Doctor insights on:
Kidney Disease And Low Iron
Thirty four yr old female with polycystic kidney disease. I was told I'm a teeny tiny bit anemic, but I'm always hot, dosage of iron should I take?
Anemia's serious: "A teeny tiny bit anemic" is like being "a little bit pregnant." Anemia is always serious and the cause needs to be found. If it's iron deficiency, and it's due to your monthly loss, take the dose of iron that you can tolerate. I'm more concerned that your kidneys are starting to fail and this is the actual cause of your anemia; iron would not help. Your physician must explain the actual cause. ...Read moreSee 1 more doctor answer
The kidneys are paired organs that lie on either side of the vertebral column. Part of their critical functions include the excretion of urine and removal of nitrogenous wastes products from the blood. They regulate acid-base, electrolyte, fluid balance and blood pressure. Through hormonal signals, the kidneys control the ...Read more
75y old(single kidney+chronic kidney disease),creatinine (~250),hemoglobin (~9.5),red cell count(3.6),Iron serum(107). Shall we use Aranesp (darbepoetin alfa) injection?
No: Often c3 complement levels are a nonspecific marker of other possible problems like infection or autoimmune inflammation or lupus perhaps. But if you have normal kidney function otherwise that may not be the case. You might need to have your kidney function looked at more closely to be sure of this with other tests first. ...Read more
How high?: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, it would have been helpful to know the actual creatinine and eGFR values. If these are abnormal if would be prudent to consult a nehprologist so that a treatable entity is not overlooked. ...Read more
My albumin/ creatinine ratio was 0.97 with range of 1.2-2.5. Albumin was 4.0,creatinine level was 0.60 .both low range.could this be kidney disease?
Best to say, a bit.: without an exam, I can only give general information. while low protein diet is recommended, the benefits are mild mainly because most causes of chronic kidney disease (diabetes) we cannot forestall continuing injury. Protein takes kidney effort to get rid of. less kidney effort if lower protein intake. ...Read more
Can we say that if a person has low IONIZED CALCIUM and high INTACT PTH, that person has already kidney disease?
No: Kidney disease diagnosis requires many more criteria. PTH is only one seen in advanced kidney disease. It is raised on other conditions too. ...Read more
Now that my IONIZED CALCIUM is low and my INTACT PTH is high, does it mean or does it confirm that I have kidney disease?
Not diagnostic: Hi. Low ionized calcium and high PTH (a condition called secondary hyperparathyroidism) is in no way diagnostic of kidney disease. Secondary hyperparathyroidism may be seen in kidney disease. Kidney disease is usually diagnosed by an elevated serum creatinine and sometimes by other things like protein or blood in the urine. There are common non-kidney causes of secondary hyperparathyroidism. ...Read more
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