Dr. Reena P. Samuel M.D., Nephrologist (Kidney Specialist)

Dr. Reena P. Samuel M.D.

Nephrologist (Kidney Specialist) | Nephrology

(6)
1711 27th St Braulin Bldg, Suite Portsmouth OH, 45662
Rating

5/5

About

Dr. Reena Samuel is a nephrologist practicing in Portsmouth, OH. Dr. Samuel specializes in the care and treatment of the kidneys. As a nephrologist, Dr. Samuel 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.

Education and Training

MD at T. D. Medical College

Alappuzha

T.D. Med Coll, Univ of Kerala, Aleppey, Kerala, India MD

Medical College Thiruvananthapuram 1990

Board Certification

American Board of Internal Medicine- Internal Medicine

Nephrology; Board Certified in Clinical Hypertension

Internal MedicineAmerican Board of Internal MedicineABIM

Provider Details

FemaleEnglish 30 years of experience
Dr. Reena P. Samuel M.D.
Dr. Reena P. Samuel M.D.'s Expert Contributions
  • 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 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. READ MORE

  • 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 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. READ MORE

  • 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 her renal function is (check bun and creatinine). Thanks. READ MORE

  • 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 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. READ MORE

  • 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, 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. READ MORE

  • 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. If pain persists, please seek medical advice, and you may need imaging studies. Thanks. READ MORE

  • 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 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. READ MORE

  • 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. READ MORE

  • 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 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. READ MORE

  • 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. READ MORE

  • Would you recommend natural medicine for a kidney disease patient?

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

  • 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 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. READ MORE

  • 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 doctor should be able to explain it to you. Without knowing the history, I cannot give a better answer. READ MORE

  • 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. Initiation of dialysis depends on other co morbid conditions, too. Hope this will help you. Thanks,   READ MORE

  • 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 micro albumin, too. READ MORE

  • 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. READ MORE

  • 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. 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. READ MORE

  • 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 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 READ MORE

  • 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 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. READ MORE

  • 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 he can work on. Also medications like ACEI/ARB can retard the progression of some kidney diseases. Hope this will help you. READ MORE

  • Is surgery necessary for a mild benign prostatic hyperplasia?

    It depends on the size of the prostrate and symptoms. Usually, mild prostatic hypertrophy is treated with medicine. Urologist,not nephrologist ,can help you regarding this. Thanks READ MORE

  • Can high blood pressure affect the kidneys?

    Yes, it can. You need good blood pressure control. This may be an uncontrolled primary hypertension or a secondary hypertension. I’m not sure about your medications. You must see a physician ASAP. READ MORE

  • Is it normal to have cloudy urine?

    Cloudy urine is not common. If you have frothy and cloudy urine, please inform your physician and you will need urine analysis initially, should proceed from there. Thanks READ MORE

  • Is there a way to reduce creatinine levels naturally?

    As there is a sudden rise in serum creatinine recently, make sure appropriate work up has been done already, including a urine analysis, kidney ultrasound, urine protein, medication review including over-the-counter medications etc. Few things she can do to protect the kidney is to cut down salt, processed meat etc. and avoid non steroidal anti inflammatory medications. Try to have good BP control and also blood sugar control. Also, cutting down total protein intake may help (around 0.6-0.8 gm/kg/day). Hope this will help you. READ MORE

  • Is there an alternative to dialysis in case of kidney patients?

    Alternative to dialysis is kidney transplant. It depends on her comorbud conditions and also availability of living donors. She has stage 5 kidney disease. If she does not like dialysis (and not a candidate for transplant), conservative measures to be done. Needs to check electrolytes, volume status and acid base balance. She should be on a low salt diet. Try to avoid processed food/meat, etc. If she declines dialysis, she can have electrolytes imbalance mainly high potassium (which can be dangerous) and also retain fluid and may develop heart failure: edema, etc., also can develop uremic symptoms like nausea, vomiting, poor appetite, lethargy, jerky movements, and finally can develop seizure, coma, etc. Let your mother talk to her kidney doctor in detail about it and may attend a dialysis clinic for PRE ESRD education. Hope this will help you. READ MORE

