Male | 65
65 వద్ద నేను క్రియేటినిన్ స్థాయిలను ఎలా సమర్థవంతంగా తగ్గించగలను?
నా తండ్రి వయస్సు 65 సంవత్సరాలు మరియు అతనికి కిడ్నీ సమస్యలు ఉన్నాయి, అకస్మాత్తుగా అతని క్రియేట్నిన్ 2.5 నుండి 4.5 కి పెరుగుతుంది, క్రియేట్నిన్ స్థాయిని తగ్గించడానికి ఇది ఉత్తమ మార్గం.
జనరల్ ఫిజిషియన్
Answered on 28th May '24
క్రియాటినిన్ స్థాయిలు ఎక్కువగా ఉంటే, అతని మూత్రపిండాలు సరిగా పనిచేయడం లేదని సూచిస్తుంది. అలసట, వాపు మరియు మూత్ర విసర్జనలో ఇబ్బంది ఇవన్నీ దీనితో అనుసంధానించబడిన లక్షణాలు. ఈ సంకేతాలు మరియు లక్షణాల కోసం ద్రవాలు లేకపోవడం లేదా కొన్ని మందులు తీసుకోవడం వంటి అనేక కారణాలు ఉండవచ్చు, వీటిలో అలసట, చీలమండలు లేదా కళ్ళ చుట్టూ వాపు (వాపు) అలాగే అనూరియా ఉన్నాయి. అయితే వారు బాగుపడాలంటే అతని డాక్టర్ ఇచ్చిన సలహాలను చాలా దగ్గరగా పాటించాలి.
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Questions & Answers on "Nephrologyy" (99)
Hello (apologies for long post) Caucasian, Male, 60, 6'0", 260 lbs. Meds: Lisinopril 40 mg, Metoprolol 50 mg x2 a day, Amlodipine 10 mg, Furosemide 20 mg, Glimepiride 1 mg, Janumet 50-1000 x 2, Atorvastatin 10 mg...NO drink/smoke or rec. drugs. Issue: After a lot of work, have lost 40+ lbs in last 5-6 years...blood pressure 130/85, A1c 7.0 ...here is the issue. In March of 2023, after years of my GFR staying constant in mid/upper 40's, (not great, but consistent), it was lower at 41. Dr wanted to check it again in 1 month. I very strictly controlled my diet/sugar/protein/soda/increase water intake, etc...take meds religiously...GFR dropped to 35. Dr sent me to a nephrologist, but before the scheduled appointment (which was 6 weeks later), he took me off of Triamterene...said it can be hard on kidneys. When the nephrologist sent me for labs, GFR went UP to 50. Another test 2 weeks later and GFR went up to 55. Nephrologist says that removing Triamterene from regimen played NO part in GFR rising...put me on Spironolactone due to edema returning . 6 months later at next check-up, all numbers and BP continue to be good, but GFR back down to 40. Is it possible that the diuretics have been hard on my kidneys and causing the lower GFR. I understand with years of HBP/diabetes, the GFR is not ideal, but I'd like to keep it in the 50's if possible. Family doctor took me off the Spironolactone and put me on Lasix in March of 2024...bloodwork coming up in a couple of weeks. Family doctor seems to think the diuretics have contributed to lower GFR...Nephrologist says they have nothing to do with my fluctuating GFR numbers... seeking input from anyone here with knowledge/experience...appreciate any insights re: affect of diuretics on GFR...alternatives to traditional diuretics, etc. I've read loop diuretics like Lasix best for kidney issues.
Male | 60
Diuretics such as Triamterene may have been responsible for your kidney problems, which in turn may have resulted in the increase or decrease of your GFR. The switch from you to Lasix by your family doctor is a good decision as it is a diuretic that may be less harsh on the kidneys. Continue to collaborate with a nephrologist to discover the optimal treatment for you.
Answered on 22nd Aug '24
Dr. Babita Goel
i have done ultrasound result was 14mm stone in pelvic uretic junction when litho done after treatment another ultrasound done showing another stone 9mm in kidny how it is possible invisible the seond stone in first ultrasound?
Female | 34
Often the second kidney stone might be missed on the first ultrasound. Stones can form in different parts of the kidney and may not all appear at the same time. Symptoms of kidney stones include pain in the back or side, blood in the urine, and discomfort while urinating. Treatment options include drinking a lot of water, medications, or procedures to break the stone. It's crucial to have your nephrologist check you for any additional problems and manage your treatment accordingly.
Answered on 3rd Sept '24
Dr. Babita Goel
My wife is on dialysis since dec 23,She is regular on dialysis machne thrice a week. She is not well all the time but she has to rush in emergency for treatment like vomits episodes of 20-30 any day;I want to seek that she is hardly in normal health. Will it possible to get fully fit, can she be away from high b. P. Will she be transplanted kidney.
