last Tuesday (Oct. 30) I had a LRN on my right kidney which was due to a RCC tumour ...
  A: When the serum creatinine rises due to the failure of the kidneys to function properly, you have ...
Low creatinine level in one-time urine test11/10/2007
  Q: After reading the many questions and posted answers, I'm still confused. I had a urine test - not ...
  A: There is a kidney condition called the nephrotic syndrome which is characterized be massive amounts ...
Post Laparoscopic Radical Nephrectomy elevated Creatinine levels11/9/2007
  Q: Dr. Falkinburg, Last Tuesday (Oct. 30) I had a LRN on my right kidney which was due to a RCC tumour ...
  A: You did not give the units that the creatinine was measured in but I'm assuming that the number 114 ...
lymph11/9/2007
  Q: Hello - I would like to know if the lymph nodes of the goin area become enlarged when a patient has ...
  A: Inguinal lymph nodes are NEVER associated with urinary infection. Enlarged inguinal lymph nodes are ...
Renal Cyst and Back pain11/9/2007
  Q: Dr. Falkinburg, I am a chiropractor and i have a patient with a single large renal cyst.  ...
  A: Although located high in the retroperitoneal space, embeded in and protected by the longitudinal ...
Kidney pain and burning during urination11/8/2007
  Q: I have had kidney stones several times over the last 4 years. I'm 26 and healthy other than I do ...
  A: Clearly, both endometriosis and kidney stones can cause abdominal and flank pain. You have both ...
Low creatinine level in one-time urine test11/6/2007
  Q: After reading the many questions and posted answers, I'm still confused. I had a urine test - not ...
  A: The relationship between creatinine, protein and urine concentration is very complex. The test you ...
renal artery auscultation11/6/2007
  Q: or will this skill just come with practice. Thank you.
  A: If the renal artery is normal and there is no obstruction to the flow of blood there would be ...
BETA GLUCAN and IP-611/1/2007
  Q: Yes, you are correct in all your assumptions. I might add that my husband is 62 and never had any ...
  A: I'm not a real enthusiast of these "natural"remedies but I doubt that they will do your husband any ...
KIDNEY CANCER STONES AND FAILURE11/1/2007
  Q: Hopefully you can answer a question for me. My husband recently had a nephrectomy for RCC. The ...
  A: I need to make sure that I understand the details here. your husband had a RIGHT nephrectomy for ...
Renal Cysts10/28/2007
  Q: A single kidney cyst, right, was noted during my gallbadder surgery twenty years ago. I was referred ...
  A: Simple renal cysts are extremely common, require NO treatment and are of no consequence. ...
LAB WORK10/26/2007
  Q: I AM A DIBETIC WITH HIGH BLOOD PRESSURE, CURRENTLY ON MAVIK 2X DAILY, BENICAR, AND TRIAMTERENE 75MG ...
  A: A creatinine of 1.6mg% is very likely abnormal. Unfortunately, the calculated GFR gleaned from your ...
high bun/creative ratio.10/24/2007
  Q: My bun/creatine ratio is 25. My creatine levels are .8 Should I be concerned? I am a 66 year old ...
  A: You probably have nothing to worry about with your BUN/Cr ratio of 25. The normal should be ...
kidney problem10/22/2007
  Q: respected doctor, i am from Bangladesh, my mother is 58 years old, she is having kidney problem for ...
  A: First, I'm very sorry your Mother is having these difficulties. She clearly has some form of kidney ...
Blood in Urine10/22/2007
  Q: I have had visible blood in my urine for a week and a half. It is a deep red. I've had one once ...
  A: There are two red flags for kidney disease, protein in the urine (proteinuria) and blood in the ...
lithium and creatinine levels10/20/2007
  Q: For the past few months my creatininelevel has been high normal, borderline, slighly elevated or ...
  A: Good to hear from you again. If your doctor won't refer you for another opinion then you clearly ...
Dialysis side effect10/19/2007
  Q: I have dialysis twice a week. Every time I get on the machine, I start itching. The palms of my ...
  A: Itching is a common and perplexing problem in dialysis patients. Most often it is related to, as you ...
second transplant10/19/2007
  Q: I am 25 yrs old and I have had a transplant 5 years ago I was on high doses of prednisone it caused ...
  A: Prednisone does have a myriad of troublesome side effects. It is possible, in some cases, to use ...
baby with one kidney10/18/2007
  Q: Are there any kind of dietary guidlines that I can follow to help maintain my daughters one kidney? ...
