On World Kidney Day, Dr Sanjay K Agarwal, the head of the department of Nephrology at AIIMS joined IBNLive readers for an interaction on the subject.
Q. Hello Sir, I was suffering from extreme back-pain and when I got a checkup and scanned... there is a 7.3MM stone in my kidney... as my DOC said it's in the junction of kidney... I'm taking tablets and a powder since last month..and i have to scan now to check the existence of the stone... please do let me know any treatment from your side and diet I should take. Asked by: Jazz
A. Stone can go with lots of fluid and some drug for dilatation of ureter. But if it persist then you need to show to urologist to assess if any intervention is required. Diet depends upon type of stone which requires analysis of stone. This also can be discussed with your urologist. Without knowing more details, other advice will be difficult.
Q. My father, 65 years old, is a diabetic patient and has a kidney problem. His feet swells from time to time but the doctors are saying dialysis is still not required. What should I do? Asked by: T Bhattacharya
A. Follow medical treatment. Dialysis is required only once problem goes beyond a limit. Every patient of kidney disease does not need dialysis.
Q. Sir, what are d general indications of beginning of Kidney problems and top three general day 2 day steps to keep kidneys healthy? Asked by: Neeraj Chauhan
A. • Hypertension • Swelling over body • If any family member has CKD • Low hemoglobin which is undiagnosed • Fracture of bone with minimal trauma Loss of appetite and vomiting Take adequate water and check for kidney disease if any of the above symptoms.
Q. I have polycystic kidney.My father passed away at the age of 53 and paternal uncle at the age of 68 due to PKD. I am 34. Urea and creatinine are in range. Creatinine around 1.2. What is the alarming level of creatinine? I am on hypertension medicines Lisinopril 10 mg twice a day. Asked by: Girish
A. In my opinion, any creatinine above normal value is not good. Better will be to get regular check up say every 3 monthly for creatinine and blood pressure. Take large amount of fluid as that is useful in PKD. Avoid coffee.
Q. I'm 30 yrs old working professional & I'm diagnosed with high BP. Can this affect my kidney or lead to other problems in future. What precautions should I take? Asked by: seema
A. Yes, high blood pressure, if uncontrolled can affect other organs including kidney. Take less salt and less fat and control your blood pressure with medication and folloup with doctor at a regular interval. Good luck.
Q. What diet should a patient suffering from kidney disease follow who has not yet reach dialysis stage? Asked by: Kamya
A. Low salt (Most cases) Low protein Low fat No smoking Diet less in K if there is tendency of high K.
Q. Should patient suffering from kidney problem avoid water & dal intake? Asked by: Priya
A. Mostly should restrict. But this can not be generelised. It depends upon degree of kidney failure.
Q. Hello sir, when I eat food at dinner time, I often feel pain in my back side and in stomach. This happen only when I eat food. Pain continues for about 20 to 25 minutes. Sir, what I have to do? Asked by: Suhaib amin
A. You are likely to have stomach related problem. Show to a internist or a gastroenterologist.
Q. What is the procedure for a common man suffering from kidney disease to get treatment from AIIMS? Asked by: Deepak
A. Get your self referred by your family physician, come to OPD, get a card made for Nephrology, come to second floor OPD block and you will be seen.
Q. I am 43 yrs old. My creatinine is 12.9 and urea is 190. But I am working normally and I am not having any problem so far. I am undergoing homeopathy. Tell me about my condition. Asked by: Hari
A. If you want a good quality life, you should start dialysis and think of kidney transplant. Homeopathy treatment at these values will NOT help. You may not find problem for some time but ultimately it will complicate.
Q. Today is World Kidney Day. What message would you like to give to people suffering from kidney problem & youth who work in highly stressed environment? Asked by: Kamya
A. If some body already has kidney problem, then do not get depressed as lot more can be done to keep you healthy and carry a normal life. Follow your treating doctor regularly.
Q. My dad has a crossed fuse ectopic kidney & has multiple stones...The largest being 2cm.What is the best procedure for stone removal PCNL or ESWL Asked by: Sheetal
A. It can not be generalised as depends upon many thing. Leave it to your treating urologist to decide.
Q. Hello Sir, i feel very pain in my kidney area sometime. I have also consult the Dr but he ignore the kidney related problem, he says you are fit, no need to worry. But pain is still. Dr. What should I do so that I can rid this pain forever? Asked by: Owais lone
A. It may be possible that you may have spine problem. Pain in kidney area is not always due to kidney disease. As such very few kidney diseases causes pain locally.
