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About Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow
(Top Expert on this page)

Expertise
I can answer all questions related to kidney diseases, hypertension, plasmapheresis and kidney transplantation. I am a Board certified Nephrologist in India. I was a post-Doctoral Scholar at the Division of Nephrology & Hypertension,Department of Medicine, University of California, San Diego. My area of interest is Critical care Nephrology and Acute Kidney Injury. Please mention the units in which your lab results were reported and the normal reference range for your laboratory.

Professional Profile
http://www.linkedin.com/in/shamikshah

Experience
Six years as a critical care & transplant nephrologist

Publications
- Shah SH, Mehta RL. “Anticoagulation in CRRT: Is Citrate better?”; Vineet Nayyar Ed. Critical Care Update 2009, Jaypee Brothers (In press)
- Shah SH, Mehta RL. “Non-dialytic management of acute kidney disease”; Evidence based Nephrology, BMJ, (In press)
- Shah SH, Mehta RL. “Epidemiology of Community-acquired AKI”; Ronco C, Bellomo R, Kellum J Eds. Critical Care Nephrology, Saunders. ISBN 1-4160-4252-0
- Abdeen O, Shah SH, Mehta RL; “Dialysis therapies in the surgical intensive care unit”; William Wilson, Christopher Grande, David Hoyt Eds. Trauma: Resuscitation, Anesthesia, and Critical Care, Informa Healthcare, NY 2007. ISBN 0-8247-2920-X
- Shah SH, Mehta RL. Acute kidney injury in critical care: time for a paradigm shift? Curr Opin Nephrol Hypertens. 2006 Nov;15(6):561-5.
- Shah, SH, Soroko S, Lischer E, Mehta RL. Delivered vs. Prescribed dose of Dialysis in Hospitalized Patients: Results of an Audit. J Am Soc Nephrol 17(Abstracts Issue): 2006, 107A.
- Shah SH et al “Biochemical Nutritional Parameters in Non-vegetarian and Vegetarian CAPD patients” Perit Dial Int 2001; 21 Suppl 2: S1-182
- Shah SH et al “Basiliximab in renal transplantation – Does it prevent acute rejections?” Indian J Nephrol 2000: 10: 100-144.

Education/Credentials
MBBS, MD (Internal Medicine), Diplomate of National board (Nephrology), ISN Fellow

Awards and Honors
Fellowship of the International Society of Nephrology 2005.
Young Investigator Award by the International Society of Peritoneal Dialysis 2001

   

You are here:  Experts > Health/Fitness > Nephrology > Nephrology

Questions Answered By Expert  Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow 
In Category  Nephrology

SubjectDate Asked

cretiighnine h11/21/2009
  Q: My father is 80 ys and nohistory of high BP or diabetis. the creteninine levels in the blood is 3.1 ...
  A: It is important to get your father evaluated by a Nephrologist to ascertain the cause of kidney ...
Kidney function11/20/2009
  Q: Firstly thanks for helping out. In the past months I've been experiencing freqeunt urination at ...
  A: A careful history, physical examination, review of relevant lab tests and imaging of the urinary ...
V U R11/18/2009
  Q: sir, i underwent an ultrasound one month back,i was diagnosed with smaller sized rt kidney.MCU WITH ...
  A: I do not see a need for surgery if you are asymptomatic. What is the indication for surgery as ...
kidney functions10/27/2009
  Q: hey doc,um I just received my test results on why my creatinine levels are elevated. reason is ...
  A: Stones in one kidney should not cause an elevation in S. Creatinine. This means your other kidney is ...
GFR10/25/2009
  Q: I am 69 years old. My GFR in July was 56 and now is 49. 6 months ago my BUN and Creatinine were ...
  A: Since you have Diabetes, Hypertension and a family history of kidney disease, you must get yourself ...
Kidney Transplant patient Bodybuilding10/24/2009
  Q: I had a kidney transplant. I am doing great right now. What I wanted to know if I can take creatine ...
  A: I do not know of any contraindication to taking creatine after transplant. However, it is know to ...
high BUN, low eGFR10/22/2009
  Q: My husband was very sick last year with hemoraghing behind his eyes, loss of hearing, debilitating ...
  A: GFR is the measurement of kidney function. eGFR is estimation of GFR from S. Creatinine taking into ...
information for last question10/20/2009
  Q: Sir, You have asked 2 question and i am sending the answer. 1. what percentage of HLA maching? at ...
  A: I did not ask the percentage of Lymphocyte Cross match (LCM). HLA typing and LCM are two different ...
recovering from Rhabdomyolysis10/19/2009
  Q: I am a male 33 years of age. I was hospitalized and diagnosed with Rhabdo Sept 11/09. Was in care ...
  A: Rhabdomyolysis results from excessive muscle breakdown and it takes some time for the damaged muscle ...
Kidney not functioning properly.10/18/2009
  Q: My Father is a diabetic patient and had by pass surgery in 2004 in Delhi, Now He got kidney problem ...
  A: A careful history, physical examination, lab tests and imaging of the urinary tract are required to ...
Dull constant RT sided flank pain10/18/2009
  Q: I have had a right sided dull flank pain for about 3 months now. I saw a specialist who performed a ...
  A: There are a number of differential diagnoses for flank pain. A discussion of all these conditions is ...
Dull constant RT sided flank pain10/17/2009
  Q: I have had a right sided dull flank pain for about 3 months now. I saw a specialist who performed a ...
  A: A careful history, physical examination, lab tests and a review of your CT scan are required to ...
kidney problem10/15/2009
  Q: My blood test report is as follows: Hb-9 creatinine-2.01 protein is very high in 24 hours urine test ...
  A: A careful history, physical examination, other lab tests and imaging of the urinary tract are ...
Peripheral Edema in feet and ankle10/15/2009
  Q: I suffer from moderate permanent pitting edemas and I am taking loop diuretics but they seem to work ...
  A: A careful history, physical examination, lab tests and imaging of the urinary tract are required to ...
c2 level & medicines10/14/2009
  Q: my c2 level is 495, body weight 67kg.i am taking cyclosporine 75 mg b/d and mycophenolate 750 bd and ...
  A: Before I answer your question, I need some more information: 1. What was the level of HLA match with ...
22% kidney func. Diabetic,need antidepressant10/13/2009
  Q: I have been a diabetic for many years and for the past 12, have been insulin dependant. I had a CVA ...
  A: I am sorry to hear that you have been through a lot. I agree with your pharmacist. Bupropion ...
Membraneous Glomular Nephritis.10/12/2009
  Q: I have been doing my Complete Medical's 3-4 times a year from the last 15 years. Dec 2008 I did my ...
  A: Upto one third of patients with Membranous Nephropathy will have spontaneous remission (cure). Some ...
protein creatinine ratio test10/12/2009
  Q: s.purpura last year she now has blood and protein in her urine can u tell me why shes getting ...
  A: One important test to estimate the extent of kidney damage has been the 24-hour urinary protein ...
Bun/Creat ratio10/6/2009
  Q: I have a ratio of 19. My BUN is 29 & Creat is 1.5. Can this be reversed? I have been taking 1 tablet ...
  A: What are the normal reference ranges for your lab? As I have said earlier on this forum, a number of ...
renal cyst10/6/2009
  Q: i am 22 yrs old and i was rejected in the medical examination of indian air force because of renal ...
  A: I am sorry to hear about your rejection. If it is a simple renal cyst, no intervention (medicines or ...
Question related with kidney creatinine10/5/2009
  Q: I have a question related with my father's health. He is a diabetic for past 15 yrs.His job ...
  A: A careful history, physical examination, lab tests and imaging of the urinary tract are required to ...
Possible CKD10/4/2009
  Q: Creatinine is 1.23, eGFR is 48, 49 yo white female, symptoms: hiccups, itching, fatigue, aversion to ...
  A: A careful physical examination, review of other lab tests and imaging of the urinary tract are ...
Diagnoses to Consider10/2/2009
  Q: Good morning, I have a persistent ache on the right side of my back, just under the ribcage. It is ...
  A: It is difficult to hazard a differential diagnosis without examining you. However, if your ache is ...
estimated GFR is low10/1/2009
  Q: I had my yearly physical this month and my eGFR was 53. My creatinine is 1.1 mg/dL. My creatinine ...
  A: As I have said earlier on this forum, eGFR readings must always be viewed in light of suggestive ...
UTI9/30/2009
  Q: i had a right kidney stone of 7mm six months back and i was treated using cystone tablet.After six ...
  A: The presence of pus cells alone in urine does not signify infection. A Urine culture must be done ...
Test results from 24hr urine and UA9/29/2009
  Q: Dr. Shah, I am a 46 yr old w/lupus. I just got back my test results from my 24hr urnine and renal ...
  A: Urinary albumin more than 200 mg in 24 hours is considered abnormal. You can have no systemic ...
glomerulonephritis9/29/2009
  Q: Ill keep it short Im 28 yrs male , am a doc myself Had chronic diarrhea (from Jan to April ...
  A: The biopsy picture is the key to both your questions. What was the exact biopsy report? How many ...
Losing water?9/28/2009
  Q: I've pretty much run out of ideas and need help please. My symptoms: Orthostatic hypotension (often ...
  A: Your perception that the urine gets concentrated is not enough. Lab evidence is needed to confirm ...
Test results from 24hr urine and UA9/28/2009
  Q: Dr. Shah, I am a 46 yr old w/lupus. I just got back my test results from my 24hr urnine and renal ...
  A: When you said you had lupus, it was not clear whether you have systemic lupus or lupus nephritis. ...
Understanding the numbers.....9/27/2009
  Q: I am a 63 year old white female trying to understand my situation. In May '09 I had blood work done ...
  A: While looking at eGFR numbers, it is important to know that even in normal people, GFR declines by 1 ...
nephrotic syndrome9/26/2009
  Q: My neice went out on flight for life 2 days ago. Her symptoms were high protein in the blood and in ...
  A: Without a careful history and physical, I am unable to diagnose your niece's condition. However, I ...
Losing water?9/25/2009
  Q: I've pretty much run out of ideas and need help please. My symptoms: Orthostatic hypotension (often ...
  A: You may be suffering from a condition called Diabetes Insipidus. In assessing patients with ...
nephrology-kidney stones9/25/2009
  Q: sir..my friend's father was apparently asymptomatic 2 days back..expect for some loin pain ...
  A: A careful history, physical examination and review of the medical imaging is needed to prognosticate ...
Father dying from PKD pain!9/24/2009
  Q: Please help with any info or referals! my dad in hospital for one week.has pkd. not getting better. ...
  A: It would be difficult to comment without a careful history, physical examination and review of the ...
Elevated creatinine level9/23/2009
  Q: My creatinine serum was measured at 1.57. BUN is 13. All other results are within normal ...
  A: A diet high in protein with creatine supplements could very well be the cause of elevated serum ...
foamy urine with mild right side back ache, no urination discomfort9/23/2009
  Q: I'm female 34 years, 104 lbs, 5' - 4 6/10", latin american, not sportive but walk some and have been ...
  A: Foamy urine is sometimes associated with protein in the urine. Please get your urine checked for the ...
AIN related question9/22/2009
  Q: Shah, My brother was recently suffering from high creatinine levels ranging from 8 to 11. He is 37 ...
  A: Your brother is being treated correctly. It may take some time for his kidneys to recover. The ...
gross hematuria & microscopic hematuria9/22/2009
  Q: Dr. Shah, I am a 40 year old female with a history of 3-4 kidney stones within the past 22 years. ...
  A: Although your question is lengthy, it provided all details, especially the lab values with their ...
Zpack and high blood pressure9/21/2009
  Q: I had/have high blood pressure. Most meds do not agree with me, finally found one that was working ...
  A: I need to understand the content of the medications to answer your question. What do Coreg and Zpack ...
low GFR and bacirial infection9/19/2009
  Q: Recently I had a blood test that showed a marked decline in GFR from 84 to 39. My doctor took a ...
  A: Very severe infection of the kidneys, known as Pyelonephritis, can cause a transient drop in GFR. ...
Chronicle Kidney Disease9/18/2009
  Q: My mother having kidney disease, that we get know from past 3-4 month. I will give you brief case ...
  A: It is important to know what caused kidney failure in the first place. A careful history, physical ...
problem with my kidneys9/18/2009
  Q: sir, My name is Arun Kumar,from Andhra pradesh.I have a Kidney problem my age is 22. I ...
  A: The response of MPGN to therapy depends upon many factors; however, a discussion of all of them is ...
Low urine creatinine9/17/2009
  Q: I am a registered nurse and, until recently, the director of nursing at a long-term care facility. ...
  A: I am sorry to hear that you had to pass through such an ordeal to provide a urine specimen. Very ...
Nephrotic sendrome9/16/2009
  Q: Iam a Nephrotic patient 2years ago i was suffering from this problem i used to got swelling on my ...
  A: I need more details before I can answer your question. 1. What was the biopsy result? 2. What ...
Reference9/15/2009
  Q: My mother is a diabetic patient and her creatinine serum level is 2.76. She is on insulin. I want to ...
  A: Your mother may be suffering from diabetic nephropathy, a type of chronic kidney disease. A careful ...
FSGS and Allopurinol9/14/2009
  Q: Good day and thank you for fielding my question. I am a 49 year old male and was diagnosed at one ...
  A: Up to one third of patients with FSGS have spontaneous remissions. You may have been one of those. I ...
Nehprotic Syndrome9/13/2009
  Q: THis is regarding My daughter, Yashasi. 9 yr old. Miss Yashaswi born on June 14, 2000; had onset of ...
  A: I agree with your doctor. However, long term cyclosporine has its own side effects. Please discuss ...
high creatitine level9/13/2009
  Q: I would like to know whether high creatitine level can be reduced and how to? My doctor says it is ...
  A: I am an allopathic practitoner and I know of no remedy to reduce creatinine levels. Dietary protein ...
benicar and acute renal failure9/12/2009
  Q: I had gastric bypass back in 2004 and my kidneys stopped working for a short time after that. 5 ...
