Common "Kidney Transplant" queries answered by top doctors | iCliniq

Kidney Transplant

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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Does a rise in my creatinine levels after every medication indicate kidney failure?

Query: Hello doctor,I am curious to know, if a kidney patient is given a drug and their creatinine level rises within 24 hours of taking the medication, it will continue to rise every time they take it. How do doctors help patient’s kidneys not fail or sustain irreparable damage? My creatinine level was ...  Read Full »

Dr. Karthic Kumar

Answer: Hello, Welcome to I read your query and can understand your concern. Your history is well documented. However, you did not specify how many years have gone since you became a transplant patient. Essentially, you have renal failure of the transplanted kidney. I believe your creatinine w...  Read Full »

Is a kidney transplant safe for my mother?

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 mg/dL. Potassium is 5 mEq/L. She had congestive heart failure, severe mitral regurgitation. The ...  Read Full »

Dr. Ilir Sharka

Answer: Hello, Welcome to I passed carefully through your question and would explain that a 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....  Read Full »

I am on cyclosporine. Should I use Neoral or Sandimmune?

Query: Hello doctor,I am a renal transplant patient taking Neoral 75 mg, Mycophenolate Mofetil 500 mg, and Prednisone 5 mg and would like to begin taking AST-120 to diminish the chronic decline of renal function typical in transplant patients. I was wondering how this is approached here, where I assume AST...  Read Full »

Dr. Anshul Varshney

Answer: Hello, Welcome to Thank you for your query. I have reviewed your query. First of all, you need to understand that charcoal treatment mixed with anything is a part of the experimental phase and is not recommended by FDA (food and drug administration of america) to be used in humans. N...  Read Full »

How to deal with fever in a kidney transplant patient?

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 »

Dr. Talal Hussain

Answer: Hello, Welcome to 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 »

I have genital herpes. Can I receive a 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 »

Dr. Salah Saad Hassan Shoman

Answer: Hi, Welcome to 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 »

I need to know about HSV-2 infection. Please help.

Query: Hi doctor, I need to know the real dangers of contracting HSV-2. I have had a kidney transplant. Please help.  Read Full »

Dr. Yash Kathuria

Answer: Hello, Welcome to I understand your concern. So yes, a post-transplant person who is taking immuno-suppressive drugs may get certain viral infections, one of which is HSV-2 (herpes simplex virus). This is more common in the early post-transplant phase. When did you undergo a kidney t...  Read Full »

My gums have been swollen after kidney surgery. Please 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 »

Dr. Bharat Joshi

Answer: Hi, Welcome to 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 »

Which BP medicine should I take after 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 »

Dr. Anshul Varshney

Answer: Hello, Welcome to 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 t...  Read Full »

What causes an increase in creatinine levels post transplant?

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 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. Second...  Read Full »

How does genital herpes affect a kidney transplant patient?

Query: Hi doctor, I wanted to know about the implications of genital herpes in kidney disease or transplant patients. Thank you.  Read Full »

Dr. Yash Kathuria

Answer: Hello, Welcome to I understand your concern regarding herpes infection outcomes in a prospective kidney transplant recipient. It may lead to many complications if a person is a transplant recipient and already has herpes. After the transplant, (and sometimes before the transplant) th...  Read Full »

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