Female | 56
The purpose of dialysis is to substitute the function of the kidneys when they fail to perform their job properly. Nausea and vomiting could be due to her current state of health. To boost her health, besides the medical team's directives, taking medications regularly, and eating a balanced diet are also necessary. A kidney transplant might be a possible alternative in the future, but it is the best option for her doctor to make the decision.
Answered on 23rd Oct '24
Dr. Babita Goel
From last one week doctor, i am suffering a lot due to stone
Male | 35
If the problem is severe you should consult a best Urologist in India to get things cleared.
Answered on 23rd May '24
Dr. Sachin Gupta
Dr, I was diagnosed with IGA nephropathy 32 years ago. I am 64 years of age and my creatinine is 2.31 and has been hovering around that number. I have lost 124 lbs over the past year with the assistance of Zepbound. My kidneys have not improved and appear to be getting slightly worse. I run 3 miles a day and eat around 1200 calories a day never exceeding my sodium or potassium requirements. I do not have protein or blood in my urine. Please help. What is causing my creatinine to continue to rise? I am currently In Stage 4 kidney disease. Should I get an updated biopsy since my only biopsy was done in 1992. What can I do? Could the Zepbound be causing my kidneys to worsen? I drink 100 ounces of water daily.
Female | 64
It is concerning that your creatinine levels are rising despite your efforts. IGA nephropathy can progress slowly over time, and factors like age, diet, and medications may influence kidney function. Zepbound's impact on your kidneys should be evaluated by a specialist. I strongly advise you to consult a nephrologist for a thorough assessment and consider getting an updated biopsy to understand the current state of your kidney disease.
Answered on 8th July '24
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
I am a kidney patient GFR61 and creatinine 1.08 level CKD stage 2 now Can my kidney function improve and can my kidneys get cured completely and recover without any side effects and without any further damage by Homeopathic medicines and treatment faster
Female | 70
In CKD stage 2, the kidney function is low and can be controlled. Homeopathy may relieve symptoms such as fatigue, edema, and high blood pressure. Still, full cure and recovery without side effects are not a warranty. To keep your kidneys safe, drink water, eat a healthy diet, and take your doctor's advice.
Answered on 22nd Oct '24
Dr. Babita Goel
Is nic showing on a bloodtest
Female | 17
When getting a blood test, it may show if someone has too much 'NIC' in their system. This happens when people eat too many things with salt or if their kidneys are not working well. If you feel thirsty and tired all the time, or if your feet and legs swell up - those could be signs that something is wrong because of too much 'NIC'.
Answered on 31st July '24
Dr. Babita Goel
I am a kidney transplant patient for over 11 years now with Spina bifida with neurogenic bladder use intermittent self catheterization would only get UTI 2 to 4 times a year but don't know what happened everything changed in summer of 2018 started getting UTI once every 3 months and gradually throughout the years have become more frequent and severe I'm currently getting them from 1 to 2 times a month getting admitted to hospital often discharged with home IV antibiotic I've become resistant to many oral antibiotics and am allergic to vamcomycin I've seen about 6 different urologist and most have said there's nothing to be done my current urologist is trying out different things see what could do and ESBL infections have become frequent as has MRSA . I look forward to hearing back from you amazing doctors Thank you ? God bless ?
Female | 42
UTIs are no fun, causing burning, frequent urination, and fatigue. They can become tricky after multiple infections. Great your urologist is exploring options. Drinking lots of water, staying clean, and following doctor's orders help.
Answered on 15th Oct '24
Dr. Babita Goel
Yes I have contacted urologist again but he won't help me with the kidney stones 6mm ,what can I do ?
Female | 73
Suffering 6mm pads can be extremely painful and bring medical complaints like very strong back or side pain, hematuria, and wanting to pee often. The leading causes are dehydration and a diet that is excessive in salt. To facilitate the movement of the stones, you should consume plenty of water, limit your intake of salty foods, and take the medications a nephrologist may recommend. If the pain gets intense, you have to go to the hospital ASAP.
Answered on 23rd Oct '24
Dr. Babita Goel
I wanna take creatine as I've been going to gym lately. but I've kidney stones. will i be fine if i take it? I'll drink adequate amount of water.
Male | 18
Kidney stones cause concern about creatine use during workouts. Creatine may strain kidneys, so if you have kidney stones, discuss supplements with a nephrologist first.
Answered on 5th Sept '24
Dr. Babita Goel
The amount of urine that comes out from my body has increased over a week.
Female | 23
Noticing a drastic change in the output of urine by the body is quite essential. It could imply multiple things. Sometimes the intake of liquids and specific foods will make you pass out more waste from your body. However, if these alterations occur without any clear explanation and are accompanied by frequent thirst, it means that you should visit a nephrologist as soon as possible because it might be an indication of an illness such as diabetes or kidney disease.
