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Male | 60

Könnten Diuretika einen Einfluss auf meine GFR-Werte haben?

Hallo (Entschuldigung für den langen Beitrag) Kaukasier, männlich, 60, 1,80 m, 260 Pfund. Medikamente: Lisinopril 40 mg, Metoprolol 50 mg x2 pro Tag, Amlodipin 10 mg, Furosemid 20 mg, Glimepirid 1 mg, Janumet 50-1000 x 2, Atorvastatin 10 mg...KEIN Trinken/Rauchen oder verschreibungspflichtige Medikamente. Problem: Habe nach viel Arbeit in den letzten 5-6 Jahren über 40 Pfund abgenommen ... Blutdruck 130/85, A1c 7,0 ... hier ist das Problem. Im März 2023, nachdem meine GFR jahrelang konstant im mittleren/oberen 40er-Bereich lag (nicht großartig, aber konstant), lag sie bei 41. Dr. wollte es in einem Monat noch einmal überprüfen. Ich habe meine Ernährung/Zucker/Eiweiß/Soda/erhöhte Wasseraufnahme usw. sehr streng kontrolliert ... Medikamente regelmäßig eingenommen ... Die GFR ist auf 35 gesunken. Dr. hat mich zu einem Nephrologen geschickt, aber vor dem geplanten Termin (der 6 Wochen später war). ), hat er mir Triamterene abgesetzt... und gesagt, es könne hart für die Nieren sein. Als der Nephrologe mich zum Labor schickte, stieg die GFR auf 50. Bei einem weiteren Test zwei Wochen später stieg die GFR auf 55. Der Nephrologe sagt, dass die Entfernung von Triamteren aus der Therapie KEINEN Einfluss auf den Anstieg der GFR hatte. Ich bekam Spironolacton, weil das Ödem wieder auftrat . 6 Monate später, bei der nächsten Untersuchung, sind alle Werte und der Blutdruck weiterhin gut, aber die GFR ist wieder auf 40 gesunken. Ist es möglich, dass die Diuretika meine Nieren stark belastet haben und zu einer niedrigeren GFR geführt haben? Ich verstehe, dass die GFR bei jahrelangem HBP/Diabetes nicht ideal ist, aber ich würde sie gerne bei den 50ern belassen, wenn möglich. Der Hausarzt hat mir im März 2024 das Spironolacton abgesetzt und mir Lasix verschrieben...in ein paar Wochen stehen die Blutuntersuchungen an. Der Hausarzt scheint zu glauben, dass die Diuretika zu einer niedrigeren GFR beigetragen haben. Der Nephrologe sagt, dass sie nichts mit meinen schwankenden GFR-Werten zu tun haben. Ich bitte hier um Rat von jedem mit Wissen/Erfahrung. Ich freue mich über jeden Einblick in die Wirkung von Diuretika über GFR...Alternativen zu herkömmlichen Diuretika usw. Ich habe gelesen, dass Schleifendiuretika wie Lasix am besten bei Nierenproblemen geeignet sind.

1 Answer

Answered on 22nd Aug '24

Diuretika wie Triamteren können für Ihre Nierenprobleme verantwortlich sein, die wiederum zu einem Anstieg oder Abfall Ihrer GFR geführt haben können. Die Umstellung von Ihnen auf Lasix durch Ihren Hausarzt ist eine gute Entscheidung, da es sich um ein Diuretikum handelt, das die Nieren möglicherweise weniger belastet. Arbeiten Sie weiterhin mit a zusammenNephrologeum die für Sie optimale Behandlung zu finden.

2 people found this helpful

Questions & Answers on "Nephrologyy" (93)

Cardiac or diabetes and issues is proteinurea

Male | 67

If someone is having problems with their heart or diabetes and is also having protein in their urine, this may mean there could be damage to the kidneys. The signs of this illness are the puffiness of the body, the appearance of bubble-like urine, and the presence of hypertension. This can be caused by increased sugar levels or high blood pressure in the blood. Eat healthy, control your blood sugar, and take medication as directed.

Answered on 26th June '24

Dr. Babita Goel

Dr. Babita Goel

Şu anda 20 yaşındayım yeni biyopsi oldum sonucuma bakarmısınızIKLAMA: 7yaşında nefrotik sendrom tanısı alan ve tedavi gören olgu, albumin düşüklüğü sebebi ile biyopsi alınma kliniği bildirilen olguya ait HE detayda, 20 adet glomerül izlenmiş olup, 2 glomerülde global skleroz izlenmiştir. Diğer glomerüller irili ufaklı çaplarda olup, Bowman aralıkları açık olarak gözlendi. Glomerüler bazal membranlarda hafif kalınlaşma bazı glomerüllerde mevcuttu. Ancak tüm glomerüllerde mezengial hücre artışı-matriks artışı gibi bulgular izlenmedi. Glomerüler alanda izlenen bulgular spesifik olarak izlenmezken,interstisyel damarlardan (orta çaplı damarlarda) bir tanesinde duvar kalınlaşması, lümen daralması gibi vasküler basınç değişiklikleri lehine yorumlanabilecek bulgular izlenmiştir. Detayda ilave olarak interstisyel fibrozis (%20-25) iken; interstisyel alanda köpüksü histiositler ve lenfoplazmositlerin de eşlik ettiği ksantogranülomatöz pyelonefrit morfolojisi izlendi.Tubuler alanda patoloji izlenmedi. Sayfa 1\ 2

