| Subject | Date Asked |
|
| cretiighnine h | 11/21/2009 |
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 function | 11/20/2009 |
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 R | 11/18/2009 |
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 functions | 10/27/2009 |
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 ...
|
| GFR | 10/25/2009 |
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 Bodybuilding | 10/24/2009 |
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 eGFR | 10/22/2009 |
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 question | 10/20/2009 |
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 Rhabdomyolysis | 10/19/2009 |
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 pain | 10/18/2009 |
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 pain | 10/17/2009 |
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 problem | 10/15/2009 |
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 ankle | 10/15/2009 |
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 & medicines | 10/14/2009 |
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 antidepressant | 10/13/2009 |
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 test | 10/12/2009 |
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 ratio | 10/6/2009 |
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 cyst | 10/6/2009 |
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 creatinine | 10/5/2009 |
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 CKD | 10/4/2009 |
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 Consider | 10/2/2009 |
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 low | 10/1/2009 |
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 ...
|
| UTI | 9/30/2009 |
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 UA | 9/29/2009 |
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 ...
|
| glomerulonephritis | 9/29/2009 |
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 UA | 9/28/2009 |
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 syndrome | 9/26/2009 |
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 stones | 9/25/2009 |
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 level | 9/23/2009 |
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 discomfort | 9/23/2009 |
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 question | 9/22/2009 |
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 hematuria | 9/22/2009 |
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 pressure | 9/21/2009 |
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 infection | 9/19/2009 |
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 Disease | 9/18/2009 |
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 kidneys | 9/18/2009 |
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 creatinine | 9/17/2009 |
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 sendrome | 9/16/2009 |
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 ...
|
| Reference | 9/15/2009 |
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 Allopurinol | 9/14/2009 |
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 Syndrome | 9/13/2009 |
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 level | 9/13/2009 |
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 failure | 9/12/2009 |
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 Nephrectomy | 9/11/2009 |
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 levels | 9/9/2009 |
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 results | 9/8/2009 |
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 pH | 9/6/2009 |
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 plasement | 9/5/2009 |
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 obesity | 9/4/2009 |
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 Ratio | 9/3/2009 |
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 ...
|
| PKD | 8/22/2009 |
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 me | 8/20/2009 |
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 ...
|
| Creatinine | 8/20/2009 |
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 GFR | 8/19/2009 |
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 urine | 8/19/2009 |
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 Creatinine | 8/18/2009 |
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 GFR | 8/17/2009 |
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 pain | 8/17/2009 |
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 injury | 8/16/2009 |
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, Proteinuria | 8/15/2009 |
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 high | 8/14/2009 |
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, Proteinuria | 8/14/2009 |
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 biopsy | 8/13/2009 |
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 Ratio | 8/12/2009 |
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 Ratio | 8/12/2009 |
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 ...
|
| UTI | 8/9/2009 |
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 ...
|
| Anemia | 8/8/2009 |
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 trnsplant | 8/7/2009 |
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 kidney | 8/6/2009 |
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 function | 8/6/2009 |
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/incontinence | 8/4/2009 |
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 Carbonate | 8/3/2009 |
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 HIv | 8/2/2009 |
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 cyst | 8/2/2009 |
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 potassium | 8/1/2009 |
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 cyst | 7/31/2009 |
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 Urine | 7/31/2009 |
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 problem | 7/29/2009 |
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 GFR | 7/29/2009 |
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 results | 7/27/2009 |
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 CKD | 7/27/2009 |
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 diseaes | 7/26/2009 |
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 swelling | 7/25/2009 |
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 dysfunction | 7/24/2009 |
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 Problems | 7/24/2009 |
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 GFR | 7/23/2009 |
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 urine | 7/23/2009 |
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 GFR | 7/22/2009 |
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 urine | 7/1/2009 |
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 urine | 6/30/2009 |
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 questions | 6/30/2009 |
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 urine | 6/29/2009 |
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 ...
|
| UTI | 6/29/2009 |
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 stones | 6/28/2009 |
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 Conditions | 6/27/2009 |
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 failure | 6/25/2009 |
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 enlarged | 6/23/2009 |
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 clearance | 6/23/2009 |
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 ...
|
| Hydronephrosis | 6/22/2009 |
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 Cysts | 6/22/2009 |
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 levels | 6/20/2009 |
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 clearance | 6/19/2009 |
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 Pain | 6/18/2009 |
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 Ratio | 6/17/2009 |
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 Urine | 6/16/2009 |
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 Profile | 6/16/2009 |
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 levels | 6/15/2009 |
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 results | 6/12/2009 |
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 dialysis | 6/11/2009 |
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 Ratio | 6/11/2009 |
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 urine | 5/23/2009 |
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 rate | 5/20/2009 |
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 eyes | 5/19/2009 |
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 creatinine | 5/18/2009 |
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 problems | 5/17/2009 |
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 Panel | 5/16/2009 |
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 cyst | 5/15/2009 |
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 Count | 5/14/2009 |
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 kidneys | 5/14/2009 |
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 createnine | 5/13/2009 |
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 male | 5/13/2009 |
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 33 | 5/11/2009 |
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 involvement | 5/11/2009 |
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 kidneys | 4/30/2009 |
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 Ratio | 4/29/2009 |
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 levels | 4/28/2009 |
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 Dylesis | 4/28/2009 |
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 creatinin | 4/26/2009 |
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 Disease | 4/23/2009 |
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 donating | 4/23/2009 |
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 d3 | 4/22/2009 |
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 levels | 4/22/2009 |
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 nephropathy | 4/21/2009 |
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 back | 4/21/2009 |
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 ...
|
| Nephroptosis | 4/20/2009 |
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 nephrologist | 4/17/2009 |
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 nephrologist | 4/16/2009 |
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 chelating | 4/16/2009 |
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 Epo | 4/15/2009 |
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 Epo | 4/13/2009 |
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 Failure | 4/12/2009 |
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 ...
|
| blood | 4/8/2009 |
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 pak | 4/8/2009 |
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 Insurance | 4/7/2009 |
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 Transplant | 4/7/2009 |
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 Function | 4/5/2009 |
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 levels | 4/4/2009 |
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 levels | 4/4/2009 |
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 urine | 4/3/2009 |
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 results | 4/2/2009 |
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 eGFR | 4/2/2009 |
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 uria | 3/24/2009 |
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 ...
|
| Creatine | 3/23/2009 |
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 samples | 3/21/2009 |
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 transplantation | 3/19/2009 |
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 Failure | 3/18/2009 |
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 kidney | 3/18/2009 |
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 Failure | 3/17/2009 |
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 urine | 3/16/2009 |
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 fasting | 3/15/2009 |
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 Creatinine | 3/14/2009 |
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 Calcium | 3/13/2009 |
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: Hematuria | 3/13/2009 |
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 disease | 3/12/2009 |
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 eGFR | 3/12/2009 |
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 patient | 3/11/2009 |
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 hypertension | 3/10/2009 |
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 adult | 3/9/2009 |
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 test | 2/15/2009 |
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 toddler | 2/13/2009 |
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 pain | 2/12/2009 |
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 GFR | 2/12/2009 |
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 ...
|
| Proteinuria | 2/11/2009 |
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 ratio | 2/9/2009 |
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 future | 2/7/2009 |
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 night | 2/6/2009 |
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 question | 2/6/2009 |
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 ...
|
| GFR | 2/5/2009 |
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 CKD | 2/3/2009 |
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 Preps | 2/3/2009 |
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 kidneys | 2/2/2009 |
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 high | 2/1/2009 |
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 ...
|
| hematuria | 1/31/2009 |
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 creatinine | 1/30/2009 |
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/dl | 1/28/2009 |
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 eGFR | 1/27/2009 |
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 Agenesis | 1/26/2009 |
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 attend | 1/25/2009 |
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 Acidosis | 1/25/2009 |
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 eGFR | 1/24/2009 |
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 urin | 1/23/2009 |
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 treatment | 1/22/2009 |
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 problem | 1/21/2009 |
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 Test | 1/20/2009 |
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 transplanation | 1/19/2009 |
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 Bradycardia | 1/12/2009 |
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 level | 1/11/2009 |
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 ...
|
| pian | 1/11/2009 |
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 sports | 1/11/2009 |
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 ...
|
| eGFR | 1/10/2009 |
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 EGFR | 1/10/2009 |
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 failure | 1/9/2009 |
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 urine | 1/9/2009 |
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 urine | 1/8/2009 |
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 Syndrome | 1/7/2009 |
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 failure | 1/6/2009 |
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 Syndrome | 1/6/2009 |
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 ...
|
| proteinuria | 1/4/2009 |
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. ...
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| Left Kidney pain/R Kidney AVM | 1/4/2009 |
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 ...
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| blood and protein in urine | 1/3/2009 |
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 ...
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| 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 ...
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| 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 ...
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| Low RBC after kidney transplant | 12/31/2008 |
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 ...
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| Nephrectomy post care | 12/30/2008 |
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 ...
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| 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 ...
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| Kidney Injury and Stones | 12/29/2008 |
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, ...
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| Sphygmomanometer Type/Brand | 12/28/2008 |
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 ...
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| Creatinine Report of my mother | 12/26/2008 |
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 ...
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| elevated serum creat GFR of 44 | 12/26/2008 |
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 ...
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| Protein/Creatinine Ratio | 12/24/2008 |
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 ...
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| High potassium levels | 12/24/2008 |
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 ...
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| 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 ...
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| proteinuria | 12/13/2008 |
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 ...
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| 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 ...
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| High Level of creatinine | 12/11/2008 |
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 ...
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| nephrocalcinosis found on ultrasound in 5 year old | 12/10/2008 |
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 ...
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| GFR=26 | 12/10/2008 |
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 ...
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| post transplant creatinine levels | 12/9/2008 |
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 ...
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| 24hr urine and spot urine protein test comparison | 12/9/2008 |
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 ...
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| Severe headache - dialysis patient | 12/6/2008 |
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 ...
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| rhabdomyolysis | 12/5/2008 |
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 ...
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| foamy urine | 12/4/2008 |
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 ...
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| Lupus Nephritis | 12/4/2008 |
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. ...
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| High protein in urine, small kidneys | 12/3/2008 |
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 ...
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| Lupus Nephritis | 12/3/2008 |
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 ...
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| HYDRONEPHROSIS & ANTIBIOTIC | 12/2/2008 |
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 ...
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| Kidney | 12/2/2008 |
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 ...
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| kidney cyst | 12/1/2008 |
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? ...
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| Rhabdomyolysis | 11/30/2008 |
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 ...
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| Blood in urine test strip | 11/30/2008 |
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 ...
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| Hydronephrosis | 11/30/2008 |
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 ...
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| kidney volume question | 11/29/2008 |
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 ...
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| lowering GFR/not feeling well | 11/26/2008 |
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 ...
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| low GFR / anemia | 11/25/2008 |
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 ...
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| kidney stones and vitamin D | 11/24/2008 |
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 ...
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| 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 ...
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| flank pain and fatigue | 11/23/2008 |
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 ...
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| Low GFR | 11/22/2008 |
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 ...
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| Pyelonephritis and hypertension | 11/21/2008 |
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. ...
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| 24hr urine | 11/20/2008 |
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 ...
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| High Serum Creatinine/ Low BUN/Cr Ration | 11/20/2008 |
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 ...
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| Renalfailure | 11/19/2008 |
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 ...
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| low GFR / anemia | 11/19/2008 |
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, ...
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| KIDNEY GFR | 11/17/2008 |
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 ...
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| high test scores...Do they mean uremia or stage 3 kidney disease | 11/17/2008 |
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 ...
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| Blood results indicating Kidney Problems | 11/16/2008 |
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 ...
