| Subject | Date Asked |
|
| urinalysis | 10/6/2008 |
Q: I just received my unrinalysis and I'm a little puzzled about the results. I have alwasy had occult ...
A: I presume that you were not menstruating when you gave your urine sample. Microscopic hematuria ...
|
| Right Upper Pole Cyst | 10/5/2008 |
Q: I received a note from my doctor indicating that from my ultrasound results, showed a 2.4 cm right ...
A: Cysts can be simple or complex. Many normal people have simple cysts. Nothing needs to be done about ...
|
| Interventional nephrology Training in INdia | 10/4/2008 |
Q: I am a nephrology resident in India I would like to know if there are training facilities for ...
A: At the moment, there is no "official" Interventional Nephrology course in India. However, the ...
|
| Excess fluid retention | 10/3/2008 |
Q: My mother has been on dialysis for almost 4 years now. She has rarely had issue with fluid ...
A: It is very difficult to imagine what else could be causing so much fluid retention in your mother. ...
|
| question about my kidney health. | 10/3/2008 |
Q: I'll give you a bit of my health history before I ask myWhen I was 13 years old I had an ...
A: A typical normal range is 96 - 106 milliequivalents per liter (mEq/L). What is the normal reference ...
|
| Elevated potassium | 10/2/2008 |
Q: I have a elevated potassium of 5.3. Creatinine 0.7 and bun 10. My physician assures me that the ...
A: Two tablespoons of peanut butter contain 208 mg of potassium. The recommended daily intake of ...
|
| Elevated potassium | 10/2/2008 |
Q: I have a elevated potassium of 5.3. Creatinine 0.7 and bun 10. My physician assures me that the ...
A: What is the normal reference range for potassium at your lab? Many labs consider a potassium level ...
|
| Renal/Kidney Blood Test | 10/1/2008 |
Q: Results show "Mildly Abnormal, but stable" - what does this mean?
A: The information you have provided is too less. What is the patient's age, ethnicity, weight and what ...
|
| Fluctuating GFR | 9/30/2008 |
Q: My dad has recently been diagnosed with a minute mass on the surface of his kidney. As a result of ...
A: Estimated GFR is based on the patient's serum creatinine and other factors. Serum creatinine can be ...
|
| High Creatinine Level | 9/24/2008 |
Q: I recently quit drinking after having drank a lot for about 10 years. My doctor ordered blood work ...
A: Congratulations on giving up alcohol. A detailed history, physical examination, other lab tests ...
|
| Renal cyst/mass | 9/24/2008 |
Q: I am a 47 year old female and my father died of RCC 19 years ago. I've been having some recurrent ...
A: Good to hear from you again. Although rare, malignant transformation of a simple renal cyst is ...
|
| elevated lab results | 9/24/2008 |
Q: Shah, A recent blood lab test revealed elevated Urea Nitrogen, 27 (reference range 7-25 mg/dL), a ...
A: Congratulations on your active and healthy life-style. Very few men of your age are as active as you ...
|
| Renal cyst/mass | 9/23/2008 |
Q: I am a 47 year old female and my father died of RCC 19 years ago. I've been having some recurrent ...
A: You are rightly concerned because of your family history. However, a biopsy may be the only way to ...
|
| kidney stones or problems? | 9/23/2008 |
Q: I am a 35 male have use to very active in good shape hit the gym 3-4 time a weeks. Until January ...
A: There is a high chance that a small fragment was left behind at the time of ESWL. It could have ...
|
| congential stenosis at right ureteropelvic junction | 9/23/2008 |
Q: Dr. Shah, After having some horrible stomach cramps i had a CT Scan. It found diverticulosis and a ...
A: The decision to operate or leave it alone depends on the status of that kidney. If the kidney is ...
|
| Re: elevated BUN level | 9/22/2008 |
Q: I had a kidney transplant 30 years ago. My creatinine level is 1.2 and my BUN is 31. My last ...
A: First off, congrats on the excellent function of your transplanted kidney. An elevated BUN can be ...
|
| Blood in Urine | 9/22/2008 |
Q: 4 test came back positive with blood in urine. Doc sent to lab and came back that I have ruptured ...
A: The presence of ruptured Red blood cells in urine suggests that you have some sort of glomerular ...
|
| Urea:Creatinine Ratios - Calculations | 9/22/2008 |
Q: How would you calculate the urea:creatine ratio in a patient who has a urea of 13.2 mmol/L and a ...
A: Why do you need to calculate this ratio? In my clinical practice, I have NEVER found it useful. The ...
|
| kidney transplantee - problems | 9/21/2008 |
Q: Shah, I have two different questions. Hope you will understand my situation and provide your advice ...
A: Urine culture readings are meaningless without a colony count. If the E.Coli colony count is more ...
|
| Autorecessive Infantile PKD | 9/18/2008 |
Q: Shah, My son was born with autorecessive pkd. both kidneys were removed at 5 years old and my kidney ...
A: Your son is suffering from resistant hypertension. Have you discussed the AHA guidelines with his ...
|
| renal cyst | 9/18/2008 |
Q: I am a 24y/o male college student struggling to graduate. Student health sent me to the ED by ...
A: I am sorry to hear that you have been plagued by all these problems for the past few months. It ...
|
| my mom | 9/18/2008 |
Q: i'm not sure if you can help me or not, i have two or three questions about my mom and the pain she ...
A: You are right: your doctors are supposed to check that your mom's organs are alright at least once a ...
|
| EGFR TEST | 9/16/2008 |
Q: ...is this good or bad and what does it mean?? thank you
A: Here is a good starting point for yourhttp://www.patient.co.uk/showdoc/27001111/ Please do not ...
|
| CREATININE 7.3 and UREA 99 | 9/16/2008 |
Q: In my father's blood reports the CREATININE is 7.3 and UREA is 99. Doctors are saying about the ...
A: 1. Your "father was looking normal" 4 months ago. That does not mean he did not have CKD, unless you ...
|
| CREATININE 7.3 and UREA 99 | 9/15/2008 |
Q: In my father's blood reports the CREATININE is 7.3 and UREA is 99. Doctors are saying about the ...
A: Your father is suffering from "Chronic Kidney Disease" (CKD). Unfortunately, it is not reversible. ...
|
| Pregnant with abnormal Kidney Function Test | 9/15/2008 |
Q: During a routine OB check up at 13 weeks I showed 2+ protein and large blood with Urine Reagent Test ...
A: You seem to be suffering from some form of glomerulonephritis- inflammation of the kidneys. It is ...
|
| iron deficiency, low vitamin D, receding gums and fatigue with GFR | 9/13/2008 |
Q: Shah; I am 52, not completely vegetarian, jog regularly and until recently felt great, very ...
A: First off, congrats on your healthy life-style. You seem to be suffering from iron and vitamin D ...
|
| my husband's gfr | 9/12/2008 |
Q: My husband is 38 and has been treated for high blood pressure for about 15 years. He takes benicar, ...
A: You are rightly concerned about your husband. Please have him evaluated by a Nephrologist ASAP. ...
|
| Kidney damage in relation to knee replacement surgey | 9/11/2008 |
Q: I am a 65 year old male. Five years ago I had below average kidney function, probably caused by ...
A: Patients who undergo knee replacement are at a greater risk or fat embolism than other major ...
|
| Stage 3 Chronic Kidney Disease and Pregnancy | 9/11/2008 |
Q: I am in the process of going through the IVF process to get pregnant. I have been referred to an ...
A: In patients with CKD, risks are inversely related to GFR at onset of pregnancy. Women with ...
|
| Back Pain GFR 48 | 9/11/2008 |
Q: I have been dealing with not being up to par for the last two years and at times I really don't feel ...
A: Please get yourself evaluated by a Nephrologist. A detailed history, physical examination, lab tests ...
|
| kidneys | 9/10/2008 |
Q: serum creatinine 1.1%mg%,Blood urea 26 Mg%,Micro Albumin 10 Mg%. I am diabetic since 15 years How ...
A: Microalbumin is tested in urine, not blood. As I mentioned earlier, it is possible to have absence ...
|
| kidneys | 9/10/2008 |
Q: serum creatinine 1.1%mg%,Blood urea 26 Mg%,Micro Albumin 10 Mg%. I am diabetic since 15 years How ...
A: The safe level is absence of microalbumin in the urine. Microalbuminuria can be reduced by tight ...
|
| Do I have CKD | 9/9/2008 |
Q: I have been having protein in my urine since the age of 15 (1995) and have consistently reported ...
