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Dr. Jeremy Gitomer

Nephrology and Dialysis
ANCHORAGE, AK
31 years experience male

About

Bio

Completed Internal Medicine and Pediatric Residency at UT Houston Completed Combined Adult and Pediatric Nephrology Fellowship at UT Houston Currently practicing Adult/Pediatric Nephrology and ICU medicine in Anchorage Alaska Clinical faculty member of the University of Washington

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Nephrology and Dialysis

Languages spoken

English

Doctor Q&A

159 Answers
79 Agrees
The number of answers this doctor has agreed with.
A 48-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Any Kidney Disease: Obviously hypertension can cause kidney injury and thus induce protein losses from the kidney. Almost all glomerular (filter) diseases of the kidney-... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old male asked:
Dr. Jeremy Gitomer
31 years experience
It can happen: Mainly it depends on the cause of kidney disease. G. Remuzzi in italy runs a renal remission clinic and he recommends all patients be treated with ac... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
No: Kidney infections are diagnosed from a urine analysis and symptoms. The urine culture should be positive for bactia. The blood work is sometimes hel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
High protein intake: The kidney excretes acid by producing ammonia which traps the acid in urine. Most people eat 1mosm/kg per day of acid in the form of protein ( amino ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Common : Common symptoms of a bladder infection are urgency, frequency, burning with urination, and visible blood in the urine. Low back pain is less comm... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
More data : Seems protracted for gbs. You need a nerve conduction study and treatment if you have gbs. Consider cidp (chronic inflammatory demyelinating polyn... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
No: Pregnancy tests are very sensitive and are not interfered with by a UTI or infection.
Created for people with ongoing healthcare needs but benefits everyone.
A 61-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
Histamine related : Zestril (lisinopril) is an ace inhibitor and in addition is a bradykinase inhibitor. This means it prevents the breakdown of bradykinnins. Bradykinni... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
See an expert: Ic is a complex pain syndrome that is less abladder disease and more a pain disorder with difficulty in processing and dampening pain. Palliative car... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old male asked:
Dr. Jeremy Gitomer
31 years experience
Not Normal: Likely it is not a big issue. Repeat and make sure they look under the microscope for red blood cells. The dipstick can be positive with muscle brea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 58-year-old male asked:
Dr. Jeremy Gitomer
31 years experience
Options: Prostate size will shrink by 30% in many men on a combination of Alpha blocker (flomax (tamsulosin)) and 5 Alpha reductase inhibitor (proscar/avodart)... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Double check: Make sure the infection is cleared with another urine analysis and culture. This is the most common cause of persistent symptoms. Pyridium (phenazop... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Attitude is key: Most of my patients on dialysis live very happy lives. Dialysis allows them to stay alive and healthy and gives them opportunities to experience life... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Depends on Cause : Many chronic kidney diseases are progressive and do not improve even with therapy. Some, such as wegener's or lupus, in the acute phase have treme... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
None: Shrinking kidneys are a sign of scar tissue developing in the kidneys. There is no treatment that reverses the scar. The are treatments to slow the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Depends on heart: The light chain deposition disease is unlikely to affect survival. In fact a review of myeloma and kidney failure published last year demonstrated n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
Need workup: I would be concerned about nephrocalcinosis. A disorder characterized by calcium deposition in the kidney. It commonly is associated with excess c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
Descriptor only: Renal insufficiency is a descriptor that your kidney function is not 100% of normal. Usually providers call a function between 60-99% insufficiency. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old male asked:
Dr. Jeremy Gitomer
31 years experience
No: Lisinopril will protect kidney function over the long haul by decreasing the pressure in the filters of the kidneys and preventing pressure induced in... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Unrelated: The kidney failure is unrelated and needs assessment. If your kidney function is more than 60% not you likely are ok. If less, given your age, it ne... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old male asked:
Dr. Jeremy Gitomer
31 years experience
Vascular issue: Pitting edema of 1 leg is unlikely to be a systemic issue such as chf, kidney failure. You state negative deep vein thrombosis. I would suspect a pr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 61-year-old male asked:
Dr. Jeremy Gitomer
31 years experience
Stone: You have symptoms of renal colic which is a crampy pain that comes and goes starting in the flank and typically moving over time to the groin. You al... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Jeremy Gitomer
31 years experience
Consider dialysis: Symptoms suggesting dialysis are lethargy, concentration issues, tremors, nausea, vomiting, anorexia and weight loss. At your level of function dial... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old male asked:
Dr. Jeremy Gitomer
31 years experience
Yes: He can remain on dialysis for as long as he is alive. He will have a significantly shorter life expectancy compared to a nondialysis patient. Tra... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
Need diuretic: Lisinopril is an ace inhibitor. It will lower your blood pressure by preventing angiotensin 2 associated vasoconstriction of your blood vessels. It ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