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| GFR and a Kidney Donor | 11/14/2008 |
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 ...
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| urine | 11/14/2008 |
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 ...
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| Kidney function | 11/13/2008 |
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 ...
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| left flank pain in kidney area | 11/13/2008 |
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 ...
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| albumin seen in urine | 11/12/2008 |
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 ...
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| fiber pains in or near kidney | 11/11/2008 |
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 ...
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| creatinine rise in RTA | 11/10/2008 |
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? ...
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| kidney failure from prep for colonoscopy | 11/10/2008 |
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 ...
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| painful kidney | 11/9/2008 |
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, ...
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| Urine dsyregulation | 11/9/2008 |
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 ...
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| kidney failure from prep for colonoscopy | 11/9/2008 |
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 ...
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| Foamy/ bubbly urine | 11/8/2008 |
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 ...
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| Blood in Urine & presently Pus Cells | 11/7/2008 |
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 ...
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| Blood in Urine & presently Pus Cells | 11/7/2008 |
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 ...
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| 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 ...
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| creatinine/BUN | 11/6/2008 |
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 ...
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| angiography dye in MRI | 10/12/2008 |
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 ...
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| 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 ...
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| nephrology | 10/10/2008 |
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 ...
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| 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 ...
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| very high microalb/creat ratio | 10/9/2008 |
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 ...
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| BP during dialysis | 10/9/2008 |
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 ...
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| creatinine | 10/8/2008 |
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 ...
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| focal segemental glomerulosclerosis | 10/8/2008 |
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 ...
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| kidney transplant | 10/8/2008 |
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 ...
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| very high microalb/creat ratio | 10/7/2008 |
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 ...
|
| creatinine | 10/7/2008 |
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: ...
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| creatinine | 10/7/2008 |
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 ...
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| Right Upper Pole Cyst | 10/6/2008 |
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 ...
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| urinalysis | 10/6/2008 |
Q: I just received my unrinalysis and I'm a little puzzled about the results. I have alwasy had occult ...
A: I presume that you were not menstruating when you gave your urine sample. Microscopic hematuria ...
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| Right Upper Pole Cyst | 10/5/2008 |
Q: I received a note from my doctor indicating that from my ultrasound results, showed a 2.4 cm right ...
A: Cysts can be simple or complex. Many normal people have simple cysts. Nothing needs to be done about ...
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| Interventional nephrology Training in INdia | 10/4/2008 |
Q: I am a nephrology resident in India I would like to know if there are training facilities for ...
A: At the moment, there is no "official" Interventional Nephrology course in India. However, the ...
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| Excess fluid retention | 10/3/2008 |
Q: My mother has been on dialysis for almost 4 years now. She has rarely had issue with fluid ...
A: It is very difficult to imagine what else could be causing so much fluid retention in your mother. ...
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| 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 ...
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| Elevated potassium | 10/2/2008 |
Q: I have a elevated potassium of 5.3. Creatinine 0.7 and bun 10. My physician assures me that the ...
A: Two tablespoons of peanut butter contain 208 mg of potassium. The recommended daily intake of ...
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| Elevated potassium | 10/2/2008 |
Q: I have a elevated potassium of 5.3. Creatinine 0.7 and bun 10. My physician assures me that the ...
A: What is the normal reference range for potassium at your lab? Many labs consider a potassium level ...
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| Renal/Kidney Blood Test | 10/1/2008 |
Q: Results show "Mildly Abnormal, but stable" - what does this mean?
A: The information you have provided is too less. What is the patient's age, ethnicity, weight and what ...
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| Fluctuating GFR | 9/30/2008 |
Q: My dad has recently been diagnosed with a minute mass on the surface of his kidney. As a result of ...
A: Estimated GFR is based on the patient's serum creatinine and other factors. Serum creatinine can be ...
|
| High Creatinine Level | 9/24/2008 |
Q: I recently quit drinking after having drank a lot for about 10 years. My doctor ordered blood work ...
A: Congratulations on giving up alcohol. A detailed history, physical examination, other lab tests ...
|
| Renal cyst/mass | 9/24/2008 |
Q: I am a 47 year old female and my father died of RCC 19 years ago. I've been having some recurrent ...
A: Good to hear from you again. Although rare, malignant transformation of a simple renal cyst is ...
|
| elevated lab results | 9/24/2008 |
Q: Shah, A recent blood lab test revealed elevated Urea Nitrogen, 27 (reference range 7-25 mg/dL), a ...
A: Congratulations on your active and healthy life-style. Very few men of your age are as active as you ...
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| Renal cyst/mass | 9/23/2008 |
Q: I am a 47 year old female and my father died of RCC 19 years ago. I've been having some recurrent ...
A: You are rightly concerned because of your family history. However, a biopsy may be the only way to ...
|
| kidney stones or problems? | 9/23/2008 |
Q: I am a 35 male have use to very active in good shape hit the gym 3-4 time a weeks. Until January ...
A: There is a high chance that a small fragment was left behind at the time of ESWL. It could have ...
|
| congential stenosis at right ureteropelvic junction | 9/23/2008 |
Q: Dr. Shah, After having some horrible stomach cramps i had a CT Scan. It found diverticulosis and a ...
A: The decision to operate or leave it alone depends on the status of that kidney. If the kidney is ...
|
| Re: elevated BUN level | 9/22/2008 |
Q: I had a kidney transplant 30 years ago. My creatinine level is 1.2 and my BUN is 31. My last ...
A: First off, congrats on the excellent function of your transplanted kidney. An elevated BUN can be ...
|
| Blood in Urine | 9/22/2008 |
Q: 4 test came back positive with blood in urine. Doc sent to lab and came back that I have ruptured ...
A: The presence of ruptured Red blood cells in urine suggests that you have some sort of glomerular ...
|
| Urea:Creatinine Ratios - Calculations | 9/22/2008 |
Q: How would you calculate the urea:creatine ratio in a patient who has a urea of 13.2 mmol/L and a ...
A: Why do you need to calculate this ratio? In my clinical practice, I have NEVER found it useful. The ...
|
| kidney transplantee - problems | 9/21/2008 |
Q: Shah, I have two different questions. Hope you will understand my situation and provide your advice ...
A: Urine culture readings are meaningless without a colony count. If the E.Coli colony count is more ...
|
| Autorecessive Infantile PKD | 9/18/2008 |
Q: Shah, My son was born with autorecessive pkd. both kidneys were removed at 5 years old and my kidney ...
A: Your son is suffering from resistant hypertension. Have you discussed the AHA guidelines with his ...
|
| renal cyst | 9/18/2008 |
Q: I am a 24y/o male college student struggling to graduate. Student health sent me to the ED by ...
A: I am sorry to hear that you have been plagued by all these problems for the past few months. It ...
|
| my mom | 9/18/2008 |
Q: i'm not sure if you can help me or not, i have two or three questions about my mom and the pain she ...
A: You are right: your doctors are supposed to check that your mom's organs are alright at least once a ...
|
| EGFR TEST | 9/16/2008 |
Q: ...is this good or bad and what does it mean?? thank you
A: Here is a good starting point for yourhttp://www.patient.co.uk/showdoc/27001111/ Please do not ...
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| CREATININE 7.3 and UREA 99 | 9/16/2008 |
Q: In my father's blood reports the CREATININE is 7.3 and UREA is 99. Doctors are saying about the ...
A: 1. Your "father was looking normal" 4 months ago. That does not mean he did not have CKD, unless you ...
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| CREATININE 7.3 and UREA 99 | 9/15/2008 |
Q: In my father's blood reports the CREATININE is 7.3 and UREA is 99. Doctors are saying about the ...
A: Your father is suffering from "Chronic Kidney Disease" (CKD). Unfortunately, it is not reversible. ...
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| Pregnant with abnormal Kidney Function Test | 9/15/2008 |
Q: During a routine OB check up at 13 weeks I showed 2+ protein and large blood with Urine Reagent Test ...
A: You seem to be suffering from some form of glomerulonephritis- inflammation of the kidneys. It is ...
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| iron deficiency, low vitamin D, receding gums and fatigue with GFR | 9/13/2008 |
Q: Shah; I am 52, not completely vegetarian, jog regularly and until recently felt great, very ...
A: First off, congrats on your healthy life-style. You seem to be suffering from iron and vitamin D ...
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| my husband's gfr | 9/12/2008 |
Q: My husband is 38 and has been treated for high blood pressure for about 15 years. He takes benicar, ...
A: You are rightly concerned about your husband. Please have him evaluated by a Nephrologist ASAP. ...
|
| Kidney damage in relation to knee replacement surgey | 9/11/2008 |
Q: I am a 65 year old male. Five years ago I had below average kidney function, probably caused by ...
A: Patients who undergo knee replacement are at a greater risk or fat embolism than other major ...
|
| Stage 3 Chronic Kidney Disease and Pregnancy | 9/11/2008 |
Q: I am in the process of going through the IVF process to get pregnant. I have been referred to an ...
A: In patients with CKD, risks are inversely related to GFR at onset of pregnancy. Women with ...
|
| Back Pain GFR 48 | 9/11/2008 |
Q: I have been dealing with not being up to par for the last two years and at times I really don't feel ...
A: Please get yourself evaluated by a Nephrologist. A detailed history, physical examination, lab tests ...
|
| kidneys | 9/10/2008 |
Q: serum creatinine 1.1%mg%,Blood urea 26 Mg%,Micro Albumin 10 Mg%. I am diabetic since 15 years How ...
A: Microalbumin is tested in urine, not blood. As I mentioned earlier, it is possible to have absence ...
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| kidneys | 9/10/2008 |
Q: serum creatinine 1.1%mg%,Blood urea 26 Mg%,Micro Albumin 10 Mg%. I am diabetic since 15 years How ...
A: The safe level is absence of microalbumin in the urine. Microalbuminuria can be reduced by tight ...
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| Do I have CKD | 9/9/2008 |
Q: I have been having protein in my urine since the age of 15 (1995) and have consistently reported ...
A: You have a condition called the "Nephrotic Syndrome". One of the features of this condition is ...
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| GFR 53 after RRT | 9/8/2008 |
Q: My serum bloodwork has been perfect since my RRT 5 years ago. Now, for the first time, my ...
A: I presume that you mean kidney transplant when you say "RRT". Renal replacement therapy (RRT) can be ...
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| 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 ...
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| Hypertension | 9/7/2008 |
Q: I have had hard to control high blood pressure for 6 years now. I just had an echcardiography done ...
A: I understand that your BP is hard to control and that your doctor has stepped up your medications. ...
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| about high urea and high blood pressure | 9/6/2008 |
Q: My grand monther aged 68, now after her blood report found urea 80 and she has very high pressure. ...
A: It would be better if you discussed these questions with your grandmother's Nephrologist. To ...
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| createnine level for a diabetes patient | 9/6/2008 |
Q: ! My uncle is diabetic and his createnine level is at 1.6 and the doctor says that it shud range ...
A: Unless proven otherwise, your uncle is suffering from Diabetic Nephropathy. A detailed history, ...
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| Hypertension | 9/6/2008 |
Q: I have had hard to control high blood pressure for 6 years now. I just had an echcardiography done ...
A: Why did your doctor refer you to a Nephrologist? Accelerated hypertension? Proteinuria? Elevated ...
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| CKD and TSH | 8/25/2008 |
Q: I have been diagnosed with CKD stage 3 with a GFR of 43. We have been working on my blood pressure ...
A: Many patients with chronic kidney disease have mild reductions in thyroid function, or subclinical ...
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| Hello dr.Shah | 8/25/2008 |
Q: Iwould like to ask about the interpretation of a renal biopsy ( done 2 weeks ago) for one of my ...