A: You have a condition called the "Nephrotic Syndrome". One of the features of this condition is ...
|
| GFR 53 after RRT | 9/8/2008 |
Q: My serum bloodwork has been perfect since my RRT 5 years ago. Now, for the first time, my ...
A: I presume that you mean kidney transplant when you say "RRT". Renal replacement therapy (RRT) can be ...
|
| Which type of dialysis would you recomend? | 9/7/2008 |
Q: My name is Christine Nguyen. I am currently on hemodialysis since 1999. I want to have a baby and ...
A: For women on maintenance dialysis, pregnancy is still uncommon. The outcome of pregnancies in such ...
|
| Hypertension | 9/7/2008 |
Q: I have had hard to control high blood pressure for 6 years now. I just had an echcardiography done ...
A: I understand that your BP is hard to control and that your doctor has stepped up your medications. ...
|
| about high urea and high blood pressure | 9/6/2008 |
Q: My grand monther aged 68, now after her blood report found urea 80 and she has very high pressure. ...
A: It would be better if you discussed these questions with your grandmother's Nephrologist. To ...
|
| createnine level for a diabetes patient | 9/6/2008 |
Q: ! My uncle is diabetic and his createnine level is at 1.6 and the doctor says that it shud range ...
A: Unless proven otherwise, your uncle is suffering from Diabetic Nephropathy. A detailed history, ...
|
| Hypertension | 9/6/2008 |
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 ...
|
| CKD and TSH | 8/25/2008 |
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 ...
|
| Hello dr.Shah | 8/25/2008 |
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 ...
|
| Diabetic Kidney Disease | 8/24/2008 |
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. ...
|
| Blood in urine. | 8/20/2008 |
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 ...
|
| Bun/Creatinine Ratio | 8/20/2008 |
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 ...
|
| GFR and Hypertension | 8/20/2008 |
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 ...
|
| Iga Nephropathy | 8/18/2008 |
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 ...
|
| GFR Low | 8/18/2008 |
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 ...
|
| GFR Low | 8/17/2008 |
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 ...
|
| Low GRF, scleroderma, related? | 8/16/2008 |
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 ...
|
| BUN Level and creatinine | 8/15/2008 |
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 ...
|
| BUN Level and creatinine | 8/15/2008 |
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 ...
|
| Low GRF, scleroderma, related? | 8/15/2008 |
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 ...
|
| eGFR | 8/14/2008 |
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 ...
|
| my son alistair | 8/13/2008 |
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 ...
|
| kidney pain/high creatinine serum | 8/3/2008 |
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 ...
|
| high bun | 8/2/2008 |
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. ...
|
| eGFR Non -Afr American | 8/1/2008 |
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 ...
|
| creatine & GFR | 8/1/2008 |
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 ...
|
| peritoneal dialysis | 7/31/2008 |
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 ...
|
| Renal Failure | 7/30/2008 |
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 ...
|
| Creatinine/Kidney Cancer | 7/29/2008 |
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 ...
|
| Potassium Limits | 7/29/2008 |
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 ...
|
| CKD caused by kidney stones | 7/28/2008 |
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 ...
|
| high Serum Urea and Creatinine | 7/27/2008 |
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 ...
|
| Please Help!!! | 7/25/2008 |
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 ...
|
| hypertension? | 7/25/2008 |
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 ...
|
| Kidney Failure | 7/23/2008 |
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 ...
|
| hypertension protocol results | 7/22/2008 |
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 ...
|
| HELP | 7/21/2008 |
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 ...
|
| high protein in urine | 7/21/2008 |
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 ...
|
| createnine | 7/21/2008 |
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 ...
|
| kidneys | 7/19/2008 |
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. ...
|
| dialysis and increased urination | 7/19/2008 |
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 ...
|
| creatinine | 7/18/2008 |
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 ...
|
| creatinine | 7/17/2008 |
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 ...
|
| few more questions | 7/15/2008 |
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 ...
|
| high protein and very high cholesterol | 7/14/2008 |
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 ...
|
| high protein and very high cholesterol | 7/14/2008 |
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 ...
|
| Vitamin D3, Calcium supplements/benefits/risks | 7/13/2008 |
Q: my internist has me taking a multiple vitamin with 1000IU of D3 and two additional tablets of 1000IU ...
A: Vitamin D supplmentation depends on the individual patient's deficiency. What were your levels ...
|
| Treatment for retroperitoneal fibrosis | 7/13/2008 |
Q: Are there standard treatments for retroperitoneal fibrosis? Why can't the associated mass simply be ...
A: Many times, the extent of RPF is extensive and hence, cannot be removed surgically. Other important ...
|
| possible kidney disease | 7/13/2008 |
Q: I'm a 27 year old male, my current symptoms: -Chest pains -Abdominal ...
A: To diagnose your condition, a detailed history, physical exam, lab tests and imaging of the abdomen ...
|
| high creatinine levels | 7/11/2008 |
Q: A little background on me and the problem: I'm a 21 year old male 5-11, 231 (increased weight from ...
A: A lot of stuff can cause Acute Kidney Injury (the new word for ARF). However, I do not think that ...
|
| Boyfriend on Peritoneal Dialysis | 7/11/2008 |
Q: My boyfriend and I have just reconnected after fifteen years and I love him dearly. He is on Home ...
A: In this day of modern therapy, nobody dies of kidney failure. Patients do well both on HD and PD. I ...
|
| high creatine/ MRI dye | 7/8/2008 |
Q: I am 43 and in very good health, expect a breast tumor this year that was caught very early (stage ...
A: Gadolinium is know to cause problems in people who have underlying kidney dysfunction. If you can ...
|
| Low urinary creatinine | 7/7/2008 |
Q: i had my 24 hour urine analysis, creatinine was 80 mg/dl and they showed total volume 900 ml, my ...
A: You have a normal serum creatinine value. So, I don't see a cause of concern unless you have ...
|
| eGFR | 7/7/2008 |
Q: I am a 69 year old (70 in August) non-African-American female. I am physically active (Pilates, ...
A: You are right, age and muscle mass both affect the interpretation of GFR. After the age of 30, GFR ...
|
| diabetes after kidney transplant | 7/6/2008 |
Q: Shah: My best friend received a kidney transplant 2 weks ago. He was on dialysis for 2.5 years. ...
A: Maintaining a kidney graft requires use of immunosuppressive medication. Some of them can cause ...
|
| kidney problems | 7/6/2008 |
Q: I have been experiencing more frequency in urinating along with cramping. When I went for 2 ...
A: Blood and protein in the urine are two red flags for presence of kidney disease. A detailed ...
|
| Creatinine | 7/4/2008 |
Q: if urinary creatinine is less than serum creatinine, does that indicate ckd., I am 39 male, 60 kgs, ...
A: Urine creatine (24-hour sample) values can range from 500 to 2000 mg/day. Results are highly ...
|
| kidney infection | 7/4/2008 |
Q: It's a long holiday weekend, my PCP won't be available until Monday. I have a kidney infection(I ...
A: Community acquired UTI is most commonly due to E. Coli. Norfloxacin or Ciprofloxacin like drugs are ...
|
| kidney disease | 7/4/2008 |
Q: I am a 69 year old female - height 5ft 4 inches, weight 135 lbs. I recently was given a blood test ...
A: BUN and creatinine are two markers of kidney function. BUN can be affected by many factors. If you ...
|
| Acute Kidney Failure | 7/4/2008 |
Q: My sister was diagnosed with pneumonia about 3weeks ago and put on treatment. After one week, ...
A: What you are describing seems like acute on chronic kidney disease. Many people have underlying CKD ...
|
| Nephrologist | 7/3/2008 |
Q: My situation is similar to Jean's. I've been referred to a nephrologist because of high protein in ...
A: If your cyclosporin trough levels are in the therapeutic range, they should not cause proteinuria. ...
|
| Kidney disease | 7/3/2008 |
Q: Shah, My husband was diagnosed with kidney disease based on Protein (2500 mg - 24-hour urine test, ...
A: Many countries have central glomerulonephritis registries. I know of two of them: ...
|
| Protein and Blood in urine | 7/3/2008 |
Q: I am concerned because it says that I have moderate blood in my urine and 70MG of protien. I have ...
A: Protein and blood in urine are two red flags for presence of kidney disease. They should not be ...
|
| low GFR and UTI | 7/2/2008 |
Q: I was seen by my doctor yesterday. Dip stick showed high nitrate and PH 0.5. He is treating me ...