  • Protein in urine question

    Protein in the urine by itself can make kidney disease worse and also, it can accelerate heart disease. You have to see how much protein you are spilling by quantifying the protein in the urine. Depending on the amount of protein and other urine findings(blood) etc., may need further workup. As I'm not sure about your medical history, not sure the possible etiologies at this time. Diabetes is a common cause. There are medicines to cut down proteinuria. Also, you should cut down your salt intake. If you have Diabetes or hypertension, you need to do good blood sugar and BP control. If you are obese, needs weight reduction. Also stop any nonsteroidal anti-inflammatory medications, if you are on. Also, needs to check your creatinine. Hope this will help you. READ MORE

  • Prognosis?

    Kidney working only 14% is an acute problem or a chronic problem. Also, why are you on antibiotics? Short course or prolonged antibiotic therapy. Seems like you have stage 5 kidney disease and you should be under the care of a nephrologist at this time. Depending on your conditions, the nephrologist will let you know how to proceed from here. Hope it will help you. Thanks. READ MORE

  • Is there any way to pass a kidney stone more quickly?

    Furosemide Dora does not cause kidney stones. You have to find the reason for your kidney stones by "stone analysis " and also needs metabolic work for stone formation. Seems like you may be getting dehydrated from your furosemide. Ways to prevent stone formation is by : - Having good urine output, more than 2 liters per day - Low salt diet - Low protein diet Also, by knowing the reasons for your stone, there may be specific treatments too. Small stones can be passed by "expulsive therapy" like flomax/ IV fluids, that usually your doctor gives you while in the hospital. Hope this will help you. READ MORE

  • I have high blood pressure. How can I protect my kidneys?

    Yes. You need to keep your BP well controlled, around 130/80 mm Hg, if possible. Try to be on a low salt diet, more fruits and vegetables. Regular exercise also will help. If you are obese, weight reduction will be of great benefit too. Make sure your kidney function is ok. Try to avoid processed food/meat. Also try to avoid nonsteroidal anti-inflammatory meds (NSAIDs). READ MORE

  • Why was I referred to a nephrologist?

    Nephrologist will be doing studies to find out the reasons why you are having kidney stones by doing blood work, one or two 24-hour collection. By finding out the reasons for kidney stones, you can be treated. Urologist usually takes care of stones by removing them, but nephrologists help you from getting further stones. There are several kinds of kidney stones and several reasons for having kidney stones, so the nephrologist will be doing "metabolic workup for stone formation". Hope this will help you. READ MORE

  • What are the chances of the body rejecting a kidney transplant?

    The chances of acute rejection is about 15 percent over 5 years for a living related transplant and around 6-8 percent in the first year. Usually, there is treatment for acute rejection. Also, there is something called "subclinical rejection" and also chronic kidney injury called "transplant glomerulopathy". So, please talk to the transplant team and go from there. Hope this will help you. READ MORE

  • I would like to get a second opinion for my prostate operation. Please help.

    All depends on what kind of surgery. If it is for enlarged prodttr (BPH), usually, the urologist will do a procedure called "TURP," in which pieces of your enlarged oristate will be cut and removed to ease the urine flow. If the surgery is for prostrate cancer, then a radical prostatectomy will be performed (that is entire prostrate with surrounding tissues). Usually, TURP will not have any adverse effects. To get a second opinion regarding your surgery, a urologist will be of more help to you than a nephrologist like me. Take care. READ MORE

  • What are the natural foods that can boost kidney health?

    A few things you can do to protect your kidney are: 1. Avoid high salt diet, processed meat 2. Good Blood sugar and blood pressure control 3. Regular exercise 4. Weight reduction 5. Avoidance of smoking 6. Avoid medications which can damage the kidney like Nonsteroidal anti-inflammatory medications. In short there is no food to boost kidney health, but avoiding some of the foods can help the kidneys, if you have kidney disease. Hope this will help you. Take care. READ MORE

  • What is the cause of blood in the urine?