A: I presume that the biopsy sample was adequate and that a PAS, H & E and Immunofluorescence staining ...
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| Diabetic Kidney Disease | 8/24/2008 |
Q: My father is 43 years now, and he has diabetes and taken insulin for treatment since 1991. His test ...
A: According to the information that you have provided, your father's GFR Value is 50 mL/min/1.73 m2. ...
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| 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 ...
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| Bun/Creatinine Ratio | 8/20/2008 |
Q: Please excuse me, I forgot to add my high bun/creatinine ratio which is 29 (calc) that is how it is ...
A: No problem. I would do a serum protein electrophoresis to rule out multiple myeloma. Are calcium ...
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| GFR and Hypertension | 8/20/2008 |
Q: I am a 65 year old white female who was told I had kidney disease since I was 18. I also had ...
A: After the 3rd decade of life, GFR declines by 1 ml/min every year. With your normal serum ...
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| Iga Nephropathy | 8/18/2008 |
Q: am 24 years old diagnosed with Iga Nephropathy 3 months back. My consultant nephrologist advised me ...
A: 1. Elevated WBC count can be due to steroid therapy. 2. Yes, you are not responding to the ...
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| GFR Low | 8/18/2008 |
Q: Shah Have a complex case but will limit it to the aspects that have to do with Nephrology. Recent ...
A: I would not give much importance to a low eGFR if the history, physical examination and other lab ...
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| GFR Low | 8/17/2008 |
Q: Shah Have a complex case but will limit it to the aspects that have to do with Nephrology. Recent ...
A: 1. Kidney perfusion defects can be anatomical and functional. In other words, even if there is no ...
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| 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 ...
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| BUN Level and creatinine | 8/15/2008 |
Q: My mother is now 80 years old. She has been going for dialysis since end feb of this year. ...
A: According to the US guidelines, for 3x/week dialysis a Kt/V (without rebound) should be 1.2 at a ...
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| BUN Level and creatinine | 8/15/2008 |
Q: My mother is now 80 years old. She has been going for dialysis since end feb of this year. ...
A: Usually, patients are advised to undergo dialysis three times a week. Kt/V is a measure of dialysis ...
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| 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 ...
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| eGFR | 8/14/2008 |
Q: I just had some lab work done because of fatigue. My eGfr came back at 57. I am a 51 yr old female ...
A: An infection cannot cause a drop in GFR. That said, any eGFR value must be seen in the light of ...
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| my son alistair | 8/13/2008 |
Q: my son has kidney failure and he is 25 but he does not want treatment at all ...we were told thatyy ...
A: It is very difficult to say how long a patient will survive without dialysis. This depends on a lot ...
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| kidney pain/high creatinine serum | 8/3/2008 |
Q: i am a 31 yr old male caucasian, 238 lbs. three to four weeks ago i started experiencing dull, lower ...
A: 1. I would never start an antifungal without a proper urine culture and sensitivity reports. 2. You ...
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| high bun | 8/2/2008 |
Q: I am a 62 year old man. I just has a health exam for life insurance and my bun was high at 31 mg/dl. ...
A: An elevated BUN can be due to many reasons. Some of the common ones are: 1. Dehydration 2. ...
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| eGFR Non -Afr American | 8/1/2008 |
Q: My GFR is 53. Urea Nitrogen (BUN) is 14. Creatinine 1.11. My CBC all came out normal. I have an ...
A: Many times, when the creatinine is not standardized, it can lead to falsely low eGFR readings. Till ...
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| creatine & GFR | 8/1/2008 |
Q: I recently had a 24 hr creatinine test. My clearance was 85 ML/MIN lab range 85-125), creatinine ...
A: Please do not take this lightly. You need to be evaluated by a Nephrologist ASAP. At this stage of ...
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| peritoneal dialysis | 7/31/2008 |
Q: My wife has been on peritoneal dialysis since 2001. For the past 2 1/2 she has had difficulty ...
A: Generally speaking, the "honeymoon period" of a patient on PD lasts for about 2-3 years. After this ...
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| Renal Failure | 7/30/2008 |
Q: My husband was told the other day that he had renal failure.His creatinine was 2.9 ok he has a cath ...
A: I presume that your husband is a caucasian. Based on the information that you have provided, your ...
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| Creatinine/Kidney Cancer | 7/29/2008 |
Q: I lost a kidney in 2005 to cancer. My creatinine currently runs about 1.5. BUN is always in normal ...
A: What is the normal reference range for your lab? Based on that value, I might be able to say if 1.5 ...
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| Potassium Limits | 7/29/2008 |
Q: Shah, I have been studying a bit, on the internet that is, concerning sodium/potassium imbalance as ...
A: Estimated safe and adequate daily dietary intake of potassium is 1.9 gm to 5.6 gm. This information ...
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| CKD caused by kidney stones | 7/28/2008 |
Q: Shah, I have a friend who has been diagnosed with chronic tubulointerstitial nephritis probably ...
A: Patients with CTIN usually have little or no proteinuria. To slow the progression of disease, the ...
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| high Serum Urea and Creatinine | 7/27/2008 |
Q: My mother is diabetic patients, due to constant high sugar she is suffering high serum urea 18 ...
A: It seems from your question that your mother is suffering from some sort of chronic kidney disease ...
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| 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 ...
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| 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 ...
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| Kidney Failure | 7/23/2008 |
Q: Recent tests results, Creatine 1.39, AST48, eGFR53, Triglycerides 272, HDL Cholesterol 38. The ...
A: What is the normal reference range for creatinine in your lab? What is your age, ethnicity and ...
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| hypertension protocol results | 7/22/2008 |
Q: I'm studying hypertension protocols, and you have helped me in the past, thanks. One particular pt ...
A: I would ask the patient to cut down his salt intake to 3 grams per day, 1 each with breakfast, lunch ...
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| HELP | 7/21/2008 |
Q: My husband is 77 years old. He have a 16 year old son at home still. He still works. My questions ...
A: Your question is very short and not very clear. I presume that your husband has CKD stage 5 and has ...
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| high protein in urine | 7/21/2008 |
Q: Just yesterday my husband,in low 30s in age, had a 24hr. urine test turned in. results are protein ...
A: It is a pleasure to be of help to a fellow health care provider. Your husband has overt ...
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| createnine | 7/21/2008 |
Q: is createnine level related to acidity that can be a neutralized with sodium bicarbonate?
A: Creatinine is a chemical molecule that is present in the serum (liquid portion) of the blood. It's ...
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| kidneys | 7/19/2008 |
Q: I have a very low eGFR reading of 58. My creatine was normal--86. I weigh 145lbs. I am also a ...
A: It has been postulated that GFR in normal, vegetarian people will be low due to less protein intake. ...
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| dialysis and increased urination | 7/19/2008 |
Q: My father-in-law has been on dialysis since February. Lately I have noticed that he has been ...
A: Many patients with ESRD do not have a drop in urine output, especially if they are suffering from ...
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| creatinine | 7/18/2008 |
Q: My husband was just dx with diabetes (glucose 138). He takes blood thinners (mechanical aeortic ...
A: Good to hear from you again. A Hematologist will be able to guide you more on the MCHC issue. The ...
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| creatinine | 7/17/2008 |
Q: My husband was just dx with diabetes (glucose 138). He takes blood thinners (mechanical aeortic ...
A: The most common cause of kidney dysfunction in diabetics is diabetic nephropathy. The issues that ...
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| few more questions | 7/15/2008 |
Q: I know I told you a bit of history on myself already and I don't want to seem bothersome.. But to ...
A: Low sperm count and petechiae usually present in late stages of CKD. CKD stage 4 or 5. A visible ...
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| high protein and very high cholesterol | 7/14/2008 |
Q: I recently had some blood work done and found my cholesterol was 322 mg/dL and had a 24 hour urine ...
A: Good to hear from you again. As the name suggests, a spot urine protein/creatinine ratio should be ...
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| high protein and very high cholesterol | 7/14/2008 |
Q: I recently had some blood work done and found my cholesterol was 322 mg/dL and had a 24 hour urine ...
A: High cholesterol and proteinuria with normal creatinine and BUN can occur in patients who have ...
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| Vitamin D3, Calcium supplements/benefits/risks | 7/13/2008 |
Q: my internist has me taking a multiple vitamin with 1000IU of D3 and two additional tablets of 1000IU ...
A: Vitamin D supplmentation depends on the individual patient's deficiency. What were your levels ...
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| Treatment for retroperitoneal fibrosis | 7/13/2008 |
Q: Are there standard treatments for retroperitoneal fibrosis? Why can't the associated mass simply be ...
A: Many times, the extent of RPF is extensive and hence, cannot be removed surgically. Other important ...
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| possible kidney disease | 7/13/2008 |
Q: I'm a 27 year old male, my current symptoms: -Chest pains -Abdominal ...
A: To diagnose your condition, a detailed history, physical exam, lab tests and imaging of the abdomen ...
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| high creatinine levels | 7/11/2008 |
Q: A little background on me and the problem: I'm a 21 year old male 5-11, 231 (increased weight from ...
A: A lot of stuff can cause Acute Kidney Injury (the new word for ARF). However, I do not think that ...
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| Boyfriend on Peritoneal Dialysis | 7/11/2008 |
Q: My boyfriend and I have just reconnected after fifteen years and I love him dearly. He is on Home ...
A: In this day of modern therapy, nobody dies of kidney failure. Patients do well both on HD and PD. I ...
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| high creatine/ MRI dye | 7/8/2008 |
Q: I am 43 and in very good health, expect a breast tumor this year that was caught very early (stage ...
A: Gadolinium is know to cause problems in people who have underlying kidney dysfunction. If you can ...
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| Low urinary creatinine | 7/7/2008 |
Q: i had my 24 hour urine analysis, creatinine was 80 mg/dl and they showed total volume 900 ml, my ...
A: You have a normal serum creatinine value. So, I don't see a cause of concern unless you have ...
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| eGFR | 7/7/2008 |
Q: I am a 69 year old (70 in August) non-African-American female. I am physically active (Pilates, ...
A: You are right, age and muscle mass both affect the interpretation of GFR. After the age of 30, GFR ...
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| diabetes after kidney transplant | 7/6/2008 |
Q: Shah: My best friend received a kidney transplant 2 weks ago. He was on dialysis for 2.5 years. ...
A: Maintaining a kidney graft requires use of immunosuppressive medication. Some of them can cause ...
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| kidney problems | 7/6/2008 |
Q: I have been experiencing more frequency in urinating along with cramping. When I went for 2 ...
A: Blood and protein in the urine are two red flags for presence of kidney disease. A detailed ...
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| Creatinine | 7/4/2008 |
Q: if urinary creatinine is less than serum creatinine, does that indicate ckd., I am 39 male, 60 kgs, ...
A: Urine creatine (24-hour sample) values can range from 500 to 2000 mg/day. Results are highly ...
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| kidney infection | 7/4/2008 |
Q: It's a long holiday weekend, my PCP won't be available until Monday. I have a kidney infection(I ...
A: Community acquired UTI is most commonly due to E. Coli. Norfloxacin or Ciprofloxacin like drugs are ...
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| kidney disease | 7/4/2008 |
Q: I am a 69 year old female - height 5ft 4 inches, weight 135 lbs. I recently was given a blood test ...
A: BUN and creatinine are two markers of kidney function. BUN can be affected by many factors. If you ...
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| Acute Kidney Failure | 7/4/2008 |
Q: My sister was diagnosed with pneumonia about 3weeks ago and put on treatment. After one week, ...
A: What you are describing seems like acute on chronic kidney disease. Many people have underlying CKD ...