  A: The reflux that your baby has needs to be evaluated in and of itself and independently from the ...
flank pain and elevated creatinine10/16/2007
  Q: I am an RN, and I recently referred a friend to the ER b/c I was fairly positive she had a kidney ...
  A: Internet diagnosis is difficult but, that said, there are some thoughts that I could share. We are ...
hypocalcemia/kidneys10/13/2007
  Q: I am a 51 year old white female who had graves disease and in 1990 had my thyroid removed and all ...
  A: Your creatinine is (despite being in the normal range) slightly elevated for a woman. ...
Blood In Urine After Auto Accident10/12/2007
  Q: Dr. Falkinburg, My wife and daughter were in an auto accident in 2006. My wife had an OBGYN ...
  A: The accident, per se, could result in hematuria if the kidney were severely contused and a ...
Blood In Urine After Auto Accident10/12/2007
  Q: Dr. Falkinburg, My wife and daughter were in an auto accident in 2006. My wife had an OBGYN ...
  A: The short answer is that at this juncture one cannot tell if the blood in the urine (hematuria) is ...
Proteinura10/10/2007
  Q: Falkinburg, Thanks for taking the time to answer my question. I have been experiencing somewhat ...
  A: I did not address your personal issue of foamy urine. It is possible but, in my experience,unlikely ...
constipation10/9/2007
  Q: haemodialysis patient suffers constipation. The patient receives Movicol for relief. Is Movicol ...
  A: Peritonitis is not confused with constipation. constipation is the infrequent defectation of hard ...
constipation10/8/2007
  Q: haemodialysis patient suffers constipation. The patient receives Movicol for relief. Is Movicol ...
  A: Constipation is a very common problem in dialysis patients. It's treatment differs from the ...
fluid retention from rapamune ?10/6/2007
  Q: I had a kidney transplant in 1987 LRD was taking 100mg neoral and 1/250mg cellcept I recently ...
  A: You should absolutely not be modifying your medications without the supervision of your physician. ...
very low Vit D10/6/2007
  Q: I have a doctor as a patient of indian decent. Her Vit D level is 13 nmol/l and she has metabolic ...
  A: I think I understand that you are a physician. Since vitamin D assays have been available, it has ...
men on dialysis and fertility10/4/2007
  Q: me and my partner have been together for 5 years he had a transplant 15 years ago and has now been ...
  A: Good to hear from you again. The length of time it would take dialysis to result in permanent ...
men on dialysis and fertility10/3/2007
  Q: me and my partner have been together for 5 years he had a transplant 15 years ago and has now been ...
  A: I can say that after a transplant male fertility returns so you and your partner could have a family ...
Nephrostomy tubes9/27/2007
  Q: I am a 28 yr old female who was diagnosed 2 years ago with stage 3c Ovarian Cancer. I am currently ...
  A: First of all, I'm sorry you're having such difficult problems. Obstruction to the flow of urine ...
Lab Results Question9/26/2007
  Q: I have been having strange numbness feelings in my face and head along with arms and hands. I went ...
  A: Your chemistries can be caused by mild dehydration, perhaps, associated with diarrhea &/or vomiting. ...
high protein level9/17/2007
  Q: I recently did a 24-hr urine collection and the doctor said that I had a protein level of 400 mg. I ...
  A: There are two red flags for kidney disease. One is protein in the urine (proteinuria) and the other ...
PKD Disease9/14/2007
  Q: .Sir My father aged 63 years is suffering from polycystic kidney disease. His Hemoglobin and ...
  A: I'm sorry, but I do not know what sort of programs are available in India. I would suggest that you ...
Dialysis9/14/2007
  Q: Falkinburg, Being on dialysis is definitely a long and dreadful process as it is time consuming ...
  A: There are certain genes that determine tissue compatibility. They are manifested as the ABO blood ...
PKD Disease9/13/2007
  Q: .Sir My father aged 63 years is suffering from polycystic kidney disease. His Hemoglobin and ...
  A: PKD always effects BOTH kidneys. The Creatinine is usually between 7mg% and 10mg% when dialysis is ...
Dialysis9/13/2007
  Q: Falkinburg, Being on dialysis is definitely a long and dreadful process as it is time consuming ...
  A: Your Doctor is absolutely wrong. The transplant surgery is expensive but medicare pays for it all ...
PKD Disease9/13/2007
  Q: .Sir My father aged 63 years is suffering from polycystic kidney disease. His Hemoglobin and ...
