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Dr. Reena P. Samuel, M.D.

Nephrologist (Kidney Specialist)

Dr. Reena P. Samuel M.D. is a top Nephrologist (Kidney Specialist) in Portsmouth, . With a passion for the field and an unwavering commitment to their specialty, Dr. Reena P. Samuel M.D. is an expert in changing the lives of their patients for the better. Through their designated cause and expertise in the field, Dr. Reena P. Samuel M.D. is a prime example of a true leader in healthcare. As a leader and expert in their field, Dr. Reena P. Samuel M.D. is passionate about enhancing patient quality of life. They embody the values of communication, safety, and trust when dealing directly with patients. In Portsmouth, OH, Dr. Reena P. Samuel M.D. is a true asset to their field and dedicated to the profession of medicine.
Dr. Reena P. Samuel, M.D.
  • Portsmouth, OH
  • MD at T. D. Medical College
  • Accepting new patients

My brother has been diagnosed with amyloidosis. What is the usual course of treatment?

There are mainly 2 kinds of amyloidosis, AL and AA amyloidosis. Treatment depends on the cause of the abnormal protein production, known as amyloid fibrils In AL amylodosis, therapy READ MORE
There are mainly 2 kinds of amyloidosis, AL and AA amyloidosis. Treatment depends on the cause of the abnormal protein production, known as amyloid fibrils In AL amylodosis, therapy is aimed at the underlying plasma cell dyscrasias. In AA amyloidosis, therapy is aimed at the underlying inflammatory or infectious etiology. As your brother is very young, I’m not sure whether he has amyloidosis secondary to Familial Mediterranean Fever (FMF). Your brother needs further studies including tissue biopsy.
Hope this will help you.

What factors can cause nephrotic syndrome?

Nephrotic syndrome is usually 3 or more g of protein in 24 hours, urine associated with edema, hypoalbuminemia (low albumin in blood), and also high cholesterol levels. It can READ MORE
Nephrotic syndrome is usually 3 or more g of protein in 24 hours, urine associated with edema, hypoalbuminemia (low albumin in blood), and also high cholesterol levels. It can be from systemic diseases affecting kidneys or from some form of kidney disease itself. Most common systemic disease-causing nephrotic syndrome are: diabetes, hepatitis B, hep C, lupus, HIV, amyloidosis, etc. Your doctor will be doing blood work and a urine test and, if needed, will be doing a kidney biopsy for the diagnosis.
Hope this will help you.
Thanks.

Do kidney disorders cause irritability and mood swings?

Uremic encephalopathy can cause irritation, lethargy, disorientation, etc. Usually that happens when the kidney function is very low. Please check with her doctor and see what READ MORE
Uremic encephalopathy can cause irritation, lethargy, disorientation, etc. Usually that happens when the kidney function is very low. Please check with her doctor and see what her renal function is (check bun and creatinine).
Thanks.

What is the affect of hypertension on kidneys?

Hypertension can be a causative factor (hypertensive nephroscletodis) or a contributory factor in chronic kidney disease. In addition to the level of blood pressure, other individual READ MORE
Hypertension can be a causative factor (hypertensive nephroscletodis) or a contributory factor in chronic kidney disease. In addition to the level of blood pressure, other individual factors are involved. As an example, black patients have an approximate eight fold elevation in the risk of hypertension-induced end-stage renal disease. This high risk may persist even with good bp control. Also, it is advisable to look for other reasons for hypertension like polycystic kidney disease, as there are kidney problems in the family also. Please check with her physician.
Hope this will help you.

What causes electrolyte disorders?

I am not sure about what kind of electrolyte disorders your sister is having. Treatment and prevention depends on the kind of electrolyte imbalance. Nausea, vomiting, diarrhea, READ MORE
I am not sure about what kind of electrolyte disorders your sister is having. Treatment and prevention depends on the kind of electrolyte imbalance. Nausea, vomiting, diarrhea, poor po intake, alcohol intake, excessive water intake, liver disease, kidney disease, thyroid problem, adrenal problem, medications, over-the-counter supplements, etc., can cause electrolyte abnormalities. Severe hypercalcemia causes kidney injury by different mechanisms. Prolonged low potassium can cause a concentrating defect in the kidney and polyuria.
Hope this will help you.

Left side abdominal pain

Usually, kidney stone ‘renal colic’ has a similar picture. Pain can be severe and may be associated with some blood in the urine, too. Or it can be a musculoskeletal soon, too. READ MORE
Usually, kidney stone ‘renal colic’ has a similar picture. Pain can be severe and may be associated with some blood in the urine, too. Or it can be a musculoskeletal soon, too. If pain persists, please seek medical advice, and you may need imaging studies.
Thanks.

Do ayurvedic treatments like massages boost kidney function?

No. If you have kidney disease, please get help from a kidney specialist. Needs to address modifiable risk factors. Also important is avoiding kidney toxic medications. Try to READ MORE
No. If you have kidney disease, please get help from a kidney specialist. Needs to address modifiable risk factors. Also important is avoiding kidney toxic medications. Try to be on a low sky diet. Avoid processed food/meat. Try to control blood pressure, bad sugar/cholesterol. Also, regular exercise will help. Avoid excess weight.
Thanks.

Can bloating in the stomach be a sign of kidney disease?

