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Acute renal failure
I am 32 years old male, since childhood having irritable bowel syndrome, for which I got severe vomiting and diarrhoea 10 months ago suddenly and urine completely stopped, then after 4 days 4 dialysis is given then urine started again and after 20 days creatinine became 0.87mg/dl. Then I repeatedly do blood test 3 times in the interval 3 months and creatinine lies between 0.85 to 0.9. Urine ACR 3.79 . Now my kidney is almost in good condition as it was before getting Acute renal failure???
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it is AKI
Please consult with me on practo
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So its shorted out now.
May be dehydration??
KEY FACTOR
DRINK PLENTY OF WATER N LIQUID TO INCREASE OUTPUT.
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Most likely, acute renal failure due to dehydration.
However share details, then I can guide you further.
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Based on the details you’ve shared, yes — your kidneys have essentially recovered to near-baseline function.
Here’s why:
• You had acute kidney injury (AKI) due to severe dehydration from vomiting and diarrhea, which is a pre-renal cause (the most reversible type).
• You required temporary dialysis, which is not uncommon in severe AKI.
• Your urine output returned.
• Creatinine normalized to 0.85–0.9 mg/dL and has remained stable over multiple tests across 10 months.
• Urine ACR 3.79 mg/g is normal (normal
Next Steps
1. Monitoring (not aggressive testing)
• Serum creatinine + eGFR: once every 6–12 months
• Urine routine / ACR: yearly
2. Protective measures
• Avoid dehydration at all costs (very important given IBS)
• Avoid unnecessary painkillers (NSAIDs)
• Inform doctors about your past AKI before any new medication
3. When to re-evaluate urgently
• Reduced urine output
• Persistent vomiting/diarrhea
• Swelling, frothy urine, rising BP
At present, no dialysis, no renal medicines, and no “CKD label” are indicated.
Health Tips
✔ Maintain good hydration daily (especially during IBS flares)
✔ Use ORS early during diarrhea episodes
✔ Moderate protein intake (no high-protein fad diets)
✔ Avoid herbal / unregulated supplements
✔ Manage IBS proactively to prevent future dehydration-related AKI
You had AKI with full recovery, and your kidneys are functioning almost as they were before. The key now is prevention, not fear.
If you want, I can:
• Calculate your exact eGFR trend
• Assess your future AKI risk
• Create a kidney-safe plan for IBS flare-ups
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yes , your kidney function appears to have recovered very well, and it is very close to (or essentially back to) your pre–acute kidney injury state.Your kidneys are functioning normally now.
Recovery from acute renal failure appears complete and no current signs of chronic kidney disease.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Epley maneuver
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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