Get answers for your health queries from top Doctors for FREE!

100% Privacy Protection

100% Privacy Protection

We maintain your privacy and data confidentiality.

Verified Doctors

Verified Doctors

All Doctors go through a stringent verification process.

Quick Response

Quick Response

All Doctors go through a stringent verification process.

Reduce Clinic Visits

Reduce Clinic Visits

Save your time and money from the hassle of visits.

Male | 60

Les diurétiques pourraient-ils avoir un impact sur mes niveaux de DFG ?

Bonjour (excuses pour le long message) Caucasien, homme, 60, 6'0", 260 lbs. Médicaments : Lisinopril 40 mg, Métoprolol 50 mg x2 par jour, Amlodipine 10 mg, Furosémide 20 mg, Glimépiride 1 mg, Janumet 50-1000 x 2, Atorvastatine 10 mg... PAS de boisson/fumée ou drogue rec. Problème : Après beaucoup de travail, j'ai perdu plus de 40 livres au cours des 5 à 6 dernières années... tension artérielle 130/85, A1c 7,0... voici le problème. En mars 2023, après des années pendant lesquelles mon DFG était resté constant au milieu/au-dessus de la quarantaine (pas génial, mais constant), il était inférieur à 41. Le Dr voulait le vérifier à nouveau dans 1 mois. J'ai contrôlé très strictement mon alimentation/sucre/protéines/soda/augmentation de la consommation d'eau, etc... je prends mes médicaments religieusement... Le DFG est tombé à 35. Le Dr m'a envoyé chez un néphrologue, mais avant le rendez-vous prévu (qui était 6 semaines plus tard ), il m'a arrêté de prendre du Triamtérène... il a dit que cela pouvait être dur pour les reins. Lorsque le néphrologue m'a envoyé en laboratoire, le DFG est passé à 50. Un autre test 2 semaines plus tard et le DFG est passé à 55. Le néphrologue dit que le retrait du Triamtérène du régime n'a joué AUCUN rôle dans l'augmentation du DFG... m'a mis sous Spironolactone en raison du retour de l'œdème. . 6 mois plus tard, lors du prochain contrôle, tous les chiffres et la tension artérielle restent bons, mais le DFG redescend à 40. Est-il possible que les diurétiques aient été durs pour mes reins et aient provoqué une baisse du DFG. Je comprends qu'avec des années de RAP/diabète, le DFG n'est pas idéal, mais j'aimerais le maintenir dans les années 50 si possible. Le médecin de famille m'a arrêté de prendre de la Spironolactone et m'a mis sous Lasix en mars 2024... les analyses sanguines arriveront dans quelques semaines. Le médecin de famille semble penser que les diurétiques ont contribué à réduire le DFG... Le néphrologue dit qu'ils n'ont rien à voir avec mes chiffres fluctuants du DFG... je demande l'avis de toute personne ici ayant des connaissances/expériences... apprécie toute idée concernant l'effet des diurétiques. sur le DFG... des alternatives aux diurétiques traditionnels, etc. J'ai lu que les diurétiques de l'anse comme le Lasix sont les meilleurs pour les problèmes rénaux.

1 Answer
Dr Babita Goel

Médecin généraliste

Answered on 22nd Aug '24

Les diurétiques tels que le triamtérène peuvent avoir été responsables de vos problèmes rénaux, ce qui peut avoir entraîné une augmentation ou une diminution de votre DFG. Le passage de votre médecin de famille au Lasix est une bonne décision car il s'agit d'un diurétique qui peut être moins agressif pour les reins. Continuer à collaborer avec unnéphrologuepour découvrir le traitement optimal pour vous.

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

Related Blogs

Frequently Asked Questions

Can kidney failure cause a heart attack?

How is kidney failure after a heart attack treated?

How can kidney failure occur after a heart attack?

What is the risk of kidney failure due to a heart attack?

What causes kidney failure after a heart attack?

Did you find the answer helpful?

|

Consult

Coût des traitements associés dans le pays

Principaux hôpitaux de différentes catégories dans le pays

Principaux médecins du pays par spécialité

  1. Home /
  2. Questions /
  3. Hello (apologies for long post) Caucasian, Male, 60, 6'0", 2...