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Need help for Father 79 years
Dear doctors
My dad has high bp issues and is on medicines, recently we checked his Creatinine is 2.23 , protein 2+ , potassium 6.02, iron serum is 22. Transferrin Saturation 8.09
Attached is the report.
Microalbumin-Albumin 1,123.00 mg/L 0 - 29.99 - - -
Microalbumin-Albumin/Creatinine Ratio
1979.9 mg/g creatinine0 - 29.999
Kindly advice if we can drink Water as usual or has to control or drink less water, and if he can eat eggs.
Kindly advice how can I help him as I am away from him pls 🙏🙏🙏
Answers (16)
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Your father's reports show several serious findings that need urgent attention. The most critical is the Potassium level of 6.02 mEq/L â this is hyperkalemia (dangerously high potassium), which at this level can cause abnormal heart rhythms and is a medical emergency. He needs to be seen by a doctor TODAY, not this week. The Creatinine of 2.23 and the massively elevated microalbumin (1,123 mg/L against a normal of 0-30 mg/L) indicate significant chronic kidney disease (CKD) â his kidneys are leaking a very large amount of protein, which accelerates kidney damage. His iron is also severely low (serum iron 22, transferrin saturation 8% â both critically low), which is common in advanced CKD and needs treatment. To answer your specific questions: water intake should be moderate and guided by a doctor based on urine output â neither restricting nor overloading at this stage. Regarding eggs: egg whites are safer than whole eggs in CKD (lower potassium and phosphorus), but protein intake overall must be managed carefully â a nephrologist or dietitian should advise the exact amount.
Next Steps
Please arrange for your father to see a Nephrologist URGENTLY â ideally today or tomorrow given the potassium level of 6.02. Until then: immediately stop or severely restrict high-potassium foods â no bananas, no orange/tomato juice, no potatoes, no dry fruits, no coconut water. He should also continue his BP medications as prescribed. If he develops chest pain, palpitations, weakness, or breathing difficulty â take him to an emergency room immediately as high potassium can cause cardiac arrest. Please consult me directly on Practo for a detailed evaluation.
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Please consult a physician or nephrologist urgently. He needs treatment under supervision urgently.
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ALREADY ANSWERED
CRF,
RAISED POTASSIUM RISK FOR HEART.
HE NEED HOSPITALIZATION.
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The reports are suggestive of chronic kidney disease (CKD) with significant proteinuria, elevated creatinine, hyperkalemia (K⁺ 6.02), and iron deficiency. Potassium of 6.02 requires urgent evaluation. Restrict high-potassium foods, avoid OTC painkillers, and continue fluids as advised by the treating physician (do not over-restrict water unless there is swelling or heart failure). Eggs may be taken in moderation after nephrologist review. Please consult a nephrologist urgently for medication review, potassium management, and further CKD evaluation
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The values you have mentioned and ultrasound findings suggest that he has renal impairment . visit to a nephrologist for a clinical examination and appropriate management
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Consult nephrologist for proper treatment
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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We need more detailed history to provide accurate answer. Pls consult nephrologist.
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Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
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Change of meds
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Nephrologist concern required.
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Do consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dr. Yogita
General Physician
5 yrs exp
Rohtak
Consult a nephrologist for further evaluation and management.
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Dr. Anuj Mothsra
General Physician
7 yrs exp
Jhunjhunu
Take nephrologist doctor opinion
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