Nephrology

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?

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). Having excessive weight loss of 10 Kgs,having excessive anxiety & stress,taking librium 25 (chlordiazepoxide) (1 tab twice a day) since 7 months & smoking excessively since 7 months Can any of these factors cause a spike in creatinine level? Is the spike in creatinine level normal considering other reports & my age?

Attached image I was recommended cystoscopy by a urologist from Government Hospital . I wanna get it done from a private clinic What Could be the average cost of cystoscopy?

My father has CKD with S. Creat 5.14, UA - 8.9. Not on dialysis. For the past few days, he has lost appetite and has been having gas and bloating in the stomach. Is this due to CKD? Is it safe to give him Bifilac, or please suggest any other medicine. Thank you

I have CKD and was stable with a creatinine level of 2.2, urine creatinine around 19, and 1+ proteinuria for the past three years. My nephrologist prescribed Telma 20 to manage proteinuria, though I have no high blood pressure or diabetes. After starting Telma 20, my creatinine rose from 2.2 to 2.6 and remained there for three months. When the dose was doubled, it increased to 2.76, after which the doctor stopped Telma. Despite this, my creatinine rose further to 2.8, 2.9, and recently to 3.04. Additionally, my protein-creatinine ratio fluctuates, with protein rising to 90 and the ratio increasing to 4.7. My proteinuria now alternates between 1+ and 2+. I also stopped Septran (taken twice weekly) after my creatinine reached 2.8. I currently take Nodosis (three times daily), Cretlow (twice daily), Bun Proforte (twice daily), Docxis Q10, and Dapadoc on alternate days. Despite regular nephrology consultations, I am concerned about my CKD progression and seek further guidance.

My dad is 69 years old and is suffering from diabetes and hypertension. Recently his sugar levels went up to 400 posts which the doctor increased his metformin dosage to 500 mg. His BP has gone up to 205/97 and he is taking Cilacar 30 mg in morning , 10 mg in afternoon and Aten 50 mg in evening. For the past 10 days his feet were swollen and had gastric issues, bit nausea and dizziness. Got the blood/urine tests done and his serum creatinine is 4.1 with protein 3+ in urine and GFR estimated as 15. His B12 is also tooo high 1565. Really worried and not sure on the next steps. Need suggestions urgently. 🙏

Since the past 2 weeks...I have been urinating very less… I have done ultrasound twice and it is showing nothing much but partial distension but I am urinating very little… My creatinine was also 1.1 on 07/04/2024… Please guide me what can be the reason since I am drinking lots of water and then too.. I am attaching my creatinine and ultrasound report…. Also I want to tell that the urge to urinate is absent… Also my urine report was normal... My pelvic region feels a bit tight

Since the past week...I have been urinating very less...I have done ultrasound twice and it is showing nothing much but partial distension but I am urinating very little...My creatinine was also 1.1 on 07/04/2024...Please guide me what can be the reason since I am drinking lots of water and then too.. I am attaching my creatinine and ultrasound report....Also I want to tell that the urge to urinate is absent...

Hi Doctor , i drink up atleast 3 litres of water everyday . My BP is also 130/85 . But i urine only 4-5 times a day that too very little volume . Volume like 100 ml per urination.