  A: Benicar (Olmesartan) usually helps prevent the progression of kidney dysfunction in patients who ...
S/P Nephrectomy9/11/2009
  Q: Dr Shah: I am 36 years old female and approx. three weeks status post right radical nephrectomy. I ...
  A: It will take some time for your body to adjust after the major surgery. However, it will be wise to ...
low eFGR and high creatinine levels9/9/2009
  Q: I recently had blood work that showed an eGFR of 49 ml/min/1.73m2 and a creatinine, serum of 1.21 ...
  A: A 24 hour creatinine clearance is more reliable than an estimated GFR. You have a normal CC test ...
Scared and confused about lab results9/8/2009
  Q: For the past 2 yrs I have felt really fatigued, I have loss of muscle strength in my thighs and ...
  A: Your blood and urine calcium tests suggest that you might be suffering from hypercalciuria. That can ...
Do I have CKD based on lab results or Nephrologist opinion?9/7/2009
  Q: Shah, This would be a very long question if I tried to put everything in here. But here goes, GFR ...
  A: In normal people, GFR reduces by 1 ml/min/1.73 m2 every year after the third decade of life. If you ...
Urine pH9/6/2009
  Q: I wrote to you previously about my Urinalysis. I also remembered that my urine pH was listed as 8. ...
  A: An alkaline pH can be due to many factors: 1. Urinary tract infection 2. Vegetarian diet 3. ...
Stant plasement9/5/2009
  Q: MY son was born with one kidney. he is 23 year old.befor 10 days ago we realized that he has 2 3-4 ...
  A: The ureteric stent acts as a conduit for micro-organisms that can cause infection. The usual ...
Do I have CKD based on lab results or Nephrologist opinion?9/5/2009
  Q: Shah, This would be a very long question if I tried to put everything in here. But here goes, GFR ...
  A: Ten minutes is too short a time to spend with a patient. It takes me at least 45 minutes for a first ...
nuclear renal scan and obesity9/4/2009
  Q: I am a healthy 33 year old man with unilateral renal agenesis. Last year I had a cardiac workup ...
  A: A nuclear renal scan shows the function of the kidney, whereas an ultrasound shows the structure. ...
Bunc/creatine ratio?9/4/2009
  Q: I just got my blood work and urinalysis back and have a few questions. My bun/creatinine ratio came ...
  A: A high ratio can be due to many causes. Common among them are: 1. Dehydration 2. High protein diet ...
High Bun/Creatinine Ratio9/3/2009
  Q: My husband is a heart transplant patient (10 years out) with congestive heart failure and kidney ...
  A: It would be important to know what are your husband's "kidney problems". The BUN/Creatinine ratio is ...
PKD8/22/2009
  Q: 3 since finding out i m on a strict low sodium diet and low protein and have lost 18 pounds,my ...
  A: Serum Creatinine is an indicator of the glomerular filtration rate (GFR), which in turn depends on ...
Please guide me8/20/2009
  Q: Shah. I am greatful for your answer last time about the time frame of the kidney biopsy. I am ...
  A: I am afraid I don't remember the context of your question. Please understand that in addition to ...
Creatinine8/20/2009
  Q: My fathers right kindey was removed due to some extra mass(tumor )on the lower pole of the kidney ...
  A: A careful history, physical examination, lab tests and imaging of the urinary tract are required to ...
Kidneys GFR8/19/2009
  Q: My kidney GFR is 30 mL/min, up from a low of 23 mL/min. My weight, blood pressure, cholesterol, ...
  A: What is the cause of low GFR? If you have chronic kidney disease (CKD), then I am afraid it is not ...
protein in urine8/19/2009
  Q: I am a 60 year old female with lupus. Received results of various test and the Doctor said ...
  A: Protein/creatinine ratios for follow up must always be viewed in light of earlier results. What were ...
Variation in Serum Creatinine8/18/2009
  Q: My wife had a renal transplant about 2.5 months ago. Her creatinine was varying between 1.1 to 1.3 ...
  A: Low levels of immunosuppressants can trigger a rejection, resulting in an elevated serum creatinine. ...
Low GFR8/17/2009
  Q: Dr Shah, My low GFR was discovered while going in to get a neck MRI two months ago. It was 40. I am ...
  A: I have not heard of HCTZ causing a fall in GFR. However, an eGFR must always be seen in light of a ...
kidney pain8/17/2009
  Q: my name is mir saadat ali ,iam 31 years old. iam in state of TN, I Just move here , sir i have ...
  A: This forum is not a substitute for medical care provided by a doctor. A careful history, physical ...
kidney injury8/16/2009
  Q: Dr. Shah, Thank you for your time. I am a 40yr.f. *I take coumadin. About 10 days ago I fell very ...
  A: 1. Yes, you should have blood tests for kidney function 2. Please go back to see your doctor. It is ...
Urinalysis/ Urine FEME, Proteinuria8/15/2009
  Q: I'd like to ask a few questions concerning my health. 1. Urinalysis and Urine FEME, are they the ...
  A: 1. No 2. Low BUN levels are not common and are not usually a cause for concern. They may be seen in ...
bun/creatine ratio high8/14/2009
  Q: I am a type 2 diabetic with fatty liver disease, GERD. and chronic Hep B and C (low levels) who ...
  A: BUN (blood urea nitrogen) and creatinine are waste products that are produced by normal metabolic ...
Urinalysis/ Urine FEME, Proteinuria8/14/2009
  Q: I'd like to ask a few questions concerning my health. 1. Urinalysis and Urine FEME, are they the ...
  A: here are the answers to your questions in the order they were asked: 1. Yes 2. No. Might affect if ...
time frame for result of kidney biopsy8/13/2009
  Q: Shah, My brother aged about 25, admitted for high blood pressure levels (220/140),which resolved ...
  A: A kidney biopsy process takes at least 4 days. Add some more time because you are in another city. ...
Elevated Protein/Creatinine Ratio8/12/2009
  Q: Shah: I was recently applying for life insurance and was denied due to an elevated PR CREA Ratio. ...
  A: Discussing the causes of an elevated P/Cr ratio is beyond the scope of this forum. If your 24 hour ...
Elevated Protein/Creatinine Ratio8/12/2009
  Q: Shah: I was recently applying for life insurance and was denied due to an elevated PR CREA Ratio. ...
  A: Protein/Creatinine ratio is an indirect indication of the amount of protein excreted in urine in 24 ...
UTI8/9/2009
  Q: My daughter is 9 years old. She recently diagnosed with UTI having pus cells in the range 20-25 by a ...
  A: Antibiotics should only be started after sending urine specimen for culture. This helps in knowing ...
Anemia8/8/2009
  Q: Dr. Shah I have stage 3 CKD. Recently I am tired all the time. I work full time at a physically ...
  A: Anemia can certainly be the cause of excessive tiredness in patients with CKD. What is your ...
Renal trnsplant8/7/2009
  Q: My brother had kidney transplant 11 y. ago and now since 3 months ago his creatinine leve is going ...
  A: Dialysis should be started when eGFR falls below 15 ml/min/1.73 m2. You can arrive at the eGFR by ...
one kidney8/6/2009
  Q: I am a 34 year old male 6'4'' and weigh approx. 320lbs and work out regularly and am trying to lose ...
  A: An ultrasound is unlikely to miss a small right kidney. The increased size of your left kidney ...
low kidney function8/6/2009
  Q: Since February 2009 my doctor has been periodically testing my BUN, Creatinine, Uric Acid (for gout) ...
  A: As I have explained many times earlier, eGFR readings must always be viewed in light of other ...
high blood pressure/bph/incontinence8/4/2009
  Q: resp. sir, my father(68yrs)has been diagnosed in april 09 as having BPH GRADE 2 by urologist who ...
  A: The course of action is very clear - get your father operated. If he does not agree to surgery or ...
Kidney Disease and Lithium Carbonate8/3/2009
  Q: I am a 60 year old man, diagnosed 40 years ago with bi-polar disorder. This disorder was deemed ...
  A: Estimated GFR, the unit that measures kidney function, depends on serum creatinine values. In ...
Large right upper pole renal cyst ( follow up)8/3/2009
  Q: i am a 23 year old feamale, been having bad lower back and pelvic pains for over 2 years along with ...
  A: I am afraid I won't be able to speculate what the other black circles are on your ultrasound. Your ...
Vit D3 kidney stones and HIv8/2/2009
  Q: My friend is HIV positive and on HIV meds and he has problems every once in a while with kidney ...
  A: It would be wise to check with a doctor first. There can be potential interactions between Vit D3 ...
Polycystic kidneys, complex cyst8/2/2009
  Q: My daughter has recently been diagnosed with PKD. She is 20 years old. My husband and other ...
  A: Patients with ADPKD can have complex cysts. As long as she does not develop infection, we should ...
lower back pain/high potassium8/1/2009
  Q: I have lower back pain in a very specific spot on the lower left middle of my back, hip level. I ...
  A: Your back pain can be due to some bone pathology which may be related to low vitamin D. Leg cramping ...
Large right upper pole renal cyst7/31/2009
  Q: i am a 23 year old feamale, been having bad lower back and pelvic pains for over 2 years along with ...
  A: A single cyst is the reason you have been referred to a Urologist. If you had multiple cysts, the ...
Protein in Urine7/31/2009
  Q: I am a 30 yr old female that has been having non specific symptoms for two years. Most troublesome ...
  A: I agree with your physician. Please get yourself evaluated by a Nephrologist. A careful history, ...
Elevated Creatinine ,negative microalbuminuria - what could be the problem7/29/2009
  Q: Shah , My Father 63 yrs old , has elevated creatinine and Blood ureas value. The elevation started ...
  A: I agree with your father's doctors. There does not seem to be any evidence of chronic kidney ...
low GFR7/29/2009
  Q: My GFR is 55 - I am 5 feet tall, 118 pounds, all other lab values normal. What does this mean and ...
  A: GFR is a marker for kidney function. Normal GFR ranges between 110-140 ml/min/1.73 m2. After the ...
ultrasound results7/27/2009
  Q: It is me again,thank you for your prompt answer to my last question. went to nephrologist, he took ...
  A: Good to hear from you again. Your protein creatinine ratio says that you are excreting about 100 mg ...
Pain associated with CKD7/27/2009
  Q: I am a Stage 4/5 CKD patient with a nephrologist. I have a large pain,like I have been punched in ...
  A: A careful history, physical examination and imaging of the kidneys are required to diagnose your ...
chronic kidney diseaes7/26/2009
  Q: If serum creatinin level is 164 micro mole / liter , how bad the condition of the patients kidney, ...
  A: If a patient has chronic kidney disease (CKD), serum creatinine is unlikely to become normal. ...
cellcept and lupus swelling7/25/2009
  Q: I wanted to know if cellcept can cause swelling or build up of fluids,i have started taking them ...
  A: Swelling and fluid buildup can be caused by Mycophenolate Mofetil (Cellcept). However, prednisone is ...
How severe is my kidney dysfunction7/24/2009
  Q: I am a 34 year old white female with a creatinine of 1.26mg/dL which has been elevated for at least ...
  A: What is the normal reference range for creatinine for your lab? If your creatinine falls within the ...
Kidney Problems7/24/2009
  Q: Yesterday when I was urinating, my right kidney started paining a little bit. This it the first time ...
  A: A careful history, physical examination and lab tests are required to diagnose your condition. ...
Low GFR7/23/2009
  Q: I'm a 40 year old female (caucasion)and I lift weights 3 times a week and have a good amount of ...
  A: Cystoscopies and CT scans will only help in diagnosing non-glomerular blood in the urinary tract. If ...
Detection of trace albumin in urine7/23/2009
  Q: Dr. Shah I am a 23 year old woman. As part of the routine physical examination, I recently got a ...
  A: Trace proteinuria may be due to the infection. Please wait a couple of weeks before repeating the ...
Low GFR7/22/2009
  Q: I'm a 40 year old female (caucasion)and I lift weights 3 times a week and have a good amount of ...
  A: The presence of microscopic hematuria is one of the red flags for the presence of kidney disease. ...
protein in urine7/1/2009
  Q: My son had protein in his urine as a child. Dr. rechecked & only told me it was "ok". He is now 23 ...
  A: I've never heard of dehydration causing proteinuria. Taking into consideration your son's history, ...
unusually high protein in urine6/30/2009
  Q: First i have had a problem for the past 3 years with keeping my K+ up..it usually runs between 2.5 ...
  A: The presence of protein and RBCs in urine with an elevated serum creatinine suggest the possibility ...
Former HUS, a couple questions6/30/2009
  Q: When I was 17 I was sickened with a rather nasty bout of E. Coli, which led to HUS and ultimately ...
  A: Serum creatinine or BUN are surrogate markers for Glomerular Filtration Rate (GFR). In normal ...
unusually high protein in urine6/29/2009
  Q: First i have had a problem for the past 3 years with keeping my K+ up..it usually runs between 2.5 ...
  A: 510 mg of albumin in 24 hours is a red flag for the presence of kidney dysfunction. Did your urine ...
UTI6/29/2009
  Q: , My son aged 5 years has got repeated UTI (bacteria E.Coli)last month. His right kidney was told ...
  A: Mr. Singh, Thanks for asking my help on "Allexperts'. If urine culture does not show the presence ...
Low Creatinine Levels in Drug screen combined with repeated kidney stones6/28/2009
  Q: In the past year and a half I have had two kidney stones. So now, when I feel the slightest ...
  A: The level of creatinine in urine is a measure of the concentration of urine. To escape the urine ...
Foamy Urine and Other Conditions6/27/2009
  Q: Recently I discovered that I have foamy urine frequently. Usually after half-one hour after heavy ...
  A: 1. You probably do not have any proteinuria. However, it would not hurt to get a dip stick test ...
GFR 49, focal mass or parapelvic cyst?6/26/2009
  Q: I am a 60 year old well controlled diabetic x 11.2 years -A1C 5.5-6.1. No hypertension. What do you ...
