expert type icon EXPERT

Dr. George Nassar, MD

Internist

Dr. George Nassar is a nephrologist practicing in Houston, TX who specializes in the care and treatment of all aspects of kidney disease. Dr. Nassar has achieved the position of Professor of Clinical Medicine due to his broad expertise in kidney disease managment, educational skills, teaching, and research activities. Dr. Nassar treats conditions like choronic kidney disease, acute kidney failure, polycstic kidney disease, high blood pressure, kidney stones, electrolyte abnormalities, and more. Specifically, Dr. Nassar has extensive experience in management of diabetic kidney disease, kidney disease in the context of heart disease, and fluid overload states. Dr. Nassar has expertise in kidney transplantation, and all types of dialysis modalities. Additionally, Dr. Nassar has exterise in dialysis vascular access management. Dr. Nassar is well liked by his patients who find him personable, attentive, caring, effective, and professional.
36 years Experience
Dr. George Nassar, MD
  • Houston, TX
  • American University of Beirut Faculty of Medicine in Lebanon
  • Accepting new patients

What are the treatments for urinary tract infection?

Treatment is antibiotics in general. For recurrent infections, or infections in men, urology evaluation of the urinary tract is needed.

Do you need contrast for kidney stones CT scan?

Usually CT scan Kidney Stone protocol does not need contrast. If a problem is discovered in the initial CT scan, one might need additional evaluation.

What’s going on with my vagina?

Best to have a GYN exam, and a urine analysis and urine culture.You need to find out if you have a UTI or another type of infection (depending on sexual activity).If you have a READ MORE
Best to have a GYN exam, and a urine analysis and urine culture.You need to find out if you have a UTI or another type of infection (depending on sexual activity).If you have a family doctor (called PCP), you may want to call and get them to check you out first with urine testing.

Is my protein shake damaging my kidneys?

Interesting observation. If you drink the protein shake without exercising, does the foamy urine happen? If you exercise without drinking the protein shake, does the foamy urine READ MORE
Interesting observation.
If you drink the protein shake without exercising, does the foamy urine happen?
If you exercise without drinking the protein shake, does the foamy urine happen?
What is exactly in the protein shake? Any coloring agent? Any Pigment?
How much protein is in it? What are they adding to it?
Try different protein?
Try less amount of protein.
Check your urine by urine analysis to see what is happening. get an order for U/A from your doctor so that when foamy urine happens you go to the lab and do U/A.
Could there be an effect from exercise? any blood in urine.
So many questions come up. Best to do U/A when it happens.
In theory the protein shake should not do that, but something is odd here.
Is it too fatty as well?

Are cysts on kidneys life-threatening?

Some cysts are simple and not dangerous.
Some cysts are concerning if the Radiologist says so in the report or suggests follow up.

Can a kidney infection cause back pain?

Yes a kidney infection can come back. It is essential to know why it happened in the first place and if there is any preventive measures.

High Creatine

The baseline creatinine (previous value) is crucial to know how much untoward change has occurred in the value.A eGFR 43 is not an emergency, but is considered Grade 3 chronic READ MORE
The baseline creatinine (previous value) is crucial to know how much untoward change has occurred in the value.A eGFR 43 is not an emergency, but is considered Grade 3 chronic kidney disease.At times creatinine and eGFR fluctuate with dehydration or acute events.Best to consult with your physician.

Anion Gap

An anion gap of 8 mmol/liter is normal. In general, the normal Anion gap is 8-12.

Double dose of antibiotics for kidney?

Did you have a urine culture done to document if you Gad UTI? I think you should have a CT scan kidney stone sequence to check if you have a kidney stone at this time before you READ MORE
Did you have a urine culture done to document if you Gad UTI?
I think you should have a CT scan kidney stone sequence to check if you have a kidney stone at this time before you take another round of antibiotics and you can do U/A with reflex culture.

Why is there blood in my urine?

You need to be evaluated by a urologist. You might have a kidney stone or some other bladder or kidney reason to bleed. You need cystoscopy and CT Renal stone protocol.

Do I have a UTI?

Burning on urination, cloudy or smelly urine, frequent urination above usual, and fever. Some symptoms may occur alone and sometimes in combination. For severe infections, flank READ MORE
Burning on urination, cloudy or smelly urine, frequent urination above usual, and fever. Some symptoms may occur alone and sometimes in combination. For severe infections, flank pain or high fever would occur.

Collagen supplements?

What is the reason to take collagen supplements? Always think of how certain is the benefit of any supplement? If you take them, take them in moderation. In general if you have READ MORE
What is the reason to take collagen supplements? Always think of how certain is the benefit of any supplement? If you take them, take them in moderation. In general if you have kidney disease, a low protein diet is recommended.

Are you sedated for a bladder biopsy?

Check with the urologist doing the procedure while you are signing consent.

When should you go to the hospital for a kidney infection?

Go to hospital if you have pain over the kidney and high grade fever. If you have chills, vomiting, drop in blood pressure, dizziness, vomiting, decreased urine output or blood READ MORE
Go to hospital if you have pain over the kidney and high grade fever. If you have chills, vomiting, drop in blood pressure, dizziness, vomiting, decreased urine output or blood in urine.

Can kidney stones be cured without surgery?

Depends on their size and composition. Large size stone might not pass easily and safely.

What kind of anesthesia is used for kidney stone removal?

Best to ask the urologist who will be conducting the stone removal and under what conditions, and what actual procedure is being done.

How long after antibiotics does kidney infection go away?

Depends on the severity of infection. For mild infection, may take antibiotics for 5-7 days, but for severe infections, might need 2 weeks and frequently IV antibiotics.