  A: PKD is a fairly common kidney disease that inexorably progressives to kidney failure at different ...
Dialysis9/12/2007
  Q: Falkinburg, Being on dialysis is definitely a long and dreadful process as it is time consuming ...
  A: No, That is not true. There are many studies that confirm that properly selected patients due just ...
Polycystic Kidney Disease9/12/2007
  Q: I recently had an abdominal ultrasound that revealed a 1.3 cm cyst on my left kidney. An MRI was ...
  A: You do NOT have PDK but rather several simple renal cysts which are also often found in other ...
all over body aches9/11/2007
  Q: I am in renal failure with 25% kidney function. I also have a great deal of kidney pain which i take ...
  A: I have never heard of avenza and it is not in my medication data base. PKD can cause abdominal ...
bun/creatine ration climbing9/10/2007
  Q: I am a white female 51 years old. I have had a bout with kidney stones this past February. I have ...
  A: The causes of an elevated BUN/Creatinine are: 1. Obstruction to the flow of urine. This is ...
Peppery urine9/8/2007
  Q: My husband ate some jalepeno peppers this morning in some homemade salsa. He started to feel ill. ...
  A: I am sorry but there are not. In over 40 years of busy practice I have never heard of casual contact ...
Questions regarding symptoms.9/8/2007
  Q: Greetings, My name is Brandon Adreas. I am nineteen years of age and an active member of the Air ...
  A: First of all, I don't think that your aches and pains are related to your kidneys. Those types of ...
Peppery urine9/8/2007
  Q: My husband ate some jalepeno peppers this morning in some homemade salsa. He started to feel ill. ...
  A: Burning of the urine (dysuria) as a common symptom and occurs when there is irritation of the ...
low BUN/Creatime ratio9/7/2007
  Q: I had blood work done about a month ago, and found that my BUN was 3, well below the normal range, ...
  A: The BUN (blood urea nitrogen) is an indirect measure of urea. Urea is the end product of protein ...
21 Year old - Creatinine fluctuations9/6/2007
  Q: I'm 21 years old, 6'1.5, 180lbs. I'm athletic, so my weight doesn't include a lot of body fat. I ...
  A: Welcome back! I'm gratified that everything seems to be on tract. Please get back to me with the ...
one kidney & male fertility9/6/2007
  Q: My partner has only one kidney at approx. 40% function, takes medications, including Diovan, Toprol ...
  A: Your "partner" has only 40% of ONE kidney. If his kidney function is stable and he does not have a ...
21 Year old - Creatinine fluctuations9/5/2007
  Q: I'm 21 years old, 6'1.5, 180lbs. I'm athletic, so my weight doesn't include a lot of body fat. I ...
  A: Good to hear from you again. The bad news is that your doctor is absolutely wrong and you are in ...
case9/5/2007
  Q: I have a question regarding my old man… Well he is 75 years old, weights 81 kg. On 14\6 \2007 he ...
  A: The very important feature of your Father's case is the fact that he had/has bilaterally small ...
21 Year old - Creatinine fluctuations9/4/2007
  Q: I'm 21 years old, 6'1.5, 180lbs. I'm athletic, so my weight doesn't include a lot of body fat. I ...
  A: First, if there has been a delay in answering this I apologize. I just found it archived in my old ...
Foamy Urine9/2/2007
  Q: In late July and early August, I had frequent, buring urination, and my bladder was very swollen. I ...
  A: Foamy urine, in the past, has been attributed to protein in the urine (proteinuria). However, many ...
high consumptionof salt9/2/2007
  Q: everyone always tells me not to eat a lot of salt and that it is unhealthy but i don't understand ...
  A: The quantity of salt in the diet tends to correlate with the height of the blood pressure. ...
Excessive Protein in urine8/31/2007
  Q: Recently my husband had a 24-hour urine collection test. The results were 1200 protein in the urine. ...
  A: If the blood sugar was 145 on a fasting specimen then your husband has diabetes and needs to be ...
Vitamin D levels very low8/30/2007
  Q: Falkinburg First of all let me say that I had a kidney transplant 33 years ago and Dr. Samuel ...
  A: I hope you get this answer ok. I needed some time to review data looking at the possibility that ...
protein in urine8/30/2007
  Q: I recently applied for a job that required an urine analysis. It tested positive for high protein. ...
  A: There are two red flags for kidney disease; blood in the urine (hematuria) and protein in the urine ...
High Bun/Creatine Ratio8/30/2007
  Q: I am a white 58 year old female taking arimidex, zocor, and avapro for high blood pressure. I had ...