  A: A careful history, physical examination, lab tests and imaging of the urinary tract are required to ...
kidney failure6/25/2009
  Q: My dad has been doing dialysis for the past 5 months. Initially he didn't hav many problems of doing ...
  A: Weakness after dialysis is because they take off too much fluid on dialysis. This problem will not ...
kidney enlarged6/23/2009
  Q: Sir, i am 22years old having a problem in my left kidney to bladder tube.That is in inside the ...
  A: The discussion of the causes of hydronephrosis (enlargement of the kidney) is beyond the scope of ...
Creatinine clearance6/23/2009
  Q: Dr. Shah, I asked you a couple of questions before and I was really happy with the answers. I ...
  A: I am sorry that your specialist is not ready to order any other tests. I would recommend at least an ...
Hydronephrosis6/22/2009
  Q: when he was born they put him on antibiotics 0.8mls of trimethoprim 50mg which he has once a day ...
  A: One of the commonest causes of hydronephrosis in new-borns is a condition called Vesico-Ureteric ...
Cortical Cysts6/22/2009
  Q: My father, aged 65 years just gone through Sonography and it says "Both Kidneys show about 3 to 4 ...
  A: A careful history, physical examination and lab tests are required to diagnose your father's ...
creatinine levels and bun levels6/20/2009
  Q: Shaw, my doctor is worried about my creatinine level, 1.82mg/dl, it has continually gone up. My ...
  A: A careful history, physical examination, lab tests and imaging of the urinary tract are required to ...
Creatinine clearance6/19/2009
  Q: Dr. Shah, I asked you a couple of questions before and I was really happy with the answers. I ...
  A: Good to hear from you again!! I am happy to hear that almost all your lab tests are within normal ...
Do I have Kidney Chronic disease?6/19/2009
  Q: Shah, I thank you so much for this oportunity,I am a 37 years old male recently diagnosed with ...
  A: All patients with hypertension do not have CKD. Are our plasma creatinine values within normal ...
Kidney Pain6/18/2009
  Q: Some background info...24 year old male, has used steroids and thyroid hormones on and off for the ...
  A: A careful history and physical examination are required to diagnose your condition. Unfortunately, I ...
Creatinine Ratio6/17/2009
  Q: My mother is 72 years old on insulin with high blood pressure and Ischaemic heart disease. The ...
  A: Your mother has features suggestive of diabetic nephropathy. A careful history, physical ...
Protein in Urine6/16/2009
  Q: I've been having trouble with my prostate for several months now. My doctor prescibed terazin(sp) ...
  A: If I were your doctor, I would definitely pursue proteinuria. A 24-hour urinary collection for ...
Abnormal Comprehensive Metabolic Profile6/16/2009
  Q: I was contacted to see my Doctor after he received the following blood work results; could you ...
  A: As I have said in earlier answers, a high BUN:Creat ratio can be due to a number of reasons: 1. ...
Creatinine/eGFR levels6/15/2009
  Q: My husband recently had a blood test done. The report indicated 1.13 mg/dl in the normal range for ...
  A: eGFR values are only significant if the person has a history and/or physical findings suggestive of ...
ultrasound results6/12/2009
  Q: I am a 74 year old female, just got results of ultrasound back.Here is what they said. The right ...
  A: You seem to have advanced chronic kidney disease based on your lab results. A careful history, ...
creatine level and dialysis6/11/2009
  Q: My 82 year old Grandmother has been on dialysis now for five day which four of those she has gotten ...
  A: You are right: For a person on dialysis, the serum creatinine level does not reflect true kidney ...
Protein / Creatinine Ratio6/11/2009
  Q: I just had a blood / urine test performed for a life insurance evaluation. My urine protein came ...
  A: Your protein/creatinine ratio suggests that you are excreting about 700 mg of albumin in your urine ...
protein in urine, blood in urine5/23/2009
  Q: I have had microscopic blood in my urine since 10/08. I have had an IVP which was negative and a ...
  A: Microscopic hematuria and proteinuria often go hand-in-hand. If I were your nephrologist, I would ...
Cold urine.5/21/2009
  Q: i'm a 21 Year old male and sometimes when i urine it is cold and i thought it is normally supposed ...
  A: Because urine is stored in the body before being voided, it is always at body temperature. I am yet ...
Glom filt rate5/20/2009
  Q: I got the results from my blood tests. It stated my glom filt rate,est was 57ml. I am a 60 year old ...
  A: eGFR results must always be viewed in light of history and physical examination. If you have no ...
puffiness below eyes5/19/2009
  Q: My wife has been facing a problem in both eyes from past two weeks. The eyes tend to be smaller in ...
  A: Facial puffiness with protein in urine is not a good sign. Your wife may be suffering from a ...
Spot protein creatinine5/18/2009
  Q: I am Vyas, Age 29. I had undergone Kidney transplant in Year 2007 April 19th. Donor-Mother. From the ...
  A: Your spot protein/creatinine ratio is 0.712. This means that you are excreting about 700 mg of ...
kidney problems5/17/2009
  Q: I went to see my doctor because I was having pain in the lower left side and she did a urine test. ...
  A: A careful history, physical examination, lab tests and imaging of the urinary tract are required to ...
Renal Function Panel5/16/2009
  Q: My mother is almost 85. Her Doctor ran a Renal Function Panel with the following abnormal results: ...
  A: According to my calculations, your mother's eGFR is 27 ml/min/1.73 m2. If your mother has chronic ...
Bosniac type II cyst5/15/2009
  Q: A month ago I was told that I have a bosniac type II cyst on my left kidney. I then had a second ...
  A: In 1986, Bosniak classified renal cysts in four categories on the basis of imaging appearances in an ...
High Kidney Count5/14/2009
  Q: I've had 2 blood work test done and both test showed that my kidney count is above the 1.2! The ...
  A: A careful history, physical examination, lab tests and imaging of the urinary tract are required to ...
Chromium Picolinate's effect on kidneys5/14/2009
  Q: Shah, I am a 25 y/o active female. I recently showed 2+ protein in my spot urine test. I have been ...
  A: Very large doses of chromium picolinate have been implicated in kidney dysfunction. More likely than ...
serum createnine5/13/2009
  Q: How to maintain creatine level. My serum creatinine level is show by test uper limit 1.4 please ...
  A: By your own admission, your value is within normal range. Your question about how to maintain that ...
High creatinine in young active male5/13/2009
  Q: Shah, I am a 25 year old asian male with no past medical history (no DM, no HTN) except for ...
  A: What are the normal reference ranges for your laboratory? If your readings fall within the normal ...
kidney disease age 335/11/2009
  Q: Shah, I am a female, age 33. I used to compete professionally in track and field, and therefore ...
  A: The pillars on which a diagnosis rests are: Careful history, physical examination and lab tests ...
Henoch-Schonlein Purpurea with kidney involvement5/11/2009
  Q: Our young son, 5 years old, with diagnosed in February with HSP. He was found to have kidney ...
  A: What is your son's Serum creatinine level? If that is within normal limits and the protein in his ...
protein in kidneys4/30/2009
  Q: I have a friend. And she is 54 just foud out that her heart is inlarged .And her lungs must be bad ...
  A: Can you be a little more specific? The amount of protein in the urine is reported as mg/dl or ...
A/C Ratio4/29/2009
  Q: My labs were mailed to me today and all look good except the A/C ratio said "critically high". ...
  A: An elevated albumin/creatinine ratio suggests abnormal protein excretion in the urine. For ...
elevated creatinine levels4/28/2009
  Q: I am a 60 year old female with one kidney.My left kidney was removed February, 1997 due to renal ...
  A: Good to hear from you again! If I were your doctor, I would cut down your salt and fluid intake ...
Alternative to Dylesis4/28/2009
  Q: I have heard that the dylesis can be carried out at home. Would like to know the instrument name, ...
  A: I presume that you are referring to hemodialysis. The other form of dialysis is CAPD, which can also ...
Alleviated blood urea and creatinin4/26/2009
  Q: Respected Sir, My mother's (aged 75 years)Kidney Function Test is as follows; Blood Urea- ...
  A: What are the normal reference ranges for your laboratory? An elevated blood urea/BUN can be due to ...
Kidney Disease4/23/2009
  Q: In 2006 at my annual gynelogical exam it was discovered that I had a high level of protein in my ...
  A: I am sorry to hear of your predicament. I think you are rightly concerned about your medical ...
protein spill in kidneys and donating4/23/2009
  Q: Dr. Shah, My fiance has protein spill in his kidneys and currently takes medication to keep this ...
  A: If your fiance has proteinuria, he is not fit to donate his kidney, period. There are no 'if's or ...
kidney atone and vit d34/22/2009
  Q: recently i have had a kidney stone incident and follow up shows that it was a calcium oxalate ...
  A: I agree with your physician's prescription except the calcium and vitamin D3 supplement. If your ...
elevated creatinine levels4/22/2009
  Q: I am a 60 year old female with one kidney.My left kidney was removed February, 1997 due to renal ...
  A: Urine tests will help in finding the cause of kidney dysfunction. I am not able to figure out why ...
reflux nephropathy4/21/2009
  Q: sir, have been told that i have a chronic kidney desease 1. serum creatine was eleveated to 1.5 ...
  A: Take another Nephrologist's opinion :-) In most cases, reflux is present in childhood and often ...
back pain right side of back4/21/2009
  Q: I get a sharp pain in my back on the right side in the kidney area. I only have the sharp pain when ...
  A: A careful history and physical examination are required to arrive at a clinical diagnosis. Other lab ...
Nephroptosis4/20/2009
  Q: Dr. Shah, I am doing a research paper on Nephroptosis and I've been having difficulty finding ...
  A: Your question is best answered by a Urologist. However, I will attempt to answer it here. Please ...
low eGFR and misc.4/19/2009
  Q: A little background first. I was unaware of a kidney birth defect until I was 35 and very ill. For ...
  A: Your results do not indicate that you have kidney failure. That you have a temporary inflammation ...
Sent to a nephrologist4/17/2009
  Q: At the end of last year i was brought to hospital to get renal stones removed. I was also told i ...
  A: Glomerular hematuria is almost always associated with proteinuria. The source of your hematuria can ...
nephrology---creatinine.4/17/2009
  Q: i had liver transplant in 1999 n am on cyclosporin since then. now my creatinine level is 2.6. i ...
  A: It is very important to find the cause of kidney dysfunction. I would presume that it is because of ...
Sent to a nephrologist4/16/2009
  Q: At the end of last year i was brought to hospital to get renal stones removed. I was also told i ...
  A: A Nephrologist can only help you if you have glomerular hematuria - bleeding from the filtering ...
Kidney and chelating4/16/2009
  Q: Shah, One question I forgot. If I need to be treated for high ferritin (iron), I understand ...
  A: Yes, kidney function needs to be carefully monitored-like the majority of the drugs on the market. ...
Kidney and Epo4/15/2009
  Q: Dr.Shah, I'm wondering about Erythropoietin shots. I am a heart patient, but also have mild kidney ...
  A: Good to hear from you again. 1. if your natural Epo is normal, your bone marrow is normal. It ...
Kidney and Epo4/13/2009
  Q: Dr.Shah, I'm wondering about Erythropoietin shots. I am a heart patient, but also have mild kidney ...
  A: 1. The main indication of Epo use is "sluggish bone marrow" activity. In other words, a low ...
Husband Renial Failure4/12/2009
  Q: My husband is 79. He has been on Dialysis since 1/2007. I see that he is failing, lack of energy, ...
  A: The symptoms that you describe may be due to under dialysis. What are your husband's URR and Kt/V ...
blood4/8/2009
  Q: what is the level for a childs creatinine result as my daughters is 17* she suffers with a condition ...
  A: You have not mentioned a creatinine level result in your question. I encourage you to look at the ...
sudden elevation in creatnine/transplant pak4/8/2009
  Q: I had a kidney transplant 2 yrs ago and a pancreas trans. 5 months ago. After the pancreas trans. ...
  A: Congratulations on your new pancreas ! I would cut down on your salt intake and watch for blood ...
Blood test results for Life Insurance4/7/2009
  Q: All of my results were good except my protein level was 38 which normal is 0-30, my microalbumin was ...
  A: You have microalbuminuria. A careful history, physical examination, other lab tests and imaging of ...
Kidney Transplant4/7/2009
  Q: Dr. Shah- Hi. I'm 61, have polycystic kidney disease. I'm on dialysis and have been for about 6 ...
  A: It is a pleasure to be of service to a fellow expert. The rates of living kidney donations has ...
Mother's Kidney Function4/5/2009
  Q: Shah! My mother had an ostomy 18 years ago because of cancer of the bladder. She has two kidneys, ...
  A: It is heartening to note that you are so much concerned for your mother. It appears that your ...
creatine levels4/4/2009
  Q: During my gallbladder issues, I started developing other issues as well related to my urine and ...
  A: Microscopic hematuria is indicated by the presence of red blood cells in urine. Dyes used for CT ...
creatine levels4/4/2009
  Q: During my gallbladder issues, I started developing other issues as well related to my urine and ...
  A: Both of your serum creatinine levels are within normal limits. If your urinalysis shows abnormal ...
Blood in urine4/3/2009
  Q: I'm 20 years old, i use to go to the gym and exercise 2 year ago, but was physically inactive since ...
  A: You probably have rhabdomyolysis due to unaccustomed exercise. Please get yourself evaluated by a ...
Creatinine clearance results4/2/2009
  Q: I understand blood creatinine levels are only an estimate of GFR using a calculation such as MDRD. ...
  A: A detailed discussion on your question is beyond the scope of this forum. However, I'd like to point ...
Low eGFR4/2/2009
  Q: I had a routine blood test done and all results were normal, except slightly elevated potassium and ...
  A: Good to hear from you again. A careful history and physical examination form the pillars of a ...
Creatinine and uria3/24/2009
  Q: My father is 60 year old and suffering by high blood pressure and minor diabetics. recently we ...
  A: The need to go on dialysis is determined by the patient's underlying disease, GFR, clinical signs ...
