Nephrology

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Antibiotics change

I had stomach upset all of sudden staying alone no took online consulting.dr gave O2 took same 29.10.25 evening next day morning. Next day morning 6 vomit went to MD since ibs patient he stop O2 started rifaximin and wbc 22800 .so did USG 31.10.25 evening ...went to MD again on 01.11.25 he stop rifaximin based on earlier culture of July which also had cystitis and acinetobacter bacteria gave doxyclinine and ofloxacin 400 which was sensitive in July culture so ask to stop rifaximin 400 after 5tablet taken and ask my urologist whom I consulted on 31.10.25 evening he told I am out of town so take zifi cv 200 which next day MD told to.stop after taking Two tablet since given.doxy1ldr forte and ofloxacin 400 Question: doctor changes antibiotics often without.full.course completion if antibiotics are shuffle and not stop base on doctor change to severe condition does it leads to.resistance or not ? And that resistance would be for uti infection bacteria or whole body?? Await reply Thanks
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Leg ankle swelling

I I have had a small swelling, like a spot, on my ankle for the past two months. The swelling reduces after I wake up. Could this be related to my kidneys?”.
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Calcification findings

Hi Just underwent sonography while uti treatment. Below remarks in ultrasound Kidney size echotexture normal. prostate size normal 1)Increased renal medullary echogenicity due to calcification bilateral 2)Prostate calcification Please suggest if these are common findings and possible treatment. Having UTI at present with burning sensation
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Interpretation Of UACR Reports

Tested Urine ACR from 2 different labs on 26/10/2025.Lab 1 : Microalbumin level came 3.7 mg/l,Urinary Creatinine came 60 mg/dl (lab normal 66-166) & ACR came 6.17 (lab normal <30).Here,level of Urinary Creatinine is 6 mg/dl less than the labs lower normal reference range & is abnormal.Lab 2 : Microalbumin level came 0.60 mg/dl (lab normal range 0-1.7),Urinary Creatinine came 67.50 mg/dl (lab normal 22-328) & ACR came 8.89 mg/g (normal <30).Here all the parameters seems to be within the normal range.Reports attached.  The level of Urinary Creatinine from Lab 1 came abnormally low than the labs reference range.The urine samples provided to both the labs was more diluted than concentrated.Should the samples be treated as disqualified?Shall I need to repeat the tests?Also need to know whether a re-test from these lab needs to be done
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High ACR diluted urine

Hi , my husband had a urine and blood test in July this year Egfr was 93 normal , blood creatinine normal Random urine collection - Albumin 56 mg/l Urine creatinine 1.7 mmol/l ( lab sugested low creatinine , may have to redo with first morning urine) Acr was 31.8 mg/mmol which is high We have redone tests in October Egfr is same normal, blood creatinine normal And From urine results - Sample gravity <= 1.0005 (it says dilute urine) Protein - negative Albumin 36 mg/l Urine creatinine 1.3 mmol/l (same lab suggested  creatinine may falsely elevate ACR. Suggest repeat using first morning urine.) Acr is 30 mg/mmol Note - acr limit is <=3 mg/mmol Heathly male, 31 yrs, no bp, no diabetes We are confused if its dilute urine causing creatinine to be so low And the cause of this high ACR and where it's a false alarm?
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Need suggestion

Iam consulting general physician for medical renal disease , is it ok or do I need to consult nephrologist ?
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What elevate inorganic phosphorus to 10?

Uric Acid:5, cretanine:1.2, blood urea: 50, nitrogen:23, eGFR: 76,, age:38,, is it due to eating lot of Nuts and Yolks in last 3months as other diet is normal? Also taken fatburner for 2 weeks (but left after ED) and take multivitamin, Onega3 supplements with Shilajit. Suggestion on lifestyle modification?
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Medical renal disease

Medical renal disease means it's always ckd? Or any other diseases Increased in cortical echogenicity with loss of cortico medulla differentiation can be seen in any other disease
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High Albumin In UACR

My Urine ACR & all its parameters came normal on July & August.The level of albumin came 0.6 mg/dl higher than the lab's upper normal limit in the month of September.However,the ACR came normal Having a high bp of 170/100 since the last 2 months.Can it be the reason for the spike of albumin level ? Is it temporary & fully reversible if bp is controlled  ?
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Leg swelling after delivery

After seven months of delivery my leg is swelling and little puffiness in face. There is no BP or sugar. What is the treatment I can go for to get rid of this issue.
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