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| Nephrologist | 7/3/2008 |
Q: My situation is similar to Jean's. I've been referred to a nephrologist because of high protein in ...
A: If your cyclosporin trough levels are in the therapeutic range, they should not cause proteinuria. ...
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| Kidney disease | 7/3/2008 |
Q: Shah, My husband was diagnosed with kidney disease based on Protein (2500 mg - 24-hour urine test, ...
A: Many countries have central glomerulonephritis registries. I know of two of them: ...
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| Protein and Blood in urine | 7/3/2008 |
Q: I am concerned because it says that I have moderate blood in my urine and 70MG of protien. I have ...
A: Protein and blood in urine are two red flags for presence of kidney disease. They should not be ...
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| low GFR and UTI | 7/2/2008 |
Q: I was seen by my doctor yesterday. Dip stick showed high nitrate and PH 0.5. He is treating me ...
A: Good to hear from you again. As I have stated on the instructions page, please mention the units in ...
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| guide | 7/2/2008 |
Q: my father is a dibetic patient his age is 55 his serum Urea is 43.6 and his Serum Creatinine is 1232 ...
A: You really need to discuss these issues with your Nephrologist. The discussion of transplant vs. ...
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| Kidney disease | 7/2/2008 |
Q: Shah, My husband was diagnosed with kidney disease based on Protein (2500 mg - 24-hour urine test, ...
A: Your husband has proteinuria. Many diseases can cause proteinuria and discussing them is beyond the ...
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| guide | 7/1/2008 |
Q: my father is a dibetic patient his age is 55 his serum Urea is 43.6 and his Serum Creatinine is 1232 ...
A: According to the information you have provided me, your dad's GFR (Glomerular filtration rate) is 4 ...
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| Young Athlete with High Creatinine and BUN | 7/1/2008 |
Q: I'm a young male (24 years old) who works out with heavy weights 6 days a week as a natural ...
A: Good to hear from you again. Probably your kidneys are healthy but are just being "bombarded" with ...
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| Nephrology | 7/1/2008 |
Q: My brother who reside in India(North India) facing problem related with KIDNEY. He has history of ...
A: A detailed history, physical examination, lab tests and imaging of the kidneys are required to ...
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| Young Athlete with High Creatinine and BUN | 7/1/2008 |
Q: I'm a young male (24 years old) who works out with heavy weights 6 days a week as a natural ...
A: Your elevated creatinine level is probably due to two factors: 1. Your increased muscle mass 2. ...
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| flank pain with drop of BP | 6/30/2008 |
Q: For the past 2 months my husband has been on dialysis. He was diagnosed with TMA as well as low ...
A: Thrombotic microangiopathy is usually associated with malignant hypertension. Are you sure your ...
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| new dialysis | 6/30/2008 |
Q: My 80 year old father is going to see a vascular surgeon to have a fistula and peritoneal access ...
A: My main concern at this age would be the condition of his blood vessels. If his arteries are ...
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| painful and burning urination | 6/29/2008 |
Q: My father is facing very acute problem while urinating. He undergoes a lot of pain as well as ...
A: Dr. Mahesh, Thanks for following up with me. Benign prostatic hyperplasia is not to be confused ...
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| Test results | 6/27/2008 |
Q: I have recent test results, with BUN 25, Creatinine .98, GFR 59L. Do I need to be concerned? I am ...
A: I need some more information before I can answer your question. 1. What does "A/A" mean? 2. What ...
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| high creatinine/low bun | 6/27/2008 |
Q: I AM A 48 HEALTHY WOMAN/128 LBS/5'7', RUN 3-4 TIMES A WEEK. HAD MY THYROID REMOVED 2 YRS AGO/NODULE ...
A: There can be many reasons why the BUN/Creatinine ratio is high. Some of the common ones are: 1. ...
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| Single Kidney | 6/26/2008 |
Q: My (2) year old daughter was born with a single kidney. She just recently was diagnosed with a UTI. ...
A: Your daughter is suffering from a condition called unilateral renal agenesis. Unilateral renal ...
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| Blood work and back pain | 6/26/2008 |
Q: Recently I had blood work done for a new job. My serum creatinine was 2.70 and gfr was 27 with high ...
A: Were there any abnormal findings on your physical examination? Is your blood pressure normal? ...
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| prealbumin | 6/26/2008 |
Q: I have a pt with a chronic wound that has a high protein diet but has a prealbumin level of 14. She ...
A: Low prealbumin (also known as transthyretin) can indicate protein-calorie malnutrition. Prealbumin ...
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| High Creatinine | 6/25/2008 |
Q: i am 34yrs old female asiani am diagnosed of having glumerolonephritis and my creatinine level is ...
A: I am presuming that you have chronic glomerulonephritis and that a kidney biopsy was not done. ...
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| CKD | 6/25/2008 |
Q: Shah Following some "high normal" serum creatinine tests (creatinine 1.3- range 0.85-1.35), I saw ...
A: Good to hear from you again. Creatinine clearance overestimates actual GFR by 10-20%. The data in ...
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| CKD | 6/24/2008 |
Q: Shah Following some "high normal" serum creatinine tests (creatinine 1.3- range 0.85-1.35), I saw ...
A: The GFR values in the NKF guidelines for the classification of CKD do not apply to the asian ...
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| Complicated Renal Cyst with Microscopic Hematuria | 6/23/2008 |
Q: November 2007 I went to the doctor not feeling well. My doctor ran a urine test. He found blood in ...
A: Is it the radiologist's opinion that your cyst does not even register on the Bosniak scale? If not, ...
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| Pus cells in urine | 6/23/2008 |
Q: Sir, My mother, aged 70 is suffering from fever for the last 2 months and hav numorous pus ...
A: Your mother seems to be suffering from a urinary tract infection. Please get her evaluated by a ...
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| low GFR | 6/22/2008 |
Q: Shah, I am a little concerned because I just had some routine bloodwork. My MCV was a little low at ...
A: An estimated GFR should always be viewed in conjunction with a history (suggestive of kidney ...
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| Do i have CKD | 6/22/2008 |
Q: possibly i am hypochondriac, in my previous history i had appointments with doctors and tests for ...
A: 1. Estimated GFR is always to be seen in conjunction with a detailed history, physical examination, ...
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| Low GFR | 6/21/2008 |
Q: 21 yr, wm In January, I had results from an CMP come back showing a GFR of 73 CALC and an elevated ...
A: When in doubt, I ask my patients to get a 24 hour urinary creatinine clearance for GFR. You might ...
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| Do i have CKD | 6/21/2008 |
Q: possibly i am hypochondriac, in my previous history i had appointments with doctors and tests for ...
A: I will really appreciate if you rate my answers on the website. Sincerely, Dr. Shah
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| Complicated Renal Cyst with Microscopic Hematuria | 6/21/2008 |
Q: November 2007 I went to the doctor not feeling well. My doctor ran a urine test. He found blood in ...
A: Yes, you should definitely be worried about microscopic hematuria and protein. Ask your doctor to ...
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| BUN level | 6/19/2008 |
Q: I have a one year old boy who had kidney reflux stage 3 since birth. They just ran test again and ...
A: I am not quite sure I understand your question correctly. Is your major concern regarding ...
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| complex cyst | 6/17/2008 |
Q: I have recently had a CT scan, as I had severe pain in my left upper quadrant, diagnosed as kidney ...
A: Although rare, malignant transformation of a simple renal cyst is reported in literature. Here are a ...
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| complex cyst | 6/16/2008 |
Q: I have recently had a CT scan, as I had severe pain in my left upper quadrant, diagnosed as kidney ...
A: It is possible for a simple cyst to transform into a complex one. You must get yourself evaluated by ...
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| Solitary Kidney!!! | 6/15/2008 |
Q: Recently while doing a routine ultrasound of the abdomen it was found that I have only one kidney by ...
A: Normal people excrete less than 20 mg of protein per day. Proteinuria and hematuria are the two ...
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| kidney damage | 6/14/2008 |
Q: Shah, I had some electrical therapy from electrical therapy from a chiropractor on my back. After ...
A: Because I have no knowledge of chiropractic principles or practice, I am not qualified to comment. ...
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| post nephrectomy hypertention | 6/14/2008 |
Q: you answered a question with the answer being that there is an increase chance chance of developing ...
A: Good to hear from you again. There is really no consensus on how soon will hypertension develop ...
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| HYPODENSE KIDNEY STRUCTURE | 6/13/2008 |
Q: Greetings! I am a 53 year-old male. CT scan w/contrast on 5/5/08 revealed a 4.5 cm x 3.5 cm ...
A: You should definitely get another opinion, preferably another urologist's. It would not be a very ...
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| Increased biliruben levels | 6/13/2008 |
Q: My husband had his second kidney transplant in 1/08, and his biliruben levels have been increasing. ...
A: Patients with underlying hepatitis C or hepatitis B may "flare up" after kidney transplant due to ...
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| kidney | 6/13/2008 |
Q: I had a kidney removed last Jan. 07. My gfr was 110. Now my gfr is 48 and has been check for 3 ...
A: A GFR this low cannot be due to removal of one kidney. Please get yourself evaluated by a ...
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| angiolypoma | 6/12/2008 |
Q: I was diagnosed a while agoe with a small angiolypoma on my right kidney. I also have, cyst on my ...
A: A detailed history and physical examination are needed to make a provisional diagnosis. ...
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| Primary Hyperoxaluria | 6/12/2008 |
Q: Shah, I have been recently diagnosed with a very serious, very rare disease called Primary ...
A: The key to treatment of an ESRD patient with PH is combined liver and kidney transplantation. ...
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| Kidney Damage From Reflux | 6/12/2008 |
Q: I am a fourteen-year-old male and I recently experienced trouble urinating, but thank goodness it ...
A: In normal individuals, a physiological valve-like mechanism exists at the point of entry of the ...
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| Reasons for an increased protein to creatine level | 6/11/2008 |
Q: My now 4yo son started periodically peeing his pants about a year ago (a full year after being day ...
A: Your question is best answered by a Pediatric Nephrologist. I am an adult Nephrologist, but will ...
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| Swollen Foot & Back Pain | 6/11/2008 |
Q: Age 39 female (Neph.History: I have passed sharp-hook type stones in past which one time caused a ...
A: Yes, your symptoms could be due to kidney dysfunction. A detailed history, physical examination, ...
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| High Urea & Creatinine | 6/10/2008 |
Q: How does the high urea level and creatinine level affect. My father has urea level of 51mg & ...
A: Your father seems to be suffering from some sort of kidney dysfunction. A detailed history, ...
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| Solitary Kidney!!! | 6/9/2008 |
Q: Recently while doing a routine ultrasound of the abdomen it was found that I have only one kidney by ...
A: Approximately 1 in 5000 live births will have unilateral renal agenesis - the condition that you ...
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| Creatinine Clearance | 6/9/2008 |
Q: I forgot to tell you that I will be 65 this month and I'm a white/American....no heart trouble, no ...
A: I already answered your question before. Drinking too much water will cause the urine to be dilute ...
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| encapsulated sclerosing peritonitis | 6/8/2008 |
Q: How easy/difficult is it to diagnose and then treat SEPin a haemodialysis patient?
A: Diagnosis of any condition depends upon a detailed history, physical examination, relevant lab tests ...
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| low GFR and low creatinine clearance and low crea. in 24 hr. urine collection | 6/7/2008 |
Q: I went to my family dr. for a physical, had no problems at all and regret that I went in while I was ...
A: Drinking too much water causes the urine to be dilute. That and/or too much acidic urine can affect ...
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| Forced to strain in middle or ending urination | 6/6/2008 |
Q: I'm a very healthy 80 year old woman without any medical problems at all! But it puzzles me that ...
