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Dr. Steve A. Burka, MD

Nephrologist (Kidney Specialist)

Dr. Steve Burka is a nephrologist practicing in Chevy Chase, MD. Dr. Burka specializes in the care and treatment of the kidneys. As a nephrologist, Dr. Burka most typically treats conditions like kidney stones, chronic kidney disease, acute renal failure, polycystuc kidney disease, high blood pressure and more. Nephrologists are also experts on kidney transplantation and dialysis. They are usually referred to by primary care physicians for problems related to the kidneys, and while they can perform tests to diagnose kidney disorders, they do not perform surgeries.
Dr. Steve A. Burka, MD
  • Chevy Chase, MD
  • Accepting new patients

Is a low creatinine level a problem?

It is normal to have a low creatinine level when pregnant. So it seems that your kidneys are doing the normal thing!

Steven A. Burka, MD, FACP, FASN

What factors can cause nephrotic syndrome?

Nephrotic Syndrome most commonly is caused by diabetes. In the abnormalities of the filters in the kidneys called the glomeruli. Commonly this is caused by diabetes but it can READ MORE
Nephrotic Syndrome most commonly is caused by diabetes. In the abnormalities of the filters in the kidneys called the glomeruli. Commonly this is caused by diabetes but it can also be caused by other diseases that have an effect on the filtering membrane in the glomeruli. Often these are issues with autoimmune diseases (syndromes where one is allergic to himself). I would suggest that you have a thorough evaluation by a nephrologist that may include doing a kidney biopsy.

Steven A. Burka, MD, FACP, FASN

Does pregnancy impact the kidneys in any way?

Pregnancy can impact the kidneys in many ways. Patients with preexistent kidney diseases can have worsening of their disease with pregnancy. Also, their are kidney diseases that READ MORE
Pregnancy can impact the kidneys in many ways. Patients with preexistent kidney diseases can have worsening of their disease with pregnancy. Also, their are kidney diseases that can be induced by pregnancy. The normal physiologic changes occurring in the kidneys during pregnancy can result in some protein appearing in the urine & some fluid retention. Pregnant patients often have frequency of urination because of pressure put on the bladder by the expanding uterus.

Steven A. Burka, MD, FACP, FASN

Can dark yellow urine be a sign of a kidney problem?

Dark yellow urine may be the result of a variety of different factors including, but not limited to, dehydration, or injesting some medications such as multivitamins. You could READ MORE
Dark yellow urine may be the result of a variety of different factors including, but not limited to, dehydration, or injesting some medications such as multivitamins. You could see your primary doctor to have a simple urinalysis done which may clarify the issue.

How many times a week do you have to undergo dialysis?

This depends on the particular mode of dialysis you are on. In-center hemodialysis is generally done 3 times/week (though I have at times treated patients 1 or 2 times per week READ MORE
This depends on the particular mode of dialysis you are on. In-center hemodialysis is generally done 3 times/week (though I have at times treated patients 1 or 2 times per week under special circumstances. Home peritoneal dialysis is done daily. Home hemodialysis is done 6 or 7 days per week. Studies have shown that patients do best with more frequent dialysis, which makes sense because normal human kidneys work 7 days per week. With dialysis, the closer you get to normal physiology the better

Why is my mother so breathless?

If your mother is short of breath & has chronic kidney disease I strongly suggest that you contact her physician ASAP to get his advice. She may require immediate care.

My mother has been diagnosed with glomerular disease. How is it treated?

Each kidney is composed of ~1 million functional units called “nephrons”. The first part of the nephron is the “glomerulus” or filter. “Glomerular disease” pertains to issues with READ MORE
Each kidney is composed of ~1 million functional units called “nephrons”. The first part of the nephron is the “glomerulus” or filter. “Glomerular disease” pertains to issues with the glomerulus. There are a number of different types of glomerular diseases with a variety of different treatments.
Depending on the specifics of your mother’s clinical situation, it may be appropriate for her to have a kidney biopsy. I strongly suggest that your mother see a nephrologist (kidney specialist) who can evaluate her & determine what specific treatment(s) is/are most likely to benefit her.

Steven A. Burka, MD, FACP, FASN