Dişi | 20

Answered on 12th Aug '24

Dr. Babita Goel

Dr. Babita Goel

I am 66 years old. Known case of ESRD on heamodialysis 3 times for the last 5 months. H/O htn on medication for the last 9ys . No DM . Past HO hepatitis c ( cured)

Male | 66

When you have ESRD, your kidneys do not work well. Although dialysis is working for you, high blood pressure may cause more difficulties. Be on the lookout for signs like being tired, swollen body parts and/or having trouble breathing. Do not stop taking your hypertension drugs; also follow a diet that is good for the kidneys plus keep being active. 

Answered on 30th May '24

Dr. Babita Goel

Dr. Babita Goel

I have started having sharp pain in right back side so I go to the doctor and I did sonography and my sonography showed 7mm kidney stone at right kidney in upper calayx and irregular urinary bladder wall? cystitis pvr 5cc noted then doctor give me medicine I took tablets 15 days and now after two months Vomiting once and fever at night and back pain on right side and little burning urine and weakness and I go to the bams doctor and he give me calcury tab 2tab two time a day for 10 days but this time no fever or vomate only sometime right back pain and sometime burning urine. Do I go back to the Calcuri tab at the same dose?

Male | 21

Your symptoms of back pain, urine burning, and general weakness are likely due to the kidney stone. I suggest you to keep on taking Calcury tablets as the BAMS doctor prescribed you. Stay well-hydrated and eat a balanced diet. If these symptoms last or worsen, it's vital to get medical help. 

Answered on 22nd Aug '24

Dr. Babita Goel

Dr. Babita Goel

My son suffering from dm 1 ,now ckd ,what may be solution

Male | 25

Diabetes type­ 1 and chronic kidney disease make­ a challenging combo. Kidneys can get damage­d by diabetes over time­. Look out for fatigue, swelling, and urinary troubles - the­se signal kidney problems. Controlling blood sugar le­vels and blood pressure he­lps protect the kidneys. Eating right and regular doctor visits matte­r a lot.

Answered on 23rd July '24

Dr. Babita Goel

Dr. Babita Goel

My wife is 39 years old suffering from CKD.Her cretanine pevel is 6.4

Female | 39

Your wife is likely to be getting symptoms such as fatigue, swelling, and trouble breathing if the creatinine level is 6.4. This could be from Chronic Kidney Disease (CKD), which is when the kidneys get damaged. To help manage this, she needs to follow a low-salt diet, take the prescribed medications, and possibly undergo dialysis. It's vital to ensure that her condition is stable by doing regular check-ups.

Answered on 3rd Sept '24

Dr. Babita Goel

Dr. Babita Goel

I describe below our patient problem: 1. Suggestive of left renal mass with thrombus in left vein. 2. left paraaortic lymphadenopathy. 3. Visible part of chest shows multiple soft tissue nodules in basal segments of both lung, largest one - 3.2X 2.8 cm - suggest metastasis.

Female | 36

send reports initially

Answered on 10th July '24

Dr. N S S Gauri

Dr. N S S Gauri

Patient have kidney stone ,when daily consumption of 1.5gram turmeric power with 1 glass water is healthy or unhealthy for kidney stones patient and patient also have fatty liver

Male | 65

Herbal Home Treatment for Kidney Stones and Fatty Liver One of the most surprising health benefits attributed to turmeric is the treatment of kidney stones and fatty liver. Turmeric has a compound curcumin which may assist in the disbanding of kidney stones and also reduce inflammation in the liver. However, always, it is your doctor who decides whether you can start a new treatment or not. Also, don't forget to drink more water so the stones will be easily removed. 

Answered on 26th Sept '24

Dr. Babita Goel

Dr. Babita Goel

My GFR rate is 58. 73 years old. I was prescribed Herperax 800 for 5 days 4 tablets each. Whether the kidney would have been affected and if so, how long will it take to recover to original position

Male | 73

A GFR level of 58 indicates that you are in Stage 3 kidney disease. Herperax 800 has kidney side effects. Kidney problems may be indicated by the urine output changes and the swelling. To help your kidneys recover, drink plenty of water, avoid medications that harm your kidneys, and follow up with your doctor for monitoring. It can take time for the kidneys to improve, but following these steps can help.

Answered on 23rd Sept '24

Dr. Babita Goel

Dr. Babita Goel

My friends brother has effected with stroke while getting into dialysis with oxygen mask. Kindly guide what to do

Male | 60

A stroke during dialysis can be caused by low blood pressure or the brain not receiving enough oxygen. Symptoms can include, but are not limited to, sudden weakness on one side of the body, slurred speech, and confusion. Place the person on the ground, loosen anything too tight, and call for help.

Answered on 7th Oct '24

Dr. Babita Goel

Dr. Babita Goel

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