A: Congrats !! Not many people are alive at 80, leave alone healthy and well. You have to thank your ...
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| kidney - renal left-sided 14mm cyst | 6/5/2008 |
Q: My daughter is WF 26. She just had an MRI and showed a renal cyst 14mm in diameter. It shows up as ...
A: What was the radiologist's report on the MRI? The margins, wall thickness, etc? Depending on the ...
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| Microalbumin/Creatinine Ration | 6/4/2008 |
Q: I just had blood work done and have not seen my endocrinologist yet BUT do have copy of my ...
A: Your albumin/creatinine ratio suggests that you are excreting about 1.8 grams of albumin in your ...
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| frequent urination | 6/3/2008 |
Q: I am 36 years old and i have been going to the bathroom very often and i have notice that my urine ...
A: Frequency of urination with a bad odor may suggest a urinary infection. Please get yourself ...
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| No pain from left kidney | 6/3/2008 |
Q: I've had two serious illness that normally cause pain, but I've had none. The first was kidney ...
A: Kidney stones cause pain if they cause ureteric spasm while passing. If there is no ureteric spasm, ...
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| kidney donation and 24 hr. urine test | 5/31/2008 |
Q: I am in the testing phases of donating a kidney to my brother and I failed the 24 hr. urine test. I ...
A: First off, your brother is a lucky man to have a sibling like you. Congrats, not many people have ...
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| injury | 5/30/2008 |
Q: I was in a car accident last week. My back and neck were x-ray. No damage appeared, but was having ...
A: Please go back to your doctor ASAP. If he is not available, head for the ER. Ask for an ultrasound ...
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| Kidneys only work lying down | 5/29/2008 |
Q: Dr. Shah, I wish to ask a some what complicated and unusual question The main problem I have ...
A: Damage to medium or small arteries in the kidney will not show up on an arteriogram. This condition ...
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| plasma urea | 5/29/2008 |
Q: My 3 year old son , born with one kidney, had a blood test that showed he had 40mg/dl plasma ...
A: Increased plasma urea can be due to several factors: 1. Dehydration 2. Increased dietary protein ...
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| Vit.. D deficiency and Calcium antacids use. | 5/29/2008 |
Q: Shah, For more than a year, every day I was taking many calcium antacids(TUMS)that do not have vit.D ...
A: The source of calcium in Tums and similar antacids is limestone (calcium carbonate). Limestone is ...
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| low eGFR, high neutrpphils | 5/28/2008 |
Q: I am 45 year old white woman of 5'3" height and 145 pounds. I exercise with weights and cardio 2 or ...
A: A 4 cm ovarian cyst will not have any effect on your bladder. High neutrophils are suggestive of an ...
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| kidney spasm? | 5/28/2008 |
Q: I am a 64 y/o female. I experienced this for the first time when I lived in a tropical country for ...
A: It is difficult to diagnose your condition without doing a physical exam. However, what you describe ...
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| Proteinuria. | 5/28/2008 |
Q: My Father is 67 yrs old. weight is 95 and height is 5'10''. Currently he taking medicine for ...
A: Good to hear from you again. Please get your father evaluated by a Nephrologist as soon as ...
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| dialyis | 5/27/2008 |
Q: my brother is a dialyis patient for the last 4 years. he was geting very sick and pains in his head ...
A: There can be many reasons causing altered sensorium and high blood pressure in a patient who has ...
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| hpodense renal | 5/27/2008 |
Q: 44 year old fm has complaint of abd pain x 2mnth with right lower back pain, ultras sound shows ...
A: Any radiological investigation result must be viewed in light of a detailed history, physical exam ...
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| Kidney Dysfunction and allowable tests | 5/26/2008 |
Q: II have Congestive Heart Failure and am thus monitored for kidney function by the cardiologists (I ...
A: Good to hear from you again. From your lab's reference range, you do have renal dysfunction. There ...
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| Kidneys only work lying down | 5/25/2008 |
Q: Dr. Shah, I wish to ask a some what complicated and unusual question The main problem I have ...
A: Larry. The problem that you describe is sometimes seen in people who have a lot of edema (swelling) ...
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| Kidney Dysfunction and allowable tests | 5/25/2008 |
Q: II have Congestive Heart Failure and am thus monitored for kidney function by the cardiologists (I ...
A: What is the normal reference range for your lab? If your lab's reference range is < 1.2 mg/dl, your ...
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| Kidneys only work lying down | 5/24/2008 |
Q: Dr. Shah, I wish to ask a some what complicated and unusual question The main problem I have ...
A: You have described an unusual presentation. Let me work on this question and get back to you. ...
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| Low egfr read in blood test | 5/23/2008 |
Q: I am a 41 year old male, approx 5ft 10in slim build. I had severe pain in flank and lower stomach ...
A: Glomerular filtration rate (GFR) is a measure of kidney function. The normal GFR ranges from 110-120 ...
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| Post nephrectomy hypertension | 5/22/2008 |
Q: Shah- My wife had a radical nephrectomy 6 days ago. Her left kidney had a 5.7 cm upper pole tumor ...
A: Patients who undergo a unilateral nephrectomy have an increased chance of developing hypertension in ...
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| Kidney dease and caffeine et al. | 5/21/2008 |
Q: Dr Shah, I have stage 2 kidney disease. I am interested in finding out how caffeine affects the ...
A: For a patient like you with stage 2 CKD, your protein intake may be limited to 12-15% of your ...
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| Normal Creatitine Levels | 5/21/2008 |
Q: Recently I had a test done to check my Creation level. The doctor said that it was normal at 1.0. ...
A: Normal S. Creatinine ranges from 0.5 mg/dl to 1.5 mg/dl depending on the kit used for the assay. ...
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| Kidney dease and caffeine et al. | 5/20/2008 |
Q: Dr Shah, I have stage 2 kidney disease. I am interested in finding out how caffeine affects the ...
A: Non-Steroidal anti-inflammatory drugs (NSAIDs) are to be avoided in patients with kidney disease. I ...
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| Fear of Urinary Rention | 5/19/2008 |
Q: I know that this doesn't fall into nephrology but I am going to ask anyway. I am a fourteen-year-old ...
A: Prolonged urinary retention can lead to increased pressure in the urinary bladder. This pressure is ...
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| Kidney dease and caffeine et al. | 5/19/2008 |
Q: Dr Shah, I have stage 2 kidney disease. I am interested in finding out how caffeine affects the ...
A: As a general rule, I advise my patients to limit their intake of caffeine. Caffeine may increase ...
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| Hyperparathyroidism | 5/18/2008 |
Q: Does Hyperparathyroidism cause kidney stones. I had stones four times, I am a male 63 years old. My ...
A: Yes, hyperparathyroidism can cause kidney stones. Classically, the features of this disease are ...
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| Creatinine levels | 5/18/2008 |
Q: I recently had some tests done, and my creatinine and blood urea, were normal, 8 mg/dl and .65 mg/dl ...
A: A 24 hour urinary collection is prone to errors, which in turn would affect the results. If you do ...
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| kidney problems | 5/18/2008 |
Q: helo doctor shah! sir, i am very worried for my mothers kidney conditions. she is having kidney ...
A: According to the information that you have provided me, your mother's glomerular filtration rate ...
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| kidney problems | 5/17/2008 |
Q: helo doctor shah! sir, i am very worried for my mothers kidney conditions. she is having kidney ...
A: Good to hear from you again. As I already said earlier, your mother is definitely suffering from ...
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| low egfr levels | 5/16/2008 |
Q: I am a 38yo white male. Very muscular taking protein and creatine supplements. I had a physical ...
A: Creatine supplements can cause and elevation in S. Creatinine and hence, a low GFR reading. Please ...
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| kidney problems | 5/16/2008 |
Q: helo doctor shah! sir, i am very worried for my mothers kidney conditions. she is having kidney ...
A: A lot of people ask questions on this web forum and I answer ALL of them without fail. I do not ...
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| dialysis and haeparin with hair loss | 5/16/2008 |
Q: I started hemodialysis January 2008. Since then I have had thinning and falling out hair, along ...
A: People who start dialysis do sometimes notice hair loss. Usually, it is temporary, and the hair will ...
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| HYPODENSE KIDNEY STRUCTURE | 5/15/2008 |
Q: Greetings! I am a 53 year-old male. CT scan w/contrast on 5/5/08 revealed a 4.5 cm x 3.5 cm ...
A: Yes, you should be concerned about the rapid growth in size. I would like to have more information ...
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| foamy urine | 5/15/2008 |
Q: After my wife commented that my urine is a little foamy, I got some test done, blood and urinalysis. ...
A: I would repeat a 24 hour urinary protein estimation after about two weeks and see. If ...
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| Elevated blood creatinine | 5/14/2008 |
Q: I’ve been having pain, weakness and fatigue over the past 4 years. I get sever stiffness in my neck ...
A: I agree with your pathologist friend. A creatinine clearance of 59 is not normal. However, estimated ...
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| Bloodwork | 5/13/2008 |
Q: I went to the doctor yesterday because I had a headache that I couldn't get rid of. My blood ...
A: Please get your labs done once again ASAP. If your repeat labs do not show any abnormality, you have ...
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| NS maybe FSGS | 5/13/2008 |
Q: My husband was diagnosed with NS Minimal Change/autoimmune disease 2 years ago now, steriod ...
A: From what you describe, your husband is probably suffering from a form of resistant Minimal change ...
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| low GFR and UTI | 5/13/2008 |
Q: I was seen by my doctor yesterday. Dip stick showed high nitrate and PH 0.5. He is treating me ...
A: Good to hear from you again. A low GFR is not caused by protein in the urine. So, absence of ...
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| kidney removal | 5/13/2008 |
Q: I have a sister who has an obstructed kidney and might have to have it removed. She is 11 years ...
A: It is very heartening to see an altruistic attitude in people like you. Please help spread this ...
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| Ref: Berger Diesease | 5/12/2008 |
Q: Shah My sister living in USA was recently,diagnosed with Berger diesease,she underwent biopsy,it is ...
A: Berger's disease or IgA Nephropathy is not life threatening. The principles of treatment are strict ...
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| Low GFR | 5/12/2008 |
Q: I am 58 wf. GFR of 49 a drop from 54 three months ago. calcifediol (25-oh vitamin d-3) 10 No ...
A: Good to hear from you again. A drop from 54 to 49 is not too much. It does not change the staging ...
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| Low GFR for age | 5/10/2008 |
Q: I recently visited the doctor who said I had hypertension and ordered a blood test for me. The ...
A: If your blood test results are normal, I would suggest that you take a 24 hour urinary creatinine ...
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| Low GFR | 5/10/2008 |
Q: I am 58 wf. GFR of 49 a drop from 54 three months ago. calcifediol (25-oh vitamin d-3) 10 No ...
A: Good to hear from you again. You are right. It is believed that a Vegetarian/Vegan diet may be the ...
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| Low GFR | 5/9/2008 |
Q: I am 58 wf. GFR of 49 a drop from 54 three months ago. calcifediol (25-oh vitamin d-3) 10 No ...
A: It seems that you are suffering from some form of Chronic Kidney Disease (CKD). There are various ...
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| +3protien in urine | 5/4/2008 |
Q: My son is a type one diabetic , 3 months ago he had a A1c 14.8 no protein in uringe . Just took ...
A: Normal people excrete less than 20 mg of protein in their urine in 24 hours. If a person's urine ...
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| +3protien in urine | 5/4/2008 |
Q: My son is a type one diabetic , 3 months ago he had a A1c 14.8 no protein in uringe . Just took ...
A: Good to hear from you again. The presence of protein in the urine is known as proteinuria. If ...