    Yes, it has to be checked out. May or May not be serious. Unlikely to be kidney injury, if you have no history of trauma to the kidney. You should report it to your family physician and go from there. Especially at this age, needs to rule out any abnormality in the urinary tract, both upper and lower tract (kidney, ureter, bladder, etc.). Seems like you are having painless hematuria (blood in the urine without any pain). Usually, henaturia associated with kidney stone is painful. You may need imaging studies like a kidney/bladder ultrasound and also a cystoscopy. But please see your family physician and proceed from there. If you have any further questions or concerns, please don't hesitate to contact. Hope everything will be alright. Thanks READ MORE

  • For a kidney stone, is stent the only recommended option?

    Considering the size of the stone, it needs intervention for removal.it does it pass by itself. Make sure the stone should be sent for stone analysis and also he may need work up to find out the causes of stone formation (which includes stone analyses ,usually two twenty four hour urine collection and some blood work). Prevention is very important. If your father has no other health problem, he should be drinking plenty of water so that in a day his urine out out out should be more than 2.0 L. Also cutting down on salt and high proteins will help all kinds of stone . Hope this will help you. If any questions/concerns, pls don't hesitate to contact. Best Wishes. READ MORE

  • Can urine infection cause kidney failure?

    A simple, single urinary tract infection will not result in kidney failure. But a severe urinary tract infection can result in sepsis and some times acute kidney injury and renal failure (any kind of infection, if it is severe, can result in acute kidney injury and renal failure). Especially elderly people are more susceptible to getting sepsis with UTI. It is better to prevent recurrent infection, if you know the precipitating factor. Hope this will help you. Pls contact with any further questions/concerns. Thanks. READ MORE

  • Can a person with just 20% kidney function survive without a dialysis?

    All depends on her comorbid conditions and also the rate of decline in renal function. If she does not have much medical problems and her decline in renal fn is a slow process, she still can wait .No hurry for any dialysis now. Usually, pt with heart failure, edema(swelling), diabetes etc. may end up on dialysis sooner than pt without the above problems. If she is ok without other comorbid conditions, she will do ok for a while. Hope this will help you. If further questions/concerns, pls contact. Thanks. READ MORE

  • Natural treatment for kidney stone?

    You should find out the reason for stone formation. You should need : 1. Stone analysis to see what kind of kidney stones you have. 2. Urine studies to do the metabolic work up for stone . 3. Drink plenty of water to have minimum 2.5 l urine per day . 4. Cutting down salt and high protein will also help. Depending on stone analysis and metabolic work up will decide further treatment. High urine volume and low salt and protein will help all kinds of kidney stones . Thanks Dr Reena.P.Samuel READ MORE

Areas of expertise and specialization

Hypertension

Faculty Titles & Positions

  • Clinical Professor, Ohio University -

Awards

  • Selected as Top American Physician for 15 Years Since 2001

Internships

  • Albert Einstein College of Medicine

Fellowships

  • Lenox Hill Hospital, 1995

Professional Society Memberships

  • American Society of Nephrology, Ohio State Medical Association, American Society of Hypertension

Articles and Publications

  • Published in the past

What do you attribute your success to?

  • Hard work and she always wanted to become a doctor in order to help others.

Hospital Affiliations

  • Ohio University

Accepted Insurance

+ See all 4 Insurance

Dr. Reena P. Samuel M.D.'s Practice location

1711 27th St -
Portsmouth, OH 45662
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New patients: 740-354-5393
Fax: 740-353-9068

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Dr. Reena P. Samuel M.D.'s reviews

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Patient Experience with Dr. Samuel


5.0

Based on 6 reviews

Dr. Reena P. Samuel M.D. has a rating of 5 out of 5 stars based on the reviews from 6 patients. FindaTopDoc has aggregated the experiences from real patients to help give you more insights and information on how to choose the best Nephrologist (Kidney Specialist) in your area. These reviews do not reflect a providers level of clinical care, but are a compilation of quality indicators such as bedside manner, wait time, staff friendliness, ease of appointment, and knowledge of conditions and treatments.

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