Answered on 28th May '24
Dr. Babita Goel
Toilet baar baar aata hai jalan hota hai aur 1 hours me 10 to 15 times urine jaana padta hai left kidney ke 2-3mm stones hai please help me
Female | 24
You could have felt the kidney stones along with a burning/ painful situation during pee. For the larger part, kidneys produce such types of stones that are made up of water, calcium oxalate, and uric acid. Water is the best and first food to flush out these stones, so you should drink a lot of it. If the pain won't go away, visit a nephrologist and go through the advised treatments, if any.
Answered on 3rd July '24
Dr. Babita Goel
Sir my dad kidney serum creatinine is 7.54 what is the solution
Male | 60
Your kidneys are having trouble. A creatinine level of 7.54 is too high. This means they aren't functioning properly. You may feel tired, puffy, or notice changes in how you pee. It could be kidney disease or another health issue causing this. You need to see a nephrologist right away. They'll likely prescribe medicine, recommend diet adjustments, or suggest dialysis.
Answered on 16th Aug '24
Dr. Babita Goel
My father is suffering from CKD stage V now my USG report is showing ADPKD MY question is i recently joined gym for my body transformation fat to fit for that goal i have to eat 2 grams per body weight of protein is it good for my kidney also i want to add creatine supplement can i add that supplement
Male | 24
The function of the kidneys worsens when you eat large amounts of protein, and the kidney problems become more severe. The extremely high rates of creatine supplements can make the kidneys unable to function properly. Before you start any regimen, consult with your doctor to figure out the best approach that is right for your body.
Answered on 3rd July '24
Dr. Babita Goel
I'm a CKD Patient. The creatinine level is 1.88. Meditation is going on under a nephrologist but, creatinine progression is continued. please need your guidance & meditation.
Male | 52
CKD patients with constantly rising levels of creatinine are a concern that can cause fear. This could be the case of some factors such as high blood pressure, diabetes, or even medication problems. It is vital to strictly adhere to the nephrologist's advice, adopt a strict kidney-friendly diet, control blood pressure and blood sugar levels, and drink enough water. Your nephrologist may require you to change your medications or suggest dialysis.
Answered on 12th Aug '24
Dr. Babita Goel
Hi, I have end-stage kidney failure and I've been doing hemodialysis for 4 years now, and I've been worrying about my fistula or how long it is going to last before I get a tube stuck in my neck as an alternative. Today, the bulge on my arm which I assume is the fistula got moved or at least something got moved slightly causing discomfort and a change of shape of the bulge. Is that a cause for concern? It doesn't have redness or pain in the exact place, but I'm worried sick. Can this be fixed by a surgery? Other questions that have been bothering me. How about if it got ruptured? It started to bulge and reddened. Can it still be fixed? Also, let's say my left arm fistula died and I had to use my right arm. Can I still use my left arm for fistula once it's healed in the future? Thank you for your answers in advance, I'm a teenager who got dealt with a bad hand right from the get-go and I wish to know more about my current situation.
Male | 18
It’s understandable to be concerned about changes in your fistula. If you notice any discomfort, change in shape, or other symptoms like redness, it's important to check it. A vascular surgeon can assess your fistula and determine if any intervention is needed. Even if your current fistula fails, it's possible to create a new one in the same arm after healing. This should be evaluated by your doctor. Please consult your nephrologist or a vascular surgeon for a detailed examination and advice.
Answered on 18th June '24
Dr. Neeta Verma
I am a 64 year old female who was diagnosed with IGA nephropathy in 1992. I am now Stage 4. My creatinine hovers around 2.38 and my GFR is 23. I do not have protein spillage or blood in my urine. I have lost 124 lbs over the last 12 months with the assistance of Zepbound? Please help me understand what is causing my Creatinine to continue to rise? Could the Zepbound be causing this? I eat 1200 calories a day and stay within my sodium and potassium goals. I run 3 miles a day. But my kidneys are continuing to worsen. Please help me understand what else I can do. What is causing my creatinine to continue to rise? Should I get another kidney biopsy since my last biopsy was 32 years ago? Thank you so much for your help.
Female | 64
Considering your circumstance with IGA nephropathy, it is usual that creatinine levels may increase as kidney functions get worse. Also, rapid weight loss may affect kidney function. It is good that you are committed to eating right and exercising, but running 3 miles every day could strain your kidneys more. You should talk about these worries with a nephrologist. A further kidney biopsy might be able to tell what is happening to your kidneys now.
Answered on 7th June '24
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
Last months i took pre medical exam for my job. Result is triglycerides 299 and stpt 52 .for that i am taking homeopathy medicine, after two days i have two practical exam and stressed a lot during exam. During those days i have seen first time that urine is foamy and till now only sometimes morning time foam is more other times only few times. What is the main cause any issue it is related to kidney? Or it is just temporary due to stress factor?
Male | 32
This could be due to several factors, like kidney issues or stress affecting the kidneys, causing temporary foamy urine. High triglycerides and STPT levels also need attention. Consulting a nephrologist will help you get the right assessment and advice.
Answered on 19th Sept '24
Dr. Babita Goel
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