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Firstly creatinine was 6.6 but doctor refereed to nephrologist in only 2days it became7.45 but after 7days creatinine is 7.82.what u suggest here?

Firstly creatinine was 6.6 but doctor refereed to nephrologist in only 2days it became7.45 but  after 7days creatinine is 7.82.what u suggest here?

Hospital.: That’s very rapid progression in what already seems to be a severely compromised renal function. I don’t know by your posting the last time your kidney function was normal, but this requires immediate and daily attention in a hospital, I’d think. ...Read more

Dr. Rex Mahnensmith
123 doctors shared insights

Nephrology And Dialysis (Definition)

Nephrology is the study of the kidney: its structure, its function, and its diseases. The kidney is an incredibly complex organ that participates in a large number of essential bodily functions. Nephrologists are fellowship trained after completing an internal medicine residency, and they are experts in non-surgical treatment of the ...Read more


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What kind of doctor removes your kidneys, a nephrologist or urologist?

What kind of doctor removes your kidneys, a nephrologist or urologist?

Nephrectomy : A urologist is the surgical specialist of the kidney and a nephrologist is the medical specialist of the kidney. So a urologist would remove a kidney. ...Read more

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If i'm under the care of a nephrologist, does that mean I won't see my family doctor anymore?

If i'm under the care of a nephrologist, does that mean I won't see my family doctor anymore?

Absolutely Not: Once you start peritoneal dialysis (pd), you will now have a team of doctors. The nephrologist will handle your medical care associated with pd. However you will still need annual check ups from your pmd and teh ability to drop in when you may develop a cold. ...Read more

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I have appt with nephrologist in a cuple weeks and primary care doc in less than a week how do I handle pain from edema till then?

I have appt with nephrologist in a cuple weeks and primary care doc in less than a week how do I handle pain from edema till then?

Edema: Elevate legs on two or three pillows for at least 30 minutes at least four times per day. When you sleep at night, elevate your legs on two pillows. Make sure ankles are higher than knees and knees higher than hips. Eat very little salt. Edecrin (ethacrynic acid) is a short acting diuretic. Try one dose twice a day for two days. Call your doctor for approval first. Be careful, this can lower your blood pressure. ...Read more

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Who is the doctor who handles urinary problems? Urologist or nephrologist?

Here are some...: Nephrologist is specialized in adjusting & applying drugs in treating any kidney diseases leading to kidney failure, and urologists are dealing with other conditions of urinary tracts like any blockage, tumors, stones, etc. of kidneys, ureters, bladder, prostate, urethra, or men's organs. In short, nephrologist is a sub-specialist of internal medicine and urologist, that of surgery. ...Read more

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Are all the medications that I'm taking as maintenance nephrotoxic? If yes, why did my doctor who is a nephrologist prescribe them?

Are all the medications that I'm taking as maintenance nephrotoxic? If yes, why did my doctor who is a nephrologist prescribe them?

Renal protective: Most medications are metabolized via the liver or kidney or both. Metoprolol is a beta-blocker. There is now research suggesting a nephroprotective effect from cyclosporine.

http://www.ncbi.nlm.nih.gov/pubmed/21885994

Gemfibrozil has been shown to protect the kidney from cis-platinum

http://www.ncbi.nlm.nih.gov/pubmed/11096145

http://www.ajol.info/index.php/aju/article/viewFile/98484/87758 ...Read more

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My cardiologists is sending me to a nephrologist because of high creatnine . My physician says its nothin to worry about . Should i be worried ?

My cardiologists is sending me to a nephrologist because of high creatnine . My physician says its nothin to worry about . Should i be worried ?

Yes: I would be worried if my creatinine was elevated, implying kidney disease. Why do you ave a pmd and a cardiologist at age 19? It implies you ave some other health issues. Go see a kidney specialist and get an answer. ...Read more

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I have post residue urine of 301.97 (normal range 30 ml). My doctor(nephrologist) wants me to see a urologist? What doe it mean? How serious is this?