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| High creatitine | 5/2/2008 |
Q: I am a 46 year old type II diabetic. On a routine blood test I flagged a high creatinine level (over ...
A: A detailed history, physical and other lab tests are needed to make a diagnosis. If you had normal ...
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| IgA Nephropathy | 5/2/2008 |
Q: My son is 23 years old and had a kidney transplant (one that I donated to him) on 12/26/06. He was ...
A: Despite the risk of recurrence, the prognosis of transplants for this group is comparable with that ...
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| +3protien in urine | 5/2/2008 |
Q: My son is a type one diabetic , 3 months ago he had a A1c 14.8 no protein in uringe . Just took ...
A: About 30% of type I diabetics develop Diabetic Nephropathy, damage to the kidneys because of ...
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| Straining During Urination - Kidney Damage | 5/1/2008 |
Q: I am a fourteen-year-old male. Sometimes I have to strain to urinate. This happens only at school ...
A: In normal individuals, an increase in the bladder pressure causes the ureteral openings to close in ...
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| serum creatin | 4/30/2008 |
Q: Sir I am 51 years old 6ft 2 inches 105 kg muscular heavy framed person.I have been weight training ...
A: What is the normal reference range for your lab? If your values fall in the normal range, nothing ...
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| microscopic hematuria | 4/18/2008 |
Q: Shah,I am a doctor practicing Medicine here in India, this is about my 2 yr old daughter, I would be ...
A: Dr. Nathani, A child with acute pyelonephritis would have been much sicker than what I gather from ...
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| microscopic hematuria | 4/18/2008 |
Q: Shah,I am a doctor practicing Medicine here in India, this is about my 2 yr old daughter, I would be ...
A: Dr. Nathani, Good to hear from you again. Dysuria and sleeping badly may have been due to the ...
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| microscopic hematuria | 4/17/2008 |
Q: Shah,I am a doctor practicing Medicine here in India, this is about my 2 yr old daughter, I would be ...
A: Dr. Nathani, It is a privilege and an honor to be asked for an opinion from a colleague. I agree ...
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| blood in urine | 4/16/2008 |
Q: Last October i urinated blood i went to the doctors the next day and she did a dipstick which tested ...
A: Blood and protein in urine are two flags for presence of kidney disease. Painless hematuria can ...
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| Mother's low GFR | 4/16/2008 |
Q: Several months ago my mother was diagnosed with renal insufficiency. Her GFR was 43 now it is down ...
A: 1. Rate of decline in GFR depends on her basic renal disease. Some diseases like diabetic ...
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| GFR questions | 4/14/2008 |
Q: 11 months ago my GFR (from a blood test only) was 55 and now it is 47. I have had chronic pain ...
A: "Not enough of the analyte to calculate" does NOT mean that you have no protein in the urine. You ...
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| GFR estimate tests | 4/14/2008 |
Q: I am battling with a differential diagnosis (my doctor is still piecing everything together). We ...
A: A 24 hour urinary creatinine clearance is a better indicator of GFR. It seems that your doctor is ...
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| a high protein | 4/14/2008 |
Q: Shah, I've recently had a blood test that determined that I had a "high protein." The doctor ...
A: Your question is best answered by a Hemato-Oncologist. I will attempt to answer it here. A total ...
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| High BUN - lowered creatinine | 4/12/2008 |
Q: Doctor, I'm a male, age 68, 6'2" - 170 lbs. seeking your suggestion for next step in view of the ...
A: Your creatinine value is normal. An elevated BUN can be due to various reasons: 1. High protein in ...
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| Createnine | 4/12/2008 |
Q: My brother's createnine level is 5.1 Doctor has advised him kidney transplant. But other doctor says ...
A: Elevated S. Creatinine can be due to an acute kidney injury (AKI) or due to chronic kidney disease ...
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| High BUN - lowered creatinine | 4/11/2008 |
Q: Doctor, I'm a male, age 68, 6'2" - 170 lbs. seeking your suggestion for next step in view of the ...
A: You seem to have some sort of a renal insufficiency. I would not worry too much about the elevated ...
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| 38 male Agi nephropathy? | 4/11/2008 |
Q: Im 38yr old male my BP is normal, no diabetes, cholestrol is slighted elevated. i was told my gfr is ...
A: Your doctor is probably suspecting "IgA Nephropathy", not AGI Nephropathy. I agree with her. A ...
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| Scan results of Kidney with polycystic | 4/11/2008 |
Q: I would like to send you my fathers scan results and recent ultra sound scan results to check is ...
A: Based on the information that you have provided me, your father's glomerular filtration rate (GFR) ...
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| Kidney Transplant | 4/9/2008 |
Q: Doctor, I am looking for a kidney transplantation. I am 58 years old. I heard from many sources in ...
A: Have you ever talked to your Nephrologist about this? Please do not trust "many soures in internet". ...
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| PKD | 4/9/2008 |
Q: My father has Polycystic Kidney Disease and he did an operation one year back to remove the cyst of ...
A: Autosomal-dominant polycystic kidney disease (ADPKD)is a systemic hereditary disorder, affecting ...
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| Child Kidney trouble? | 4/8/2008 |
Q: My father and his father died from kidney disease. I am 41 years old and have high enough bp ...
A: Your wife is absolutely wrong. Passing protein in the urine is a big deal. Protein and blood in the ...
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| more urine questions please | 4/8/2008 |
Q: We have a very good University Hospital not far from here. When you suggested Nephrology & ...
A: Congrats on getting normal results on most of your tests. Your white cell count is a just a weeny ...
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| CRF, ARF Where to go from here | 4/7/2008 |
Q: I am 44 yrs old and have CRF and ARF I am being treated for high blood pressure and Diabetes, I have ...
A: Acute Kidney Injury (AKI), the new name for ARF means that there is a sudden, reversible decline in ...
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| Polycystic Kidney Disease | 4/4/2008 |
Q: I am a 43 year old female. I was diagnosed with PKD and Liver disease two years ago 2006. My report ...
A: Autosomal-dominant polycystic kidney disease (ADPKD)is a systemic hereditary disorder, affecting ...
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| ureteropelvic junction obstruction | 4/4/2008 |
Q: Shah, Below is prior correspondence based on my husband's condition. Today we went to the urologist ...
A: Your husband's creatinine level has improved. His estimated GFR by the MDRD formula is 61 ...
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| albumin trace in sugar | 4/3/2008 |
Q: Sir, my child is 10 y old. high weight is 23 kg. he is under weight, he is suffering from feaver ...
A: Mr. Gupta, Thanks for asking my help on "Allexperts". Protein in the urine is a red signal for the ...
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| sclerosing peritonitis | 3/31/2008 |
Q: sclerosing peritonitis/abdominal adhesions in dialysis patient. What is standard/recognised ...
A: A plain X-ray would not show adhesions if they are not calcified. A CT Scan with PD fluid instilled ...
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| Diagnosis | 3/31/2008 |
Q: what is your diagnosis: - twin girls, 4 years old, having: abdominal pain, glucosuria, normal blood ...
A: I cannot make a diagnosis without a detailed history, physical examination and supportive lab tests. ...
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| sclerosing peritonitis | 3/30/2008 |
Q: sclerosing peritonitis/abdominal adhesions in dialysis patient. What is standard/recognised ...
A: Good to hear from you again. For diagnosis of Sclerosing Peritonitis, the following ingredients are ...
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| hematuria | 3/28/2008 |
Q: Five days ago I passed blood clot through my urine, half inch long and thin. I didn't have any ...
A: Good to hear from you again. Without examining you, I cannot guess what is causing you pain. At ...
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| side effects of dialysis on a mentally ill patient | 3/27/2008 |
Q: my mother is on a wide array of psychiatric medicines and currently receiving dialysis. she has ...
A: What you are describing can possibly be Dialysis encephalopathy or Dialysis disequilibrium syndrome. ...
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| Vascular access | 3/27/2008 |
Q: My dad is 87 yrs. old & has been on dialysis for 5 years. Over the course he had his permacath ...
A: Vascular access options for hemodialysis are: 1. Arteriovenous fistula 2. PTFE (Goretex) ...
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| hematuria | 3/26/2008 |
Q: Five days ago I passed blood clot through my urine, half inch long and thin. I didn't have any ...
A: Your question is best answered by a Urologist (my surgical counterpart). I will attempt to answer ...
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| high BUN&Creatinine levels | 3/26/2008 |
Q: 78yoMw/BUN 22&Creatinine 1.67. Hx HBP meds cozaar, hytrin, aspirin, lipitor. Why are levels so ...
A: A detailed history, physical examination, other lab tests and imaging of the kidneys is required to ...
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| elevated Creatinine | 3/25/2008 |
Q: I am a 50yo, 178lb, w/m and have been on lisinopril 5mg and lipitor 10mg for about 1 year. Lipids ...
A: Good to hear from you again. An elevated creatinine as far back as 1999 suggests to me that you ...
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| Bosniak cyst | 3/25/2008 |
Q: I would greatly appreciate you opinion I am 33 year of age and last year had to have a MRI and an ...
A: Strictly speaking, your question is best answered by a Urologist (my surgical counterpart). However, ...
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| elevated Creatinine | 3/24/2008 |
Q: I am a 50yo, 178lb, w/m and have been on lisinopril 5mg and lipitor 10mg for about 1 year. Lipids ...
A: Lisinopril can cause an elevation of S. Creatinine in people who have some underlying renal ...
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| urethera irritation | 3/24/2008 |
Q: i had brachtherapy for cervical cancer my last treatment was feb 25 2008 i started to have burning ...
A: The symptoms you describe are suggestive of Urethral stricture. This could very well be due to the ...
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| Methyldopa | 3/21/2008 |
Q: I am 28 years old and 234lbs, I was recently diagnosed with HBP ( less than a year ago ) and first I ...
A: Good to hear from you again. Your symptoms should subside in about a week after stopping ...
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| Low GFR | 3/21/2008 |
Q: I have had 3 blood test within the past 9 months and every time my GFR has been 47. I have been ...
A: You definitely need to get evaluated by a Nephrologist to find out the cause of your low GFR. Long ...
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| career related not health related | 3/19/2008 |
Q: i am a junior resident initially planning to go into surgery but i applied for a scholership and ...
A: Good to hear from you again. Nephrologists do a fair amount of interventional work. These ...
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| creatinine bloodpressure | 3/17/2008 |
Q: my creatinine level is 1.57 & bp around 170 which i am being treated for. the creatinine is what i ...
A: If you can tell me your age and ethnicity, I will be able to calculate your glomerular filtration ...
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| Contrast induced Nephropathy | 3/16/2008 |
Q: Shamik, I have removed right kidney 13 years before because of kidney stone. I have been getting ...
A: Good to hear from you again. If the kidney has resolved after CIN, there is no need for further ...
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| Cretanine level question | 3/15/2008 |
Q: , Recently I had an urinalysis done and the results have left me with some questions about my ...
A: It is very difficult to form an opinion on a single lab test result. Many factors affect the lab ...
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| Contrast induced Nephropathy | 3/15/2008 |
Q: Shamik, I have removed right kidney 13 years before because of kidney stone. I have been getting ...
A: To explain in detail Contrast induced Nephropathy is beyond the scope of this forum. However, I will ...
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| Kidney disease caused by trauma | 3/15/2008 |
Q: I am a healthy 43 year old African American male. I was recently in a bad car accident where I was ...
A: There are many conditions that can cause painless hematuria. However, I would suspect a hematoma, an ...
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| High cholesterol and urine protein levels | 3/15/2008 |
Q: I am a 24 year old female that has always had low cholesterol (about 160), no other problems except ...
A: Protein in the urine is a red flag for kidney disease. People suffering from "Nephrotic syndrome" ...