A: Good to hear from you again. As I have stated on the instructions page, please mention the units in ...
|
| guide | 7/2/2008 |
Q: my father is a dibetic patient his age is 55 his serum Urea is 43.6 and his Serum Creatinine is 1232 ...
A: You really need to discuss these issues with your Nephrologist. The discussion of transplant vs. ...
|
| Kidney disease | 7/2/2008 |
Q: Shah, My husband was diagnosed with kidney disease based on Protein (2500 mg - 24-hour urine test, ...
A: Your husband has proteinuria. Many diseases can cause proteinuria and discussing them is beyond the ...
|
| guide | 7/1/2008 |
Q: my father is a dibetic patient his age is 55 his serum Urea is 43.6 and his Serum Creatinine is 1232 ...
A: According to the information you have provided me, your dad's GFR (Glomerular filtration rate) is 4 ...
|
| Young Athlete with High Creatinine and BUN | 7/1/2008 |
Q: I'm a young male (24 years old) who works out with heavy weights 6 days a week as a natural ...
A: Good to hear from you again. Probably your kidneys are healthy but are just being "bombarded" with ...
|
| Nephrology | 7/1/2008 |
Q: My brother who reside in India(North India) facing problem related with KIDNEY. He has history of ...
A: A detailed history, physical examination, lab tests and imaging of the kidneys are required to ...
|
| Young Athlete with High Creatinine and BUN | 7/1/2008 |
Q: I'm a young male (24 years old) who works out with heavy weights 6 days a week as a natural ...
A: Your elevated creatinine level is probably due to two factors: 1. Your increased muscle mass 2. ...
|
| flank pain with drop of BP | 6/30/2008 |
Q: For the past 2 months my husband has been on dialysis. He was diagnosed with TMA as well as low ...
A: Thrombotic microangiopathy is usually associated with malignant hypertension. Are you sure your ...
|
| new dialysis | 6/30/2008 |
Q: My 80 year old father is going to see a vascular surgeon to have a fistula and peritoneal access ...
A: My main concern at this age would be the condition of his blood vessels. If his arteries are ...
|
| painful and burning urination | 6/29/2008 |
Q: My father is facing very acute problem while urinating. He undergoes a lot of pain as well as ...
A: Dr. Mahesh, Thanks for following up with me. Benign prostatic hyperplasia is not to be confused ...
|
| Test results | 6/27/2008 |
Q: I have recent test results, with BUN 25, Creatinine .98, GFR 59L. Do I need to be concerned? I am ...
A: I need some more information before I can answer your question. 1. What does "A/A" mean? 2. What ...
|
| high creatinine/low bun | 6/27/2008 |
Q: I AM A 48 HEALTHY WOMAN/128 LBS/5'7', RUN 3-4 TIMES A WEEK. HAD MY THYROID REMOVED 2 YRS AGO/NODULE ...
A: There can be many reasons why the BUN/Creatinine ratio is high. Some of the common ones are: 1. ...
|
| Single Kidney | 6/26/2008 |
Q: My (2) year old daughter was born with a single kidney. She just recently was diagnosed with a UTI. ...
A: Your daughter is suffering from a condition called unilateral renal agenesis. Unilateral renal ...
|
| Blood work and back pain | 6/26/2008 |
Q: Recently I had blood work done for a new job. My serum creatinine was 2.70 and gfr was 27 with high ...
A: Were there any abnormal findings on your physical examination? Is your blood pressure normal? ...
|
| prealbumin | 6/26/2008 |
Q: I have a pt with a chronic wound that has a high protein diet but has a prealbumin level of 14. She ...
A: Low prealbumin (also known as transthyretin) can indicate protein-calorie malnutrition. Prealbumin ...
|
| High Creatinine | 6/25/2008 |
Q: i am 34yrs old female asiani am diagnosed of having glumerolonephritis and my creatinine level is ...
A: I am presuming that you have chronic glomerulonephritis and that a kidney biopsy was not done. ...
|
| CKD | 6/25/2008 |
Q: Shah Following some "high normal" serum creatinine tests (creatinine 1.3- range 0.85-1.35), I saw ...
A: Good to hear from you again. Creatinine clearance overestimates actual GFR by 10-20%. The data in ...
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| CKD | 6/24/2008 |
Q: Shah Following some "high normal" serum creatinine tests (creatinine 1.3- range 0.85-1.35), I saw ...
A: The GFR values in the NKF guidelines for the classification of CKD do not apply to the asian ...
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| Complicated Renal Cyst with Microscopic Hematuria | 6/23/2008 |
Q: November 2007 I went to the doctor not feeling well. My doctor ran a urine test. He found blood in ...
A: Is it the radiologist's opinion that your cyst does not even register on the Bosniak scale? If not, ...
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| Pus cells in urine | 6/23/2008 |
Q: Sir, My mother, aged 70 is suffering from fever for the last 2 months and hav numorous pus ...
A: Your mother seems to be suffering from a urinary tract infection. Please get her evaluated by a ...
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| low GFR | 6/22/2008 |
Q: Shah, I am a little concerned because I just had some routine bloodwork. My MCV was a little low at ...
A: An estimated GFR should always be viewed in conjunction with a history (suggestive of kidney ...
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| Do i have CKD | 6/22/2008 |
Q: possibly i am hypochondriac, in my previous history i had appointments with doctors and tests for ...
A: 1. Estimated GFR is always to be seen in conjunction with a detailed history, physical examination, ...
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| Low GFR | 6/21/2008 |
Q: 21 yr, wm In January, I had results from an CMP come back showing a GFR of 73 CALC and an elevated ...
A: When in doubt, I ask my patients to get a 24 hour urinary creatinine clearance for GFR. You might ...
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| Do i have CKD | 6/21/2008 |
Q: possibly i am hypochondriac, in my previous history i had appointments with doctors and tests for ...
A: I will really appreciate if you rate my answers on the website. Sincerely, Dr. Shah
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| Complicated Renal Cyst with Microscopic Hematuria | 6/21/2008 |
Q: November 2007 I went to the doctor not feeling well. My doctor ran a urine test. He found blood in ...
A: Yes, you should definitely be worried about microscopic hematuria and protein. Ask your doctor to ...
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| BUN level | 6/19/2008 |
Q: I have a one year old boy who had kidney reflux stage 3 since birth. They just ran test again and ...
A: I am not quite sure I understand your question correctly. Is your major concern regarding ...
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| complex cyst | 6/17/2008 |
Q: I have recently had a CT scan, as I had severe pain in my left upper quadrant, diagnosed as kidney ...
A: Although rare, malignant transformation of a simple renal cyst is reported in literature. Here are a ...
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| complex cyst | 6/16/2008 |
Q: I have recently had a CT scan, as I had severe pain in my left upper quadrant, diagnosed as kidney ...
A: It is possible for a simple cyst to transform into a complex one. You must get yourself evaluated by ...
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| Solitary Kidney!!! | 6/15/2008 |
Q: Recently while doing a routine ultrasound of the abdomen it was found that I have only one kidney by ...
A: Normal people excrete less than 20 mg of protein per day. Proteinuria and hematuria are the two ...
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| kidney damage | 6/14/2008 |
Q: Shah, I had some electrical therapy from electrical therapy from a chiropractor on my back. After ...
A: Because I have no knowledge of chiropractic principles or practice, I am not qualified to comment. ...
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| post nephrectomy hypertention | 6/14/2008 |
Q: you answered a question with the answer being that there is an increase chance chance of developing ...
A: Good to hear from you again. There is really no consensus on how soon will hypertension develop ...
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| HYPODENSE KIDNEY STRUCTURE | 6/13/2008 |
Q: Greetings! I am a 53 year-old male. CT scan w/contrast on 5/5/08 revealed a 4.5 cm x 3.5 cm ...
A: You should definitely get another opinion, preferably another urologist's. It would not be a very ...
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| Increased biliruben levels | 6/13/2008 |
Q: My husband had his second kidney transplant in 1/08, and his biliruben levels have been increasing. ...
A: Patients with underlying hepatitis C or hepatitis B may "flare up" after kidney transplant due to ...
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| kidney | 6/13/2008 |
Q: I had a kidney removed last Jan. 07. My gfr was 110. Now my gfr is 48 and has been check for 3 ...
A: A GFR this low cannot be due to removal of one kidney. Please get yourself evaluated by a ...
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| angiolypoma | 6/12/2008 |
Q: I was diagnosed a while agoe with a small angiolypoma on my right kidney. I also have, cyst on my ...
