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Male | 60

¿Podrían los diuréticos afectar mis niveles de TFG?

Hola (disculpas por la publicación tan larga) Caucásico, hombre, 60, 6'0", 260 lbs. Medicamentos: Lisinopril 40 mg, Metoprolol 50 mg x2 al día, Amlodipino 10 mg, Furosemida 20 mg, Glimepirida 1 mg, Janumet 50-1000 x 2, Atorvastatina 10 mg...NO beber/fumar ni medicamentos recetados. Problema: Después de mucho trabajo, he perdido más de 40 libras en los últimos 5 a 6 años... presión arterial 130/85, A1c 7.0... aquí está el problema. En marzo de 2023, después de años de que mi TFG se mantuviera constante en la mitad o superior de los 40 (no muy bueno, pero consistente), era más bajo en 41. El Dr. quería comprobarlo nuevamente en 1 mes. Controlé muy estrictamente mi dieta/azúcar/proteínas/refrescos/aumenté el consumo de agua, etc... tomo mis medicamentos religiosamente... la TFG bajó a 35. El Dr. me envió a un nefrólogo, pero antes de la cita programada (que fue 6 semanas después ), me quitó el triamtereno... dijo que puede ser perjudicial para los riñones. Cuando el nefrólogo me envió a laboratorios, la TFG subió a 50. Otra prueba 2 semanas después y la TFG subió a 55. El nefrólogo dice que eliminar el triamtereno del régimen NO jugó ningún papel en el aumento de la TFG... me recetó espironolactona debido al regreso del edema. . Seis meses después, en el siguiente control, todos los números y la presión arterial siguen siendo buenos, pero la TFG vuelve a bajar a 40. ¿Es posible que los diuréticos hayan sido duros para mis riñones y hayan causado una TFG más baja? Entiendo que con años de HTA/diabetes, la TFG no es ideal, pero me gustaría mantenerla en los 50 si es posible. El médico de familia me quitó la espironolactona y me recetó Lasix en marzo de 2024... los análisis de sangre se realizarán en un par de semanas. El médico de familia parece pensar que los diuréticos han contribuido a reducir la TFG... El nefrólogo dice que no tienen nada que ver con mis números fluctuantes de TFG... busco la opinión de cualquier persona aquí con conocimiento/experiencia... agradezco cualquier información sobre el efecto de los diuréticos sobre la TFG...alternativas a los diuréticos tradicionales, etc. He leído que los diuréticos de asa como Lasix son los mejores para problemas renales.

1 Answer

Answered on 22nd Aug '24

Los diuréticos como el triamtereno pueden haber sido responsables de sus problemas renales, lo que a su vez puede haber provocado un aumento o disminución de su TFG. El cambio de usted a Lasix por parte de su médico de cabecera es una buena decisión, ya que es un diurético que puede ser menos agresivo para los riñones. Continuar colaborando con unnefrólogopara descubrir el tratamiento óptimo para usted.

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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