Not emptying: It means you are not emptying your bladder which indicates either a bladder outlet obstruction such as by prostate or that your bladder musculature is not contracting strongly enough. See a urologist for diagnosis and treatment. Good luck. ...Read more

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What makes a nephrologist any more able to contain resistent HTN in a patient than an internist or family practice doctor?

What makes a nephrologist any more able to contain resistent HTN in a patient than an internist or family practice doctor?

HTN and neph: Scientists have determined that essential hypertension involves a kidney re-set in the excretion of sodium, resulting in an imbalance between plasma volume, blood pressure, and kidney excretion of sodium. Hence, the kidney is a source of essential hypertension. Eventually, blood vessels thicken and harden and these variables contribute to resistant hypertension. ...Read more

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In general, can a nephrologist be somewhat better at treating resistant hypertension than an average primary care physician, or not?

The quality of the: care you receive is not necessarily dependent on the specialty certification. There are many primary care physicians who excel at the management of hypertension. By contrast there are many nephrologists who are not interested in taking the time to manage hypertension in their practices. Find a practitioner interested in you and your health and that will be the best care you can receive. ...Read more

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Hi what kind of doctor diagnoses and treats diabetes insipidis? Nephrologist? Endocrinologist?

Diab Insipidis: Both nephrologist and endocrinologist can diagnose and treat this condition. There are two forms of DI. One is a pituitary deficiency of vasopressin. The second is kidney hyporesponse to vasopressin. Both are usually treated with exogenous vasopressin, though using HCTZ (hydrochlorothiazide) with low salt diet can also be used. Testing involves water deprivation testing - avoiding any fluid x 12 hours with urine test ...Read more

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What does a nephrologist do?

A kidney specialist: Nephrologists take care of patients with kidney problems. These include acute kidney injury, chronic kidney diseases, kidney stones, high blood pressure, glomerulonephritis (inflammation of kidney tissue), and kidney failure. ...Read more

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How to find a pediatric nephrologist?

How to find a pediatric nephrologist?

Teaching hosp: call your close teaching hospital pediatric dept and they should refer you to one. Large children's hospital should have pediatric nephrology ...Read more

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My bun level is 21 and my creatinine is 1.4....is it time to see a nephrologist?

Need nephrologist? : It is time to repeat the test first. And get a clean catch mid stream urinalysis Ask dr what your eGFR is calculated from creat. Then if too low recommend you do second opinion with me. ...Read more

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I was in the ER diagnosed with hydronephrosis. What should I know? And when or if should I go to nephrologist?

See urologist: Hydronephrosis, which is dilation or swelling of the kidney, arises from obstruction in the kidney tube (ureter). Critical points to define: what is causing obstruction- narrowing or kink or junction between ureter/ kidney or lower in ureter, stone in ureter. Also need to know if involved kidney is healthy with renal scan. See urologist to define issues and possible treatments ...Read more

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I have my first appt with a nephrologist today to try and rule out diabetes insipidus. What can I expect on this first appt?

I have my first appt with a nephrologist today to try and rule out diabetes insipidus. What can I expect on this first appt?

Diagnostic Process: The first goal is to verify if you have diabetes insipidus. This done through a history, physical, and tests done on simultaneous samples of blood and urine.
Next is to evaluate the likely causes.
At your follow appointments, he/she will discuss results and treatment options. ...Read more

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My GFR has been stage 3 for over 2 years now. My PCP has not even spoke to me about it. Should I see a Nephrologists? I do not need a referral.

My GFR has been stage 3 for over 2 years now. My PCP has not even spoke to me about it. Should I see a Nephrologists? I do not need a referral.

Yes, you need ...: Medically, you need to see nephrologist for F/U; but bureaucratically in insurance, it might be a different story. So, ask Doc before move-on. Remember: While the real authority is the available truth & facts of life, men-made authority for bureaucratic convenience supersedes & suppresses it. ...Read more

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Hi.I told my nephrologist that i was taking 2 captopril instead of one.My GFR went from 47 to 22 in 3 mos. She said i "did this to myself" did i?

