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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How long can a double J ureteral stent be left inside?

Query: Hello doctor, I am a chronic kidney disease patient, and there are multiple stones in my right kidney. My doctor placed a double J stent almost six months ago. I have not removed my stent. Is it risky? How long can I let the stent inside? Due to some problem, I cannot go for the checkup.  Read Full »


Dr. Raja Ramesh

Answer: Hi, Welcome to icliniq.com. The stent has probably been placed for draining the kidneys. Depending on the stent material, indwelling time will vary. It ranges from three months for polyurethane stent to a year for silicon stent. Neglecting stents can lead to lots of problems. Stones can form a rec...  Read Full »

Does my relative take the correct dosage for his diabetes medication?

Query: Hi doctor,I am sending a few doubts of my relative, who is suffering from diabetes and HTN. They have a strong case history of CKD in the family. For diabetes, the patient was taking the following medicines. A combination of Metformin 850 mg and Glimperide 1 mg in the morning and a combination of Me...  Read Full »


Dr. Thiyagarajan T

Answer: Hi, Welcome to icliniq.com. Hi Sir, First, I wanted to be clear. 1. Is he still taking Glimepiride and Metformin? 2. Tiban is Teneligliptin, which I do not prescribe much. But it is safe to take 20 mg twice daily. Also, it is safe to take once daily in a person with kidney problems. 3...  Read Full »

I am suffering from chronic kidney disease stage five. Do I have to proceed with dialysis immediately?

Query: Hello doctor, I am a 43-year-old male. I often feel tired, confused, and nauseous. I have back pain, headaches, and indigestion often.I am feeling sick from PKD. I am suffering from renal failure with GFR of 13. I am currently not under any medication. I need an ESRD diagnosis. Kindly help. Attach...  Read Full »


Dr. Manzoor Ahmad Parry

Answer: Hello, Welcome to icliniq.com. I have gone through your reports (attachments removed to protect patient's identity). The reports suggest chronic kidney disease (CKD) stage five due to polycystic kidney disease (PKD). The stage of CKD is such that you need to prepare for renal replacement therapy....  Read Full »

I need a second opinion on the treatment done for a child with a neurogenic bladder. Please guide.

Query: Hi doctor, A 10-year-old boy was already diagnosed with Bardet- Biedl syndrome (BBS), CKD (chronic kidney disease), hypogonadism, and neurogenic bladder complained of recurrent urinary tract infection and constipation. The child got Mitrofanoff appendicovesicostomy ten days back. I have attached th...  Read Full »


Dr. Manu Bharadwaj

Answer: Hello, Welcome to icliniq.com. I went through the discharge summary (attachment removed to protect patient identity). I understand that Appendicular Mitrofanoff was done after the diagnosis of the Neurogenic bladder. I want to let you know that Mitrofanoff is the surgery in cases of Neurogenic blad...  Read Full »

Kindly review my father's report and give a suitable treatment plan for his symptoms.

Query: Hello doctor, My father has a distended abdomen, fatigue, and occasional breathlessness on walking. I have attached the reports of my father. We are quite concerned seeing his low eGFR (estimated glomerular filtration rate), pre-diabetes values, cholesterol, etc. Please guide us on the best course ...  Read Full »


Dr. Bn Bhagat

Answer: Hello, Welcome to icliniq.com. I saw his reports (attachments removed to protect the patient’s identity). His liver function test, thyroid function test, and complete hemogram are all normal. There is a slight increase in his serum creatinine, and the rest of his kidney function test is with...  Read Full »

My mother is having vesicoureteral reflux. Is it a life-threatening condition?

Query: Hello doctor, My mother has vesicoureteral reflux, which was diagnosed 20 years ago. At that time, her left kidney was functioning 27 % and her right kidney 72 %. She is getting tired and she is a heavy drinker and smoker. Should I be concerned for her? She does not want to see a doctor. Is her cond...  Read Full »


Dr. Rahul Suresh Kulkarni

Answer: Hi, Welcome to icliniq.com. It is strongly advised that your mother gets a kidney function tests like serum creatinine, blood urea, and nitrogen. She should at least try to reduce her smoking and drinking, as it would further contribute to the worsening of the kidney function. If possible, she shoul...  Read Full »

What are the preventive measures to be taken to prevent blood clots during dialysis?

Query: Hi doctor, I am a retired person aged 69 years. I am a CKD patient on dialysis for the last three years. Recently, the fistula on my left hand has been blocked. Through venogram, it is seen that it could not work anymore. Due to the blood clots, the flow has been distributed; hence permacath was pl...  Read Full »


Dr. Parth R Goswami

Answer: Hi, Welcome to icliniq.com. Following is my opinion for your asked question. Actually, during dialysis, it is common to form a blood clot, and the reason behind this is a disturbance of blood flow during dialysis. Therefore, Heparin or some other anticoagulant can be given before and during dialys...  Read Full »

Will fluctuations in GFR cause chronic kidney disease?

Query: Hi doctor, I am 53 years old with a weight of 80 kilograms and a height of five feet seven inches. I have been athletic most of the time. But still, I gained some weight over the past few years. In these few years, I have done some general tests. Initially, my GFR was 73 at the age of 45. At the ...  Read Full »


Dr. Nasir

Answer: Hi, Welcome to icliniq.com. The presence of chronic kidney disease cannot be predicted only by the values of GFR (glomerular filtration rate). It also depends on the presence and absence of protein in the urine. It is good to do a urine routine and microscopy test to know whether there is a...  Read Full »

Did I develop kidney disease because of prolonged use of Pantoprazole?

Query: Hello doctor, I am a 35-year-old male. I am 70 inches tall and weigh around 195 pounds. I go to the gym and frequently exercise, mostly weightlifting. I take 5 g of creatine monohydrate daily. I also take 40 mg of Pantoprazole daily and 40 mg of Famotidine daily for acid reflux. I have been on this ...  Read Full »


Dr. Manzoor Ahmad Parry

Answer: Hello, Welcome to icliniq.com. People who take creatine supplements are expected to have higher creatinine levels that do not necessarily mean low eGFR (estimated glomerular filtration rate). However, you have slightly hazy protein in urine examination. All other investigations look normal to me. ...  Read Full »

Kindly suggest the prognosis of CKD.

Query: Hi doctor, My girlfriend is 35 years old. She is obese, exercises regularly and tries to watch her diet. In spite of these, she is prediabetic. Her fasting blood glucose is typically around 105 mg/dL. Her A1C is normally in the range of 5.7% to 6%. She takes Metformin to manage the prediabetes. Her...  Read Full »


Dr. Anshul Varshney

Answer: Hi. Welcome to icliniq.com. We are here to help you. Considering her prediabetes a cause of her proteinuria, yes, she would be categorized in stage 1 CKD (chronic kidney disease). However, that is very unlikely that such a prediabetes at this age is going to cause proteinuria. Yes, this is not...  Read Full »

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