A: A detailed history and physical examination are needed to make a provisional diagnosis. ...
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| Primary Hyperoxaluria | 6/12/2008 |
Q: Shah, I have been recently diagnosed with a very serious, very rare disease called Primary ...
A: The key to treatment of an ESRD patient with PH is combined liver and kidney transplantation. ...
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| Kidney Damage From Reflux | 6/12/2008 |
Q: I am a fourteen-year-old male and I recently experienced trouble urinating, but thank goodness it ...
A: In normal individuals, a physiological valve-like mechanism exists at the point of entry of the ...
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| Reasons for an increased protein to creatine level | 6/11/2008 |
Q: My now 4yo son started periodically peeing his pants about a year ago (a full year after being day ...
A: Your question is best answered by a Pediatric Nephrologist. I am an adult Nephrologist, but will ...
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| Swollen Foot & Back Pain | 6/11/2008 |
Q: Age 39 female (Neph.History: I have passed sharp-hook type stones in past which one time caused a ...
A: Yes, your symptoms could be due to kidney dysfunction. A detailed history, physical examination, ...
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| High Urea & Creatinine | 6/10/2008 |
Q: How does the high urea level and creatinine level affect. My father has urea level of 51mg & ...
A: Your father seems to be suffering from some sort of kidney dysfunction. A detailed history, ...
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| Solitary Kidney!!! | 6/9/2008 |
Q: Recently while doing a routine ultrasound of the abdomen it was found that I have only one kidney by ...
A: Approximately 1 in 5000 live births will have unilateral renal agenesis - the condition that you ...
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| Creatinine Clearance | 6/9/2008 |
Q: I forgot to tell you that I will be 65 this month and I'm a white/American....no heart trouble, no ...
A: I already answered your question before. Drinking too much water will cause the urine to be dilute ...
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| encapsulated sclerosing peritonitis | 6/8/2008 |
Q: How easy/difficult is it to diagnose and then treat SEPin a haemodialysis patient?
A: Diagnosis of any condition depends upon a detailed history, physical examination, relevant lab tests ...
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| low GFR and low creatinine clearance and low crea. in 24 hr. urine collection | 6/7/2008 |
Q: I went to my family dr. for a physical, had no problems at all and regret that I went in while I was ...
A: Drinking too much water causes the urine to be dilute. That and/or too much acidic urine can affect ...
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| Forced to strain in middle or ending urination | 6/6/2008 |
Q: I'm a very healthy 80 year old woman without any medical problems at all! But it puzzles me that ...
A: Congrats !! Not many people are alive at 80, leave alone healthy and well. You have to thank your ...
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| kidney - renal left-sided 14mm cyst | 6/5/2008 |
Q: My daughter is WF 26. She just had an MRI and showed a renal cyst 14mm in diameter. It shows up as ...
A: What was the radiologist's report on the MRI? The margins, wall thickness, etc? Depending on the ...
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| Microalbumin/Creatinine Ration | 6/4/2008 |
Q: I just had blood work done and have not seen my endocrinologist yet BUT do have copy of my ...
A: Your albumin/creatinine ratio suggests that you are excreting about 1.8 grams of albumin in your ...
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| frequent urination | 6/3/2008 |
Q: I am 36 years old and i have been going to the bathroom very often and i have notice that my urine ...
A: Frequency of urination with a bad odor may suggest a urinary infection. Please get yourself ...
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| No pain from left kidney | 6/3/2008 |
Q: I've had two serious illness that normally cause pain, but I've had none. The first was kidney ...
A: Kidney stones cause pain if they cause ureteric spasm while passing. If there is no ureteric spasm, ...
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| kidney donation and 24 hr. urine test | 5/31/2008 |
Q: I am in the testing phases of donating a kidney to my brother and I failed the 24 hr. urine test. I ...
A: First off, your brother is a lucky man to have a sibling like you. Congrats, not many people have ...
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| injury | 5/30/2008 |
Q: I was in a car accident last week. My back and neck were x-ray. No damage appeared, but was having ...
A: Please go back to your doctor ASAP. If he is not available, head for the ER. Ask for an ultrasound ...
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| Kidneys only work lying down | 5/29/2008 |
Q: Dr. Shah, I wish to ask a some what complicated and unusual question The main problem I have ...
A: Damage to medium or small arteries in the kidney will not show up on an arteriogram. This condition ...
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| plasma urea | 5/29/2008 |
Q: My 3 year old son , born with one kidney, had a blood test that showed he had 40mg/dl plasma ...
A: Increased plasma urea can be due to several factors: 1. Dehydration 2. Increased dietary protein ...
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| Vit.. D deficiency and Calcium antacids use. | 5/29/2008 |
Q: Shah, For more than a year, every day I was taking many calcium antacids(TUMS)that do not have vit.D ...
A: The source of calcium in Tums and similar antacids is limestone (calcium carbonate). Limestone is ...
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| low eGFR, high neutrpphils | 5/28/2008 |
Q: I am 45 year old white woman of 5'3" height and 145 pounds. I exercise with weights and cardio 2 or ...
A: A 4 cm ovarian cyst will not have any effect on your bladder. High neutrophils are suggestive of an ...
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| kidney spasm? | 5/28/2008 |
Q: I am a 64 y/o female. I experienced this for the first time when I lived in a tropical country for ...
A: It is difficult to diagnose your condition without doing a physical exam. However, what you describe ...
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| Proteinuria. | 5/28/2008 |
Q: My Father is 67 yrs old. weight is 95 and height is 5'10''. Currently he taking medicine for ...
A: Good to hear from you again. Please get your father evaluated by a Nephrologist as soon as ...
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| dialyis | 5/27/2008 |
Q: my brother is a dialyis patient for the last 4 years. he was geting very sick and pains in his head ...
A: There can be many reasons causing altered sensorium and high blood pressure in a patient who has ...
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| hpodense renal | 5/27/2008 |
Q: 44 year old fm has complaint of abd pain x 2mnth with right lower back pain, ultras sound shows ...
A: Any radiological investigation result must be viewed in light of a detailed history, physical exam ...
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| Kidney Dysfunction and allowable tests | 5/26/2008 |
Q: II have Congestive Heart Failure and am thus monitored for kidney function by the cardiologists (I ...
A: Good to hear from you again. From your lab's reference range, you do have renal dysfunction. There ...
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| Kidneys only work lying down | 5/25/2008 |
Q: Dr. Shah, I wish to ask a some what complicated and unusual question The main problem I have ...
A: Larry. The problem that you describe is sometimes seen in people who have a lot of edema (swelling) ...
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| Kidney Dysfunction and allowable tests | 5/25/2008 |
Q: II have Congestive Heart Failure and am thus monitored for kidney function by the cardiologists (I ...
A: What is the normal reference range for your lab? If your lab's reference range is < 1.2 mg/dl, your ...
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| Kidneys only work lying down | 5/24/2008 |
Q: Dr. Shah, I wish to ask a some what complicated and unusual question The main problem I have ...
A: You have described an unusual presentation. Let me work on this question and get back to you. ...
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| Low egfr read in blood test | 5/23/2008 |
Q: I am a 41 year old male, approx 5ft 10in slim build. I had severe pain in flank and lower stomach ...
A: Glomerular filtration rate (GFR) is a measure of kidney function. The normal GFR ranges from 110-120 ...
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| Post nephrectomy hypertension | 5/22/2008 |
Q: Shah- My wife had a radical nephrectomy 6 days ago. Her left kidney had a 5.7 cm upper pole tumor ...
A: Patients who undergo a unilateral nephrectomy have an increased chance of developing hypertension in ...
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| Kidney dease and caffeine et al. | 5/21/2008 |
Q: Dr Shah, I have stage 2 kidney disease. I am interested in finding out how caffeine affects the ...
A: For a patient like you with stage 2 CKD, your protein intake may be limited to 12-15% of your ...
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| Normal Creatitine Levels | 5/21/2008 |
Q: Recently I had a test done to check my Creation level. The doctor said that it was normal at 1.0. ...
A: Normal S. Creatinine ranges from 0.5 mg/dl to 1.5 mg/dl depending on the kit used for the assay. ...
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| Kidney dease and caffeine et al. | 5/20/2008 |
Q: Dr Shah, I have stage 2 kidney disease. I am interested in finding out how caffeine affects the ...
A: Non-Steroidal anti-inflammatory drugs (NSAIDs) are to be avoided in patients with kidney disease. I ...