Creatine3/23/2009
  Q: My 15 year old son wants to start taking creatine to help him gain weight & muscle. His Father & ...
  A: Creatine ingestion can cause an elevation in serum creatinine levels. I think it would be wise to ...
blood and urine samples3/21/2009
  Q: Shah, I had surgery recently and got copies of blood and urine work they did up on me and was kind ...
  A: Your urinalysis appears to be within normal limits. However, your BUN is high. I would repeat your ...
Pregnacy after kidney transplantation3/19/2009
  Q: My graft function is already decreased,the level of Cr. is 2.9mg/dl and I'm 8 week pregnant. I ...
  A: You need to be evaluated by a team comprising your transplant nephrologist and a high-risk ...
Kidney Failure3/18/2009
  Q: I will try to be brief in asking my question, however there is a lot that has taken place. My mother ...
  A: It seems that your mother has acute on chronic kidney disease. There can be many causes of high ...
infection in the kidney3/18/2009
  Q: my mother aged 49 felt pain and cramps in the right kidney last Friday. she felt pulling of muscles ...
  A: Urinary infection cannot be diagnosed on the basis of ultrasound alone. What was the urinalysis ...
Kidney Failure3/17/2009
  Q: I will try to be brief in asking my question, however there is a lot that has taken place. My mother ...
  A: Did your mother have features of diabetic kidney disease earlier? Usually patients have protein in ...
protein loss in urine3/16/2009
  Q: recently i was suffering from giddiness and hospitalised.later blood and urine tests stated that ...
  A: A careful history, physical examination, other lab tests and imaging of the urinary tract are ...
eGFR levels after fasting3/15/2009
  Q: I am being treated for Sero-negative arthritis using anti-TNF injections. As a result my blood count ...
  A: Absence of meat in diet may cause a lower serum creatinine level. eGFR values usually are inversely ...
S Creatinine3/14/2009
  Q: I am male 53 years have HBP on Tenormin 100 Losartan Amlodepine 10 and Indapamide 1.5 SR As a part ...
  A: I need some more information: Were both tests done at the same lab? What are the normal reference ...
MSK and high Calcium3/13/2009
  Q: Hope you are well! Recently I was told by my Urologist that I have Medullary Sponge Kidney and ...
  A: 1. One year between two appointments is a very long time. Hydronephrosis is usually asymptomatic. I ...
Re: Hematuria3/13/2009
  Q: I have a query regarding my father. He recently had hematuria in the morning when he woke up. ...
  A: I appreciate the concern that you have for your father's health. A careful history, physical ...
Using Diuetics with kidney disease3/12/2009
  Q: My father has congestive heart failure, COPD and has one kidney which is functioning very poorly. ...
  A: If your father were my patient, I would put him on a diet which consisted of no more than 3 grams of ...
Low eGFR3/12/2009
  Q: I had a routine blood test done and all results were normal, except slightly elevated potassium and ...
  A: An eGFR reading must always be viewed in light of clinical symptoms, signs and other lab tests. An ...
lower back pain in PKD patient3/11/2009
  Q: I was dx with PKD 4 years ago. I have a history of cyst rupturing causing extreme pain. Recently had ...
  A: It is unlikely that the cyst is causing pressure on your spine. However, I cannot say that for sure ...
Foamy urine and hypertension3/10/2009
  Q: I am a healthy 24 year old female with no symptoms. I have 3 unrelated questions: 1- I noticed that ...
  A: Here are the answers to your questions: 1. You do not have albuminuria. You can have the test ...
low gfr young adult3/9/2009
  Q: Hey there, I'm a 21 year old female who is generally healthy. I have a slightly higher than normal ...
  A: eGFR is calculated from serum creatinine. In your case, s. creatinine may have been low because of ...
difference betwen urea test and bun test2/15/2009
  Q: please dc i want to now the mathematical relantionship betwen urea test and bun test
  A: To convert from mg/dL of blood urea nitrogen to mmol/L of urea, divide by 2.8 (each molecule of urea ...
BUN/Creatinine ratio and Protein/Creat Ratio high in my toddler2/13/2009
  Q: My daughter was born in China and was on the formula that was tainted with melamine during her first ...
  A: Melamine tainted formula is believed to cause acute kidney failure and kidney stones in children. ...
re: left flank pain2/12/2009
  Q: I am 33 yr old female, great health, just anxiety. About 2 months ago I started getting severe left ...
  A: The pain that you describe can be due to many causes. A careful history, physical examination and ...
Low GFR2/12/2009
  Q: My mother has a shrunk left Kidney and a normal right kidney. She is a known hiper tension patient ...
  A: A careful history, physical examination and other lab tests are required for your mother. It appears ...
Proteinuria2/11/2009
  Q: I am 27 years old and 24 week pregnant (first time). I have just found out that I had high protein ...
  A: The presence of proteinuria is seen as a possible indication of many complications in pregnancy, ...
Proteinuria - what to do?2/11/2009
  Q: My husband has had lab test results indicating low protein in the blood and high protein in the ...
  A: I agree with the foreign Nephrologist. Proteinuria is one of the red flags for the presence of ...
urine protein to creatinine ratio2/9/2009
  Q: I would like to know the clinical significance of a urine protein to creatinine ratio. The Total ...
  A: A urinary protein-creatinine ratio is a surrogate marker of protein excreted in the urine in 24 ...
Nephrology future2/7/2009
  Q: Shah, I am a doing my Medicine Residency in NJ, US and planning to do my fellowship in Nephrology, ...
  A: As you know, India has a population of nearly 1.2 billion. At present, there are only about 850 ...
4yr old daughter urninating all night2/6/2009
  Q: My 4yr old adopted daughter from CHina is still having problems not being able to stop urinating in ...
  A: Most girls can stay dry at night by age six and most boys stay dry by age seven. Studies have shown ...
24hr urine results and question2/6/2009
  Q: I have SLE(lupus) and have been having mild microhematuria in urine and along with +1protein ...
  A: Your urine readings suggest that you have microalbuminuria. You also mentioned that you had ...
GFR2/5/2009
  Q: I have had two blood tests that showed GFR in the 50's. I am a healthy 67 year old woman without ...
  A: The assumption that any eGFR less than 60 ml/min/1.73 m2 is abnormal is based on the false premise ...
Stage 1 CKD2/3/2009
  Q: I'm 32 yrs old and after a routine urine test, elevated amounts of protein were found. A 24hr test ...
  A: I think it will be wise to hold your research till you get a confirmed diagnosis. In most cases, CKD ...
Bowel Preps2/3/2009
  Q: I have had two bowel preps for colonscopy over the past 2 years, on both occasions I noticed I ...
  A: 1. Colonlytely has an active ingredient which holds water in the bowel so that it is not absorbed. ...
Bladder infection, Three kidneys2/2/2009
  Q: I was recently sent to the Urologist after a sonogram by my Ob/gyn. During the sonogram he noticed ...
  A: Cystitis (bladder infection) can have many components. Burning micturition is one of them. It is ...
creatinine high2/1/2009
  Q: I am a 47 year old caucasian male in reasonable shape, and I had a query about my creatinine ...
  A: 1. I see no drug that can cause chest discomfort from your list. Valsartan (Diovan) can cause ...
hematuria1/31/2009
  Q: i am having hematuria for past 4 months sometimes it is gross but most of the time it is microscopic ...
  A: A careful history, physical examination, lab tests and imaging of the urinary tract are required to ...
PKD and Morphine.1/30/2009
  Q: I hope this question is within your specialty. I'm 20 years old and three years ago I was positivly ...
  A: Morphine is an opioid analgesic and is absolutely safe in patients with kidney dysfunction. On the ...
high creatinine1/30/2009
  Q: I am a post heart transplant (10 years) taking cyclosporine and imuran. My Creatinine has been ...
  A: You definitely have kidney dysfunction and need evaluation by a specialist. The causes may be: 1. ...
creatinine blood test is 1.7 mg/dl1/28/2009
  Q: Shamik Shah, I was informed that you are expert on Nephrology. I am 34 years I weight 115 kg (253 ...
  A: What is the normal reference range for your lab? If 1.7 is outside your lab's normal reference ...
Low eGFR1/27/2009
  Q: On a recent lab test, I had an eGFR 57 ml/min/1.73m2. My BUN was 18, CR 1.04. All other chemistry ...
  A: Several case reports and at least one study has shown an association between Topiramate (Topamax) ...
Unilateral Renal Agenesis1/26/2009
  Q: i am a 19 year old male. i recently found out that i only have my right kidney. my kidney is ...
  A: Your enlarged kidney suggests that it has taken up almost all the work of its absent twin. However, ...
Which medical school to attend1/25/2009
  Q: how are you doing? I have to make an important decision and would like to get the input of as many ...
  A: I am doing good. Thanks for asking. Always choose a med school which has a better reputation. As ...
Potassium Levels in Acute/Chronic Metabolic Acidosis1/25/2009
  Q: Dr. Shah, I am having difficulty understanding the distinction between acute and chronic metabolic ...
  A: In metabolic acidosis, the kidneys must reabsorb all the filtered bicarbonate and contribute new ...
Low eGFR1/24/2009
  Q: On a recent lab test, I had an eGFR 57 ml/min/1.73m2. My BUN was 18, CR 1.04. All other chemistry ...
  A: You do need evaluation by a Nephrologist. However, there does not seem to be an urgency. Regarding ...
blood in urin1/23/2009
  Q: My son aged 12years, 2 to 3 drops of blood at the end of urination with very little pain for last 2 ...
  A: A careful history, physical examination, lab tests and imaging of the urinary tract are required to ...
eswl treatment1/22/2009
  Q: A recent CT scan prompted by blood in urine and negative urine culture indicates that I have a stone ...
  A: A careful history, physical examination, lab tests and a review of your CT scan are required to ...
Query related to my Father's Kidney problem1/21/2009
  Q: My Father(age :60) had temporary kideny failure before 2 years. And he had undergone 4 dialysis and ...
  A: Your father seems to be suffering from Acute Kidney Injury which might be related to some of the ...
Lab Test1/20/2009
  Q: I was informed that I needed to be on dialysis right away and I am still in shock. I am a white ...
  A: Patients with eGFR < 15 are advised to start dialysis. Serum creatinine is an indirect marker of ...
Could these symptoms be connected?1/20/2009
  Q: I hope you enjoyed your vacation.. I am a 42 yr old female, I am taking Cipralex (Escitalopram)20mg ...
  A: You have done the right thing in asking for an analysis of the kidney stones. I would also recommend ...
reguarding kidney transplanation1/19/2009
  Q: my cousin(male) of age: 26 has undergone kidney transplantation recently(3 months ago).....as ...
  A: In a live-related kidney transplantation, the transplanted kidney starts functioning on the ...
High Creatinine, Low eGFR and Bradycardia1/12/2009
  Q: I am suffering from chronic fatigue and Bradycardia (resting rate 44bpm.) I am a white male 46yrs ...
  A: 1. There is no direct relationship between bradycardia and kidney function. 2. Please get yourself ...
High creatinin level1/11/2009
  Q: My son is in a drug counseling program. When his urine was tested last week the results indicated ...
  A: I appreciate the efforts you are putting in as a family to battle your son's problems. A high urine ...
pian1/11/2009
  Q: I was in africa in 2004 I got sick they said it was a ballder infection I was in hospital a week ...
  A: The pillars of medical diagnosis are a careful history, physical examination, lab tests and imaging ...
Nephroptosis and sports1/11/2009
  Q: Shah, Last year I passed a kidney stone, which was followed by a mild infection. In one of the ...
  A: Ultrasound is subjective - based on individual observation. An IVU is objective and I would rely ...
eGFR1/10/2009
  Q: I am a 41 year old woman with a current eGFR rate of 73 (blood test in Nov 08). In March 08 it was ...
  A: The assumption that any eGFR less than 60 ml/min/1.73 m2 is abnormal is based on the false premise ...
high EGFR1/10/2009
  Q: I was wondering what it meant if I have a high EGFR? Mine is 96 and I had some protein in my urine ...
  A: Any eGFR above 90 is considered normal. You certainly do not have a high eGFR. An elevated eGFR is ...
Diabetic renal failure1/9/2009
  Q: I am 44 yr old University professor, diabetic for 11 yrs. My current FBS is 180mg/dl, but H1ABC is ...
  A: The following general principles should be applied for prevention of kidney failure: 1. Control of ...
protein in urine1/9/2009
  Q: My son recently had a urine test at the doctors office and it was discovered that he had a 1 reading ...
  A: The tests for kidney function are: BUN and Serum creatinine in addition to urinalysis. As always, a ...
32 Weeks pregnant, abnormal urine1/8/2009
  Q: I am 32 weeks pregnant and during my routine visits I was found to have proteinuria and hematuria ...
  A: Hematuria and proteinuria are two red flags for the presence of some form of a glomerular disorder. ...
Nephrotic Syndrome1/7/2009
  Q: I am a 47 year male. Since May 2007 I am suffering from this and it was confirmed by Kidney Biopsy. ...
  A: MCD is know to relapse and 3 relapses in a year can be treated with steroids. For an adult patient, ...
chronic renal failure on congestive heart failure1/6/2009
  Q: What kinds of things can be done when the patient has severe congestive heart failure with ...
  A: I think your Cardiologist is right. I would advocate Peritoneal Dialysis for such a patient. If the ...
Nephrotic Syndrome1/6/2009
  Q: I am a 47 year male. Since May 2007 I am suffering from this and it was confirmed by Kidney Biopsy. ...
  A: I need some more information before answering your questions. Nephrotic syndrome is a generic name ...
proteinuria1/4/2009
  Q: I`m writing to you because I´m so worried and stressed by my problem and nobody could really help me ...
  A: You do not have gross proteinuria. However, your value does fall in the range of microalbuminuria. ...
Left Kidney pain/R Kidney AVM1/4/2009
  Q: I have a 7 yr hx of constant pain in left kidney, constant microscopic hematuria, and dx'd with R ...