Hi.I told my nephrologist that i was taking 2 captopril instead of one.My GFR went  from 47 to 22 in 3 mos. She said i "did this to myself" did i?

Rx directions: Not sure of your exact question here..If you were prescribed a medication and the instructions were to take 1 daily, then it is important to take 1 daily and be compliant. If you take 2 instead of one, you certainly can put yourself at risk for an adverse event/side effect, and with an ace inhibitor, the most likely adverse event would include kidney/renal issues. Hopefully any can be reversible. ...Read more

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Heard cefipeme could cause problems in kidney pts. Will nephrologist automatically reach out to my grandpa if he is on it, in light of fda warning?

Heard cefipeme could cause problems in kidney pts. Will nephrologist automatically reach out to my grandpa if he is on it, in light of fda warning?

Most probably: Nephrologists are usually acutely aware of such alerts for the benefit of their patients. To ease your mind, you might contact the nephrologist's office to see if your grandfather needs an appointment to adjust his cefipeme dose. ...Read more

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Egfr has fluctuated between stg 2 and 3 for the pst 6 yrs. Ckd is of unkwn origin. When should I see a nephrologist? Have sjogrens, and other problems

NOW!!!: You must see a nephrologist now. There may be some chance to recover renal function when you are stage 2-3, as it advances, it becomes irreversible. If you have sjogren, they need to screen for other autoimmune disease like lupus as they both can coexist , cause damage to kidneys. Often , kidney biopsy is indicated to diagnose the cause. ...Read more

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What is a nephrologist?

Kidney physician: Nephrologist is a physician who specializes in problems with kidney function and how the kidneys and their function or lack thereof affects the rest of the persons health. They may also be involved in the use of dialysis and kidney transplants as part of their treatment regimen. ...Read more

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What are the things a nephrologist does?

What are the things a nephrologist does?

Kidneys plus: Nephrologists specialize in the kidneys, but kidney function is important for other body functions. Nephrologists also deal with bones, anemia and other complications of kidney disease, especially in patients who require dialysis. ...Read more

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How frequently do I need to see my nephrologist?

How frequently do I need to see my nephrologist?

Depends: If you have mild kidney disease, then you probably need to see the nephrologist 2 to 3 times a year. However if you have more advanced renal impairment that requires multiple medications and frequent checking of your labs, they you may need to see that doctor 4 to 6 times a year. ...Read more

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What do nephrologists do? Is this a specialty. Focusing on what?

What do nephrologists do? Is this a specialty. Focusing on what?

Kidney: Nephrology is a specialty in internal medicine focused on diseases of the kidney. You may consult this site for more information on this topic.
http://www.news-medical.net/health/What-is-Nephrology.aspx ...Read more

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Is there a way to avoid dialysis when your nephrologist orders you to have it?

Is there a way to avoid dialysis when your nephrologist orders you to have it?

Avoiding dialysis: When to start dialysis is sometimes an easy decision, and sometimes more difficult. If your nephrologist sees a need then there is a good chance there really is one, but there can be differences between nephrologists as to absolute need for dialysis in cases where the lab or clinical data are not clear cut. Tthere are many risks, benefits and alternatives to discuss, so a second opinion may help. ...Read more

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What is the difference between a nephrologist and a urologist?

Medical vs. surgical: nephrology is a branch of internal medicine. they treat medical disorders of the kidney and kidney failure. They also treat hypertension. Urology is a surgical specialty. Urologist treat surgical disorders of the urinary system and male reproductive system ...Read more

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Been to a nephrologist, who else would specialize in hypokalemia?

Been to a nephrologist, who else would specialize in hypokalemia?

Endocrinologist: Potassium homeostasis is primarily determined by the hormone aldosterone so an endocrinologist might be able help. ...Read more