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| Fear of Urinary Rention | 5/19/2008 |
Q: I know that this doesn't fall into nephrology but I am going to ask anyway. I am a fourteen-year-old ...
A: Prolonged urinary retention can lead to increased pressure in the urinary bladder. This pressure is ...
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| Kidney dease and caffeine et al. | 5/19/2008 |
Q: Dr Shah, I have stage 2 kidney disease. I am interested in finding out how caffeine affects the ...
A: As a general rule, I advise my patients to limit their intake of caffeine. Caffeine may increase ...
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| Hyperparathyroidism | 5/18/2008 |
Q: Does Hyperparathyroidism cause kidney stones. I had stones four times, I am a male 63 years old. My ...
A: Yes, hyperparathyroidism can cause kidney stones. Classically, the features of this disease are ...
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| Creatinine levels | 5/18/2008 |
Q: I recently had some tests done, and my creatinine and blood urea, were normal, 8 mg/dl and .65 mg/dl ...
A: A 24 hour urinary collection is prone to errors, which in turn would affect the results. If you do ...
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| kidney problems | 5/18/2008 |
Q: helo doctor shah! sir, i am very worried for my mothers kidney conditions. she is having kidney ...
A: According to the information that you have provided me, your mother's glomerular filtration rate ...
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| kidney problems | 5/17/2008 |
Q: helo doctor shah! sir, i am very worried for my mothers kidney conditions. she is having kidney ...
A: Good to hear from you again. As I already said earlier, your mother is definitely suffering from ...
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| low egfr levels | 5/16/2008 |
Q: I am a 38yo white male. Very muscular taking protein and creatine supplements. I had a physical ...
A: Creatine supplements can cause and elevation in S. Creatinine and hence, a low GFR reading. Please ...
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| kidney problems | 5/16/2008 |
Q: helo doctor shah! sir, i am very worried for my mothers kidney conditions. she is having kidney ...
A: A lot of people ask questions on this web forum and I answer ALL of them without fail. I do not ...
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| dialysis and haeparin with hair loss | 5/16/2008 |
Q: I started hemodialysis January 2008. Since then I have had thinning and falling out hair, along ...
A: People who start dialysis do sometimes notice hair loss. Usually, it is temporary, and the hair will ...
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| HYPODENSE KIDNEY STRUCTURE | 5/15/2008 |
Q: Greetings! I am a 53 year-old male. CT scan w/contrast on 5/5/08 revealed a 4.5 cm x 3.5 cm ...
A: Yes, you should be concerned about the rapid growth in size. I would like to have more information ...
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| foamy urine | 5/15/2008 |
Q: After my wife commented that my urine is a little foamy, I got some test done, blood and urinalysis. ...
A: I would repeat a 24 hour urinary protein estimation after about two weeks and see. If ...
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| Elevated blood creatinine | 5/14/2008 |
Q: I’ve been having pain, weakness and fatigue over the past 4 years. I get sever stiffness in my neck ...
A: I agree with your pathologist friend. A creatinine clearance of 59 is not normal. However, estimated ...
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| Bloodwork | 5/13/2008 |
Q: I went to the doctor yesterday because I had a headache that I couldn't get rid of. My blood ...
A: Please get your labs done once again ASAP. If your repeat labs do not show any abnormality, you have ...
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| NS maybe FSGS | 5/13/2008 |
Q: My husband was diagnosed with NS Minimal Change/autoimmune disease 2 years ago now, steriod ...
A: From what you describe, your husband is probably suffering from a form of resistant Minimal change ...
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| low GFR and UTI | 5/13/2008 |
Q: I was seen by my doctor yesterday. Dip stick showed high nitrate and PH 0.5. He is treating me ...
A: Good to hear from you again. A low GFR is not caused by protein in the urine. So, absence of ...
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| kidney removal | 5/13/2008 |
Q: I have a sister who has an obstructed kidney and might have to have it removed. She is 11 years ...
A: It is very heartening to see an altruistic attitude in people like you. Please help spread this ...
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| Ref: Berger Diesease | 5/12/2008 |
Q: Shah My sister living in USA was recently,diagnosed with Berger diesease,she underwent biopsy,it is ...
A: Berger's disease or IgA Nephropathy is not life threatening. The principles of treatment are strict ...
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| Low GFR | 5/12/2008 |
Q: I am 58 wf. GFR of 49 a drop from 54 three months ago. calcifediol (25-oh vitamin d-3) 10 No ...
A: Good to hear from you again. A drop from 54 to 49 is not too much. It does not change the staging ...
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| Low GFR for age | 5/10/2008 |
Q: I recently visited the doctor who said I had hypertension and ordered a blood test for me. The ...
A: If your blood test results are normal, I would suggest that you take a 24 hour urinary creatinine ...
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| Low GFR | 5/10/2008 |
Q: I am 58 wf. GFR of 49 a drop from 54 three months ago. calcifediol (25-oh vitamin d-3) 10 No ...
A: Good to hear from you again. You are right. It is believed that a Vegetarian/Vegan diet may be the ...
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| Low GFR | 5/9/2008 |
Q: I am 58 wf. GFR of 49 a drop from 54 three months ago. calcifediol (25-oh vitamin d-3) 10 No ...
A: It seems that you are suffering from some form of Chronic Kidney Disease (CKD). There are various ...
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| +3protien in urine | 5/4/2008 |
Q: My son is a type one diabetic , 3 months ago he had a A1c 14.8 no protein in uringe . Just took ...
A: Normal people excrete less than 20 mg of protein in their urine in 24 hours. If a person's urine ...
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| +3protien in urine | 5/4/2008 |
Q: My son is a type one diabetic , 3 months ago he had a A1c 14.8 no protein in uringe . Just took ...
A: Good to hear from you again. The presence of protein in the urine is known as proteinuria. If ...
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| High creatitine | 5/2/2008 |
Q: I am a 46 year old type II diabetic. On a routine blood test I flagged a high creatinine level (over ...
A: A detailed history, physical and other lab tests are needed to make a diagnosis. If you had normal ...
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| IgA Nephropathy | 5/2/2008 |
Q: My son is 23 years old and had a kidney transplant (one that I donated to him) on 12/26/06. He was ...
A: Despite the risk of recurrence, the prognosis of transplants for this group is comparable with that ...
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| +3protien in urine | 5/2/2008 |
Q: My son is a type one diabetic , 3 months ago he had a A1c 14.8 no protein in uringe . Just took ...
A: About 30% of type I diabetics develop Diabetic Nephropathy, damage to the kidneys because of ...
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| Straining During Urination - Kidney Damage | 5/1/2008 |
Q: I am a fourteen-year-old male. Sometimes I have to strain to urinate. This happens only at school ...
A: In normal individuals, an increase in the bladder pressure causes the ureteral openings to close in ...
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| serum creatin | 4/30/2008 |
Q: Sir I am 51 years old 6ft 2 inches 105 kg muscular heavy framed person.I have been weight training ...
A: What is the normal reference range for your lab? If your values fall in the normal range, nothing ...
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| microscopic hematuria | 4/18/2008 |
Q: Shah,I am a doctor practicing Medicine here in India, this is about my 2 yr old daughter, I would be ...
A: Dr. Nathani, A child with acute pyelonephritis would have been much sicker than what I gather from ...
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| microscopic hematuria | 4/18/2008 |
Q: Shah,I am a doctor practicing Medicine here in India, this is about my 2 yr old daughter, I would be ...
A: Dr. Nathani, Good to hear from you again. Dysuria and sleeping badly may have been due to the ...
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| microscopic hematuria | 4/17/2008 |
Q: Shah,I am a doctor practicing Medicine here in India, this is about my 2 yr old daughter, I would be ...
A: Dr. Nathani, It is a privilege and an honor to be asked for an opinion from a colleague. I agree ...
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| blood in urine | 4/16/2008 |
Q: Last October i urinated blood i went to the doctors the next day and she did a dipstick which tested ...
A: Blood and protein in urine are two flags for presence of kidney disease. Painless hematuria can ...
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| Mother's low GFR | 4/16/2008 |
Q: Several months ago my mother was diagnosed with renal insufficiency. Her GFR was 43 now it is down ...
A: 1. Rate of decline in GFR depends on her basic renal disease. Some diseases like diabetic ...
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| GFR questions | 4/14/2008 |
Q: 11 months ago my GFR (from a blood test only) was 55 and now it is 47. I have had chronic pain ...
A: "Not enough of the analyte to calculate" does NOT mean that you have no protein in the urine. You ...