Q. What causes kidney disease other than stress? Asked by: Rohit
A. Diabetes, Hypertension, Hereditary diseases, Renal stone Kidney Infection and many more.
Q. What should we do to have a good health and kidney? Asked by: Ram
A. Balanced diet and life style, follow your doctor advice regularly, take medicine regularly, if taking
Q. Does regular alcohol, smoking & non-veg intake lead to kidney problem? Asked by: Rohan
A. Smoking is bad, non-vegetarian diet not good, Alchohol in moderation OK.
Q. Is Sensation of urination frequently a cause of kidney problem. Asked by: Sarin
A. No, it may be symptom of kidney disease
Q. What causes renal stone Kidney Infection? How can a normal person know & get tested? Asked by: Jyoti
A. Kidney stone has many causes. Any kidney stone can be infected. If some one has pain in kidney, blood in urine, recurrent urine infection, history of stone disease in family, then he may have stone disease. Urine exam, X-Ray abdomen and ultrasound abdomen will diagnose stone in most cases.
Q. Hello sir, I have a 1.5cm stone in my kidney. Is it good to go under surgery rather than to bear pain? Asked by: Owais bhat
A. Yes.
Q. What are the symptoms of kidney disease? Asked by: leena
A. Swelling over body, Low hemoglobin which is undiagnosed High blood pressure, Fracture of bone with minimal trauma, Recurrent infections, Loss of appetite and vomiting.
Q. What are the symptoms of kidney disease? Asked by: chinky
A. Already replied.
Q. Do the kidney stones appear again even after the treatment? Whats the typical risk of appearing again? Asked by: Vikas
A. There is definite risk of recurrence of kidney stone. So, every patient after treatment of stone should follow regularly to pick up recurrence.
Q. How long Kidney failure can live without any problem.Also tell me the most common symptoms of kidney failure? Asked by: Suhaib amin
A. Kidney failure is of various grades. Mild kidney failure may live for years and years. It is only severe renal failure which requires dialysis or kidney transplantation.
Q. My bones fracture with minimal trauma. I have low calcium but rest blood test report is normal. My father is suffering from kidney problem. Can I get kidney disease as well? Asked by: leena
A. Please show to nephrologist and get it excluded that you do not have kidney disease. You are at risk.
Q. I had a 3-4 (-5mm) kidney stones. After taking medicines it has reduced to 1. However took a bit long. Do you suggest to continue medicine or go for surgery? Asked by: Vikas
A. If it really has reduced, then ask from your doctor who has prescribed this medicine.
Q. How much percentage of protein in urine confirms kidney disease? Asked by: rahul
A. Any protein say more than 100 mg/day should raise a suspicion.
Q. What is a kidney stent operation? At what stage it is done? What diet should one follow? Asked by: leena
A. These are different questions. Stent is used for some blockage in passage of urine. Diet depends upon what is disease, which is not clear from your question.
Q. I got the kidney surgery because of stones. Still have pain. Please tell me what I have to do? Asked by: Suhaib amin
A. Please doctor who had operated upon you. He/she should be able to solve your problem.
Q. Is kidney diseases a hereditary diseases? Asked by: Suhaib amin
A. No, majority not. However, few kidney diseases are hereditary.
Q. Hello doctor, My Mother is 74 year old, recently we have started a Hemo Dialysis procedure, as per doctor advise three course a week is been followed, creatine level is maintained around 5, now we are finding a new problem of swelling in the Leg / Hand area, Can I know what could be the reason for the sudden swelling in these area, thanks. Asked by: V.Prabhakaran
A. Most likely is that she is gaining more weight and fluid in body is in excess. She needs to get removed more fluid. But best will be to ask this question from doctor who is dialysing her.
Q. Can Kidney failure be reversed through diet control and life style changes? Asked by: Chetan
A. There are two types of kidney failure. Acute kidney failure may become normal with treatment. However, chronic kidney failure, if diagnosed properly, can not be cured by any treatment.
Q. My urea count was only 16 mg/dl and I am 59 years old, anything wrong with my kidneys? Asked by: leelumsum
A. No unlikely.
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