  A: It seems less likely that an AVM in one kidney will cause pain in the one. To diagnose your ...
blood and protein in urine1/3/2009
  Q: I went snowboarding last Friday and had 10 really hard falls and about 30 falls in total. I had a ...
  A: Only unaccustomed exercise can lead to proteinuria. If you were my patient, I would do a 24 hour ...
kidney disease?1/2/2009
  Q: My daughter is twelve, 100lbs, 5'2', and had no problems at birth. Over the last few weeks she has ...
  A: Your daughter most likely will have some form of glomerular disease. In children, one of the most ...
kidney disease?1/2/2009
  Q: My daughter is twelve, 100lbs, 5'2', and had no problems at birth. Over the last few weeks she has ...
  A: Protein and blood in urine are two red flags for the presence of kidney disease. Your daughter has ...
Low RBC after kidney transplant12/31/2008
  Q: My husband had a kidney transplant 7 weeks ago. He was never on dialysis and has PKD. He was never ...
  A: Many factors can lead to anemia after kidney transplantation. Some of the common ones are: 1. Graft ...
Nephrectomy post care12/30/2008
  Q: My father had one kidney removed about 8 weeks ago, due to a cancerous tumor. He has recovered ok. ...
  A: What your father is experiencing can be transient hypotension or hypoglycemia. A careful history and ...
Possible kidney disease Please answer!12/30/2008
  Q: I think i have a kidney disease symptons include: -Constant and sometimes painful urination ...
  A: A careful history, physical examination, lab tests and imaging of the urinary tract are required to ...
Kidney Injury and Stones12/29/2008
  Q: I was trying to determine if a past kidney injury that caused gross hematuria could be the cause of ...
  A: Gross hematuria with any kind of kidney stone appears same to the naked eye. Microscopically, ...
Sphygmomanometer Type/Brand12/28/2008
  Q: Shah, Would you recommend a good type and brand of sphygmomanometer? I need one that would be ...
  A: The choices of monitors can vary from upper arm or wrist-type monitors, monitors that make ...
Creatinine Report of my mother12/26/2008
  Q: Doctor, I'm from Pondichery. Just today I got my mother's Blood Analysis from the lab. She is a ...
  A: Your mother's kidneys are affected, most probably due to diabetes. Insulin is usually excreted by ...
elevated serum creat GFR of 4412/26/2008
  Q: He is being treated with Lopid,Lipitor,Zetia for elevated chol and and LDL his HDL is about 25 with ...
  A: I am afraid that diet along cannot adversely affect GFR. A detailed history, physical exam, other ...
Protein/Creatinine Ratio12/24/2008
  Q: My six year has been suffering from nephrotic syndrome due to HSP. My question is as follows: Her ...
  A: In urine, men excrete 20-25mg of creatinine per kilogram body weight per day, and women excrete ...
High potassium levels12/24/2008
  Q: My primary care physician was alarmed when my latest blood results showed my potassium level had ...
  A: I tend to agree with your doctor. In patients with CKD, ACE inhibitors are a common cause of ...
Can low dose Methotrexate cause proteinuria ???12/24/2008
  Q: 23/12/2008 Dear Dr Shah, Does Methotrexate cause Proteinuria ?? I have been taking 10 mg ...
  A: Do you have an earlier urinalysis before you started Methotrexate? The dose of Methotrexate is not ...
proteinuria12/13/2008
  Q: I`m writing to you because I´m so worried and stressed by my problem and nobody could really help me ...
  A: You do not have pathological albuminuria. The method you have described of doing 24 hour collection ...
is it ckd?12/13/2008
  Q: i am a 24 y.o. 72 kg boy and two months ago i used gentamicin ampules and cefixim tablets. after ...
  A: A careful history, physical examination, lab tests and imaging of the kidneys are required to ...
High Level of creatinine12/11/2008
  Q: My father is 63 old and a diabetic for the past 13 years. 12 months back he has been detected with ...
  A: Your question is very broad. Discussion of all measures to slow progression of diabetic CKD is ...
nephrocalcinosis found on ultrasound in 5 year old12/10/2008
  Q: My son had a uti about 2 weeks so his pediatrician ordered a voiding cystourethrogram and ...
  A: Your question is best answered by a Pediatric Nephrologist. I will attempt to answer it, though. I ...
GFR=2612/10/2008
  Q: I found out that my creatinine =2,11 urea=33 GFR=26 I did ...
  A: I disagree with your nephrologist. A lot of things can be done to prevent the progression of ...
post transplant creatinine levels12/9/2008
  Q: Shah, I just had a kidney transplant about 4 weeks ago. My wife was my donor and the match was good. ...
  A: Congratulations on your new transplant. If the creatinine levels reached 1.2 and have climbed to ...
24hr urine and spot urine protein test comparison12/9/2008
  Q: Recently had a spot urine protein test(46mg/dl) down from (70mg/dl) and a dipstick test (+2). ...
  A: Dipstick protein estimation is a semi-quantitative assay. It is useful as a screening test. If it is ...
Severe headache - dialysis patient12/6/2008
  Q: My farther is 86 years old and has been undergoing dialysis for three years, three times a week. He ...
  A: It is obvious that the change in dialysis protocol is causing the headaches. A detailed history and ...
rhabdomyolysis12/5/2008
  Q: My test results recommend me to eat non-animal protein and foods low in oxalate. I was diagnosed ...
  A: Urinary albumin comes from blood if there is leakage of the glomerular capillary. The albumin in ...
foamy urine12/4/2008
  Q: iam a diabetic i have alot of foam in my urine and the color of my urine is a grayish coor and it ...
  A: About 30% of diabetics develop diabetic nephropathy. One of the first signs of the disease is ...
Lupus Nephritis12/4/2008
  Q: I have a question about lupus nephritis. I have had mild(trace and +1) protein and few blood cells ...
  A: Yes, you can still have Lupus Nephritis eventhough your ds-DNA and complement levels are normal. ...
High protein in urine, small kidneys12/3/2008
  Q: We just found out that our 14 year old son's kidneys are the size of a 10 year old's. His protein ...
  A: Proteinuria is a serious condition and should be immediately looked into. Many conditions can cause ...
Lupus Nephritis12/3/2008
  Q: I have a question about lupus nephritis. I have had mild(trace and +1) protein and few blood cells ...
  A: I am not quite sure I understand your question. Do you have SLE? Usually, patients with Lupus ...
HYDRONEPHROSIS & ANTIBIOTIC12/2/2008
  Q: Sir, my son was diagnosed left side mild hydronephrosis when my wife was 8 month pregnant, then on ...
  A: I agree with your pediatrician. Please stop the antibiotics. Long term prophylaxis is only indicated ...
Kidney12/2/2008
  Q: I had a kidney transplant 3 years ago. Today on my annual check-up my creatine was 1.3 and bun was ...
  A: Low BUN levels are not common and are not usually a cause for concern. They may be seen in severe ...
kidney cyst12/1/2008
  Q: I have just had an ultra sound and have been told i have a cyst but not to worry ? he said i was ...
  A: If you have a simple renal cyst, there is nothing to worry about. Is your cyst simple or complex? ...
Rhabdomyolysis11/30/2008
  Q: On June of this year I was Hospitalized with Rhabdomyolysis due to Tubular necrosis, due to ...
  A: You seem to have completely recovered from the Acute Kidney Injury due to Rhabdomyolysis. It is less ...
Blood in urine test strip11/30/2008
  Q: My 9 years son shows blood in urine twice, once in August again last week. Microscopic analysis came ...
  A: Please get your son evaluated again. I would work up along these lines: 1. Urine microscopy, Urine ...
Hydronephrosis11/30/2008
  Q: , My 60 old mother has been diagonised with hydronephrosis with left urithral obstruction.i want to ...
  A: Hydronephrosis is a serious condition and should be attended to ASAP. Treatment options depend on a ...
kidney volume question11/29/2008
  Q: I've suddenly become hypertensive, complete with tachycardia and chest pain. My doctor is trying to ...
  A: The affected kidney with reflux seems to have shrunken and may have caused commpensatory hypertrophy ...
lowering GFR/not feeling well11/26/2008
  Q: I am a 35 yr old mother of five, having just had my fifth child in July 08. I had recurring ...
  A: A GFR of 57 at age 35 is certainly low. It is important to know what is causing this low GFR. A ...
low GFR / anemia11/25/2008
  Q: I am 62, diabetic, 5'2", 275#, BP 120/75. In June 2007, BUN 11 (7-22 mg/dl), creatinine .8 (.5-1.5 ...
  A: Good to hear from you again. In adults, GFR or creatinine clearance is usually estimated using one ...
kidney stones and vitamin D11/24/2008
  Q: There was a large study recently that showed higher levels of Vitamin D (at least 1000mg a day) ...
  A: There are several aspects to be considered when before prescribing a drug to patients based on ...
normal BUN, elevated creatinine.11/23/2008
  Q: My first set of lab.s this April showed aBUN of 24mg/dl (8-22) and a creatinine of 1.5 mg/dl ...
  A: A detailed history and careful physical examination in addition to other lab tests and imaging of ...
flank pain and fatigue11/23/2008
  Q: i'm a 37 yo female. i had pylo after long csection 18 months ago. in feb my gp found ...
  A: Although there are no substitutes for a careful history and physical, I think your doctors may have ...
Low GFR11/22/2008
  Q: Just had testing done pre colonoscopy and tests showed GFR 45 ml/min/1.73 range 60-128. Creatinine, ...
  A: A careful history and physical are required to diagnose your condition. It is important to remember ...
Pyelonephritis and hypertension11/21/2008
  Q: Shah, I recently found out that I have hypertension (190/110). Although I don't know how long I've ...
  A: It is quite possible that the symptoms you narrate are due to complications with your kidneys. ...
24hr urine11/20/2008
  Q: I have been diagnosed with SLE for over 30yrs. I am controlled with imuran and prednisone. However, ...
  A: You seem to be suffering from Lupus Nephritis. You can have normal renal function, but still have ...
High Serum Creatinine/ Low BUN/Cr Ration11/20/2008
  Q: I am very healthy female age 48. I weigh 130 lbs and work out at least 3 mornings a week. Annual ...
  A: Dehydration will not cause Serum creatinine to rise to 2.08 mg/dl. It would not be wise to wait for ...
Renalfailure11/19/2008
  Q: I started hemodialysis 7/08/08. Within the that month or so my hair has started falling out almost ...
  A: People who start dialysis do sometimes notice hair loss and changes to their skin such as dryness ...
low GFR / anemia11/19/2008
  Q: I am 62, diabetic, 5'2", 275#, BP 120/75. In June 2007, BUN 11 (7-22 mg/dl), creatinine .8 (.5-1.5 ...
  A: If you were my patient, I would: 1. Look for the presence of albuminuria. 2. Check Serum Ferritin, ...
KIDNEY GFR11/17/2008
  Q: THE ONE FOR MY KIDNEYS CAME BACK WITH A GFR OF 44. THIS WAS REPEATED AND THE RESULT SENT TO MY GP ...
  A: GFR is increased significantly in subjects with extreme obesity compared to nonobese controls of ...
high test scores...Do they mean uremia or stage 3 kidney disease11/17/2008
  Q: I am 60, female...Have BUN 22, Creatinine 1.4, CK 259, Albumin 4.7, GFR 39.4 and Vitamin D is 28.6. ...
  A: Please get yourself evaluted by a Nephrologist. If you have had evidence of kidney disease for more ...
Blood results indicating Kidney Problems11/16/2008
  Q: 49 F - I was diagnosed in early July of 2008 with 3 vessel CAD. Blood work in July shows Creatinine ...
  A: First off, congratulations on losing a lot of weight and adopting a healthy life-style. Not many are ...
GFR and a Kidney Donor11/14/2008
  Q: I donated a kidney in 1998. My GFR has shown stage 3 CKD for 8 years with a slight decrease in ...
  A: An estimated GFR must always be viewed in light of the history and physical examination. Please get ...
urine11/14/2008
  Q: can you please explaine....l have microalbunina 87.8 ml/l and creatinina 65.4 mg/dl in my ...
  A: Can you provide some more information, please? Your age, ethnicity, height and weight. Also, were ...
Kidney function11/13/2008
  Q: Dr, Recently my blood pressure gone up and upon chcking found that my kidney fuction is not good. ...
  A: You seem to have a rapidly progressive form of renal failure. There can be many reasons for RPRF and ...
left flank pain in kidney area11/13/2008
  Q: I'm a 56 year old male and have had numerous bouts w/kidney stones over the past 30 years. The last ...
  A: To diagnose your condition, a detailed history and physical examination are needed. Unfortunately, I ...
albumin seen in urine11/12/2008
  Q: i am 23yr old student. About a week before i found swellings around my face and in leg.. When i ...
  A: You are suffering from a conditon called "Nephrotic syndrome". It cannot be treated with the salt ...
fiber pains in or near kidney11/11/2008
  Q: Dr Shah, In the past week I have started having what has felt like kidney stones on the left side ...
  A: If you have recurrence of kidney stones, they would be picked up on the CT scan. Also, coumadin may ...
creatinine rise in RTA11/10/2008
  Q: I have RTA/Fanconi's and have always had abnormal blood work but mostly on the low side. My K+ has ...
  A: I would be concerned about the rise in blood pressure. What does your doctor have to say about it? ...
kidney failure from prep for colonoscopy11/10/2008
  Q: A year ago I had a colonoscopy, I told the Dr I had elevated kidney numbers before (from ...
  A: The rate of decline in kidney function varies from patient to patient and on many other factors like ...
painful kidney11/9/2008
  Q: Shah, About 3 weeks ago I ended up in the ER for severe pain in my lower left back, kidney region, I ...
  A: A detailed history and physical examination are required to diagnose your condition. Unfortunately, ...
Urine dsyregulation11/9/2008
  Q: For the last year or so, I have been having a delay in my urination. Throughout day, I drink water. ...