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| GFR estimate tests | 4/14/2008 |
Q: I am battling with a differential diagnosis (my doctor is still piecing everything together). We ...
A: A 24 hour urinary creatinine clearance is a better indicator of GFR. It seems that your doctor is ...
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| a high protein | 4/14/2008 |
Q: Shah, I've recently had a blood test that determined that I had a "high protein." The doctor ...
A: Your question is best answered by a Hemato-Oncologist. I will attempt to answer it here. A total ...
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| High BUN - lowered creatinine | 4/12/2008 |
Q: Doctor, I'm a male, age 68, 6'2" - 170 lbs. seeking your suggestion for next step in view of the ...
A: Your creatinine value is normal. An elevated BUN can be due to various reasons: 1. High protein in ...
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| Createnine | 4/12/2008 |
Q: My brother's createnine level is 5.1 Doctor has advised him kidney transplant. But other doctor says ...
A: Elevated S. Creatinine can be due to an acute kidney injury (AKI) or due to chronic kidney disease ...
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| High BUN - lowered creatinine | 4/11/2008 |
Q: Doctor, I'm a male, age 68, 6'2" - 170 lbs. seeking your suggestion for next step in view of the ...
A: You seem to have some sort of a renal insufficiency. I would not worry too much about the elevated ...
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| 38 male Agi nephropathy? | 4/11/2008 |
Q: Im 38yr old male my BP is normal, no diabetes, cholestrol is slighted elevated. i was told my gfr is ...
A: Your doctor is probably suspecting "IgA Nephropathy", not AGI Nephropathy. I agree with her. A ...
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| Scan results of Kidney with polycystic | 4/11/2008 |
Q: I would like to send you my fathers scan results and recent ultra sound scan results to check is ...
A: Based on the information that you have provided me, your father's glomerular filtration rate (GFR) ...
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| Kidney Transplant | 4/9/2008 |
Q: Doctor, I am looking for a kidney transplantation. I am 58 years old. I heard from many sources in ...
A: Have you ever talked to your Nephrologist about this? Please do not trust "many soures in internet". ...
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| PKD | 4/9/2008 |
Q: My father has Polycystic Kidney Disease and he did an operation one year back to remove the cyst of ...
A: Autosomal-dominant polycystic kidney disease (ADPKD)is a systemic hereditary disorder, affecting ...
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| Child Kidney trouble? | 4/8/2008 |
Q: My father and his father died from kidney disease. I am 41 years old and have high enough bp ...
A: Your wife is absolutely wrong. Passing protein in the urine is a big deal. Protein and blood in the ...
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| more urine questions please | 4/8/2008 |
Q: We have a very good University Hospital not far from here. When you suggested Nephrology & ...
A: Congrats on getting normal results on most of your tests. Your white cell count is a just a weeny ...
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| CRF, ARF Where to go from here | 4/7/2008 |
Q: I am 44 yrs old and have CRF and ARF I am being treated for high blood pressure and Diabetes, I have ...
A: Acute Kidney Injury (AKI), the new name for ARF means that there is a sudden, reversible decline in ...
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| Polycystic Kidney Disease | 4/4/2008 |
Q: I am a 43 year old female. I was diagnosed with PKD and Liver disease two years ago 2006. My report ...
A: Autosomal-dominant polycystic kidney disease (ADPKD)is a systemic hereditary disorder, affecting ...
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| ureteropelvic junction obstruction | 4/4/2008 |
Q: Shah, Below is prior correspondence based on my husband's condition. Today we went to the urologist ...
A: Your husband's creatinine level has improved. His estimated GFR by the MDRD formula is 61 ...
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| albumin trace in sugar | 4/3/2008 |
Q: Sir, my child is 10 y old. high weight is 23 kg. he is under weight, he is suffering from feaver ...
A: Mr. Gupta, Thanks for asking my help on "Allexperts". Protein in the urine is a red signal for the ...
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| sclerosing peritonitis | 3/31/2008 |
Q: sclerosing peritonitis/abdominal adhesions in dialysis patient. What is standard/recognised ...
A: A plain X-ray would not show adhesions if they are not calcified. A CT Scan with PD fluid instilled ...
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| Diagnosis | 3/31/2008 |
Q: what is your diagnosis: - twin girls, 4 years old, having: abdominal pain, glucosuria, normal blood ...
A: I cannot make a diagnosis without a detailed history, physical examination and supportive lab tests. ...
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| sclerosing peritonitis | 3/30/2008 |
Q: sclerosing peritonitis/abdominal adhesions in dialysis patient. What is standard/recognised ...
A: Good to hear from you again. For diagnosis of Sclerosing Peritonitis, the following ingredients are ...
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| hematuria | 3/28/2008 |
Q: Five days ago I passed blood clot through my urine, half inch long and thin. I didn't have any ...
A: Good to hear from you again. Without examining you, I cannot guess what is causing you pain. At ...
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| side effects of dialysis on a mentally ill patient | 3/27/2008 |
Q: my mother is on a wide array of psychiatric medicines and currently receiving dialysis. she has ...
A: What you are describing can possibly be Dialysis encephalopathy or Dialysis disequilibrium syndrome. ...
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| Vascular access | 3/27/2008 |
Q: My dad is 87 yrs. old & has been on dialysis for 5 years. Over the course he had his permacath ...
A: Vascular access options for hemodialysis are: 1. Arteriovenous fistula 2. PTFE (Goretex) ...
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| hematuria | 3/26/2008 |
Q: Five days ago I passed blood clot through my urine, half inch long and thin. I didn't have any ...
A: Your question is best answered by a Urologist (my surgical counterpart). I will attempt to answer ...
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| high BUN&Creatinine levels | 3/26/2008 |
Q: 78yoMw/BUN 22&Creatinine 1.67. Hx HBP meds cozaar, hytrin, aspirin, lipitor. Why are levels so ...
A: A detailed history, physical examination, other lab tests and imaging of the kidneys is required to ...
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| elevated Creatinine | 3/25/2008 |
Q: I am a 50yo, 178lb, w/m and have been on lisinopril 5mg and lipitor 10mg for about 1 year. Lipids ...
A: Good to hear from you again. An elevated creatinine as far back as 1999 suggests to me that you ...
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| Bosniak cyst | 3/25/2008 |
Q: I would greatly appreciate you opinion I am 33 year of age and last year had to have a MRI and an ...
A: Strictly speaking, your question is best answered by a Urologist (my surgical counterpart). However, ...
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| elevated Creatinine | 3/24/2008 |
Q: I am a 50yo, 178lb, w/m and have been on lisinopril 5mg and lipitor 10mg for about 1 year. Lipids ...
A: Lisinopril can cause an elevation of S. Creatinine in people who have some underlying renal ...
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| urethera irritation | 3/24/2008 |
Q: i had brachtherapy for cervical cancer my last treatment was feb 25 2008 i started to have burning ...
A: The symptoms you describe are suggestive of Urethral stricture. This could very well be due to the ...
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| Methyldopa | 3/21/2008 |
Q: I am 28 years old and 234lbs, I was recently diagnosed with HBP ( less than a year ago ) and first I ...
A: Good to hear from you again. Your symptoms should subside in about a week after stopping ...
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| Low GFR | 3/21/2008 |
Q: I have had 3 blood test within the past 9 months and every time my GFR has been 47. I have been ...
A: You definitely need to get evaluated by a Nephrologist to find out the cause of your low GFR. Long ...
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| career related not health related | 3/19/2008 |
Q: i am a junior resident initially planning to go into surgery but i applied for a scholership and ...
A: Good to hear from you again. Nephrologists do a fair amount of interventional work. These ...
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| creatinine bloodpressure | 3/17/2008 |
Q: my creatinine level is 1.57 & bp around 170 which i am being treated for. the creatinine is what i ...
A: If you can tell me your age and ethnicity, I will be able to calculate your glomerular filtration ...
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| Contrast induced Nephropathy | 3/16/2008 |
Q: Shamik, I have removed right kidney 13 years before because of kidney stone. I have been getting ...
A: Good to hear from you again. If the kidney has resolved after CIN, there is no need for further ...
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| Cretanine level question | 3/15/2008 |
Q: , Recently I had an urinalysis done and the results have left me with some questions about my ...
A: It is very difficult to form an opinion on a single lab test result. Many factors affect the lab ...
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| Contrast induced Nephropathy | 3/15/2008 |
Q: Shamik, I have removed right kidney 13 years before because of kidney stone. I have been getting ...