  A: No, I do not feel that this is at all related to any recurrence of your breast cancer. I think that ...
High Bun/Creatine Ratio8/28/2007
  Q: I am a white 58 year old female taking arimidex, zocor, and avapro for high blood pressure. I had ...
  A: First of all, you should know that with a BUN of 14 and a Creatinine of o.6 mg% your kidney function ...
urine problem8/24/2007
  Q: sir i have urine problem since 2 years having kidney stone not in much size.These a days when i get ...
  A: It is difficult to give you an accurate diagnosis from the information you have. It does appear to ...
24hr urine test/creatinine8/24/2007
  Q: I had a case of vertigo a few weeks ago which was new to me(34 yrs old). I had blood drawn and all ...
  A: Creatinine is a substance that is produced by muscles. Because your muscle mass is essentially ...
lower back pain and blood in urine8/22/2007
  Q: I am a 36 year old black female who recently in the last month or so started having flank lower back ...
  A: I have an old saying.."back pain in the absence of fever is never from the kidney, it's from the ...
Lisinopril VS Diovan8/21/2007
  Q: Could you please tell me which medicine is better for me in order to protect my kidney? (South Asian ...
  A: Your lipid profile right know is perfect. Your total cholesterol should be less that 200, your LDLs ...
Lisinopril VS Diovan8/20/2007
  Q: Could you please tell me which medicine is better for me in order to protect my kidney? (South Asian ...
  A: Good to hear from you again. And again I think it's important for you to have a complete evaluation ...
Lisinopril VS Diovan8/20/2007
  Q: Could you please tell me which medicine is better for me in order to protect my kidney? (South Asian ...
  A: First, I am forced to assume that you do, in fact, have some form of kidney disease. A serum ...
Lisinopril VS Diovan8/20/2007
  Q: Could you please tell me which medicine is better for me in order to protect my kidney? (Male, 40 ...
  A: These two medications do the same thing in different ways. Lisinopril lowers angiotension II by ...
Protein in Urine8/18/2007
  Q: My primary care doctor advises that I see a nephrologist because the BUN/creatinine ratio in my test ...
  A: I was reviewing my allexperts questions and I noticed a follow up of your's and I'm not sure whether ...
Foamy urine...again8/18/2007
  Q: I emailed you this April about my grandson's extremely foamy urine. Since then my grandson had a ...
  A: Foamy urine was first attributed to proteinuria (protein in the urine) in the 1700's by a physician ...
Protein in Urine8/17/2007
  Q: My primary care doctor advises that I see a nephrologist because the BUN/creatinine ratio in my test ...
  A: Urinary protein cannot be influenced by diet. So the answer to that query is NO. The normal ...
slightly elevated creatinine8/17/2007
  Q: My husband's blood profile showed creatinine at 1.7. It is the first time it has been elevated. ...
  A: The answer to your last question is NO, protein intake cannot cause protein to spill into the urine ...
Follow up8/14/2007
  Q: Dr. Falkinburg, I recently wrote you regarding my proteinuria and hematuria but wanted to follow ...
  A: Good to hear from you again. I think I could summarize your case by saying that you are a ...
Chest Pain8/10/2007
  Q: My dad got a shocked chest pain during the dialysis and he got hypertension. Thank You for your ...
  A: Chest pains are very common during dialysis. They can occur in patients with heart disease but most ...
protien test8/9/2007
  Q: I have an 18 year old daughter who is Mentally handicapped, autistic, and epileptic. We started ...
  A: With all due respect to your doctor, teenage, female kidneys are not peculiar with respect to their ...
Fetal pelvic kidneys8/8/2007
  Q: I am in my 31 weeks of pregnancy and my baby was diagnosed with pelvic kidneys by an ultrasound. I ...
  A: Pelvic kidneys and other abnormal anatomic locations are fairly common. In general, they do NOT ...
FACP8/4/2007
  Q: What exactly does the FACP mean in your degree/qualifications? My mother has been referred to a ...
  A: The suffix after my name, FACP, stands for "Fellow of the American College of Physicians". The ...
Dialysis Labs8/4/2007
  Q: Falkinburg, We are monitoring the health of a family member who is on hemodialysis. Their BUN is 58 ...
  A: Good to hear from you again. 1. If your family member has had the same vascular access (fistula) ...
Dialysis Labs8/3/2007
  Q: Falkinburg, We are monitoring the health of a family member who is on hemodialysis. Their BUN is 58 ...
