Q: I am 49 years old and underwent kidney transplant 2 years back. Now my creatinine is 1.4 mg/dl, platelets 43000/mcl, Hb 10.7 g/dl and urine shows ++ albumin. I was taking Neoral 75 mg, Rapamune 1 mg/day, Prednisolone 5 mg. I was then switched over to Ramamune due to high SGPT. My last Cyclosporin level was 84 mg/dl and Rapamune level was 7.50 ng/dl. Again Neoral was switched to Pangraf 02 mg after seeing albumin in urine. Is there any possibility of rejection or it is due to drug toxicity? What kind of a diet should I take? My donor was not blood related.

A:You have either a rejection or a recurrence of the original disease in the transplanted kidney, the latter is more likely They should do a biopsy of the transplanted kidney.