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| hair loss with hemodialysis | 3/14/2008 |
Q: MY 78 year old mother had heart bypass and has been on hemodialysis since about 4 months. She ...
A: People who start dialysis do sometimes notice hair loss. Usually, it is temporary, and the hair will ...
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| Methyldopa | 3/12/2008 |
Q: I am 28 years old and 234lbs, I was recently diagnosed with HBP ( less than a year ago ) and first I ...
A: Good to hear from you again. You can certainly take aspirin along with methyldopa if your headache ...
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| your opinion please | 3/12/2008 |
Q: my wife was diagnosed 14 (1994)year back at the time of the first delivery . with kidney problem ...
A: Your wife has progressive chronic kidney disease (CKD) and has progressed to ESRD. At present, a ...
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| regarding high BP and increased creatinine level | 3/12/2008 |
Q: my mom has high blood pressure so she is taking tozaar 50 mg (potassium tablets )for it .but about 6 ...
A: Potassium has nothing to do with creatinine levels. The reasons why your mom could have an elevated ...
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| career related not health related | 3/12/2008 |
Q: i am a junior resident initially planning to go into surgery but i applied for a scholership and ...
A: Congratulations on considering taking up Nephrology as a subspecialty !! If you look at any ...
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| RTA type I and Bi-Med sponge kidneys | 3/12/2008 |
Q: I am 48. I have the above mentioned kidney deseases. I was diagnosed at 23 by an Indian doctor whom ...
A: As you probably know by now, Medullary sponge kidney (MSK)is a congenital, benign cystic disorder of ...
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| Methyldopa | 3/11/2008 |
Q: I am 28 years old and 234lbs, I was recently diagnosed with HBP ( less than a year ago ) and first I ...
A: Your doctor is right. One of the side-effects of Methyldopa is headache. This is the only drug that ...
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| High serum creatinine levels | 3/11/2008 |
Q: My father aged around 70 years is asthmatic and on steroids for the last 15-20 years His recent ...
A: Based on the information you have given me, it seems that your father is suffering from some form of ...
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| Kidney disease | 3/11/2008 |
Q: My Son aging 28 year have the following results of Urea, Creatinine, Alk.Phos and Electrolytes as ...
A: It seems that your son is suffering from some form of Chronic Kidney Disease (CKD) with metabolic ...
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| Any new data? | 3/8/2008 |
Q: My father who is 56yrs old has been on lithium for the past 21 years and has been stable with his ...
A: In most patients the adverse effects of lithium on renal function are modest and of little clinical ...
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| Contrast Dye | 3/7/2008 |
Q: I am a 21 year old male, I am an ex smoker and drink alcohol socially. I recently went to the ER ...
A: The elimination of radiocontrast from the body depends on the type (iodinated vs. noniodinated), ...
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| High Level Protein/Lipids | 3/4/2008 |
Q: I took a physical for life insurance and failed due to high level protein. Of coarse, 32 yrs old ...
A: Protein in the urine is a red flag for kidney diseases. Your protein creatinine ratio suggests that ...
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| low GFR | 2/28/2008 |
Q: Below you will find previous correspondence. Today I talked to my doctor about this and asked her if ...
A: Good to hear from you again. I am glad that your GFR has gone up to 54 ml/min. Certain medications ...
|
| bun/creat low | 2/28/2008 |
Q: I had some blood work done and found out that I have Iron Deficient Anemia. Unknown cause. On my ...
A: Good to hear from you again. This question is best answered by a Hematologist. Although I treat a ...
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| bun/creat low | 2/28/2008 |
Q: I had some blood work done and found out that I have Iron Deficient Anemia. Unknown cause. On my ...
A: The normal BUN/Creatinine ratio is between 10 and 15. Your value is 11 so I don't think that it is ...
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| Vitamin D3 and Kidney Stones | 2/28/2008 |
Q: Shah, I have chronic stones (the usual calc. oxalate type). I currently take HCTZ for this ...
A: Excess vitamin C and vitamin D supplements increase the chance of new stones. If you don't have a ...
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| Hydronephrosis | 2/26/2008 |
Q: I am a 67-year-old man with bilateral hydronephrosis. Last year I underwent three surgeries to ...
A: Obstructive Uropathy has led to a decline in your GFR. A decline in GFR can lead to several ...
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| CKF and Cholesteral/Triglyceride Connection | 2/26/2008 |
Q: Shah, I have asked you questions in the past, and you have always very kindly answered. I now have ...
A: Glad to be of service. The mechanisms by which loss of renal function affects lipoprotein ...
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| kidney problems | 2/26/2008 |
Q: Last night, I had an intense urge to urinate, but could not. There was the burning pressure that ...
A: A detailed history, physical examination and some lab tests are needed to determine the cause of ...
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| MINIMAL CHANGE NEPHROPATHY | 2/26/2008 |
Q: I AM GETTING PROTEINS TRACES IN MY URINE ROUTINE EXAMINATION, 24 HRS PROTEINS IS 210 MG/DAY. REST ...
A: Good to hear from you again. Microscopic hematuria is usually absent in patients with Minimal ...
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| eGFR | 2/25/2008 |
Q: I have advanced breast cancer and my labs are drawn each month. The past two months my creatine has ...
A: Good to hear from you again. Scarring in the kidneys means that you most probably have Chronic ...
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| eGFR | 2/24/2008 |
Q: I have advanced breast cancer and my labs are drawn each month. The past two months my creatine has ...
A: Chronic Kidney Disease (CKD) can be due to several causes. Some like diabetic nephropathy have a ...
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| kidney tests | 2/24/2008 |
Q: ..A few months ago, I was diagnosed with 3rd stage kidney disease functioning at 39%. I am 60. I ...
A: Good to hear from you again. You have mentioned your age as "go". I am presuming that you are 40. ...
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| kidney tests | 2/23/2008 |
Q: ..A few months ago, I was diagnosed with 3rd stage kidney disease functioning at 39%. I am 60. I ...
A: There seems to be some discrepancy in your recent test results. Your creatinine and GFR cannot be ...
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| 5 year old daughter with renal disease. | 2/23/2008 |
Q: my daughter (5yrs old) has repeated UTIs for two years now (with kidney function down to right 25% ...
A: First off, I am not a Pediatric Nephrologist. However, I will attempt to answer your questions. A ...
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| creatinine levels post renal transplantation | 2/22/2008 |
Q: My husband received his second kidney transplant one month ago, which was a perfect match kidney, ...
A: First off, congrats to you and your husband for getting a full-house matched kidney. Creatinine ...
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| IGA Nephropathy in 10 year old | 2/21/2008 |
Q: My 10 year old nephew was just diagnosed with IGA Nephropathy. He discovered blood in his urine on ...
A: On what grounds did the Nephrologist diagnose him with IgA nephropathy? The diagnosis is ...
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| creatinine | 2/20/2008 |
Q: I'm 61, take a lot of meds (mostly for muscle spasms, arthritis) and have post-phlebitic syndrome. ...
A: Kidney stones can lead to renal dysfunction if there is bilateral obstruction or if they have led to ...
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| polycistic kidneys | 2/18/2008 |
Q: I injured my kidney a week in a half ago. It got hit by a car door really hard. Since then I have ...
A: Good to hear from you again. The recent rise in creatinine is probably due to elevated blood ...
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| Kidney reflux as child, current low gfr | 2/18/2008 |
Q: it helps a lot! Here's a quick H&P on me: I am a 28yof, white and 130lbs. I was born with kidney ...
A: A detailed history always helps in understanding the patient's problem better. First off, the reflux ...
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| polycistic kidneys | 2/17/2008 |
Q: I injured my kidney a week in a half ago. It got hit by a car door really hard. Since then I have ...
A: I need some more information before I can answer your question. It appears from your question that ...
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| psoas abcess | 2/13/2008 |
Q: What type of Dr. would be the one to drain a psoas abcess. What specialist do I need for my father ...
A: Psoas abscess is a rare disorder that is often difficult to identify. The abscess may present as ...
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| Recovering Kidney donor | 2/12/2008 |
Q: I donated my left Kidney to my father-inlaw on April 7th 2006. I was 38 and he was 63. It will be ...
A: Good to hear from you again. The remaining kidney takes up most of the function of the other one in ...
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| creatinine value after haemodylais | 2/12/2008 |
Q: A PATIENT HAS UNDERGONE HAEMODYLASIS FOR 1.5 HOURS. HIS CRETININE LEVEL PRE HD WAS 8.6 AND UREA IS ...
A: Decrease in serum creatinine after dialysis depends on many factors: Metabolic state of the patient, ...
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| blood in urine/kidney cysts | 2/12/2008 |
Q: "I am a 44 yr old woman,I have had moderate to large traces of blood in my urine for the past 10 ...
A: There cannot be blood in the urine for no apparent reason. I am sorry that your healthcare team has ...
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| low egfr - kidney donor | 2/12/2008 |
Q: I am a 37 year old female and I donated a kidney 5 years ago. My Dr has not been very diligent in ...
A: Congratulations on having the courage to donate your kidney. Not many can do this !! I ask all ...
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| Recovering Kidney donor | 2/12/2008 |
Q: I donated my left Kidney to my father-inlaw on April 7th 2006. I was 38 and he was 63. It will be ...
A: It is not very clear why your post-operative recovery was slow. A detailed history and physical ...
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| KIDNEY PROBLEM & ANEMIA | 2/11/2008 |
Q: i have just done a 24 hrs urine collection and blood tests indicating: BUN-29, Creatinine-7.1. My ...
A: Your test results indicate that you have very advanced kidney disease, Chronic Kidney Disease (CKD) ...
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| How do supplements affect kidney and liver tests | 2/9/2008 |
Q: I have a question...my husband just had some blood work done and he has elevated bun and creatnine, ...
A: Serum creatinine level, the most commonly used measure of kidney function in clinical practice, ...
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| microalbuminuria | 2/8/2008 |
Q: sir I have been suggested enapril 2.5 once for microalbumin 73.5,,occ tracealbumin,,. occ plus one, ...
A: I apologize for the delay in answering your question. I was on vacation Feb 4 through Feb 9, 2008 ...
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| Protein in Urine- Other Test Fine | 2/6/2008 |
Q: My 12 yr old has protein in her urine and has for at least 10 months. She will get a biopsy this ...
A: I apologize for the delay in answering your question. I was on vacation Feb 4 through Feb 9, 2008 ...
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| kidney stones in child | 2/6/2008 |
Q: My 12 year old daughter was diagnosed with kidney stones in Feb 2007(at age 11). She had many ...
A: I apologize for the delay in answering your question. I was on vacation Feb 4 through Feb 9, 2008 ...
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| My symptoms | 2/6/2008 |
Q: My symptoms are dry mouth, constantly chewing ice, frequent urination and foul urination smell. ...
A: I apologize for the delay in answering your question. I was on vacation Feb 4 through Feb 9, 2008 ...
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| Complex vs. Simple Renal Cyst | 2/5/2008 |
Q: Dr. Shah.... I have a question regarding a recent diagnosis by my Urologist regarding a renal cyst. ...
A: I apologize for the delay in answering your question. I was on vacation Feb 4 through Feb 9, 2008 ...
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| Creatinine Level | 2/4/2008 |
Q: I had gastric Bypass about 5 yrs ago. Prior to that I had low iron, since then my levels have been ...
A: I apologize for the delay in answering your question. I was on vacation Feb 4 through Feb 9, 2008 ...
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| Bun/Creatine ratio | 2/4/2008 |
Q: I received a copy of my Basic Metabolic Panel test and ir shows the Bun/creatine ratio is 33, what ...