  A: When a patient begins dialysis the insertion of the fistula needles is indeed painful....not ...
Dialysis Labs8/3/2007
  Q: Falkinburg, We are monitoring the health of a family member who is on hemodialysis. Their BUN is 58 ...
  A: After a patient begins dialysis the BUN and CreaTININE become worthless as measures of kidney ...
High kidney and liver functions8/2/2007
  Q: My husband had left kidney removed in Jan, 07 due to cancer. Tumor was quite large but we were ...
  A: It is difficult for me to be specific without definitive lab values. Having said that, it is ...
Cause to worry?7/30/2007
  Q: I've always been told through routine blood tests that my kidney function was normal, but I ...
  A: Two red flags for kidney disease are protein in the urine (proteinuria) and blood in the urine ...
pain in area of right kidney7/30/2007
  Q: CAT scan was normal except for "bilateral renal cysts only one of which is minimally complicated ...
  A: Possible but not likely. Lyme related pains and discomfort are usually myalgias that are most often ...
pain in area of right kidney7/30/2007
  Q: CAT scan was normal except for "bilateral renal cysts only one of which is minimally complicated ...
  A: Pain coming from the kidney is experienced as back pain. However, the kidney itself is devoid of ...
Urine Problem7/16/2007
  Q: I am 38 year old male and I have urine problems about which, I mention below : a) I do NOT have ...
  A: Papillary necrosis has a treatment if it is due to infection....antibiotics. I agree that you need ...
increased creatnine level7/16/2007
  Q: I have had diabetes for about 7 years (dx in 2000). My last blood test showed an increase in my ...
  A: Your creatinine is abnormal and needs to be worked up. You do need further tests and this is ...
Urine Problem7/16/2007
  Q: I am 38 year old male and I have urine problems about which, I mention below : a) I do NOT have ...
  A: a) The lack of an urge to urinate is not a serious problem. b) If your weight is stable, your low ...
Protein in urine7/15/2007
  Q: In March I failed a life insurance screen test for a protein result of 486 (NOT KIDDING) for the ...
  A: Protein in the urine (proteinuria) is abnormal and is usually an indicator of kidney disease. ...
Ammonia7/12/2007
  Q: My mother is 85 years old. She is in 4th stage kidney failure, has diabetes and has had several ...
  A: I assume that by "ammonia" you refer to a strong ammonia odor in your mom's house. If so, then the ...
Frequent urination7/12/2007
  Q: I am a 33 year old woman. I have always been very healthy with no serious illnesses. For the past 4 ...
  A: Good to hear from you again. Diabetes could come on that fast but I don't think it's likely that ...
Frequent urination7/12/2007
  Q: I am a 33 year old woman. I have always been very healthy with no serious illnesses. For the past 4 ...
  A: Frequency of urination is common and not usually serious. However, to answer you, I need to know how ...
Kidney disease7/10/2007
  Q: I was refused life insurance because of test results. My BUN reading was 28mg/dl, creatine 1.70 ...
  A: The BUN and creatinine are two kidney function tests that measure the ability of your kidneys to ...
Foam in urine6/30/2007
  Q: just a quickfor the past few weeks I've been noticing small to moderate amounts of white foam in my ...
  A: Foam in the urine is common and is almost always normal. It has been suggested in the past that it ...
Blood/Urine 24hr Results6/24/2007
  Q: I recently underwent a 24 hour urine collection and blood tests; I had been having foamy urine for a ...
  A: Creatinine is a substance that is produced by muscles. Its production is essentially constant ...
Blood/Urine 24hr Results6/23/2007
  Q: I recently underwent a 24 hour urine collection and blood tests; I had been having foamy urine for a ...
  A: Foamy urine has been said to be associated with protein in the urine (proteinuria). However, this ...
trace proteinuria6/21/2007
  Q: I am worried about my 18 years old daughter. About 9 month ago we moved and started seen another ...
  A: If she had a normal 24 hour urine protein then her protein excretion is normal and she needs no ...
Dialysis6/21/2007
  Q: my uncle is suffering from pericardial effusion for last 2-3 weeks. when this problem started he had ...
  A: It is very premature to be worrying about rejection. If it turns out that your uncle is going to be ...
Dialysis6/21/2007
  Q: my uncle is suffering from pericardial effusion for last 2-3 weeks. when this problem started he had ...
  A: Most transplant centers would consider 67 years of age to be too old to undergo a kidney transplant. ...
