Doctor insights on:
Living With One Kidney
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
Slippery slope: Diabetes and hypertension are the #1 and #2 causes of kidney failure. If a diabetic has only one kidney, the likelihood of decline is greater. Be aware that not all diabetics develop kidney disease and that non-diabetics with one kidney can live just fine. ...Read moreSee 1 more doctor answer
Contact organ bank: Or research local hospital where kidney transplants are performed & contact their transplant or nephrology department to inform them of your wish to donate. In philly, you could call kidney transplant program at children's hospital or at u. Penn. In new england can contact www.Neob.Org. By donating you would be giving the gift of life. ...Read moreSee 1 more doctor answer
In case of kidney transplant due to chronic kidney failure, which donated kidney is preferred: living related or living unrelated kidney?
Yes: Of course. With reasonable care with proper diet, meds as needed, optimal weight, appropriate exercise, keep your doctor visits, optimal glucose control. This is what we all need to do to live normal lives. Like i mentioned in a previous answer, we love life so much we kill ourselves. Rj. ...Read more
Usually 1: Most if the time 1 kidney is transplanted. Occasionally 2 very small (pediatric) kidneys are kept connected to each other and transplanted "e bloc" - they grow quickly. Some older kidneys with low function are transplanted together (but separated) to try to provide enough function in combination. The recipient should understand and give consent (or not) in advance. ...Read moreSee 2 more doctor answers
Can woman who donates a kidney live normal life? What care must she take?risk in pregnancy? Is there lowered life expectancy? risk of kidney failure?
Depends: Most of us need one well-functioning kidney to live normally. However, one needs to think seriously before deciding to become a living donor. After all, it is a major surgery (mortality rate 2-3 in 10,000) and it requires general anesthesia. Recent studies have shown that former donors do have slightly higher chance of pregnancy-related complications (e.g. pre-eclampsia). ...Read more
Can microscopic proteinuria reverse to normal in a person with single diabetic kidney with losartan and healthy habits?
How can I have IGA nephropathy with daily microhematuria and proteinuria but a GFR of >90%. Doesn't hematuria always equal kidney damage?
Not at all: Most patients with kidney disease have normal GFR. The estimated GFR on your lab slip is subscientific anyway. About 75% of IgA neohropathy patients have normal GFR and usually have little trouble. ...Read more
No - must be over 18: The decision to donate an organ(kidney), or part of an organ (liver, lung) while living is so important, with consequences for the rest of that person's life, "informed consent" is required. This is only possible for mature persons who are adults and are at least 18 years old. Rarely, because of unique benefit to the twin donor too, courts have allowed pediatric identical twins to be live donors. ...Read moreSee 1 more doctor answer
Yes: That would be the reason to get on dialysis as the kidneys are not clearing out the toxins, so the dialysis machine does that. 2 types of dialysis-PD&HD. Older people-above 70, tend get really wiped out after HD treatments which are 3 times a week. Survival time also depends on underlying other disease states and current functional status. ...Read more
Here are some ...: A patient on long-term dialysis can survive without any available renal function, i.e., even without kidneys although zero-functioning kidneys may still contribute their effects on red blood cell production and others. And some patients may recover to the state of not needing dialysis anymore if dialysis is given for some acute correctable conditions such as drug-/trauma-related renal failure. ...Read more
Yes: Yes many patients are either born with one kidney or have to have a resection. The remaining kidney can be overworked to compensate for loss of tissue. Sometimes scarring occurs (called fsgs). However, if the kidney is normal to start with, it usually handles the pressure over the years with no significant problems. Consider nephrology follow up and ace inhibitors. ...Read more
In kidney transplantation, which kidney lasts longer: living related or living unrelated? Or both will have same effect?
Living related: Both kidneys do well because they are living i.e. Are transferred from donor to recipient fresh. There is no downtime like in the case of the cadaveric kidney where the recipient is called after the kidney becomes available. Accordingly that kidney waits out of body for sometime. The living related has a better chance of match than living unrelated, however. ...Read moreSee 1 more doctor answer
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