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lspryguy's Comments

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5 Key Health Insights Your Urine Can Offer

5 Key Health Insights Your Urine Can Offer

Commented Apr 11, 2014 at 20:28:29 in Healthy Living

“If you have persistent bubbling in the urine, especially if the bubbles remain after you flush, I would recommend testing your urine for protein. This could be a sign of kidney disease. The protein drinks could make this worse.”
5 Key Health Insights Your Urine Can Offer

5 Key Health Insights Your Urine Can Offer

Commented Apr 10, 2014 at 16:38:26 in Healthy Living

“Serum osmolality is a measure of total body extracellualar solute (including minerals), hence my point that the extracellular (and by inference intracellular) are osmoregulated between 280 and 300 milliosmoles per kilogram in the normal individual. The kidney and posterior pituitary are the osmoregulating axis that accomplishes this in the normal individual.”

Insulin on Apr 10, 2014 at 17:07:12

“Thanks for the clarification that you are talking about a measurement of extracellualar solute and not intracellular except by inference. However this allows for invalid assumptionssince the intracellular can and does transfer its solutes or has it stolen by the very low mineral high water extracellular solution that you are advocating by drinking large amounts of water. There can be at the same time a high extra and low intra mineral salt and hydration level. That medicine inferences otherwise means little considering that the scientific track record of medicines here today gone tomorrows assumptions and discarded theories and inferences are proven historically to be not much better than fashion or flat earth misjudgements.”
5 Key Health Insights Your Urine Can Offer

5 Key Health Insights Your Urine Can Offer

Commented Apr 10, 2014 at 15:08:25 in Healthy Living

“The kidney is capable of osmoregulating between a serum osmolality of 280 to 300 milliosmoles per kilogram of liquid. They do so with osmoregulation with the posterior pituitary and release of arginine vasopressin. The kidney is capable of excreting dilute urine down to an osmolality of between 30 and 50 milliosmoles per kilogram. The typical dietary intake per day is between 500 and 800 osmoles per day depending on salt intake. This is how we the kidney eliminates unwanted osmoles. Hence 10 to 15 liters of dilute urine can be excreted per day with usual dietary intake and not affect serum osmolality. Balance studies prove this. Hence, your understanding of cellualar physiology is not in accord with known physiology.”

Insulin on Apr 10, 2014 at 16:04:03

“Regarding the damage to the body by depleting intracellular hydration and mineral levels by drinking excessive water - I don't see any reference to that argument in your reponse which uses body measurements that are not directly measuring intracellular hydration or mineral levels. What the kidneys do have no bearing on damage to intracellular terrain from loss of water and minerals. Were the subject understood it would seem no one would advise vast increased water consumption without also adding salt.”
5 Key Health Insights Your Urine Can Offer

5 Key Health Insights Your Urine Can Offer

Commented Apr 10, 2014 at 11:58:47 in Healthy Living

“I would disagree with your analysis. I find the kidney much more efficient than to waste vital nutrients. The kidney has a very wide range of tolerance when functioning normally.”

Insulin on Apr 10, 2014 at 12:45:55

“If you disagree that you will need to explain how the laws governing the distribution of water within the body can be overiden by the kidneys you claim are efficient and don't waste vital nutriets. What exactly does efficienct kidneys mean in the context of the systemic effect of drinking so much water that the urine is clear. Is clear urine a healthy or unhealthy sign. It is unhealthy because it represents mineral dilution for the body. Water attracts mineral salts and when water is introducted into the body in the unnatural high amounts you are recommending that water will attract the minerals in the surrounding tissue unless the newly introducted water has a an equal or greater mineral concentration than already exists in intracellular spaces. Drinking excessive water is actually pulling intracellur water out as the higher concentration of minerals and the water they are suspended in are drawn osmotically to the low mineral high amounts of water that are being consumed. By the time this kidneys get these vital nutrients its already too late - the loss of vital mineral intercellular fluids has already taken place. Drinking execive amounts of water hydrates the kidneys and the toilet while dehydrating and demineralizing the cellular terrain where it is most needed.”
5 Key Health Insights Your Urine Can Offer

