Tags » Laboratory Testing
I am a 79 year old white male with Type 2 diabetes. My left kidney was removed 28 years ago due to a tumor. Fasting levels are in the 96-110 range. eGFR is 49 (up from 43 two months ago.) Serum creatinine 1.53; Potassium 5.4; BUN 29. Recent 24hr UA: UA Protein (calc) 80. Total Protein is 4.3. I feel my PCP is not taking enough action or giving me enough information about my lab results. His notes indicate that everything is normal with my lab results. My BP runs 120/78. My meds include 10mg of dextrostat and Lisinopril HCTZ 20/12.5 Does the dextrostat or (the supplement L-thinine 200mg) have a negative affect on my kidney function?
Dextrostat (dextroamphetamine) is a very potent stimulant and can cause elevation in your blood pressure. I am not aware of the drug L-thinine. This is not a compound with which I am familiar. 46 more words
Recently diagnosed with CKD stage 3B. Also rheumatoid arthritis diagnosis recently. Is methotrexate safe for me to take?
The dose of Methotrexate must be monitored and sometimes reduced for patients with chronic kidney disease (CKD). I suggest that you review your concerns with your Rheumatologist and your primary care physician (PCP).
Hi, One of my patient has HbsAg + and HCV RNA + . Which hemodialisis machine is appropriate for him?
Hi Doctor, About 4 months ago, I had vomiting, constipation and pain in lower back abdomen due to pushing and gas. I went to the doctor and he wrote few tests. My urine tests showed protein, traces of blood and my CBC blood test had WBC and NEU higher than normal. He wrote another test for creatinine and blood urea and it was 3.3 and 55. He referred me to a nephrologist. The next day, I couldn't see nephrologist because he was out of town. I felt so much thirsty on that day and drank alot of water. The nephrologist wrote same tests again and this time my urine has no traces of blood or protein, my CBC was normal except Hematocrit little less and my creatinine was dropped to 2 while BUN was 43. My ultrasound report showed no back pressure, normal size kidney, high echogenicity suggested. The nephrologist said it is temporary and said to go for tests again after 15 days. The test are normal since then. No traces of blood in urine, no protein since 4 months now. I have done 4 more tests. I am concern if I have CKD or is there any chance of CKD and what my ultrasound report mean by high echogenicity suggested?
I am unable to make a specific diagnosis based on the information that you present. You could have acute kidney injury that is in the process of recovery or you could have… 52 more words
Hi. Are there any complications associated with hemodialysis and very HIGH platelet count due to past splenectomy?
Platelets are used in the blood clotting systems in your body and having a high platelet count could cause problems for blood clotting in the… 65 more words
My son is 12 and evidently was born with a blockage to one kidney, which is now only functioning 3%. He had one UTI when he was 6, which was treated with antibiotics, but other than an annual urinalysis at check-ups, no tests were ever done to detect the problem. He felt good up until a year ago, when he started having a lot of headaches and nausea a couple of times a week. His pediatrician misdiagnosed him with migraines in January and no testing was done until he ended up in the e.r. several weeks ago and they (thankfully) ran many tests on him. What would be considered to be "standard" care for a 6 year old boy with a UTI that seems to respond to antibiotics but he has no other symptoms? Would a renal ultrasound be considered to be "standard?" Or for a 12 year old boy with migraine- like symptoms and a history of 1 UTI? For the time being he's stable with the help of blood pressure meds. as we wait for his surgery and he's actually feeling better than he has in a year. His other kidney is thankfully "fantastic," according to the two specialists who read his scans. They are very well-respected and I trust their judgement. My son has to have a laparoscopic nephrectomy. What is the typical recovery from a laparoscopic nephrectomy like? I've been told there's a 4 day recovery but that it will take quite a while after that for him to get back to 100%. I'm trying to figure out how much support he might need from his school after his surgery. Will he be able to walk from class to class? Carry a backpack?
The questions that you ask are surgical questions that come under the expertise of a pediatric urologist. I am a nephrologist and do not see children. 28 more words