Kidney transplantation is a therapeutic surgery done to replace the malfunctioning, diseased or missing kidney. The transplantation is done from a living donor or a deceased donor. Usually left kidney is given priority for transplantation.
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Is it possible to have another kidney transplant if creatinine is increasing?
Query: Hello doctor, My elder brother, aged 41 years had a kidney transplant 11 years back. The donor was his father whose present age is approximately 68 years, but now after 11 years, his creatinine is increasing (3.3 mg/dL). We are confused about what to do. The doctor has increased his dose of medicine... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Creatinine level mentioned 3.3 mg/dL is suggestive of kidney infection. So, yes renal function deterioration is present. Renal transplantation can lead to rejection and risk to benefit ratio has to be watched before taking any decision regarding transplantation. Seco... Read Full »
My hypertensive and diabetic father has kidney failure and multiple medical conditions. Is kidney transplant safe?
Query: Hello doctor, My father underwent heart bypass surgery two years ago. Both his kidneys failed after the bypass surgery, and he has been on dialysis for the last nine months. Last month, while performing dialysis, his blood pressure got high, and he started vomiting. After that, he has not been well.... Read Full »
Dr. Manisha Raghunath Auradkar
Answer: Hello, Welcome to icliniq.com. I can understand your concern. Your father has serious health issues. He has hypertension, undergoes regular dialysis, and has a history of a brain hemorrhage. Along with that, age is another factor that is considered important for a kidney transplant. The ... Read Full »
I am anxious about donating my kidney to my brother. Please help.
Query: Hello doctor, My brother has a long-standing kidney disease. I am his sister. He is 45, and I am 35 years old. Our blood groups are the same, and the doctor said I could lend him my kidney. I am interested but also afraid of the same. Can I arrange another healthy donor of a similar blood group? Wil... Read Full »
Answer: Hello, Welcome to icliniq.com. A person can survive with one kidney. You can donate it. Otherwise, you can find out other healthy donors also. They will undergo a fitness test, and if everything is fine, the doctors will proceed. Read Full »
My gums have been swollen ever since I was discharged from the hospital after kidney surgery. Kindly help.
Query: Hi doctor,My gums have been swollen ever since I was discharged from the hospital after kidney surgery (me being the kidney donor) for the past week. I have noticed my gums feeling tender and swollen, causing my front teeth (upper and bottom) to hurt. However, my gums are not causing any bleeding, a... Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks for writing in, and I understand your concern. Please be calm. The medications used for the treatment of kidneys may cause gingival hyperpigmentation and infection. I request you to please share the medicines you are taking to suggest precautions and preventio... Read Full »
How are bleeding piles treated?
Query: Hi doctor, I had my kidney transplant two months ago. Now, I am suffering from piles. Can you suggest me some medicine? Read Full »
Answer: Hi, Welcome to icliniq.com. Are you a donor or a recipient? I suggest you apply Smuth cream (Lignocaine) for pain and take a sitz bath. Does it bleed? Consult your doctor, discuss with him or her and take the medicine with consent. Revert back with the answers to the above questions to a nephrolo... Read Full »
My father had kidney transplant before three years and now getting fever for every 15 days. How to rectify it?
Query: Hello doctor,My father had a kidney transplant for three years. His health condition was good until last year, but for the past seven months, he started getting a fever for every 15 days. They have taken his full body tests twice in these six months, and everything seems to be fine, but the fever is... Read Full »
Answer: Hello, Welcome to icliniq.com. Kidney transplant patients are one medication that weakens the immune system of the body. This increased the risk of catching any infection. Plus there is a chance of reduction in white cell count due to the same medication. That is why I suggest you do the following... Read Full »
Is kidney transplant advisable in a patient with diabetic nephropathy and congestive heart failure?
Query: Hello doctor, I want to ask about the kidney transplant that if it is safe to do for my mother. My mother is 60 years old and has diabetic nephropathy, chronic kidney disease, GFR is 6. Creatinine is 543. Potassium is 5. She had congestive heart failure, severe mitral regurgitation. The ejection fr... Read Full »
Answer: Hello, Welcome to icliniq.com. I passed carefully through your question and would explain that kidney transplant would be a perfect solution for her low kidney function, but it could be at high risk because of her heart function. You should know that heart failure has a reserved life-expectancy. You... Read Full »
Which BP medicine is good for someone who had a kidney transplant?
Query: Hello doctor, I had a kidney transplant 17 years ago. My local doctor is on a trip overseas. So, I need some help. My only problem now is an increase in the BP. It shows 170/110 and the creatinine level is 1.7. This is the second time, I am getting such levels. Three years ago, I got the same. But... Read Full »
Answer: Hello, Welcome to icliniq.com. Serum creatinine levels can be reduced only with the aim of keeping blood pressure as low as 120/80 mmHg. I would recommend you get your complete blood count, and urine culture done. You can start with Amlodipine 5 mg once daily and can increase it to twi... Read Full »
In spite of testing positive for herpes, can I receive kidney transplant?
Query: Hello doctor,I have chronic kidney disease and am on dialysis and scheduled for transplant next month. Today I tested positive for genital herpes. Will this cause me to not be able to receive a transplant? I know you have to take immunosuppressants and I do not know how this will affect my situation... Read Full »
Answer: Hi, Welcome to icliniq.com. The immunosuppressive agents taken post-transplant will increase the risk of having an outbreak of genital herpes. So you have to report to your doctor to put you in a prophylactic antiviral therapy. For more information consult an internal medicine physician online --... Read Full »