5 Key Health Insights Your Urine Can Offer

Commented Apr 10, 2014 at 08:51:52 in Healthy Living

“Yes. I would recommend laboratory testing frequently to make sure that the furosemide and spironolactone do not result in changing chemical levels in your blood.”

bobbski on Apr 10, 2014 at 09:06:31

“I currently have labs run every nine months at the VA and 6 months by my Nephrologist. I am an extremely proactive patient. My specialists, cardiology, pulmonology, urology, gastroenterology, etc. seem to like it that way. I do not understand how one can afford not to be.”
5 Key Health Insights Your Urine Can Offer

5 Key Health Insights Your Urine Can Offer

Commented Apr 10, 2014 at 08:47:32 in Healthy Living

“Water is water to the kidney. The kidney is able to sort out what ever you drink. I do recommend that water be recognized as potable and most municipal water systems will be monitored for safety. I recommend tap water.”
5 Key Health Insights Your Urine Can Offer

5 Key Health Insights Your Urine Can Offer

Commented Apr 10, 2014 at 08:40:01 in Healthy Living

“This is a special case. Your kidney is not functioning well and fluid retention and high blood pressure may complicate transplant dysfunction. You will need careful follow up with blood chemistries. Excess water intake could lead to low blood salts in your case and water intake will have to be judged on the basis of your blood sodium level.”

Hnorc on Apr 10, 2014 at 14:45:31

“Thanks. Apparently I spoke too soon. Just came back from my 1st year clinic visit and all is well. Creatinine has dropped down to 2 and all other tests, including biopsy, came back indicating no problems. Silly me.”
5 Key Health Insights Your Urine Can Offer

5 Key Health Insights Your Urine Can Offer

Commented Apr 10, 2014 at 08:37:32 in Healthy Living

“I would concur with your comment about non-steroidal anti-inflammatory drugs (NSAID's) such as ibuprofen, Aleve, Advil, Motrin and others. These drugs change the way in which the kidney responds to hydration. I would also point out that salt intake is likely more relevant to weight changes than water intake. Water intake follows salt intake and leads to weight gain in most individuals.”

MetaMD on Apr 10, 2014 at 15:23:02

“Exactly, But as physicians we tend to over emphasize the salt intake issue and ignore the excessive fluid intake, which, together, result in body fluid volume gain. After all, when an overweight hypertensive patient is treated with a diuretic, are we not attempting to reduce total body fluid volume? Seems to me that discussing fluid intake, especially if the patient has benign nocturia, would be an important part of the management. In the old days we used to be taught that monitoring weight (as an indicator of fluid retention) was considered a "vital sign". Thanks for responding.”
5 Key Health Insights Your Urine Can Offer

5 Key Health Insights Your Urine Can Offer

Commented Apr 9, 2014 at 21:52:13 in Healthy Living

“Not my area of expertise.”

Candide33 on Apr 12, 2014 at 17:18:12

“LOL, I hear that from doctors all the time. It took a dozen doctors 5 1/2 years to diagnose MS because the list of symptoms is so long and each one only finds one or two that are in their area. One of those symptoms is extremely frequent urination so I have 'seen' more that my fair share of the stuff... you have too I guess. ;-)”
5 Key Health Insights Your Urine Can Offer

5 Key Health Insights Your Urine Can Offer

Commented Apr 9, 2014 at 21:51:07 in Healthy Living

“It is true that as we age, kidney function may be reduced. Kidney function declines by about 1% per year beyond age 40.”

bobbski on Apr 10, 2014 at 00:32:28

“Indeed. My Nephrologist seems to think that my GFR isn't really as low as indicated, given that I take furosemide & spironolactone which does affect Creatinine levels. It has stayed between 46-50 for 2 years now. I am not overly concerned.”
5 Key Health Insights Your Urine Can Offer

5 Key Health Insights Your Urine Can Offer

Commented Apr 9, 2014 at 21:49:57 in Healthy Living

“You would have to drink more than 15 liters of water in order to exceed your kidneys capacity to eliminate water. This amount will go down if you have kidney disease or if you are on diuretic medication.”