Dialysis6/20/2007
  Q: my uncle is suffering from pericardial effusion for last 2-3 weeks. when this problem started he had ...
  A: Your uncle is uremic and he needs acute hemodialysis or he is going to die very soon so your Doctor ...
kidney's and dialysis6/13/2007
  Q: my grandmother (just turned 65 years old) has had problems with her kidney functions off and on for ...
  A: If your grandmother lived 25 years on dialysis she would die at 90 years of age and everyone would ...
Foamy Urine6/10/2007
  Q: Recently i have been reading on the Internet about different diseases and stumbled across ...
  A: The changes you describe in your urine are likely due to changes in the concentration of urine in ...
Foamy urine for no apparent reason6/9/2007
  Q: Very briefly: I'm a 25 year old male university student, and probably the healthiest person I know. ...
  A: There are two big red flags for kidney disease. Bloody urine (hematuria) and protein in the urine ...
glomerulonephritis6/8/2007
  Q: I'm 37 and in March of '06 I had undiagnosed strep which caused glomerulonephritis. My labs at that ...
  A: One can have abnormal urinalysis for up to two years after an episode of acute glomerulonephritis. ...
Foamy urine for no apparent reason6/7/2007
  Q: Very briefly: I'm a 25 year old male university student, and probably the healthiest person I know. ...
  A: Bubbles &/or foamy urine is almost always associated with the velocity of urine flow and the ...
Test levels6/6/2007
  Q: First of all I appreciate the effort you put forth in answering question. For the past 6 years or ...
  A: Any of the anti-inflammatory drugs reduce kidney blood flow and can, therefore, reduce kidney ...
Bun/Creatinine Ratio6/5/2007
  Q: My recent blood work shows my BUN to be 19 and my creatinine to be 0.7 which are both within normal ...
  A: Both the BUN and creatinine are kidney function tests. The creatinine in the more accurate of the ...
Test levels6/4/2007
  Q: First of all I appreciate the effort you put forth in answering question. For the past 6 years or ...
  A: Yes, you should be concerned. However, my recent answer to you was partially based on info that I ...
KIDNEY DISEASE6/3/2007
  Q: I HAVE HAD KIDNEY PROBLEMS FOR ABOUT 15 YEARS WENT TO SHANDS U OF FLORIDA DID STUDY 15 YEARS AGO , ...
  A: If you are not a diabetic and are under 50 years old, then you almost certainly have some form of ...
Treatment of Diabetic Ulcer in foot6/1/2007
  Q: Can antibiotic be an appropriate treatment for a diabetic ulcer? Thanks for taking time to ...
  A: First, Diabetic foot ulcers are more under the specialty areas of endocrinology and/or infectious ...
Kidney stone in child5/24/2007
  Q: I am desperately searching for answers. Four weeks ago, my 10-year-old son had severe pain in his ...
  A: My pleasure! I really think he needs a nephrologist and I'm glad you're going to see one. Your son ...
Worsening Hematuria5/23/2007
  Q: I know that you are a nephrologist and not a urologist, but hopeflly you will able to provide some ...
  A: I feel strongly that you need a nephrologist. Your microhematuria is most likely from a medical ...
Dizziness5/23/2007
  Q: My daughter who is now 22, has been sick for 8 years, since she was 14. She was healthy up until ...
  A: I am so sorry you and your daughter are having such an awful time. The problem for me is that this ...
Worsening Hematuria5/23/2007
  Q: I know that you are a nephrologist and not a urologist, but hopeflly you will able to provide some ...
  A: Gina, I need to know your age and whether you had protein in your urine. Until that time let me ...
Kidney stone in child5/22/2007
  Q: I am desperately searching for answers. Four weeks ago, my 10-year-old son had severe pain in his ...
  A: First of all, I 'm sorry you and your son are having these difficulties. Renal colic is extremely ...
renal failure5/17/2007
  Q: sir, my grandmother aged 87 years is suffering from adeno carcinoma of stomach since two years ...
  A: Rahl: She is almost certainly volume depleted. This may occur during the perioperative state ...
Foamy Urine5/14/2007
  Q: I've been reading some of your responses on this subject...but how much is too much? Not all the ...
  A: In years past foamy urine was thought to be associated with abnormal quantities of protein in the ...
More questions, since you were so good5/7/2007
  Q: You probably know how this works. Someone does a good job, and what is their reward? People ask ...
  A: Glad to give it a shot! 1. As a rule, water ingestion, herbs, tea and diet do not effectively ...
