Nephrology

I have been on maintenance hemodialysis (MHD) for the past 3.3 years, initially using an F6 dialyzer with a frequency of 3 sessions per week. Recently, my doctor advised testing for Beta-2 Microglobulin (B2M), and the results showed levels exceeding 50,000. As a result, HDF dialysis thrice a week has been prescribed. My concern is: how many HDF sessions would typically be required to bring B2M levels down to a normal or borderline range? Since long-term HDF is not financially sustainable for me, would continuing with high-flux HD using an FX8 dialyzer help reduce B2M levels over time?

I undergo hemodiafiltration dialysis, and my blood pressure rises up to 180/140, whereas other patients experience a drop in BP. Why does this happen? I even take my BP medicines — Amtas 10mg and Arkamin — before dialysis, and my BP stays around 130/80 before the session. But as soon as dialysis starts, it shoots up to 180/110, and I get a very severe headache. I'm worried because earlier CKD stage 4  had problem in my Retinal haemorrhage due to high Bp.

My brother met with an accident on 27 March at that time kidney creatine was 1.27 but later it's automatically improved .66 but again it's 1.28,1.20,1.27 in last kft report,it will improve self or its damaged

Sir / madam. Kindly please check the ultrasound report and pls say what abnormalities found? And pls say what is - " concretion is seen in upper calyx " Reports attached

Hi dr During routine follow up with cardiologist one year ago  creatinine was found to be 1.21 where acc to report normal limit was 1.17 . He suggested kft after 6 months and now again in kft creatinine is 1.18 where normal limit is 1.17 and some more 2 -3  parameters are abnormal like phosphorus etc His usg and Uacr was normal 1 year ago.. Is it an indicator of Kidney disease Report attached Thanx

I'm diabetic since 6 years.HbA1c remains between 6% - 7%,hypertensive since 2 years with bp remaining around 130/80 or 140/80.Have grade 2 fatty liver disease.No problems or symptoms of kidney disease as such Serum creatinine used to remain 1.0 mg/dl.Tested after 13 months from the same lab & it came 1.2 mg/dl (ref range : 0.72 - 1.25).There has been a spike of 0.2 mg/dl.Reports of blood urea,potassium,urine culture,urine r/e,urine acr & usg (kub + pvru) are normal.Other test reports & parameters are also normal Re-tested from 2 different labs on the next day.On one it came 1.10 mg/dl (ref range : 0.6 - 1.30) & on another it came 1.18 mg/dl (ref range : upto 1.4). Is the spike of 0.2 mg/dl of serum creatinine after 13 months normal ? Am I having any kidney disease ?

Attached prescription I am 28 male I had recurring urine infection. My symptoms are yellow urine and burning sensation. I took many antibiotic courses, but now my urine culture shows no bacteria, still I have same symptoms. I go to a government hospital. The urologist tried many medicines, but nothing helped. Now doctor advised cystoscopy and biopsy, and they will send the tissue to lab for more testing. I want to do the cystoscopy and biopsy in a private clinic, but I want to send the tissue sample to the government hospital lab for testing (because it may be cheaper). Is this possible? If possible Also, can anyone tell me the approximate cost of cystoscopy and biopsy in a private clinic

My urologist prescribed two Medicines Can you please  confirm me I attached prescription What are medicine names? I Didn't understand the 2nd medicine name 1St one is Amitriptyline

Hello , My grandmother is heart patient , asthma patient and recently she has facing issues with kideney as well. Initially Creatinine was increased then it got reduced and then uric acid increased. We have visited nephrologist as well he as prescribed Febutaz-40 and 6-7 dosage of  Relipoietin 10000IU (all are completed). Last month her knees and feet were swollen . Now the swelling is reduced on other sites except right knee. Right knee is still swollen and she is unable to walk. I just want second opinion here and also what food she can consume and all. Genuine advice will be highly appreciated Current Ongoing Medications - Dytor 5mg Cilacar 10mg Esokem-D  (Esomeprazole & Sustained Release Domperidone) Tonact-ASP 75 Febutaz-40 Levosiz-M Restyl 0.25mh Foracort inhaler

I went to a government hospital for urology problems? Please tell me does it require general anesthesia or local anesthesia? I meant full anesthesia or local anesthesia?