MetaMD on Apr 10, 2014 at 02:17:54

“As a fellow physician, the implication that someone who drinks less than 15 liters doesn't have to worry about adverse consequences, is verging on spreading a dangerous notion. Every day I see patients who are habitually drinking 5-6 liters daily who have a whole host of medical conditions.”

MetaMD on Apr 10, 2014 at 01:58:55

“Sorry, but as a physician myself, probably as old as you, I would disagree that excess fluid intake is harmless. Perhaps the most common consequence of drinking too much fluid is nocturia, which interferes with sleep. The ads on TV about "going all the time" may be due to an enlarged prostate, but more often the patient is consuming too much liquid. Studies show that nocturia should be considered a risk factor for cardiovascular events. Excess fluid intake can easily lead to hypertension, edema, sleep apnea syndrome, carpal tunnel syndrome, and increased sweating and anxiety. True enough that those at risk for stones should drink extra fluid, but there is very little evidence for the average person having to worry about dehydration just because the urine is not "clear". Thanks for an informative article anyway.”
What's Hiding in Your Holiday Helpings?

What's Hiding in Your Holiday Helpings?

Commented Nov 26, 2013 at 09:27:50 in Healthy Living

“Excessive phosphates are defined by your ability to eliminate them from the body. 30 million Americans have chronic kidney disease and cannot eliminate the excess phosphates added to food. This becomes a problem for those individuals. Teaching point: If you have risk factors for chronic kidney disease, be aware of your kidney function and the hidden dangers of phosphate additives.”
huffingtonpost entry

Shining the Light on Kidney Disease

Commented Sep 6, 2013 at 21:06:12 in Healthy Living

“I agree about diet. The DASH diet is the cornerstone of any diet used to treat kidney disease. The DASH diet can be reviewed at: http://www.nhlbi.nih.gov/health/public/heart/hbp/dash/new_dash.pdf
huffingtonpost entry

Shining the Light on Kidney Disease

Commented Sep 6, 2013 at 21:04:19 in Healthy Living

“The best place for you is to be with a primary care physician who you know well and trust. I don't think there is a unique place in the US. It is more about finding a primary care physician who will then help you get established with a nephrologist and make sure you are otherwise healthy. The nephrologist will care for your kidney disease, but the primary care doctor will help you live longer and better.”
huffingtonpost entry

Good News About Organ Transplantation and Kidney Disease

Commented May 3, 2013 at 21:56:40 in Healthy Living

“Mary, Medually sponge kidney can progress to kidney failure but more commonly is associated with kidney stones and acid build up in the blood. If your disease progresses to kidney failure with a low estimated glomerular filtration rate, then transplantation may be possible. Transplantation with a bio-engineered organ is a likely several years away.”
5 Surprising Ways You Could Be Damaging Your Kidneys

5 Surprising Ways You Could Be Damaging Your Kidneys

Commented Apr 1, 2013 at 08:53:52 in Healthy Living

“This is very old information. There has been a randomized controlled NIH trial to prove this. Please review: http://www.nejm.org/doi/full/10.1056/NEJM199403313301301
I am not a veterinarian but it is my understanding that cats have problems with stones related to high phosphate in the diet. Chronic stone disease is responsible for some kidney disease in cats.”
5 Surprising Ways You Could Be Damaging Your Kidneys

5 Surprising Ways You Could Be Damaging Your Kidneys

Commented Mar 30, 2013 at 21:26:56 in Healthy Living

“Protein restriction was commonly recommended for kidney disease in years past. This is no longer recommended unless you have advanced kidney disease and choose not to do dialysis. Protein restriction has been tested in randomized controlled trials and has not been shown to be of any benefit.”