  A: To diagnose your condition, a detailed history, physical examination, some lab tests and imaging of ...
kidney failure from prep for colonoscopy11/9/2008
  Q: A year ago I had a colonoscopy, I told the Dr I had elevated kidney numbers before (from ...
  A: I agree with your Nephrologist. You have some form of CKD. However, this does not mean that you are ...
Foamy/ bubbly urine11/8/2008
  Q: Ok this not something I currently noticed, I just started paying more attention to my health after ...
  A: Foamy urine can sometimes be due to albumin in urine. Please get your urine analyzed for the ...
Blood in Urine & presently Pus Cells11/7/2008
  Q: Sir I just got married 4 months back , but after on month my wife started to get blood in her urine ...
  A: Good to hear from you again. Start antibiotics according to the sensitivity pattern after ...
Blood in Urine & presently Pus Cells11/7/2008
  Q: Sir I just got married 4 months back , but after on month my wife started to get blood in her urine ...
  A: Your wife seems to be suffering from what is known as "Honeymoon Cystitis" Lower urinary tract ...
High BUN:Creatinine Ratio?11/6/2008
  Q: I am a 50yo female who works out with weights and eats a moderate protein diet (~100 grams per day). ...
  A: A high BUN:Creatinine can be caused by many conditions. Some of the common ones are: 1. High ...
creatinine/BUN11/6/2008
  Q: Most likely because of a childhood illness, my left kidney is mostly not functioning. It is likely ...
  A: You seem to be suffering from Chronic Kidney Disease (CKD). Working out DOES NOT increase serum ...
angiography dye in MRI10/12/2008
  Q: Shah, Is the dye used in angiography with MRI has harmful effect on kidneys with stage 1-2 kidney ...
  A: Gadolinium, the contrast medium used for MRI is indeed harmful for patients with CKD. I do not know ...
Lower Back Pain, Blood In Urine, Foamy Urine... WHAT IS IT?10/10/2008
  Q: Doc, I am a 20 yr old male college student. I exercise frequently and have had no recent major ...
  A: Good to hear from you again. Many conditions can mimic what you are experiencing. A careful ...
nephrology10/10/2008
  Q: My dad is a k/c/o DM type 2 and Hypertension. His renal function has been impaired. Recently he had ...
  A: Home dialysis can be of two types: Hemodialysis or Peritoneal dialysis. Home hemodialysis involves ...
Lower Back Pain, Blood In Urine, Foamy Urine... WHAT IS IT?10/9/2008
  Q: Doc, I am a 20 yr old male college student. I exercise frequently and have had no recent major ...
  A: The foamy urine can be caused by excessive protein leak in urine. It seems that you have both red ...
very high microalb/creat ratio10/9/2008
  Q: My 4 year old son's result has just come back, but I have to wait a month to see the Specialist. He ...
  A: A discussion of all conditions that fall under "Nephrotic syndrome" is beyond the scope of this ...
BP during dialysis10/9/2008
  Q: My father was 68 years old and was on hemo dialysis for the past 1.5 years.His dry weight is 71.50 ...
  A: It is clear that your father was being under-dialyzed till now. The minimum dialysis dose required ...
creatinine10/8/2008
  Q: 48 year old female. Creatinine level varying 2.2, 2.4, 2.5, 2.0, 2.3, 2.2 in the last 3 months- ...
  A: I do not know of any allopathic medicine that reduces the serum creatinine level. One can try ...
focal segemental glomerulosclerosis10/8/2008
  Q: my 23 year old son was recently diagnosed with the above listed kidney disease. the diagnosis was ...
  A: Five mutually exclusive variants of focal segmental glomerulosclerosis may be distinguished by the ...
kidney transplant10/8/2008
  Q: My questions are in regards to my husband. He has PKD and is awaiting a kidney transplant from a ...
  A: 1. His new kidney will produce the necessary EPO. His native kidneys may continue to produce little ...
very high microalb/creat ratio10/7/2008
  Q: My 4 year old son's result has just come back, but I have to wait a month to see the Specialist. He ...
  A: Your son seems to be suffering from "Nephrotic syndrome". It is a group of conditions where the ...
creatinine10/7/2008
  Q: 48 year old female. Creatinine level varying 2.2, 2.4, 2.5, 2.0, 2.3, 2.2 in the last 3 months- ...
  A: Good to hear from you again. If the diagnosis of CKD is unknown, I can only offer generic advise: ...
creatinine10/7/2008
  Q: 48 year old female. Creatinine level varying 2.2, 2.4, 2.5, 2.0, 2.3, 2.2 in the last 3 months- ...
  A: It is important to know what is causing the elevation in serum creatinine. That requires a detailed ...
Right Upper Pole Cyst10/6/2008
  Q: I received a note from my doctor indicating that from my ultrasound results, showed a 2.4 cm right ...
  A: Good to hear from you again. A cyst will not go away- be it simple or complex. If it is simple, you ...
urinalysis10/6/2008
  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 Cyst10/5/2008
  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 INdia10/4/2008
  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 retention10/3/2008
  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 potassium10/2/2008
  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 potassium10/2/2008
  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 Test10/1/2008
  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 GFR9/30/2008
  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 Level9/24/2008
  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/mass9/24/2008
  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 results9/24/2008
  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/mass9/23/2008
  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 junction9/23/2008
  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 level9/22/2008
  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 Urine9/22/2008
  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 - Calculations9/22/2008
  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 - problems9/21/2008
  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 PKD9/18/2008
  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 cyst9/18/2008
  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 mom9/18/2008
  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 TEST9/16/2008
  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 999/16/2008
  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 999/15/2008
  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 Test9/15/2008
  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 GFR9/13/2008
  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 gfr9/12/2008
  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 surgey9/11/2008
  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 Pregnancy9/11/2008
  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 489/11/2008
  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 ...
kidneys9/10/2008
  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 ...
kidneys9/10/2008
  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 CKD9/9/2008
  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 RRT9/8/2008
  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 ...
Hypertension9/7/2008
  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 pressure9/6/2008
  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 patient9/6/2008
  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, ...
Hypertension9/6/2008
  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 TSH8/25/2008
  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.Shah8/25/2008
  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 Disease8/24/2008
  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 Ratio8/20/2008
  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 Hypertension8/20/2008
  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 Nephropathy8/18/2008
  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 Low8/18/2008
  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 Low8/17/2008
  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 creatinine8/15/2008
  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 creatinine8/15/2008
  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 ...
eGFR8/14/2008
  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 alistair8/13/2008
  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 serum8/3/2008
  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 bun8/2/2008
  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 American8/1/2008
  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 & GFR8/1/2008
  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 dialysis7/31/2008
  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 Failure7/30/2008
  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 Cancer7/29/2008
  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 Limits7/29/2008
  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 stones7/28/2008
  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 Creatinine7/27/2008
  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 Failure7/23/2008
  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 results7/22/2008
  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 ...
HELP7/21/2008
  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 urine7/21/2008
  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 ...
createnine7/21/2008
  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 ...
kidneys7/19/2008
  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 urination7/19/2008
  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 ...
creatinine7/18/2008
  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 ...
creatinine7/17/2008
  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 questions7/15/2008
  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 cholesterol7/14/2008
  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 cholesterol7/14/2008
  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/risks7/13/2008
  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 fibrosis7/13/2008
  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 disease7/13/2008
  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 levels7/11/2008
  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 Dialysis7/11/2008
  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 dye7/8/2008
  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 creatinine7/7/2008
  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 ...
eGFR7/7/2008
  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 transplant7/6/2008
  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 problems7/6/2008
  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 ...
Creatinine7/4/2008
  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 infection7/4/2008
  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 disease7/4/2008
  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 Failure7/4/2008
  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 ...
Nephrologist7/3/2008
  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 disease7/3/2008
  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 urine7/3/2008
  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 UTI7/2/2008
  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 ...
guide7/2/2008
  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 disease7/2/2008
  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 ...
guide7/1/2008
  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 BUN7/1/2008
  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 ...
Nephrology7/1/2008
  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 BUN7/1/2008
  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 BP6/30/2008
  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 dialysis6/30/2008
  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 urination6/29/2008
  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 results6/27/2008
  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 bun6/27/2008
  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 Kidney6/26/2008
  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 pain6/26/2008
  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? ...
prealbumin6/26/2008
  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 Creatinine6/25/2008
  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. ...
CKD6/25/2008
  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 ...
CKD6/24/2008
  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 ...
Complicated Renal Cyst with Microscopic Hematuria6/23/2008
  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, ...
Pus cells in urine6/23/2008
  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 ...
low GFR6/22/2008
  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 ...
Do i have CKD6/22/2008
  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, ...
Low GFR6/21/2008
  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 ...
Do i have CKD6/21/2008
  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
Complicated Renal Cyst with Microscopic Hematuria6/21/2008
  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 ...
BUN level6/19/2008
  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 ...
complex cyst6/17/2008
  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 ...
complex cyst6/16/2008
  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 ...
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 ...
kidney damage6/14/2008
  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. ...
post nephrectomy hypertention6/14/2008
  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 ...
HYPODENSE KIDNEY STRUCTURE6/13/2008
  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 ...
Increased biliruben levels6/13/2008
  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 ...
kidney6/13/2008
  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 ...
angiolypoma6/12/2008
  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. ...
Primary Hyperoxaluria6/12/2008
  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. ...
Kidney Damage From Reflux6/12/2008
  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 ...
Reasons for an increased protein to creatine level6/11/2008
  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 ...
Swollen Foot & Back Pain6/11/2008
  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, ...
High Urea & Creatinine6/10/2008
  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, ...
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 ...
Creatinine Clearance6/9/2008
  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 ...
encapsulated sclerosing peritonitis6/8/2008
  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 ...
low GFR and low creatinine clearance and low crea. in 24 hr. urine collection6/7/2008
  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 ...
Forced to strain in middle or ending urination6/6/2008
  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 ...
kidney - renal left-sided 14mm cyst6/5/2008
  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 ...
Microalbumin/Creatinine Ration6/4/2008
  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 ...
frequent urination6/3/2008
  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 ...
No pain from left kidney6/3/2008
  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, ...
kidney donation and 24 hr. urine test5/31/2008
  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 ...
injury5/30/2008
  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 ...
Kidneys only work lying down5/29/2008
  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 ...
plasma urea5/29/2008
  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 ...
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 ...
low eGFR, high neutrpphils5/28/2008
  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 ...
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 ...
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 ...
dialyis5/27/2008
  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 ...
hpodense renal5/27/2008
  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 ...
Kidney Dysfunction and allowable tests5/26/2008
  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 ...
Kidneys only work lying down5/25/2008
  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) ...
Kidney Dysfunction and allowable tests5/25/2008
  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 ...
Kidneys only work lying down5/24/2008
  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. ...
Low egfr read in blood test5/23/2008
  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 ...
Post nephrectomy hypertension5/22/2008
  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 ...
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 ...
Normal Creatitine Levels5/21/2008
  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. ...
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 ...
Fear of Urinary Rention5/19/2008
  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 ...
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 ...
Hyperparathyroidism5/18/2008
  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 ...
Creatinine levels5/18/2008
  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 ...
kidney problems5/18/2008
  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 ...
kidney problems5/17/2008
  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 ...
low egfr levels5/16/2008
  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 ...
kidney problems5/16/2008
  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 ...
dialysis and haeparin with hair loss5/16/2008
  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 ...
HYPODENSE KIDNEY STRUCTURE5/15/2008
  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 ...
foamy urine5/15/2008
  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 ...
Elevated blood creatinine5/14/2008
  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 ...
Bloodwork5/13/2008
  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 ...
NS maybe FSGS5/13/2008
  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 ...
low GFR and UTI5/13/2008
  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 ...
kidney removal5/13/2008
  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 ...
Ref: Berger Diesease5/12/2008
  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 ...
Low GFR5/12/2008
  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 ...
Low GFR for age5/10/2008
  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 ...
Low GFR5/10/2008
  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 ...
Low GFR5/9/2008
  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 ...
+3protien in urine5/4/2008
  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 ...
+3protien in urine5/4/2008
  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 ...
High creatitine5/2/2008
  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 ...
IgA Nephropathy5/2/2008
  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 ...
+3protien in urine5/2/2008
  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 ...
Straining During Urination - Kidney Damage5/1/2008
  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 ...
serum creatin4/30/2008
  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 ...
microscopic hematuria4/18/2008
  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 ...
microscopic hematuria4/18/2008
  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 ...
microscopic hematuria4/17/2008
  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 ...
blood in urine4/16/2008
  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 ...
Mother's low GFR4/16/2008
  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 ...
GFR questions4/14/2008
  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 ...
GFR estimate tests4/14/2008
  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 ...
a high protein4/14/2008
  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 ...
High BUN - lowered creatinine4/12/2008
  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 ...
Createnine4/12/2008
  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 ...
High BUN - lowered creatinine4/11/2008
  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 ...
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 ...
Scan results of Kidney with polycystic4/11/2008
  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) ...
Kidney Transplant4/9/2008
  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". ...
PKD4/9/2008
  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 ...
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 ...
more urine questions please4/8/2008
  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 ...
CRF, ARF Where to go from here4/7/2008
  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 ...
Polycystic Kidney Disease4/4/2008
  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 ...
ureteropelvic junction obstruction4/4/2008
  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 ...
albumin trace in sugar4/3/2008
  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 ...
sclerosing peritonitis3/31/2008
  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 ...
Diagnosis3/31/2008
  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. ...
sclerosing peritonitis3/30/2008
  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 ...
hematuria3/28/2008
  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 ...
side effects of dialysis on a mentally ill patient3/27/2008
  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. ...
Vascular access3/27/2008
  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) ...
hematuria3/26/2008
  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 ...
high BUN&Creatinine levels3/26/2008
  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 ...
elevated Creatinine3/25/2008
  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 ...
Bosniak cyst3/25/2008
  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, ...
elevated Creatinine3/24/2008
  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 ...
urethera irritation3/24/2008
  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 ...
Methyldopa3/21/2008
  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 ...
Low GFR3/21/2008
  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 ...
career related not health related3/19/2008
  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 ...
creatinine bloodpressure3/17/2008
  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 ...
