Chronic Kidney Disease

Chronic kidney disease (CKD) is a long-lasting decline in kidneys' functioning, usually lasting longer than three months. CKD occurs in five stages, where mild damage is stage 1, and complete failure of kidney functions is seen in stage 5. CKD commonly occurs due to high blood pressure and sugar and can result in anemia, bone disease, and heart problems.

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Will intake of Lo Loestrin Fe cause problems in kidney functioning?

Query: Hi! I’m a 24 year old female who recently had a BMP drawn and my GFR is 81 creatinine 0.86. The only medication I take is Lo LoEstrin Fe OCP. The 12 hours before the lab test I had limited water intake and didn’t know if this would effect the results at all. I am stressing myself out kno...  Read Full »

Dr. Nasir

Pain Medicine Physician, Internal Medicine Physician, General Medicine Physician

Answer: Hello the way in the creatinine clearance is calculated is by collecting 24 hour urine and then examining it for both proteins and creatinine. when 24 hour urine is collected it will give us a clear Idea as to what is happening in the body. measurements made from spot samples or not very accurate a...  Read Full »

Will fluctuations in GFR cause chronic kidney disease?

Query: I'm 53 years old and 5 feet 7 and 177 pounds. I have been athletic most of my life but did gain some weight over the past years. Over the past several years I have had several general labs. My GFR was 73 at age 45. The first time I had general labs for anything. At 51 it was 63. And now at 52 it ...  Read Full »

Dr. Nasir

Pain Medicine Physician, Internal Medicine Physician, General Medicine Physician

Answer: Hello sir I understand you question sir. but the presence or absence of kidney disease especially chronic kidney disease is not paste only on gfr but is also dependent on presence and absence of protein in the urine. if you get a urine routine and microscopy done which basically shows if there are ...  Read Full »

Does my mother's CT scan show the cause of weakness?

Query: Hello doctor, My mother's present complaint is weakness. She is also suffering from diabetes, blood pressure, CKD and heart problem. We have done the CT scan. The CT scan shows shortness of breath in the lung. I am sending the report of a CT scan and other prescriptions. Please advise.  Read Full »

Dr. Amolkumar W Diwan

Allergy Specialist, Pulmonologist

Answer: Hi, Welcome to I have read all the reports attached here (attachment removed to protect patient identity). Your mother is a known case of diabetes mellitus, chronic kidney disease and blood pressure. Her CT chest is suggestive of left upper lobe density. Here the question is whether it ...  Read Full »

What are the treatment options for the patient with high creatinine and GFR values?

Query: Hi doctor, I want to consult a nephrologist for my 54-year-old mother. She has high creatinine at 164 and eGFR at 31. She also has high blood pressure for the past 15 years, for which she takes Amlodipine 5 mg once a day. No other medicines and she does not have diabetes. We got her blood tests don...  Read Full »

Dr. Manzoor Ahmad Parry


Answer: Hello, Welcome to I checked the reports of your mother (attachment removed to protect patient identity). It shows features of CKD (chronic kidney disease) with the possibility of renovascular disease. CT (computed tomography) angiography will be a good choice to rule out any ren...  Read Full »

Why my dad's hemoglobin level drops constantly?

Query: Hello doctor,A year ago, my dad was diagnosed with anemia after his hemoglobin levels dropped to 4 g/L. Since then, he has received two blood transfusions and several iron infusions. He has had several tests done to rule out any major illnesses, and all came back normal. For the time being, the tran...  Read Full »

Dr. Anshul Varshney

Criticalcare Physician, Diabetologist, General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist, Nephrologist, Pulmonologist, Rheumatologist

Answer: Hi, Welcome to Now see anemia iron deficiency is due to two factors. First is that body is losing the iron stores through some bleeding, and for that, endoscopy and colonoscopy have been performed, and no reasons are found. So, we should concentrate on the second factor: productio...  Read Full »

Whom should we consult for my mom's bone TB?

Query: Hi doctor, My mom is a CKD patient and undergoes dialysis. For the past two months, she is having a back pain. On visiting an orthopedician, he suggested an MRI of dorsal spine, which shows D5-D6 eroded and the doctor is suspecting a bone TB. So, I am concerned about which doctor to approach. Shoul...  Read Full »

Dr. Bharat Patodiya

Family Physician, General Medicine Physician, General Practitioner, Internal Medicine Physician, Medical Oncologist

Answer: Hello, Welcome to I understand your confusion in today's world of information. I think the best option is to approach a spine surgeon, who can get an appropriate biopsy. Based on the biopsy, further specialist can be decided. Because, bone erosion could also be due to non-tuberculosis d...  Read Full »

What causes swelling in one leg and foamy urine?

Query: I discovered some pains in my flank some four months ago and I visited the hospital and scans were done on my liver and kidney in two different laboratories but nothing was determined so I was asked to do kidney fimction test. The results of creating them was 4.2 which I was told was high and urea w...  Read Full »

Dr. Penchala Prasad Kandikattu

General Medicine Physician, Internal Medicine Physician

Answer: Hello dear if renal failure is there means you will develop bilateral pedal edema. But unilateral edema may be due to gout or cellulitis or DVT. Until examination is done it is difficult to say what it is. Is it previous creatinine is high?? is it 4.2?? You have to rule out CKD, get it done ultr...  Read Full »

My wife is a kidney patient and on Pantoprazole for stomach issues. Is it harmful to the kidneys?

Query: Hello doctor, My wife is a kidney patient and she has acid reflux, which causes chest tightness and feels like a lump in the throat. She was given GI cocktail and feels some relief. Later they prescribed Prantopozole 40 mg. We are wondering whether she can try Pepcid or Gelusil or Prilosec as we a...  Read Full »

Dr. Harshul Gohel

Family Physician, General Practitioner, Internal Medicine Physician

Answer: Hello, Welcome to Pantoprazole is used clinically to reduce gastric acid secretion. Pantoprazole can relieve pain in patients with duodenal ulcers and improve nausea, bloating, acid reflux, belching, and other ulcer-associated symptoms. The bioavailability of Pantoprazole is >75% ...  Read Full »

Is there any correlation between heart failure and kidney impairment?

Query: Hello doctor, I would like to enquire about a 72-year-old male who is suffering from heart failure and kidney impairment. He is diagnosed with mild kidney impairment, despite normal urine output and no physical complications. He is currently taking Cortrop 5 mg, Aspirin 100 mg, Lasix 120 mg, Zylo...  Read Full »

Dr. Manzoor Ahmad Parry


Answer: Hello, Welcome to I read your query, before answering your query I would like to know about USG (ultrasound) of kidney and urine examination if done. What was KFT before this test? His kidney impairment can be due to age-related or due to heart failure. That is why I want to know a...  Read Full »

Can chronic kidney disease cause swelling in feet and tongue?

Query: Hello doctor, I have swelling on my feet and tongue as well. KFT report was normal only my creatinin was 1.6. It is a chronic problem. I have already used Lasilactone 50 mg and Torsemide 10 mg. But no relief. I use insulin Mixtard 40 units twice and Galvus Met 50/850 1 bd for my diabetes type 2. M...  Read Full »

Dr. Zubayeralam

Family Physician, General Medicine Physician, General Practitioner, Pulmonologist, Internal Medicine Physician

Answer: Hello, Welcome to According to your statement, you are suffering from chronic kidney disease. Now you have swelling on feet, ankles, and tongues. You have DM (diabetes mellitus) for 20 years. Do you suffer from an allergy? Or are you allergic to some foods, medications, irritants, et...  Read Full »

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