Pyrum on Apr 1, 2013 at 05:40:52

“That can't possibly be correct. Protein digestion is tough on the kidneys because it results in higher urea excretion. Have you ever owned a cat? ALL elderly cats suffer from kidney failure because of their high protein diets. There are no exceptions to this.”
5 Surprising Ways You Could Be Damaging Your Kidneys

5 Surprising Ways You Could Be Damaging Your Kidneys

Commented Mar 29, 2013 at 16:27:15 in Healthy Living

“Contrast agents can be safely used in many cases, but the need for contrast needs to be carefully considered. Not all scans require contrast to get the information needed to help the patient.
Aspirin can be safely taken in small doses (81 to 365 milligrams) per day in patients with kidney disease. The kidney has the capacity to overcome the effects of aspirin in about one hour after administration. Other non-steroidal anti-inflammatory drugs (NSAID's) such as ibuprofen and naproxen cannot be overcome by the resources available to the kidney.”
5 Surprising Ways You Could Be Damaging Your Kidneys

5 Surprising Ways You Could Be Damaging Your Kidneys

Commented Mar 29, 2013 at 16:21:05 in Healthy Living

“The longer that you take non-steroidal anti-inflammatory drug (NSAID's), the more likely that kidney problems will result. I personally recommend that my patients not take NSAID's for greater than 2 weeks without seeking physician re-evaluation. The long term use of NSAID's have not been shown to benefit joints or any form of arthritis. Most of the NSAID's have cautions on the container to avoid continuous use for greater than 10 without a physician evaluation.”
5 Surprising Ways You Could Be Damaging Your Kidneys

5 Surprising Ways You Could Be Damaging Your Kidneys

Commented Mar 29, 2013 at 15:49:14 in Healthy Living

“I could not have said this any better. I also agree with the comment regarding dialysis.”
5 Surprising Ways You Could Be Damaging Your Kidneys

5 Surprising Ways You Could Be Damaging Your Kidneys

Commented Mar 29, 2013 at 15:46:56 in Healthy Living

“The chronic use of non-steroidal anti-inflammatory drugs (NSAID's) needs to be discouraged. Intermittent use for acute injury is acceptable, but there is no data that suggests the chronic use is beneficial, and there is considerable data that these drugs, when used in the long term, are not good for kidney health.”
5 Surprising Ways You Could Be Damaging Your Kidneys

5 Surprising Ways You Could Be Damaging Your Kidneys

Commented Mar 29, 2013 at 15:43:02 in Healthy Living

“I think you are mixing together low carbohydrate diet with a high protein diet. A high protein and low carbohydrate diet will yield a diuresis. I know of no study that shows that low carbohydrate mixed with low salt diet is a cause of any ill effect. The initial diuresis noted in such diets as the Adkins and South Beach diets relate to protein intake and not to the low carbohydrate component. It is true that insulin resistance and high insulin levels cause sodium retention, but just lowering the carbohydrate intake alone will not cause a diuresis.”
Let's Hear It for the Kidneys

Let's Hear It for the Kidneys

Commented Mar 7, 2013 at 21:21:06 in Healthy Living

“You should follow a low salt diet, exercise on a daily basis, maintain a healthy weight, don't smoke and don't use alcohol to excess. I am a strong advocate for the DASH diet which can be reviewed at: http://www.nhlbi.nih.gov/health/public/heart/hbp/dash/new_dash.pdf
Listen to Your Heart: 5 Danger Signs Not to Ignore

Listen to Your Heart: 5 Danger Signs Not to Ignore

Commented Feb 11, 2013 at 06:17:21 in Healthy Living

“Thanks for your comment. Peripheral vascular disease is also seen in chronic kidney disease especially in association with diabetes. The article mentions "hardening of the arteries".”
Sit Less, Stand More: Your Health Depends On It

Sit Less, Stand More: Your Health Depends On It

Commented Oct 4, 2012 at 22:24:24 in Healthy Living

“You are a member of the healthy community.”
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