Urine problems5/7/2007
  Q: I am 37 years Male and I have the following problems: a) The urine output is very less (slightly ...
  A: I'm sorry but I do not know anyone in New Orleans. There are two execellent medical schools there. ...
Urine problems5/6/2007
  Q: I am 37 years Male and I have the following problems: a) The urine output is very less (slightly ...
  A: You do not have " A problem". You describe several perceived problems for which there would NOT be ...
kidney stones and blood pressure: a link?5/5/2007
  Q: Falkinburg, I am a 61 year-old male, physically fit and in excellent health. Recently, I had a ...
  A: I've had five stones myself so you have my sympathy! Stress is NOT a cause of high blood pressure. ...
Effects from drugs for transplant5/5/2007
  Q: I have had a renal transplant for seven years and for about the last 6 months my soles of my feet ...
  A: It sounds like you have a peripheral neuropathy which may be due to many different things, in your ...
Pleasee Advice5/2/2007
  Q: I am worried about my symptoms. 1. I have night urination(1-2 standard from long time, i have hard ...
  A: Night time urination (nocturia)consists of more than three, usually four, bathroom trips at night to ...
Kidney transplantation5/1/2007
  Q: Mr. Falkinburg. Several days ago, a friend of mine has been diagnosed with chronic renal ...
  A: Many patients coming to dialysis have small, chronically diseased kidneys and the precise diagnosis ...
Relapsed Nephrotic Syndrome4/30/2007
  Q: my son of three years is under fourth relapsed stage of NS and is currently under a Steroid course. ...
  A: I'm sorry your son is having these difficulties. The nephrotic syndrome of childhood tends to be ...
Pain and tenderness behind the forehead4/25/2007
  Q: I am 26 years old originally from Ethiopia; lived here in USA for the last 8 years. I like sport ...
  A: I am a nephrologist not a neurologist...you need the latter.A nephrologist deals with diseases of ...
Foamy urine4/25/2007
  Q: My 18 year old grandson often has very thick foamy-frothy urine. (he seldom flushes after using the ...
  A: In years past, foamy urine was considered to be a sign of protein in the urine. Today, however, it ...
dizziness, high blood pressure, trouble breathing4/20/2007
  Q: I am a 14 year old female. Since Tuesday, March 13th, I have been dizzy and very weak, but March ...
  A: My e-mail is doc3255@aol.com (sorry about that). Pheos are diagnosed by a combination of blod and ...
dizziness, high blood pressure, trouble breathing4/19/2007
  Q: I am a 14 year old female. Since Tuesday, March 13th, I have been dizzy and very weak, but March ...
  A: The symptoms of both a pheo and hyperthyroidism are very much the same and consist those symptoms ...
dizziness, high blood pressure, trouble breathing4/18/2007
  Q: I am a 14 year old female. Since Tuesday, March 13th, I have been dizzy and very weak, but March ...
  A: First, I'm sorry you're having such a difficult time. Clearly, the symptoms you describe are ...
Demulcents4/15/2007
  Q: , I recently had a ureteroscopy to remove stones from my kidneys, and I am wondering about the ...
  A: To my knowledge, there are no "CONTROLLED" trials that show any benefit whatever from the use of ...
Calculation of GFR4/12/2007
  Q: I work as a CT Technologist, and our organization is very concerned about the effects of contrast on ...
  A: Unfortunately, all currently used simple calculations of GFR are very inaccurate. All of them use ...
kidney stone resulting in high blood pressure3/21/2007
  Q: I am a 41 yo female, good health, normal weight. I have a history of kidney stones (passed my first ...
  A: Essential hypertension (garden variety high blood pressure) doesn't develop that fast in and of ...
kidney stone resulting in high blood pressure3/20/2007
  Q: I am a 41 yo female, good health, normal weight. I have a history of kidney stones (passed my first ...
  A: It is unlikely that your hypertension is related to your previous kidney stone. Much too much time ...
Serum Creatine and 24 hrs Urine2/6/2007
  Q: Respected Doctor, Thanks for answering my question. I am writing you the salts of the medicines so ...
  A: Indapamide is an excellent mild diuretic that is also an effective blood pressure lowering agent. It ...
Kidney & urinary tract infections2/6/2007
  Q: I have one further question. If proteus mirabilis thrives in an alkiline environment would it be ...
  A: You didn't tell me you were taking ural. The purpose of cranberry juice is to acidify the urine. ...
Serum Creatine and 24 hrs Urine2/5/2007
  Q: Respected Doctor, My mom is 62 year old and she is diabetic and high BP person for the last 6-7 ...