Not really. Most likely it is from dyspepsia. If you have doubt, please see your doctor and let him do a urine test and blood work.
Thanks.

Does a UTI also affect the kidneys?

A simple UTI usually does not affect the kidneys. It just affects the lower urinary tract. If the infection is severe, it can affect the kidneys and call as “pyelonephritis”and READ MORE
A simple UTI usually does not affect the kidneys. It just affects the lower urinary tract. If the infection is severe, it can affect the kidneys and call as “pyelonephritis”and is usually associated with fever, chills, nausea, vomiting, etc., and it resolves with appropriate antibiotics and you don’t have to worry about the kidneys. If you get recurrent UTIs, it may need to be evaluated.

Thanks.

I have a slight pain in my lower abdomen. Could it be kidney stones?

Very unlikely. You may have cystitis. Please do a urine analysis.

Thanks.

Would you recommend natural medicine for a kidney disease patient?

I do not recommend natural medicines. Some can even harm the kidneys.

Thanks.

What does protein loss through urine mean or indicate?

Protein in the urine is abnormal. It indicates kidney injury. One should know the amount of protein excreted in a 34-hr period. The physician can order a 24-hr urine collection READ MORE
Protein in the urine is abnormal. It indicates kidney injury. One should know the amount of protein excreted in a 34-hr period. The physician can order a 24-hr urine collection for it or can do a spot urine protein:creatinine ratio. There are several causes for protein in urine. Diabetes is one of the most important and common reasons. Needs to find out the reason for proteinuria, and management depends on the cause. There are medicines to control it. In patients with hypertension and diabetes, controlling these diseases will improve proteinuria. Also, a low salt diet will help.

Thanks.

My father is suffering from glomerular disease. What is the treatment?

Glomerular disease can be anything from diabetes/hypertension to disease affecting just the kidney alone, without any systemic disease. Did your father have a kidney biopsy? Your READ MORE
Glomerular disease can be anything from diabetes/hypertension to disease affecting just the kidney alone, without any systemic disease. Did your father have a kidney biopsy? Your doctor should be able to explain it to you. Without knowing the history, I cannot give a better answer.

When is a dialysis recommended?

Seems like your mother has stage 5 kidney disease (GFR less than 15). It is better to prepare her with an access and her doctor will decide ragarding the initiation of dialysis. READ MORE
Seems like your mother has stage 5 kidney disease (GFR less than 15). It is better to prepare her with an access and her doctor will decide ragarding the initiation of dialysis. Initiation of dialysis depends on other co morbid conditions, too.
Hope this will help you.

Thanks,  

How can I check the functioning of my kidneys?

By doing blood work, mainly serum creatinine level. Normal level should be less than 1.0. Your doctor can order a serum creatinine level. Also, you may need to check urine for READ MORE
By doing blood work, mainly serum creatinine level. Normal level should be less than 1.0. Your doctor can order a serum creatinine level. Also, you may need to check urine for micro albumin, too.

My son is passing deep yellow urine. Could it be an issue of the liver or the kidney?

It may be due to jaundice. Please see a pediatrician or a general physician first and go from there.

Will kidney infection cause back pain?

Usually, kidney infection (pydlonephritis) causes flank pain along with other symptoms like fever, nausea, vomiting, and urinary symptoms. Unlikely to cause back pain as a sequel. READ MORE
Usually, kidney infection (pydlonephritis) causes flank pain along with other symptoms like fever, nausea, vomiting, and urinary symptoms. Unlikely to cause back pain as a sequel. If you had a severe kidney infection with bacteremia and later developed back pain, then it may be worth considering a disc (vertebral) infection as the etiology of the back pain. Or you may have a back pain not related to the current infection at all. It is better to inform your situation to your nephrologist or PCP.
Hope this will help you.

Does a creatinine level of 5.5 require dialysis?

Usually, a creatinine of 5.5 is stage 5 kidney disease. Seems like she may have uremic symptoms. Better to talk to her physician and if he/she suggests dialysis, pls proceed with READ MORE
Usually, a creatinine of 5.5 is stage 5 kidney disease. Seems like she may have uremic symptoms. Better to talk to her physician and if he/she suggests dialysis, pls proceed with that. Also, it is better to check her medications to see if any meds are making her more sleepy. Also, make sure she is not anemic. Anemia is common at this level of creatinine.
Hope this will help you.
Thanks

How is the status of kidneys determined in a diabetes patient?

Diabetes damages the kidney and is the number one cause of end stage renal disease in developed countries. Also, would like to rule out other reasons too. Hope she is under the READ MORE
Diabetes damages the kidney and is the number one cause of end stage renal disease in developed countries. Also, would like to rule out other reasons too. Hope she is under the care of a nephrologist. Usually, diabetic kidney damage starts with albumin leak and slowly getting some hypertension and progression of kidney disease.

Hope this will help you.

Is there any medication to reduce the creatinine levels in a person?

Basically, no medicine to reduce serum creatinine. But there are some modifiable risk factors: hypertension, diabetes, obesity, dietary habits, sedentary lifestyle, etc. which READ MORE
Basically, no medicine to reduce serum creatinine. But there are some modifiable risk factors: hypertension, diabetes, obesity, dietary habits, sedentary lifestyle, etc. which he can work on.
Also medications like ACEI/ARB can retard the progression of some kidney diseases.

Hope this will help you.