A: To explain in detail Contrast induced Nephropathy is beyond the scope of this forum. However, I will ...
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| Kidney disease caused by trauma | 3/15/2008 |
Q: I am a healthy 43 year old African American male. I was recently in a bad car accident where I was ...
A: There are many conditions that can cause painless hematuria. However, I would suspect a hematoma, an ...
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| High cholesterol and urine protein levels | 3/15/2008 |
Q: I am a 24 year old female that has always had low cholesterol (about 160), no other problems except ...
A: Protein in the urine is a red flag for kidney disease. People suffering from "Nephrotic syndrome" ...
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| hair loss with hemodialysis | 3/14/2008 |
Q: MY 78 year old mother had heart bypass and has been on hemodialysis since about 4 months. She ...
A: People who start dialysis do sometimes notice hair loss. Usually, it is temporary, and the hair will ...
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| Methyldopa | 3/12/2008 |
Q: I am 28 years old and 234lbs, I was recently diagnosed with HBP ( less than a year ago ) and first I ...
A: Good to hear from you again. You can certainly take aspirin along with methyldopa if your headache ...
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| your opinion please | 3/12/2008 |
Q: my wife was diagnosed 14 (1994)year back at the time of the first delivery . with kidney problem ...
A: Your wife has progressive chronic kidney disease (CKD) and has progressed to ESRD. At present, a ...
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| regarding high BP and increased creatinine level | 3/12/2008 |
Q: my mom has high blood pressure so she is taking tozaar 50 mg (potassium tablets )for it .but about 6 ...
A: Potassium has nothing to do with creatinine levels. The reasons why your mom could have an elevated ...
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| career related not health related | 3/12/2008 |
Q: i am a junior resident initially planning to go into surgery but i applied for a scholership and ...
A: Congratulations on considering taking up Nephrology as a subspecialty !! If you look at any ...
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| RTA type I and Bi-Med sponge kidneys | 3/12/2008 |
Q: I am 48. I have the above mentioned kidney deseases. I was diagnosed at 23 by an Indian doctor whom ...
A: As you probably know by now, Medullary sponge kidney (MSK)is a congenital, benign cystic disorder of ...
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| Methyldopa | 3/11/2008 |
Q: I am 28 years old and 234lbs, I was recently diagnosed with HBP ( less than a year ago ) and first I ...
A: Your doctor is right. One of the side-effects of Methyldopa is headache. This is the only drug that ...
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| High serum creatinine levels | 3/11/2008 |
Q: My father aged around 70 years is asthmatic and on steroids for the last 15-20 years His recent ...
A: Based on the information you have given me, it seems that your father is suffering from some form of ...
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| Kidney disease | 3/11/2008 |
Q: My Son aging 28 year have the following results of Urea, Creatinine, Alk.Phos and Electrolytes as ...
A: It seems that your son is suffering from some form of Chronic Kidney Disease (CKD) with metabolic ...
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| Any new data? | 3/8/2008 |
Q: My father who is 56yrs old has been on lithium for the past 21 years and has been stable with his ...
A: In most patients the adverse effects of lithium on renal function are modest and of little clinical ...
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| Contrast Dye | 3/7/2008 |
Q: I am a 21 year old male, I am an ex smoker and drink alcohol socially. I recently went to the ER ...
A: The elimination of radiocontrast from the body depends on the type (iodinated vs. noniodinated), ...
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| High Level Protein/Lipids | 3/4/2008 |
Q: I took a physical for life insurance and failed due to high level protein. Of coarse, 32 yrs old ...
A: Protein in the urine is a red flag for kidney diseases. Your protein creatinine ratio suggests that ...
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| low GFR | 2/28/2008 |
Q: Below you will find previous correspondence. Today I talked to my doctor about this and asked her if ...
A: Good to hear from you again. I am glad that your GFR has gone up to 54 ml/min. Certain medications ...
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| bun/creat low | 2/28/2008 |
Q: I had some blood work done and found out that I have Iron Deficient Anemia. Unknown cause. On my ...
A: Good to hear from you again. This question is best answered by a Hematologist. Although I treat a ...
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| bun/creat low | 2/28/2008 |
Q: I had some blood work done and found out that I have Iron Deficient Anemia. Unknown cause. On my ...
A: The normal BUN/Creatinine ratio is between 10 and 15. Your value is 11 so I don't think that it is ...
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| Vitamin D3 and Kidney Stones | 2/28/2008 |
Q: Shah, I have chronic stones (the usual calc. oxalate type). I currently take HCTZ for this ...
A: Excess vitamin C and vitamin D supplements increase the chance of new stones. If you don't have a ...
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| Hydronephrosis | 2/26/2008 |
Q: I am a 67-year-old man with bilateral hydronephrosis. Last year I underwent three surgeries to ...
A: Obstructive Uropathy has led to a decline in your GFR. A decline in GFR can lead to several ...
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| CKF and Cholesteral/Triglyceride Connection | 2/26/2008 |
Q: Shah, I have asked you questions in the past, and you have always very kindly answered. I now have ...
A: Glad to be of service. The mechanisms by which loss of renal function affects lipoprotein ...
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| kidney problems | 2/26/2008 |
Q: Last night, I had an intense urge to urinate, but could not. There was the burning pressure that ...
A: A detailed history, physical examination and some lab tests are needed to determine the cause of ...
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| MINIMAL CHANGE NEPHROPATHY | 2/26/2008 |
Q: I AM GETTING PROTEINS TRACES IN MY URINE ROUTINE EXAMINATION, 24 HRS PROTEINS IS 210 MG/DAY. REST ...
A: Good to hear from you again. Microscopic hematuria is usually absent in patients with Minimal ...
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| eGFR | 2/25/2008 |
Q: I have advanced breast cancer and my labs are drawn each month. The past two months my creatine has ...
A: Good to hear from you again. Scarring in the kidneys means that you most probably have Chronic ...
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| eGFR | 2/24/2008 |
Q: I have advanced breast cancer and my labs are drawn each month. The past two months my creatine has ...
A: Chronic Kidney Disease (CKD) can be due to several causes. Some like diabetic nephropathy have a ...
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| kidney tests | 2/24/2008 |
Q: ..A few months ago, I was diagnosed with 3rd stage kidney disease functioning at 39%. I am 60. I ...
A: Good to hear from you again. You have mentioned your age as "go". I am presuming that you are 40. ...
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| kidney tests | 2/23/2008 |
Q: ..A few months ago, I was diagnosed with 3rd stage kidney disease functioning at 39%. I am 60. I ...
A: There seems to be some discrepancy in your recent test results. Your creatinine and GFR cannot be ...
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| 5 year old daughter with renal disease. | 2/23/2008 |
Q: my daughter (5yrs old) has repeated UTIs for two years now (with kidney function down to right 25% ...
A: First off, I am not a Pediatric Nephrologist. However, I will attempt to answer your questions. A ...
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| creatinine levels post renal transplantation | 2/22/2008 |
Q: My husband received his second kidney transplant one month ago, which was a perfect match kidney, ...
A: First off, congrats to you and your husband for getting a full-house matched kidney. Creatinine ...
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| IGA Nephropathy in 10 year old | 2/21/2008 |
Q: My 10 year old nephew was just diagnosed with IGA Nephropathy. He discovered blood in his urine on ...
A: On what grounds did the Nephrologist diagnose him with IgA nephropathy? The diagnosis is ...
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| creatinine | 2/20/2008 |
Q: I'm 61, take a lot of meds (mostly for muscle spasms, arthritis) and have post-phlebitic syndrome. ...
A: Kidney stones can lead to renal dysfunction if there is bilateral obstruction or if they have led to ...
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| polycistic kidneys | 2/18/2008 |
Q: I injured my kidney a week in a half ago. It got hit by a car door really hard. Since then I have ...
A: Good to hear from you again. The recent rise in creatinine is probably due to elevated blood ...
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| Kidney reflux as child, current low gfr | 2/18/2008 |
Q: it helps a lot! Here's a quick H&P on me: I am a 28yof, white and 130lbs. I was born with kidney ...
A: A detailed history always helps in understanding the patient's problem better. First off, the reflux ...
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| polycistic kidneys | 2/17/2008 |
Q: I injured my kidney a week in a half ago. It got hit by a car door really hard. Since then I have ...
A: I need some more information before I can answer your question. It appears from your question that ...
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| psoas abcess | 2/13/2008 |
Q: What type of Dr. would be the one to drain a psoas abcess. What specialist do I need for my father ...