  A: There are no medications called diapride, pionorm or divert. It is very important to have the ...
Kidney & urinary tract infections2/5/2007
  Q: I am a chronic sufferer of UTI. Up until November 06 every positive culture was E Coli bacteria. My ...
  A: 85% of uncomplicated UTI's are due to E. Coli. The rest are made up of various bacterial species ...
nephrostomy tubes2/2/2007
  Q: Hi - thankyou for taking myI was looking at X-rays of nephrostomy tubes and realized they were all ...
  A: You really need to get an opinion from a urologist. Nephrologists don't place or deal directly with ...
Haemodialysis and Analgesics1/19/2007
  Q: My father has diabetes, and, as a result kidney failure; he is a haemodialysis patient. He has lost ...
  A: First, I'm sorry that your dad and you are all having such a difficult time. Opiates, morphine, ...
TEST RESULTS1/17/2007
  Q: The correct results are the BUN at 28 and the creatinine at 1.6. I sincerely appreciate your input ...
  A: Your husband's creatinine is abnormal but barely so. Before one gets upset about it, it needs to be ...
TEST RESULTS1/17/2007
  Q: MY HUSBAND RECENTLY HAD ROUTINE BLOOD WORK DONE FOR AN ANNUAL CHECK UP AND WE WERE SURPRISED TO FIND ...
  A: There is no blood test called bun creatinine. These are TWO SEPARATE TESTS with their own set of ...
Urinalysis?1/16/2007
  Q: I recently had a urinalysis done and am curious about the results. Everything came back normal but a ...
  A: 99.9% of back pain is due to back pain. The kidney cannot feel pain. It does, however, possess a ...
Proteinuria1/13/2007
  Q: Dr Falkinburg, for your rapid response. Howevever I'm still curious about foamy urine caused by ...
  A: Foamy urine is thought by some so be related to the velocity of urine flow. Whether it is or not ...
Proteinuria1/12/2007
  Q: I am a 64 year-old female with history of mild renal insufiency going back to 1997 after suffering a ...
  A: Foamy urine used to be said to be the consequence of the renal excretion of protein into the urine. ...
question1/9/2007
  Q: this all started about a year and a half a ago when i would get this sharp pain in my kidney once a ...
  A: You probably have adhesions relating to your previous surgery. This is really out of my area of ...
Lupus Nephritis and Transplant12/19/2006
  Q: Dr. Falkinburg, I have been on peritoneal dialysis for almost 2 years now. I have what has been a ...
  A: I do not necessarily agree that the best therapeutic option you you is a transplant.Each modality of ...
M.D.?11/22/2006
  Q: The text above is a follow-up to ... -----Question----- I know this might be a silly question, but ...
  A: They are as smart and knowledgeable only in their fields of interest. Generally speaking, ...
M.D.?11/21/2006
  Q: I know this might be a silly question, but are M.Ds. generally smarter than PH.Ds. or is there no ...
  A: Nephrology is a subspecialty of Internal Medicine dealing with diseases of the kidney, very severe ...
contrast dye on kidneys11/10/2006
  Q: This a wonderful service. My mother is 74 years old and has recently been on meds for high blood ...
  A: The basic underlying issue with your mom is hardening of the arteries, also called arteriosclerosis. ...
bloating/fluid retion10/29/2006
  Q: after being on antibiotics for several months, several vaginal infections,last one bladder. I ...
  A: If you have been worked up and have normal kidney function and structure then you should be able to ...
sclerosing peritonitis and pericarditis10/27/2006
  Q: It is a complex subject and I do have other questions on this. Tamponade follows from pericarditis ...
  A: Hemorrhagic pericarditis often occurs in dialysis patients. Clinically it is evidenced by chest ...
ph. value of urine10/20/2006
  Q: What is the normal ph value of urine and saliva ?
  A: The normal ph of urine is between 4.5 and 7.5 depending upon the timing of the specimen and the last ...
Kidney Stones - 2nd opinion10/18/2006
  Q: Recently my friend had a CT scan for severe flank pain and a 'vibration' feeling she is ...
  A: The radiologist probably said or meant that there are no changes in the findings. Rather than a ...

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Newell R. Falkinburg, M.D., FACP

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I am a board certified nephrologist and emeritus professor of medicine at a major medical school and past Director of Nephrology & Hypertension at a university affiliated hospital. I have expertise in all areas of clinical nephrology, dialysis, transplantation and plasmapheresis.

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