Nephrology

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Tests for kidney health status

Hi! Could you write all the tests (blood, urine and other) for kidney test, to know the current status of my kidneys? Thanks
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Hypertension kft and lipid profile

Initially I faced the hypertension then I follow to check all test and found that the KFT  report not up to mark also BUN uric acid and creatnin report also not good Request you to please check my report and suggest
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Does he require dialysis ?

A 46 year old male patient who is a known diabetic since 22 years and is on 40 units of insulin ( 20 pre mean and 30 post) and known hypertensive since 1 year, had oliguria since a month and 8 days ago developed breathless and pedal odema . On further investigations on 18/09/23 his hemoglobin was 9.3, RBS 242, HBA1C 8.8, Urea 73 and creatinine 4.1. Has has high grade bilateral pitting odema, right sided pleural effusion, periorbital odema, and swollen abdomen but no ascites. His 2D echo showed mild to moderate MR, moderate LV dysfunction, LVEF 40%, mild global and regional hypokinesia of LV and dilated cardiomyopathy. The doctor told he has stage 5 CKD On 20/09/23 was urea was 83, creatinine 4.7 On 23/09/23 was Hb was 8.2, urea was 115, creatinine 5.8, Sodium 127.0, Potassium 4.6, Chloride was 101.5. On 24/09/23 Hb 7.5. , urea 149, creatinine was 5.87, Sodium was 122.8, Potassium 4.8, Chloride was 99.1, auric acid 10.3. How severe is his condition. Does he require dialysis ?
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Should I go for a specialist

I am diagnosed with Diabetic Nephropathy few month ago then my creatinine level is at 4.8  and albumin +++ and little bit swelling in legs now after one and half month treatment my creatinine level is 4 and 3.1 (after a month and after 1.5 month) Uria 47 uric acid 4.37. No swelling or cramps only little fatigue and low appetite Should I go for more advance treatment Medicine taking : Cetanil trio 6.25 once a day D rise 60k once a week Oxvamet xr 1000 once a day Nephrosafe once a day Alfakit once a day Thyronorm once a day Pro and pre biotic once a week Sodium bicarbonate for gastric (occasionally)
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Proteinurea

50 yo Female Diabetic Since 3 yrs Hypertension Since 13 yrs Recent KFT BUN (10.76) Creat (0.5) Urea (23.03) Calcium (10) Uric Acid (6.2) The KFT seems normal but Total 24hr urinary protein is 1482mg/24 hr what to do next.
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Bilateral grade 3 Renal changes

Hi Doctor, My mother is a Rheumatoid arthiritis patient. She got her certinine levels as 1.65 so we got usg abdomen pre and post void so she got the impression as "Bilateral grade 3 Renal parenchymal changes. " Is there any treatment for this and her uric acid and phosphorus is with in the range. Thanks in advance
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I Diagnosed with Diabetic nephropathy

I Diagnosed with Diabetic Nephropathy few month ago with very mild symptoms (little bit of swelling in feet) eventually all symptoms gone within a week of treatment creatinine level decreased from 4.85 to 3 and eventually bellow 3. Now I am continue with my medication like alfakit, Nephrosafe, Cetanil Trio 6.25, D Rise 60k, Oxramet and Thyronorm. But sometimes I feel very tired and unbalanced . What should I do now?
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Creatinine is increasing over months

Dear doctor, my creatinine was 0.7 in Jan, 0.98 in March and 1.03 in September. It looks like it is increasing. I also had other tests yesterday and their values are ( BUN 7.83, URIC ACID 5.91, Sodium 137, Potassium 3.69, Chloride 108.6, eGFR 97.1). I also had urine yesterday where everything is shown normal. What should I do in this case? Why creatinine is increasing overtime. I know kidneys are fine at this time but will it be affected soon? I'm attaching the urine report here.
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Snake bite

My aunt was affected by a snake bite 4 days before. Unable to urinate due to the kidney not functioning properly. Got admitted in a government medical college hospital. They are doing daily hemodialysis, continuously for 3 days. Is this safe for patients ? I attached the report please advise how the patient condition?
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Foam and bubble in urine

I am having foam Buble in my urine from last 4 months. Last month I have done KFT test, liver function test, Routine urine test which showed normal results. When I did 24 hour urine test it showed 0.162 gm protein, but when I did spot ACR early morning urine test albumin showed 200 mcg and urine albumin creatinine ratio was 5.30 mcg. I consulted with MD doctor he said it's normal but still having doubt about this results as I am getting more frothy urine nowadays.. I am not diabetic or not having hypertension is 114/78
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