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 member asked:
Dr. Jeremy Gitomer
31 years experience
It is ok: You probably have concentrated urine from lack of intake during the night. Also a high protein content is associat with a larger quantity of ammonia ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Not usually: Edecrin is the only loop diuretic that is not sulfa based ( lasix, (furosemide) bumex, torsemide, ). The sulfa based drugs can cause a red rash in sun... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Yes: Klaron (sodium sulfacetamide) is prescribed for acne. If you are allergic to sulfa drugs do not use. Use on a regular basis for best results. My pa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
Depends on Type: Stones can be uric acid, calcium phosphate, calcium oxalate and cysteine. Depending on type you should modify your diet. All stone formers should be... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
Maybe not uti: If cultures are negative i would suspect a bladder issue such as interstitial cystitis, bladder spasms, small capacity, and others. You should see a ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
No association: Long term antibiotics are not described as causing crohns. If you have diarrhea you should be checked for c dificile and bacterial overgrowth. Crohns... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old male asked:
Dr. Jeremy Gitomer
31 years experience
See specialist: Make sure she is seeing a gynecologist with experience treating uterine cancer. The urinary symptoms may be related if the cancer has spread and this... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Jeremy Gitomer
31 years experience
Usually not: The treatment for hypertension usually includes a diuretic that will increase urine output temporarily after taking the medication. Hypertension in a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Variable: There are many different electrolytes. Some symptoms; high potassium: weakness of the muscles, twitching of the muscles, heart rate slowing low pot... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Not gout: It is unlikely to have polyarticular (multiple joints) gout. Gout flares typically have a swollen, red, hot joint---not just a painful joint. The ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Depends: Peritoneal dialysis allows patients with kidney disease to not suffer symptoms of kidney failure and to not die from their disease. The life expectan... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Comorbities: Dialysis keeps people with severe kidney disease from dying of kidney failure. People on dialysis will all die from diseases other than renal failure... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Infection: Infection is most likely. Many people will not have pain with infections just pressure. Other possibilities include constipation with the sigmoid co... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
Unrelated: The kidneys are not causing the migraines. The kidney stones are most likely caused by toko much calcium in the urine. Have a 24 hour urine study ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Cofactors: Magnesium has 2 positive charges and must be bound to something that has 2 negative charges when made. Magnesium can be bound to citrate, protein, s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 64-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
Vaginal contaminant: Lactobacillus is typically a vaginal contaminant. The threshold for a UTI on clean catch is 100, 000 cpu/ml so this culture should not be considered ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 58-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
Yes: 1. Lactic acid is produced by muscles during intense workouts and builds up during exercise. The acidosis, build up of acid in the blood stream, cau... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Dark is good: Dark kidneys usually means there is no evidence of scarring in the kidneys. The only time it is worrisome is if evidence of urine accumulation in the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
Support group : I assume you are on dialysis. It is very difficult for anyone to go through dialysis, especially a 21 year old. I would urge you to contact the loca... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old male asked:
Dr. Jeremy Gitomer
31 years experience
Yes for ulcers: Some people are allergic to the ingredients of mouth wash. A chemical burn can develop. Also the alcohol in most mouth wash preparations can dry o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Less Invasive Yes: Cryoablation/radiofrequency ablation--needle through the skin into the tumor freezing/burning the tumor. Otherwise progression is expected. If... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Too much calcium: Hypocalcemia is too low a calcium and hypercalcemia is to high a calcium on lab tests. Symptoms of hypercalcemia are abdominal pain, constipation, ki... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
In remission?: Wild yam acts as a natural estrogen or dhea agent. There should be no risk of kidney damage if you are in remission. If you are nephrotic you would ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
See Nephrologist!!: You need to find out what your kidney function is. If near 20% of normal you should be evaluated for a transplant. In addition you should receive in... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
Depends on cause: Acutely, many people with bladder infections have trouble with passing their urine and if promptly treated they do not develop kidney failure. Usual... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old male asked:
Dr. Jeremy Gitomer
31 years experience
Some have remission: Primary fsgs is typically treated initially with high dose steroids. If no response other agents are added such as Cyclosporine or tacrolimus . Man... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
No: It could be dangerous. If you have issues with excess potassium you may be placing yourself in harms way by juicing since many fruits and vegetables... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old male asked:
Dr. Jeremy Gitomer
31 years experience
Yes: Cocaine vasoconstricts arteries significantly causing a lack of blood flow. As a consequence the kidney gets less blood flow than usual and it will '... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Usually not: There is a condition called neurofibromatosis associated with cafe au lait spots. These spots are large, more than 1 cm in diameter, flat, painless, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
35% of normal functi: First is it an acute change or a chronic change. If acute it may be reversible. What does the urine look like? If there is blood and protein in the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
Stones: It sounds like you have significant stone disease. Even if the stones are in the kidney they still could cause bleeding if they are obstructing parts... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Whole foods : If your child is in remission (no proteinuria) a regular age appropriate diet is best. If your child is on Prednisone a carbohydrate restricted die... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Jeremy Gitomer
31 years experience
See a nephrologist: She needs to see a kidney doctor asap. Some forms of kidney failure are reversible and others are not. If her disease is irreversible she should be... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 16-year-old male asked:
Dr. Jeremy Gitomer
31 years experience
Depends on blood : If your serum (blood) potassium levels are low then an increase in urine potassium is a problem since the kidney should be holding onto potassium in t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
More: Genetic testing has identified genes associated with the development of polycystic kidney disease. Pkd-1 on chromosome 16 and PKD 2 on chromosome 4 c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Equilibrium: The kidneys determine the amount of urine you make. If you are dehydrated they hold on to fld by concentrating the urine, if you drink excessively t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
Likely Not: Melatonin can make steroids and immunosuppressants work less effectively. If you are taking a low dose under 1 gram it is likely ok. If you have a f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Likely Not: Alcohol acts as a diuretic so it is possible that your labs could look like you are dehydrated. In addition, if you drink regularly you can develop m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Depends on cause: Most pain in kidney area is musculoskeletal. If it hurts when you move or are in a certain position it is musculoskeletal. Kidney pain itself is usu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
See Nephrologist: 3 levels of protein in urine: microalbuminuria--less than 300 mg a day tubular--300-1000 mg a day nephrotic--more than 3500 if there is blood in... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Seems unlikely: Levaquin (levofloxacin) is an antibiotic frequently given for urinary tract infections which can cause frequent urination. It is possible that Levaqu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
OK: Fish oil capsules are ok in the setting of kidney disease. There is data in IgA nephropathy that fish lil slows the loss of kidney function. For oth... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
None until BAD: Most patients with kidney disease have no symptoms until their renal function is very low (15% or less). At that point the poisons that the kidney ty... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
Need Evaluation: Lots of possible answers to why you feel weak: sleep disturbances depression thyroid disease anemia chronic urinary tract infection among others... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
.???: You are either dehydrated with concentrated urine or have orange urine because of a dye you ate or a medication ( rifampin, pyridium). I have never... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Jeremy Gitomer
31 years experience
Why taking?: If taking for constipation, drinking 10 ounces of magnesium citrate, induces large volume stool output between 1-6 hours later. Therefore eating afte... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old female asked:
Dr. Jeremy Gitomer
31 years experience
You will be OK: The metoprolol lowers blood pressure and slows down heart rate. If you were on a larger dose you might be at risk of rebound hypertension. This occu... 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 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 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.

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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