Dr. Arti Gupta M.D.
Nephrologist (Kidney Specialist) | Nephrology
1420 Viceroy Drive 125 Dallas TX, 75235Rating
5/5
About
Dr. Arti Gupta, MD is one of the country's top rated doctors, specializing in internal medicine and nephrology. MD Gupta currently sees patients in Dallas, Texas. Dr. Gupta graduated with a medical degree ...
Education and Training
AIIMS MBBS 1992
Provider Details
Dr. Arti Gupta M.D.'s Expert Contributions
When is dialysis actually required?
The decision for dialysis is based on land as well as symptoms. If she is at stage 5 and labs are abnormal, e.g., the potassium is high, she has severe acidosis or markers for poor nutrition, or is developing leg swelling/shortness of breath, then it is time to start dialysis. Waiting too long can be detrimental to her health. Also, we don't want to start too early, but start dialysis if indicated by symptoms or labs. Discuss with your doctor or, if you want a second opinion, then call my office at 2143582300. READ MORE
My baby is 10 months old and has water retention in her legs. Should we be worried?
It is important that the pediatrician check her blood tests for kidney function as well as liver function in addition to checking her heart. She also will need urine to be tested to get to a final etiology of leg swelling READ MORE
My brother is due for a kidney transplant. What are the chances that my kidney will work for him?
As long as you are healthy and you both are a match, then it's an excellent idea to donate. He should remain compliant with the medications after the transplant to prevent rejection. Non-compliance with immunosuppressants can increase the risk of rejection. READ MORE
What is the way to confirm chronic kidney disease in a patient?
She already has advanced CKD at stage 5 READ MORE
My mother is dealing with fluid retention in her body despite taking lasix. What can she do?
It depends on the stage of CKD. Also, she should limit her fluids and salt intake while on diuretics for leg swelling. To give a final answer, I will need to review records. If you are in Dallas, call my office at 2143582300, otherwise, we could give a second opinion by telemedicine, too. READ MORE
Is there a sign to look out for to detect kidney disease early?
As part of the National Kidney Foundation, we do KEEP screenings for early detection of kidney disease. Check on the internet to look for one close to you. If you're in Dallas, I have organized one at methodist Dallas on 3/31. READ MORE
Can a person with just 20% kidney function survive without a dialysis?
There are several aspects to this question. Usually, dialysis may not be needed at a GFR of 20, but that is the time an access is planned to ensure that patient can start dialysis in future. Some patients with issues with volume management or persistent hyperkalemia may need to start dialysis at GFR more than 15, but not too many. If she has multiple comorbidities and does not want to do dialysis, then there are options for medical management with dietary modification and supplemental medications. It is difficult to say what the long term prognosis or duration of life may be for each individual patient without actually evaluating them. Data shows that elderly, debilitated patients with multiple comorbidities may not do as well on dialysis as those without these risk factors. Please feel free to come for a second opinion, if you would like to. READ MORE
Does a creatinine level of 5.5 require dialysis?
It's not just the creatinine number, but accompanying symptoms and abnormal labs that determine the need for dialysis. What is her blood urea level? It seems from the symptoms that she is uremic and may need dialysis initiation. Does she have poor appetite too? Swelling? Nausea? Itching? Confusion? All these symptoms are also concerning for uremia along with the increased sleepiness you described. Please take her to her nephrologist soon. READ MORE
Proteins were detected in my urine. Is it fatal?
Protein in urine is concerning. Are you diabetic? Hypertensive? You will need further evaluation, including blood tests for many different disease processes that can cause proteinuria and a kidney biopsy if the protein is significant. You should see a nephrologist soon. READ MORE
Is it normal to have cloudy urine?
Frothy and cloudy urine is concerning for proteinuria. Please get checked asap. READ MORE
What is the cause of blood in the urine?
It surely can be a serious situation. Painless hematuria after age 50 does raise concern for tumor/mass, with risk for urological malignancy being higher if you are a smoker or have a family history. Kidney stones, glomeruloneohritis, vasculitis, infection, and many other causes can give blood and needs to be evaluated. READ MORE
Is there an alternative to dialysis in case of kidney patients?
Options at her age include dialysis (hemo or Peritoneal dialysis if she has support at home). Transplant could still be an option if she is felt to be a candidate which will need to be evaluated. If she has a lot of Comorbidities then she will not be a transplant candidate. If she does not want to do dialysis, and has a lot of other chronic diseases, then she may want to pursue only comfort care with medical management. We have an excellent team which does that at Dallas Nephrology Associates and can update you regarding prognosis and what to expect. You can call at 2143582300 and make an appointment so we can discuss options. READ MORE
Prognosis?
You are either at stage 5 of kidney disease, which means advanced disease close to needing dialysis. Other possibility is that this is an acute allergic reaction to ciproflixacin due to allergic interstitial nephritis. It will need to be assessed by your exam, blood and urine evaluations. You must see a nephrologist asap. READ MORE
Is there any way to pass a kidney stone more quickly?
There are ways to prevent formation of kidney stones. Once you have a stone evaluation or a 24 hour stone risk profile checked, it will give a clear idea of the kind of stones you have and you can be treated with medications and dietary modifications to prevent this in future. For now, drink plenty of water and limit salt in the diet. Please do get evaluated for a definitive answer. Instead of wanting to pass stones, make a diffference in your outcome by preventing stone formation. READ MORE
I have high blood pressure. How can I protect my kidneys?
Good control of HTN is essential for prevention of kidney damage. If your primary doctor is unable to manage your BP with medications then you may breed further evaluations to find the cause as you may have secondary hypertension or may just need more aggressive medical management. Nephrologists specialize in hypertension management so you should see one. READ MORE
Protein in urine question
This will need to be evaluated with quantification of protein and look for diseases that possibly can cause protein in urine. Proteinuria is a marker for kidney disease and can cause progression of loss of kidney function. Do not take it lightly. Discuss with PCP and see a nephrologist for detailed assessment READ MORE
Why was I referred to a nephrologist?
Absolutely! We assess the kind of stones based on blood and urine tests and can treat with medications and diet modifications to prevent stones from firming READ MORE
Natural treatment for kidney stone?
Each type of stone is managed differently. Basic modification for every stone is tomdrink a lot of water and limit salt but beyond that the treatment depends on type of stone which can be determined by stone analysis or by urine stone risk profile analysis READ MORE
Fellowships
- University of Texas At Southwestern
Charities and Philanthropic Endeavors
- National Kidney Foundation, Lupus Foundation
Dr. Arti Gupta M.D.'s Practice location
Practice At 1150 N Bishop Ave
1150 N Bishop Ave -Dallas, TX 75208Get Direction
Dr. Arti Gupta M.D.'s reviews
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