A: Good to hear from you again. The individual values seem to be within normal limits. I would not ...
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| Questiion about high normal creatinine | 2/1/2008 |
Q: Shah, Hello. I am a 34 year old female. I had routine blood work done for job at the VA hospital ...
A: Different labs have different normal reference values for serum creatinine. 1.04 does not seem to be ...
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| Hypertension during Dialysis and headache after dialysis | 1/30/2008 |
Q: Shamik, My father has gone through dialysis for kidney failure twice a week for 4 years now. ...
A: There can be a few reasons why your father's BP goes up on dialysis: 1. The anti-hypertensive ...
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| elevated BUN/Creat ratio | 1/30/2008 |
Q: My Mother recently has a series of labs done for a knee operation. The CMP results were all normal ...
A: An elevated BUN / Creat ratio can be caused by many conditons. Some of the common ones are: 1. High ...
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| low eGFR/dull flank pain | 1/30/2008 |
Q: I have noticed on labs taken since 10/06 that my GFR is always low. 10/06 (54) 11/06 (54) 9/07 (49) ...
A: Good to hear from you again. If the GFR is derived using standardized formulas on a computer, the ...
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| low eGFR/dull flank pain | 1/29/2008 |
Q: I have noticed on labs taken since 10/06 that my GFR is always low. 10/06 (54) 11/06 (54) 9/07 (49) ...
A: You should definitely be concerned about your low GFR. You have several factors that can lead to ...
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| Kidney infection. | 1/29/2008 |
Q: Simple question, can drinking soda cause kidney infection? INFECTIONS are caused by bacteria. Does ...
A: No, drinking soda cannot cause kidney infection. The two most common routes are: 1. Ascent of ...
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| kidney function after donation | 1/27/2008 |
Q: I am a 32 year old female who recently donated one of my kidneys to a sibling. It has been 3 ...
A: Good to hear from you again. Are you looking for online resources for donors or donees? According ...
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| kidney function after donation | 1/26/2008 |
Q: I am a 32 year old female who recently donated one of my kidneys to a sibling. It has been 3 ...
A: Low glucose does not alter GFR. The lower GFR at this stage is expected because you have lost half ...
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| Simple Kidney Cyst | 1/25/2008 |
Q: I recently had a MRI (without and with Gadolinium) to rule out "question of possible neoplasm on top ...
A: The answer to your question is - Don't go anywhere from here. Simple cyst are not pathological. ...
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| 7 y/o daughter has 3+ protien in urine and high blood pressure | 1/25/2008 |
Q: Dr. Shah- In August my daughter was having very frequent urination so I took her to the doctor to ...
A: I will try to answer this although I am not a pediatric Nephrologist. I really do not know why ...
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| trace albumin in urine | 1/25/2008 |
Q: age 49 weight 102 kg height 5.8 male Diabetes hb a1c arround 6 never more than 7 But occ. ppbs ...
A: I suggest that you get a 24 hour urinary protein excretion or an urinary protein/creatinine (P/Cr) ...
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| decreased kidney function and pregnancy | 1/22/2008 |
Q: I am 26 years old and was told 2 years ago that I only have 25% function in my right kidney and 75% ...
A: Normotensive women with intact or only mildly decreased and stable renal function (serum creatinine ...
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| endometriosis | 1/22/2008 |
Q: How are you? regarding my situation I would like to inform you that I discover that I had ...
A: Good to hear from you again. Unfortunately, the fax machine in my office has broken down (again!). ...
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| urine protein | 1/21/2008 |
Q: i recentely had 24hr uerine protein test result: 24 hrs urine volume 2610 ml/24hr total protein in ...
A: Improper collection will vitiate the results of the 24 hour urinary protein estimation. I would ...
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| endometriosis | 1/21/2008 |
Q: How are you? regarding my situation I would like to inform you that I discover that I had ...
A: To diagnose your condition, a detailed history and physical examination are of vital importance. I ...
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| Diabetes and microalbumin | 1/20/2008 |
Q: sir I am Diabetic patient since 5 years and inspite of metformin treatment 3 times 500 mg my sugar ...
A: Kumar, Thanks for asking my help on "Allexperts". You have asked very broad questions. The ...
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| Kidney disease | 1/20/2008 |
Q: Dr. Shah, I just wrote to you about my husband's kidney problem. He has a high level of protein in ...
A: Good to hear from you again. It is important to find out what is causing proteinuria in the first ...
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| Protein levels | 1/20/2008 |
Q: Dr. Shah, Eight years ago my primary physician found 3+ protein and "large amounts" of blood in my ...
A: Your proteinuria has rise from 150 mg to 350 mg/24 hours in 8 years. This probably means that you ...
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| Kidney disease | 1/19/2008 |
Q: Dr. Shah, I just wrote to you about my husband's kidney problem. He has a high level of protein in ...
A: Good to hear from you again. Your husband is excreting almost 2.6 grams of protein in his urine ...
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| Kidney function | 1/19/2008 |
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 ...
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| My complicated kidney problems | 1/18/2008 |
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 ...
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| kidney damage | 1/18/2008 |
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 ...
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| kidney damage | 1/18/2008 |
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 ...
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| 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 ...
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| Kidney Failure and Blood Test Results | 1/17/2008 |
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. ...
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| low gfr, high creat, high bun | 1/16/2008 |
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 ...
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| blood and urine tests | 1/16/2008 |
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. ...
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| interpret urinalysis | 1/15/2008 |
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. ...
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| low gfr, high creat, high bun | 1/15/2008 |
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 ...
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| Creatinine & BUN | 1/14/2008 |
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 ...
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| Chronic Glomerularnephritis | 1/14/2008 |
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 ...
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| Kidney Irritation | 1/12/2008 |
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 ...
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| hypertension treatment protocol | 1/11/2008 |
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 ...
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| Kidney Failure and Blood Test Results | 1/10/2008 |
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 ...
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| post-op urination | 1/8/2008 |
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 ...
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| hyperuricemia & thiazide | 1/4/2008 |
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 ...
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| 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 ...
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| 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 ...
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| one kidney/hypertension | 1/3/2008 |
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 ...
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| 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. ...
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| lowered GFR and protein and blood in urine but normal creatinine | 1/2/2008 |
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 ...
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| High C2 level | 1/2/2008 |
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 ...
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| lowered GFR and protein and blood in urine but normal creatinine | 1/2/2008 |
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. ...
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| High urea in blood | 1/1/2008 |
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 ...
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| one kidney/hypertension | 12/31/2007 |
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 ...
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| KIDNEY FAILURE | 12/29/2007 |
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 ...
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| IGA Nephropathy | 12/28/2007 |
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 ...
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| foamy urine | 12/28/2007 |
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 ...
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| Blood in urine?Lower back ache | 12/18/2007 |
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 ...
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| Blood in urine?Lower back ache | 12/17/2007 |
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". ...
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| Nephrotic Syndrome | 12/14/2007 |
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 ...
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| absence of one kidney by birth | 12/13/2007 |
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 ...
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| meds | 12/9/2007 |
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 ...
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| Severe left flank pain | 12/8/2007 |
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 ...
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| question about 24/hr results | 11/27/2007 |
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 ...
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| foamy urine hydration | 11/26/2007 |
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 ...
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| foamy urine hydration | 11/25/2007 |
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 ...
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| creatinine levels | 11/21/2007 |
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 ...
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| Left flank pain | 11/21/2007 |
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 ...
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| IgA Nephropathy diagnosis | 11/18/2007 |
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 ...
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| Benicar and kidney function | 11/17/2007 |
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 ...
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| Pain from back that wraps to left side | 11/16/2007 |
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 ...
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| High Protein in Urine but normal Creatinine | 11/16/2007 |
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 ...
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| Long-term lithium use and Chronic Renal Insufficiency | 11/15/2007 |
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 ...
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| creatinine levels | 11/14/2007 |
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. ...
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| creatinine levels | 11/13/2007 |
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 ...
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| dark brown/red urine, foley for 1 week, kidney transplant in 3/05 | 11/11/2007 |
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 ...
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| dark brown/red urine, foley for 1 week, kidney transplant in 3/05 | 11/11/2007 |
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 ...
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| Evaluated Creatinine, but normal BUN | 11/11/2007 |
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 ...
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| Interpret results of 24 hr urine test | 11/9/2007 |
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 ...
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| Interpret results of 24 hr urine test | 11/9/2007 |
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 ...
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| Kidney cysts | 11/8/2007 |
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 ...
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| renal artery auscultation | 11/6/2007 |
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 ...
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| bodybuilding (moderate) and PKD | 11/4/2007 |
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 ...
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| KIDNEY PROBLEM | 10/23/2007 |
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 ...
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| kidney problem | 10/22/2007 |
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). ...
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| 20 y/o with Back pain at night | 10/18/2007 |
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 ...
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| GFR low, creatinine normal, bubbles | 10/18/2007 |
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 ...
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| protein spill and creatinine levels | 10/16/2007 |
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. ...
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| protein spill and creatinine levels | 10/14/2007 |
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 ...
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| question | 10/11/2007 |
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: ...
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| Goodpastures | 10/9/2007 |
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 ...
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| transplant meds and non compliance | 10/8/2007 |
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 ...
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| kidney bloat | 10/7/2007 |
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 ...
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| 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 ...
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| 24hr urine test | 10/3/2007 |
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 ...
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| Test Interpretation | 10/2/2007 |
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 ...
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| kidney disease | 10/1/2007 |
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 ...
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| Test Interpretation | 9/30/2007 |
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. ...
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| Left lower back, side, and left abdomnal pain | 9/24/2007 |
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 ...
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| Suspected ARF | 9/22/2007 |
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 ...
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| Suspected ARF | 9/22/2007 |
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 ...
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| 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 ...
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| Kidney problems & Hypertension | 9/22/2007 |
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 ...
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| PKD Disease | 9/21/2007 |
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 ...
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| PKD Disease | 9/13/2007 |
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 ...
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| PKD Disease | 9/13/2007 |
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 ...
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| Kidney Simptoms | 9/12/2007 |
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, ...
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| Swollen feet and ankle joints | 9/12/2007 |
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 ...
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| 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 ...
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| iritation on urine path while go for urine | 9/6/2007 |
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, ...
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| about bubbly..soapy and cloudy urine | 9/6/2007 |
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 ...
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| Polycystic Kidney Disease | 9/4/2007 |
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 ...
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| Polycystic Kidney Disease | 9/3/2007 |
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 ...
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| Vitamin D levels very low | 9/2/2007 |
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 ...
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| high consumption of salt | 9/2/2007 |
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 ...
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| Vitamin D levels very low | 9/1/2007 |
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 ...
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| Vitamin D levels very low | 8/30/2007 |
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 ...
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| low urine creatinine | 8/30/2007 |
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 ...
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| low urine creatinine | 8/26/2007 |
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 ...
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| left flank pain and blood in urine | 8/26/2007 |
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 ...
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| Polycystic kidneys | 8/21/2007 |
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 ...
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| Polycystic kidneys | 8/20/2007 |
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 ...
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| 6 year old has increased urination & burning smell on head | 8/7/2007 |
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 ...
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| 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 ...
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| kidneys | 7/26/2007 |
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 ...
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| BUN/Creat | 7/24/2007 |
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 ...
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| bubbles and foam in urine | 7/18/2007 |
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 ...
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| Urine Problems | 7/16/2007 |
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. ...
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| Urine Problems | 7/16/2007 |
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 ...
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| kidney disease / bladder cancer | 7/4/2007 |
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 ...
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| reg- protien loss | 6/23/2007 |
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 ...
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| high serum creatinine level | 6/22/2007 |
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 ...
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| high creatinine level | 6/15/2007 |
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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