Contrast induced Nephropathy3/16/2008
  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 ...
Cretanine level question3/15/2008
  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 ...
Contrast induced Nephropathy3/15/2008
  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 ...
Kidney disease caused by trauma3/15/2008
  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 ...
High cholesterol and urine protein levels3/15/2008
  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" ...
hair loss with hemodialysis3/14/2008
  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 ...
Methyldopa3/12/2008
  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 ...
your opinion please3/12/2008
  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 ...
regarding high BP and increased creatinine level3/12/2008
  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 ...
career related not health related3/12/2008
  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 ...
RTA type I and Bi-Med sponge kidneys3/12/2008
  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 ...
Methyldopa3/11/2008
  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 ...
High serum creatinine levels3/11/2008
  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 ...
Kidney disease3/11/2008
  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 ...
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 ...
Contrast Dye3/7/2008
  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), ...
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: Protein in the urine is a red flag for kidney diseases. Your protein creatinine ratio suggests that ...
low GFR2/28/2008
  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 ...
bun/creat low2/28/2008
  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 ...
bun/creat low2/28/2008
  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 ...
Vitamin D3 and Kidney Stones2/28/2008
  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 ...
Hydronephrosis2/26/2008
  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 ...
CKF and Cholesteral/Triglyceride Connection2/26/2008
  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 ...
kidney problems2/26/2008
  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 ...
MINIMAL CHANGE NEPHROPATHY2/26/2008
  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 ...
eGFR2/25/2008
  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 ...
eGFR2/24/2008
  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 ...
kidney tests2/24/2008
  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. ...
kidney tests2/23/2008
  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 ...
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 ...
creatinine levels post renal transplantation2/22/2008
  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 ...
IGA Nephropathy in 10 year old2/21/2008
  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 ...
creatinine2/20/2008
  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 ...
polycistic kidneys2/18/2008
  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 ...
Kidney reflux as child, current low gfr2/18/2008
  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 ...
polycistic kidneys2/17/2008
  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 ...
psoas abcess2/13/2008
  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 ...
Recovering Kidney donor2/12/2008
  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 ...
creatinine value after haemodylais2/12/2008
  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, ...
blood in urine/kidney cysts2/12/2008
  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 ...
low egfr - kidney donor2/12/2008
  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 ...
Recovering Kidney donor2/12/2008
  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 ...
KIDNEY PROBLEM & ANEMIA2/11/2008
  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) ...
How do supplements affect kidney and liver tests2/9/2008
  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, ...
microalbuminuria2/8/2008
  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 ...
Protein in Urine- Other Test Fine2/6/2008
  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 ...
kidney stones in child2/6/2008
  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 ...
My symptoms2/6/2008
  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 ...
Complex vs. Simple Renal Cyst2/5/2008
  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 ...
Creatinine Level2/4/2008
  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 ...
Bun/Creatine ratio2/4/2008
  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 ...
Questiion about high normal creatinine2/1/2008
  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 ...
Hypertension during Dialysis and headache after dialysis1/30/2008
  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 ...
elevated BUN/Creat ratio1/30/2008
  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 ...
low eGFR/dull flank pain1/30/2008
  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 ...
low eGFR/dull flank pain1/29/2008
  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 ...
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 ...
kidney function after donation1/27/2008
  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 ...
kidney function after donation1/26/2008
  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 ...
Simple Kidney Cyst1/25/2008
  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. ...
7 y/o daughter has 3+ protien in urine and high blood pressure1/25/2008
  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 ...
trace albumin in urine1/25/2008
  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) ...
decreased kidney function and pregnancy1/22/2008
  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 ...
endometriosis1/22/2008
  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!). ...
urine protein1/21/2008
  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 ...
endometriosis1/21/2008
  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 ...
Diabetes and microalbumin1/20/2008
  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 ...
Kidney disease1/20/2008
  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 ...
Protein levels1/20/2008
  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 ...
Kidney disease1/19/2008
  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 protein in his urine ...
Kidney function1/19/2008
  Q: Dr. Shah, My husband had a recent 24-hour urine test. It showed that the protein in the urine was ...
  A: The following measures will help: 1. Strict control of blood sugar (HbA1c < 6.5%) 2. Strict control ...
My complicated kidney problems1/18/2008
  Q: Shah, I will have more than one question, so here is a summary of my situation. My kidney problems ...
  A: Chronic pyelonephritis is a radiological diagnosis. A history of repeated UTIs and the demonstration ...
kidney damage1/18/2008
  Q: I have a four yr old daughter who has had a series of UTI infections, hospitalized twice with fever ...
  A: Good to hear from you again. I would suggest that you get a 24 hour urinary protein estimation done ...
kidney damage1/18/2008
  Q: I have a four yr old daughter who has had a series of UTI infections, hospitalized twice with fever ...
  A: Young pre-pubertal girls can have UTI without reflux. Your doctor is doing the right thing. Long ...
Toradol in CRF/CHF patient?1/17/2008
  Q: My fiance (31) recently died. He had CHF and CRF, but he was fairly stable. However, after recent ...
  A: I am sorry to hear of your loss. Toradol is Ketorolac Tromethamine. It is a painkiller medication ...
Kidney Failure and Blood Test Results1/17/2008
  Q: Shah, I asked you a question a few weeks ago and you promptly responded, thank you. I now have ...
  A: Good to hear from you again. The dose of Vit D prescribed by your nephrologist is absolutely fine. ...
low gfr, high creat, high bun1/16/2008
  Q: my father is hospitalizedin detroit and I am struggling to get a clear idea of where he is at? he ...
  A: Good to hear from you again. To say that this is "not a grave situation", I would have to examine ...
blood and urine tests1/16/2008
  Q: I am a 31 year old female, 5' tall, 170lbs, overall good health. I was in for some routine tests, ...
  A: I would repeat a urinalysis to make sure that the blood in the urine was not an incidental finding. ...
interpret urinalysis1/15/2008
  Q: I've had two urine tests in the past week. Both have shown blood cells in my urine (value: 2+) and ...
  A: I agree with you. Increased frequency of urination and cramps after urinating suggest an infection. ...
low gfr, high creat, high bun1/15/2008
  Q: my father is hospitalizedin detroit and I am struggling to get a clear idea of where he is at? he ...
  A: I am presuming that your father had normal renal function prior to this hospitalization. In all ...
Creatinine & BUN1/14/2008
  Q: My recent bloodwork revealed I had a creatinine level of 1.7 and BUN of 29. I am 53 years old. Are ...
  A: BUN and serum creatinine are lab values that represent kidney function. If you can tell me your ...
Chronic Glomerularnephritis1/14/2008
  Q: Shah, I was diagnosed with Chronic Glomerularnephritis back in 1986 after the birth of my second ...
  A: Chronic Glomerulonephritides is a group of disorders. Different entities in this group have ...
Kidney Irritation1/12/2008
  Q: I am 45 and had like sand dust come thru me causing infection in my urine tract and prostate, I was ...
  A: I understand that you had a urinary infection which has been cured. Dull flank pain is not ...
hypertension treatment protocol1/11/2008
  Q: Shah, In my continued studies regarding hypertension treatment protocols,in pt populations that are ...
  A: Good to hear from you again. What I understand from your question is this: What is a good ...
Kidney Failure and Blood Test Results1/10/2008
  Q: Shah, I asked you a question a few weeks ago and you promptly responded, thank you. I now have ...
  A: Good to hear from you again. In very simple words, the rise in phosphate, which occurs as renal ...
post-op urination1/8/2008
  Q: My husband had first an appendix operation and then 8 days later (due to constant pain) removal of ...
  A: More likely than not, the excessive urine was probably due to a combination of contrast medium and ...
hyperuricemia & thiazide1/4/2008
  Q: Shah, I'm studying hypertension protocols. I am confused about pts that have a history of a few ...
  A: Diuretics decrease urate excretion by increasing net urate reabsorption; this can occur either by ...
Nephritic Syndrome (IGM)1/4/2008
  Q: my 3 year 10 months old son suffering from Nephritic Syndrome (IgM Nephropathy in kidney Biopsy). he ...
  A: Good to hear from you again. Your doctor has done the right thing. You must follow her advice about ...
High protein, prot/creat, and red blood cell levels in urine.1/4/2008
  Q: I was recently given a blood and urine test and everything was well within the normal reference ...
  A: Providing a urine sample in the peri-menstruation period can vitiate the results. In any case, one ...
one kidney/hypertension1/3/2008
  Q: I am 59 years old and just found out (CAT Scan) that I was born with one kidney. I was first ...
  A: Good to hear from you again. It is difficult to diagnose what is making your hypertension shoot up ...
Nephritic Syndrome (IGM)1/3/2008
  Q: my 3 year 10 months old son suffering from Nephritic Syndrome (IgM Nephropathy in kidney Biopsy). he ...
  A: Your son is suffering from frequently relapsing Nephrotic Syndrome and is dependent on Cyclosporin. ...
lowered GFR and protein and blood in urine but normal creatinine1/2/2008
  Q: I am a 39 year old female and weigh about 150 lbs. I have been having problems with nausea, extreme ...
  A: Good to hear from you again. You need a detailed evaluation for your urinary complaints. This would ...
High C2 level1/2/2008
  Q: I have done my kidney transplant 1 month and 7 days earlier.The creatanine level was progressively ...
  A: High levels of cyclosporine are toxic to the kidneys. If rejection has been ruled out, I would ...
lowered GFR and protein and blood in urine but normal creatinine1/2/2008
  Q: I am a 39 year old female and weigh about 150 lbs. I have been having problems with nausea, extreme ...
  A: According to my calculations, your estimated GFR is 118 ml/min/1.73 m2 BSA, which is normal. ...
High urea in blood1/1/2008
  Q: My mom-in-law has little thyroid tendency. She had some problems with liver recently and one day she ...
  A: What I understand from your question is that your mother in law has hypertension, some liver disease ...
one kidney/hypertension12/31/2007
  Q: I am 59 years old and just found out (CAT Scan) that I was born with one kidney. I was first ...
  A: One of the key components of controlling blood pressure is salt intake. If you can, I would suggest ...
KIDNEY FAILURE12/29/2007
  Q: Shah, I have written to Dr. Falkinburg in the past, and he has been extremely helpful. I will give ...
  A: The boils are not related to kidney disease. Most likely, they start out with an infection in the ...
IGA Nephropathy12/28/2007
  Q: I was just diagnosed with IGA on Dec.12,2007 after 7 yrs of blood and protien in my urine along with ...
  A: If your diagnosis was made based on a kidney biopsy, I would like to know the details of that ...
foamy urine12/28/2007
  Q: i have foamy urine and white specks in my urine. i am also very fatigued and suffer from muscle ...
  A: Foamy urine is not ALWAYS associated with proteinuria. From a kidney standpoint, if your urinalysis ...
Blood in urine?Lower back ache12/18/2007
  Q: I have been passing large amounts of blood in my urine and have moderate pain in my lower back for ...
  A: Good to hear from you again. Papillary necrosis means that one of the renal papillae is permanently ...
Blood in urine?Lower back ache12/17/2007
  Q: I have been passing large amounts of blood in my urine and have moderate pain in my lower back for ...
  A: Do you have diabetes? The condition that you describe seems consistent with "Papillary necrosis". ...
Nephrotic Syndrome12/14/2007
  Q: Here is brief dsecription of my medicial history: I was diagonsed with Nephrotic syndrome at age 13 ...
  A: 1. The Kidney stone and FSGS are most likely unrelated. I would order a work-up for kidney stones ...
absence of one kidney by birth12/13/2007
  Q: I just found my 2 year old daughter having only one kidney(left) when we did the ultrasound scanning ...
  A: Your daughter is suffering from a condition called unilateral renal agenesis. Unilateral renal ...
meds12/9/2007
  Q: I am a 33 y/o female in overall good health except for the following: bipolar 2 disorder and ...
  A: Lithium adversely affects renal tubular function, causing polyuria secondary to a deficit in urine ...
Severe left flank pain12/8/2007
  Q: I am 32yo female with a history of unexplained, recurrent kidney infections. 2 weeks ago, I started ...
  A: From what you have described, you seem to be suffering from infection of the kidney known as ...
question about 24/hr results11/27/2007
  Q: i did a creatinine clearance and the doctor said i don't have kidney problems (i'm a semi muscular, ...
  A: From your test results, you do not seem to have any kidney disease. Eight mg of protein in the urine ...
foamy urine hydration11/26/2007
  Q: doc i am a 15 year old male i noticed i have foamy urine in the morning when the urine is more ...
  A: Good to hear from you again. You are right, the commonly available reagent strip is less sensitive ...
foamy urine hydration11/25/2007
  Q: doc i am a 15 year old male i noticed i have foamy urine in the morning when the urine is more ...
  A: Good to hear from you again. 1. Yes, you did the test right. 2,3,4 & 5. A test done on a sample of ...
creatinine levels11/21/2007
  Q: My father is 78 African American male with diabetes (well managed). He has creatinine levels around ...
  A: Long-standing diabetes mellitus can lead to a condition called Diabetic Nephropathy. The natural ...
Left flank pain11/21/2007
  Q: Left flank pain two months- originally treated as urinary tract infection- two rounds of ...
  A: Please get in touch with a Nephrologist as soon as possible. A detailed history, physical and other ...
IgA Nephropathy diagnosis11/18/2007
  Q: Shah! Thank you for making yourself available for answers here... I suffered a case of gross ...
  A: IgA Nephropathy is a pathological diagnosis. I am afraid a definitive diagnosis cannot be made ...
Benicar and kidney function11/17/2007
  Q: I have tried 17 different kinds of blood pressure medication. Most of them caused 'rare' side ...
  A: Benicar (Olmesartan) is not known to cause hematuria or urinary infections. I have a feeling that ...
Pain from back that wraps to left side11/16/2007
  Q: I have been having pain that runs from my back to my lower left abdomen. I had a colonoscopy last ...