A: Psoas abscess is a rare disorder that is often difficult to identify. The abscess may present as ...
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| Recovering Kidney donor | 2/12/2008 |
Q: I donated my left Kidney to my father-inlaw on April 7th 2006. I was 38 and he was 63. It will be ...
A: Good to hear from you again. The remaining kidney takes up most of the function of the other one in ...
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| creatinine value after haemodylais | 2/12/2008 |
Q: A PATIENT HAS UNDERGONE HAEMODYLASIS FOR 1.5 HOURS. HIS CRETININE LEVEL PRE HD WAS 8.6 AND UREA IS ...
A: Decrease in serum creatinine after dialysis depends on many factors: Metabolic state of the patient, ...
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| blood in urine/kidney cysts | 2/12/2008 |
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: There cannot be blood in the urine for no apparent reason. I am sorry that your healthcare team has ...
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| low egfr - kidney donor | 2/12/2008 |
Q: I am a 37 year old female and I donated a kidney 5 years ago. My Dr has not been very diligent in ...
A: Congratulations on having the courage to donate your kidney. Not many can do this !! I ask all ...
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| Recovering Kidney donor | 2/12/2008 |
Q: I donated my left Kidney to my father-inlaw on April 7th 2006. I was 38 and he was 63. It will be ...
A: It is not very clear why your post-operative recovery was slow. A detailed history and physical ...
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| KIDNEY PROBLEM & ANEMIA | 2/11/2008 |
Q: i have just done a 24 hrs urine collection and blood tests indicating: BUN-29, Creatinine-7.1. My ...
A: Your test results indicate that you have very advanced kidney disease, Chronic Kidney Disease (CKD) ...
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| How do supplements affect kidney and liver tests | 2/9/2008 |
Q: I have a question...my husband just had some blood work done and he has elevated bun and creatnine, ...
A: Serum creatinine level, the most commonly used measure of kidney function in clinical practice, ...
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| microalbuminuria | 2/8/2008 |
Q: sir I have been suggested enapril 2.5 once for microalbumin 73.5,,occ tracealbumin,,. occ plus one, ...
A: I apologize for the delay in answering your question. I was on vacation Feb 4 through Feb 9, 2008 ...
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| Protein in Urine- Other Test Fine | 2/6/2008 |
Q: My 12 yr old has protein in her urine and has for at least 10 months. She will get a biopsy this ...
A: I apologize for the delay in answering your question. I was on vacation Feb 4 through Feb 9, 2008 ...
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| kidney stones in child | 2/6/2008 |
Q: My 12 year old daughter was diagnosed with kidney stones in Feb 2007(at age 11). She had many ...
A: I apologize for the delay in answering your question. I was on vacation Feb 4 through Feb 9, 2008 ...
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| My symptoms | 2/6/2008 |
Q: My symptoms are dry mouth, constantly chewing ice, frequent urination and foul urination smell. ...
A: I apologize for the delay in answering your question. I was on vacation Feb 4 through Feb 9, 2008 ...
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| Complex vs. Simple Renal Cyst | 2/5/2008 |
Q: Dr. Shah.... I have a question regarding a recent diagnosis by my Urologist regarding a renal cyst. ...
A: I apologize for the delay in answering your question. I was on vacation Feb 4 through Feb 9, 2008 ...
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| Creatinine Level | 2/4/2008 |
Q: I had gastric Bypass about 5 yrs ago. Prior to that I had low iron, since then my levels have been ...
A: I apologize for the delay in answering your question. I was on vacation Feb 4 through Feb 9, 2008 ...
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| Bun/Creatine ratio | 2/4/2008 |
Q: I received a copy of my Basic Metabolic Panel test and ir shows the Bun/creatine ratio is 33, what ...
A: Good to hear from you again. The individual values seem to be within normal limits. I would not ...
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| Questiion about high normal creatinine | 2/1/2008 |
Q: Shah, Hello. I am a 34 year old female. I had routine blood work done for job at the VA hospital ...
A: Different labs have different normal reference values for serum creatinine. 1.04 does not seem to be ...
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| Hypertension during Dialysis and headache after dialysis | 1/30/2008 |
Q: Shamik, My father has gone through dialysis for kidney failure twice a week for 4 years now. ...
A: There can be a few reasons why your father's BP goes up on dialysis: 1. The anti-hypertensive ...
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| elevated BUN/Creat ratio | 1/30/2008 |
Q: My Mother recently has a series of labs done for a knee operation. The CMP results were all normal ...
A: An elevated BUN / Creat ratio can be caused by many conditons. Some of the common ones are: 1. High ...
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| low eGFR/dull flank pain | 1/30/2008 |
Q: I have noticed on labs taken since 10/06 that my GFR is always low. 10/06 (54) 11/06 (54) 9/07 (49) ...
A: Good to hear from you again. If the GFR is derived using standardized formulas on a computer, the ...
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| low eGFR/dull flank pain | 1/29/2008 |
Q: I have noticed on labs taken since 10/06 that my GFR is always low. 10/06 (54) 11/06 (54) 9/07 (49) ...
A: You should definitely be concerned about your low GFR. You have several factors that can lead to ...
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| Kidney infection. | 1/29/2008 |
Q: Simple question, can drinking soda cause kidney infection? INFECTIONS are caused by bacteria. Does ...
A: No, drinking soda cannot cause kidney infection. The two most common routes are: 1. Ascent of ...
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| kidney function after donation | 1/27/2008 |
Q: I am a 32 year old female who recently donated one of my kidneys to a sibling. It has been 3 ...
A: Good to hear from you again. Are you looking for online resources for donors or donees? According ...
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| kidney function after donation | 1/26/2008 |
Q: I am a 32 year old female who recently donated one of my kidneys to a sibling. It has been 3 ...
A: Low glucose does not alter GFR. The lower GFR at this stage is expected because you have lost half ...
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| Simple Kidney Cyst | 1/25/2008 |
Q: I recently had a MRI (without and with Gadolinium) to rule out "question of possible neoplasm on top ...
A: The answer to your question is - Don't go anywhere from here. Simple cyst are not pathological. ...
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| 7 y/o daughter has 3+ protien in urine and high blood pressure | 1/25/2008 |
Q: Dr. Shah- In August my daughter was having very frequent urination so I took her to the doctor to ...
A: I will try to answer this although I am not a pediatric Nephrologist. I really do not know why ...
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| trace albumin in urine | 1/25/2008 |
Q: age 49 weight 102 kg height 5.8 male Diabetes hb a1c arround 6 never more than 7 But occ. ppbs ...
A: I suggest that you get a 24 hour urinary protein excretion or an urinary protein/creatinine (P/Cr) ...
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| decreased kidney function and pregnancy | 1/22/2008 |
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: Normotensive women with intact or only mildly decreased and stable renal function (serum creatinine ...
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| endometriosis | 1/22/2008 |
Q: How are you? regarding my situation I would like to inform you that I discover that I had ...
A: Good to hear from you again. Unfortunately, the fax machine in my office has broken down (again!). ...
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| urine protein | 1/21/2008 |
Q: i recentely had 24hr uerine protein test result: 24 hrs urine volume 2610 ml/24hr total protein in ...
A: Improper collection will vitiate the results of the 24 hour urinary protein estimation. I would ...
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| endometriosis | 1/21/2008 |
Q: How are you? regarding my situation I would like to inform you that I discover that I had ...
A: To diagnose your condition, a detailed history and physical examination are of vital importance. I ...
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| Diabetes and microalbumin | 1/20/2008 |
Q: sir I am Diabetic patient since 5 years and inspite of metformin treatment 3 times 500 mg my sugar ...
A: Kumar, Thanks for asking my help on "Allexperts". You have asked very broad questions. The ...
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| Kidney disease | 1/20/2008 |
Q: Dr. Shah, I just wrote to you about my husband's kidney problem. He has a high level of protein in ...
A: Good to hear from you again. It is important to find out what is causing proteinuria in the first ...
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| Protein levels | 1/20/2008 |
Q: Dr. Shah, Eight years ago my primary physician found 3+ protein and "large amounts" of blood in my ...
A: Your proteinuria has rise from 150 mg to 350 mg/24 hours in 8 years. This probably means that you ...
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| Kidney disease | 1/19/2008 |
Q: Dr. Shah, I just wrote to you about my husband's kidney problem. He has a high level of protein in ...
A: Good to hear from you again. Your husband is excreting almost 2.6 grams of pr |
