Nephrology

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BP charting query

My mother recently recovered from a kidney infection (right kidney) via uti. In the following up it was discovered she has a small stone and has started medication for it. How often should we be taking her BP readings and what is the best time to take BP readings? There has been an occasional spike in her BP but otherwise it has been sys over 110 and dys over 70 and pulse less than 90 based on home monitoring system
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Albumin/ creatinine ratio

Hello Dr. my husband got his lab test done recently. He got albumin/creatinine ratio like 72mcg/mg. Can you please let me know if this is an alarming health issue or it is normal ? What is the treatment for this issue? Thank you.
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Hemoglobin 7.3, please suggest remedy

Please prescribe ESA injection.Heamoglobin 7.3, CKD and diabetic patient with severe Arthritis, unable to walk/stand, very weak. Creatinine- 2.4, urea- 59, Takes insulin huminsulin 30/70 16 units in morning. Haemoglobin is decreasing month by month due to CKD. Please help prescribe hemoglobin injection
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CKD Stage 3B

My father recently received a diagnosis of stage 3B Chronic Kidney Disease (CKD). Notably, his creatinine levels were normal just 1.5 years ago, despite having high blood glucose levels at the time. Although his glucose levels have been well-managed with medication since then, his serum creatinine has risen to 1.9, with a corresponding GFR of 38. Is it possible to stabilize his creatinine levels and halt further progression of the disease?
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Need help regarding telma 20

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.
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Medicine Composition for nephrotoxic

I am having bp medication i.e. Telmikind trio 12.5 (Telmisartan 40mg + cilnidipine 10mg + Chlorthalidone 12.5mg) And having cholesterol medication Rosulip 10 (Rosuvastin 10) And Ciplar LA 20 for anxiety. My grandfather died due to kidney failure. I have fear that I will get CKD for using these medications. My creatinine serum is 0.92 and egfr value is 119(24 yrs). I am 110kgs and 5.9feet height. My question:- is these medications are nephrotoxics? If yes, should I need to change the medications?
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High potassium 6.5

Having arthritis from long and taking medications for the same. As part of that routine blood tests are being done. In current RFT serum creatinine is 0.4 and potassium is 6.5 mmol/l. Remaining all are normal in RFT. 3 months back creatinine and potassium were also normal and everytime this test was done previously they were normal. Taking only arthritis medications, nothing else. Please advise what this could be
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High creatinine 5.26

My blood urea is 136 serum creatinine is 5.26 uric acid is 6.79 and BUN is 63.55 and hemoglobin is 7.7 . What should I do? Can it be cure without dialysis? Or dialysis is the only option? And if we start dialysis is it necessary it will never stop we have to do dialysis till the end?
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Rantidine safe for kidneys

Dear Sir/Madam,whether rantadine is safe for kidney for long termuse.I am using for maintanence of gerd.If not which medecine is safe,Kindly reply.
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Left renal cyst

My father recently had his routine usg scan and we found a 78mm cyst on his left kidney. Though it's type 1 we are still a bit worried as the previous report (done in Aug 2024) didn't mention anything about the cyst and suddenly this time we found it. Can you kindly check the previous scan and let me know if it had the cyst in the scan and the radiologist somehow missed it? I'm attaching both the new and old scan pictures for your reference. He doesn't have any discomfort and he's on medication due to the residual urine issue.
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