  A: I understand that you have been through a lot. No wonder you are under a lot of stress. Without a ...
High Protein in Urine but normal Creatinine11/16/2007
  Q: Recently during a routine physical my Doctor prescribed blood pressure medication as he felt that my ...
  A: I would suggest that you get a Nephrology consult. Proteinuria is a flag for kidney disease and ...
Long-term lithium use and Chronic Renal Insufficiency11/15/2007
  Q: Shah, I am a 37 year-old white male with height 6'3", weight 225 lbs. I have been on lithium for 9 ...
  A: Based on the information you have provided me, your estimated GFR is 56 ml/min/1.73 m2. This puts ...
creatinine levels11/14/2007
  Q: I have a good friend that has been told that his creatinine level is at 480. Can you please explain ...
  A: Shannon. It is very difficult to comment on kidney function without knowing the units of the test. ...
creatinine levels11/13/2007
  Q: I have a good friend that has been told that his creatinine level is at 480. Can you please explain ...
  A: Before I can answer your question, I need some more information. What is the age and ethnicity of ...
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: Christina. I am glad to hear that his urine is clearing up since yesterday. His serum creatinine ...
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: How did you know that the patient has acute rejection? Was a graft kidney biopsy done? What was ...
Evaluated Creatinine, but normal 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: Radiocontrast, sometimes used during CT scanning can cause an elevation in serum creatinine. Was it ...
Interpret results of 24 hr urine test11/9/2007
  Q: I have had protein bleeding into my urine for years in trace amounts. I have recently received ...
  A: Eric. Overt Proteinuria means that your protein excretion is more than 150 mg/day. I would not be ...
Interpret results of 24 hr urine test11/9/2007
  Q: I have had protein bleeding into my urine for years in trace amounts. I have recently received ...
  A: Protein and blood in the urine are red flags. They usually signify glomerular disease. When you say ...
Kidney cysts11/8/2007
  Q: I am 26 yrs old and caucasian.and was told i have Cysts on my left kidney. i am having massive pains ...
  A: People can have two different kinds of renal cysts. One kind is known as "Simple renal cortical ...
renal artery auscultation11/6/2007
  Q: or will this skill just come with practice. Thank you.
  A: The renal arteries are not audible in health. In patients who have renal artery stenosis, you may be ...
bodybuilding (moderate) and PKD11/4/2007
  Q: My creatinine level is approximately 1.6, I'm 40 and have been working out, and have PKD. My ...
  A: Based on the information you have provided me, your estimated MDRD GFR is 51 ml/min/1.73 sq. m, CKD ...
KIDNEY PROBLEM10/23/2007
  Q: because of bladder cancer blocking ureter, nephrostemy of right kidney performed. labs show function ...
  A: I need some more information about the patient. What is the age, gender and ethnicity? How long has ...
kidney problem10/22/2007
  Q: i am rony from Bangladesh. my mothers age is 58. she has no diabetic but she has high blood ...
  A: 1. From what you have described, it seems that she has some sort of a chronic kidney disease (CKD). ...
20 y/o with Back pain at night10/18/2007
  Q: I am only 20 y/O (female) and I have reoccurring back pain at night for about 1 year now. I had a ...
  A: From what you describe, the pain in your back does not seem to arise from the kidneys. I would ...
GFR low, creatinine normal, bubbles10/18/2007
  Q: My blood work recently came back with a GFR at 51, but my creatinine was normal at 1.1. I do have ...
  A: Serum creatinine is the most widely used test to assess kidney function. It is well known among ...
protein spill and creatinine levels10/16/2007
  Q: I had a creatinine level of 2.0 and 24hr urine spill of 298. A month and a half later I redid it ...
  A: There is a definite relationship between serum creatinine levels, muscle mass and body building. ...
protein spill and creatinine levels10/14/2007
  Q: I had a creatinine level of 2.0 and 24hr urine spill of 298. A month and a half later I redid it ...
  A: I need to know the units in which your tests were reported. For example, you say that your ...
question10/11/2007
  Q: my doctor told me i have pkd. i went to the hospital and the doc there told me that i have a few ...
  A: What is your age, gender and race (ethnicity)? Also, I need some more information on your disease: ...
Goodpastures10/9/2007
  Q: I have went through all treatments for Goodpasture's and now doing fine except for freq. UTI's. ...
  A: No known prevention of Goodpasture's syndrome exists. People should avoid glue sniffing and ...
transplant meds and non compliance10/8/2007
  Q: I had a kidney transplant in 1987 LRD due to PKD. was taking 100mg neoral and 1/250mg cellcept I ...
  A: If you had a live-related donor and at least 50% tissue match, I do not see why your graft cannot be ...
kidney bloat10/7/2007
  Q: is there such a thing as kidney bloat? what is a floating kidney? I have staghorn struvite stones ...
  A: Nephroptosis (also called floating kidney or renal ptosis) is an abnormal condition in which the ...
Second kidney transplant.10/6/2007
  Q: My father had undergone a kidney transplant 10 years ago. But now he getting some complication. His ...
  A: I need to know more details about your father's basic kidney disease, his transplant history, the ...
24hr urine test10/3/2007
  Q: I was called by Dr today to see a Nephrology specialist after a 24 hr test could you give a small ...
  A: Your blood sugar level is high. If you have diabetes, you need to have your medication adjusted. If ...
Test Interpretation10/2/2007
  Q: Age 61, I have trouble figuring out just how advanced my ckd is because I don't understand the test ...
  A: Streptococcal infection leads to a syndrome of nephritis called "Post-infectious ...
kidney disease10/1/2007
  Q: My husband is a white 55 years old, 180 pounds. Recently it was discovered (by accident) that he ...
  A: Ureteropelvic junction obstruction is a blockage in the area where the ureter and the renal pelvis ...
Test Interpretation9/30/2007
  Q: Age 61, I have trouble figuring out just how advanced my ckd is because I don't understand the test ...
  A: To better answer your question, I need to know the units in which the test results were reported. ...
Left lower back, side, and left abdomnal pain9/24/2007
  Q: I have been having pain in my lower left back my left side and the left side of my abdomen like it ...
  A: You do not mention what was the site of the kidney stone. Was it the left or the right kidney? I ...
Suspected ARF9/22/2007
  Q: My father aged 76 - has SCreatine- 5.8 & Surea- 125 Hb%8.6 BP 105/70 Urination is normal. Weight 63 ...
  A: Shivenrao. An absence of leg swelling, normal amount of urine, the incidental finding of advanced ...
Suspected ARF9/22/2007
  Q: My father aged 76 - has SCreatine- 5.8 & Surea- 125 Hb%8.6 BP 105/70 Urination is normal. Weight 63 ...
  A: Without a detailed history and clinical examination, it is not possible for me to comment if his ...
Is Foam/Frothy urine an acurate indicator of proteinuria?9/22/2007
  Q: Shah, thank you for reading my question. In February of this year, I had a urinalysis done ...
  A: Here are the answers to your questions: 1. This does not sound like it would be caused by ...
Kidney problems & Hypertension9/22/2007
  Q: I had blood in my urine, plus serious back pain last month. I suspected myself of having renal ...
  A: Ca, All your workup results are normal. You do not have any kidney disease. For your back pain, I ...
PKD Disease9/21/2007
  Q: .Sir My father aged 63 years is suffering from polycystic kidney disease. His Hemoglobin and ...
  A: Although your intentions are good, you are doing more harm to your father by giving him dry fruits ...
PKD Disease9/13/2007
  Q: .Sir My father aged 63 years is suffering from polycystic kidney disease. His Hemoglobin and ...
  A: Rather than go by serum creatinine values, one should take GFR into consideration. In my opinion, he ...
PKD Disease9/13/2007
  Q: .Sir My father aged 63 years is suffering from polycystic kidney disease. His Hemoglobin and ...
  A: Your father is suffering from Polycystic Kidney Disease. His estimated glomerular filtration rate ...
Kidney Simptoms9/12/2007
  Q: I am a ESRD patient. My creatinin level is 4.9, BUN 47 and Phosphorus 5.0. Still I don't have any ...
  A: To better answer your questions, I need to know what is your basic kidney disease. In other words, ...
Swollen feet and ankle joints9/12/2007
  Q: I am in early stages of diabetes, 70, blood sugar runs around 145-157 early morning nothing to eat ...
  A: According to the American Diabetes Association guidelines, your fasting blood sugar level is still ...
High Creatinine levels etc.9/10/2007
  Q: I in July 2007 had a 24hr urine done. It showed my creatinine level 1.44. My GFR was 52. In mid ...
  A: Was any work-up done to find out why you have high serum creatinine levels? In other words, what is ...
iritation on urine path while go for urine9/6/2007
  Q: Sir , i.i am 46 years old male in chennai. 2.i have pain and iritation on my urine path for last ...
  A: Without examining you, it will be very difficult to diagnose your condition. From your description, ...
about bubbly..soapy and cloudy urine9/6/2007
  Q: ..kya hal hai?...im just wondering...the thing is that about 7 or 8 months ago i was hit w/anxiety ...
  A: Historically, foamy urine has been associated with Proteinuria - excessive protein leak in the ...
Polycystic Kidney Disease9/4/2007
  Q: Shamik Shah! I have some questions I was hoping you might be able to shed some light on. Here are ...
  A: 1. Your renal function is within normal range. Congratulations. Please continue to follow-up ...
Polycystic Kidney Disease9/3/2007
  Q: Shamik Shah! I have some questions I was hoping you might be able to shed some light on. Here are ...
  A: 1. Protein and the kidneys. Whenever we eat protein, the body breaks it down into nitrogenous ...
Vitamin D levels very low9/2/2007
  Q: Shah I don't know if you can answer this or not, but I'll ask anyway. First of all thank you for ...
  A: I really appreciate that. As anybody can see, you have been through a lot. People who are healthy ...
high consumption of 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 human race is considered to have been on the earth for about 3 million years, and those living ...
Vitamin D levels very low9/1/2007
  Q: Shah I don't know if you can answer this or not, but I'll ask anyway. First of all thank you for ...
  A: It is always a pleasure to answer questions, especially from a fellow expert !! Theoretically ...
Vitamin D levels very low8/30/2007
  Q: Shah I don't know if you can answer this or not, but I'll ask anyway. First of all thank you for ...
  A: Although Vit D metabolism strictly is under the purview of an endocrinologist, we do see many ...
low urine creatinine8/30/2007
  Q: What could cause a low urine creatinine? ANSWER: Hi Kim, Creatinine in urine may be measured for a ...
  A: When giving a sample for urine creatinine, patients are advised to void, drink a large glass of ...
low urine creatinine8/26/2007
  Q: What could cause a low urine creatinine?
  A: Creatinine in urine may be measured for a number of purposes. In a 24 hour urine sample urine ...
left flank pain and blood in urine8/26/2007
  Q: Less then 2 years ago I suffered from severe flank pain and blood in urine. At first they thought is ...
  A: Without doing a physical examination on you, it will be very difficult for me to judge what is ...
Polycystic kidneys8/21/2007
  Q: My blood test for creatinine this week was 2.1, compared to 2005 - 1.6, in 2006 - 1.9.Bun was 37. ...
  A: Based on the information that you have provided me, your GFR is 26 mL/min/1.73 m2. This puts you in ...
Polycystic kidneys8/20/2007
  Q: My blood test for creatinine this week was 2.1, compared to 2005 - 1.6, in 2006 - 1.9.Bun was 37. ...
  A: Kidney function is measured in terms of glomerular filtration rate (GFR). In normal adults, the ...
6 year old has increased urination & burning smell on head8/7/2007
  Q: I am emailing about my 6 year old nephew who has just recently started urinating about 20-30 times a ...
  A: What you are describing seem to be symptoms of diabetes mellitus. However, pediatrics is not my area ...
protein in urine ...8/3/2007
  Q: I am 19 years old and fairly healthy. 5'9", 140 pounds. Skinny, non- muscular. I have never been ...
  A: Before I can answer/speculate, I need more information about your physical. What were your ...
kidneys7/26/2007
  Q: I am writing on behalf of my son who is a C2 quad and was diagnosed with renal failure.He is quite ...
  A: There are many factors to consider when discussing edema. What is the level of renal dysfunction of ...
BUN/Creat7/24/2007
  Q: Can you tell me what a BUN of 37 and a Creatinine of 2.1 and a BUN/Creat. ratio of 18 means? And if ...
  A: Based on the information you have provided, the elevation in BUN and Creatinine seems to be rather ...
bubbles and foam in urine7/18/2007
  Q: I have only one kidney and this problem just started a week ago. Lonly urinate a weak stream .I ...
  A: Sometimes foam in the urine signifies protein leak in the urine. I am not sure if your backache is ...
Urine Problems7/16/2007
  Q: I am 38 year old male and I have urine problems about which, I mention below : a) I do NOT have ...
  A: Venkat. It is great that you are not a diabetic. Papillary necrosis is usually seen in diabetics. ...
Urine Problems7/16/2007
  Q: I am 38 year old male and I have urine problems about which, I mention below : a) I do NOT have ...
  A: Long-standing hypertension and/or diabetes are the main causes of kidney dysfunction. Do you have ...
kidney disease / bladder cancer7/4/2007
  Q: My husband is 55 years old and has always been in good health. He fractured his back 3 weeks ago ...
  A: The attending urologist informed you about the possibility of a non-functional left kidney. Some ...
reg- protien loss6/23/2007
  Q: iam suffering from protien loss and my reports says 2++, isit possible to cure sir. since already i ...
  A: From your description, I understand that you are suffering from a condition called "Nephrotic ...
high serum creatinine level6/22/2007
  Q: Shamik Shah I am an Iranian Nurse, my spouse is 36 years old and he has used to swim since his 14. I ...
  A: Serum creatinine assay is measured in various labs using different commercially available kits. Each ...
high creatinine level6/15/2007
  Q: iam 38 years old i had kidney transplant one year ago i received it from my brother every thing was ...
  A: There are many factors that affect the serum creatinine level after kidney transplantation. One of ...

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