Wait : If you have symptoms try Pyridium (phenazopyridine) which is an over the counter product that will help with the pain with urination and bladder irrit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
Low purine diet: To minimize the production of uric acid eat a low purine diet. 1/3 of uric acid is from diet and 2/3 from metabolism. Avoid red meal, red wine, shri... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Work for what: Magnesium citrate for constipation typically works within 4-6 hours of drinking 8 ounces. If it does not work there be be a bowel obstruction or exc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
Get Seen!: It could be something as simple as a bladder infection. Blood in urine could also be sign of a stone in the urinary tract. Also, some kidney disease... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Might not be gout: Pain under both knees is unlikely gout. Usually gout is 1 joint. The affected joint is almost always red, hot, swollen and in fact frequently looks ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
CPK or CK: CPK also known as creatinine kinase. Creatinine is converted to phosphocreatinine by creatinine kinase. Ck is measured to determine if muscle is... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
7-14 days: If a long time dialysis patient stops dialysis, not because of recovery of function, the average 10 days. Usually death occurs between 7-14 days. So... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. Jeremy Gitomer
31 years experience
Drink: If the stone is in the kidney you may have to do nothing. If you have pain the stone has moved and lodged in the drainage system. If this occurs dri... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 60-year-old male asked:
Dr. Jeremy Gitomer
31 years experience
Still early: You likely have swelling of the urethral and surrounding tissues causing a difficulty in passing urine. You did not mention your bladder function pre... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
Yes: About 10% of patients in the northwest kidney network recover kidney function after being declared end stage renal disease. Most patients with acute ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
Yes: Oxytrol patches are now over the counter and work well. I suspect they are a little pricey ay this point. Detrol (tolterodine) is generic and is onc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old male asked:
Dr. Jeremy Gitomer
31 years experience
Nicotine: Electronic cigs have nicotine in them so they are still problematic as far as side effects of nicotine including high blood pressure, vessel injury, a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Many things: 1 kidney: infection, compensatory hypertrophy related to a small other kidney, obstruction of the drainage system 2 kidneys: diabetes with early ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Good protein source: If you like boiled eggs go for it. It is a good source of protein.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
Yes: This new symptom may help give a clue as to your issue with the enlarged liver and spleen. In addition it likely represents either leaky vessels from... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 74-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
Low sodium: Low sodium diets are essential to avoiding hypertension and may slow the loss of kidney function. A recent article suggests maintaining a low phospho... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
Low sodium: Low sodium diets are essential to avoiding hypertension and may slow the loss of kidney function. A recent article suggests maintaining a low phospho... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Jeremy Gitomer
31 years experience
Very little: If you have a low magnesium level in the blood stream on testing Omeprazole is not going to correct this. You should try magnesium oxide or magnesium... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Potentially yes: High protein diets are potentially harmful because the protein load induces an increase in kidney filter pressure to excrete unused protein. The tech... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
Vascular dz: Consider a subclavian artery stenosis (narrowing) of the blood vessel giving blood flow to the arm. Blood pressure should be lower in the cold arm th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Needs evalUation: Urinary stasis allows bacteria to grow in stagnant urine. Causes can be incomplete bladder emptying, or a bladder diverticulum. You could have a con... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
Unlikely: Nephrogenic systemic fibrosis, aka nephrogenic sclerosis dermopathy, is a disorder occurring in patient's with chronic kidney disease exposed to MRI c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Yes: Magnesium should soften your stools and that should help with hemorrhoids. In addition consider miralax (polyethylene glycol). Drink plenty of fluid... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Need more data: Daily antibiotics is a treatment for patients with 3 or more urinary tract infections per year. They prevent about 90% of infections reducing the rat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
May not be gout: Need an evaluation. If an effusion (fluid in the joint space) is present tap it and look to see if gout drystals present. More likely you have typic... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
248
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Gitomer is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Gitomer is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer or tip was very helpful! Thanks! Your quick answer helped me understand why I was feeling this way. I will continue to work out & I hope I will start to feel better
HealthTap member
Thanks for your quick reply! Well the lung tumor is NSCLC squamous and the kidney was told not to be concerned about is it was also considered to be Low Grade ?
HealthTap member
Thanks for your quick reply! Kidney disease is in remission. I take cozar in hs. A friend has used wild yam for 11 years after last child.

Education & Training

Medical/Graduate school

University of Texas Medical School at Houston, TX
Graduated 1992MD

Awards

Top Doctor, First Place, Alaska - Winter
2013
Most Influential, Second Place, Alaska - Winter
2013
Thought Leader, First Place, Alaska - Winter
2013
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