What causes excessive thirst and frequent urination?
Hello doctor,
I have been on Lithium for bipolar disorder for over 20 years. From a blood test two years ago, I noticed that my GFR was below 40. So, I gradually started switching from Lithium to Epilim to avoid further damage to my kidneys. But now, I experience excessive thirst and I wake up at night to pee and drink more. I have transparent urine with bubbles, and I also feel quite tired. I would like to know what are your suggestions for these issues. Please find attached my blood and urine results chronologically ordered from the last two years. At the end of this month, I will do a kidney scan but, I have not seen a nephrologist until now.
23 Apr 2024 - 1 min read
My abdomen hurts, and I vomit after eating. What to do?
Hello doctor,
I am a 51 year old male, who has diabetes. For my diabetic problem, I am using Insulin Human Actrapid daily 10 units. Therefore, I am getting weak and getting fits. So far, I have had five fits. I got CT scan of the brain, and there was a small blood clot in the brain. I also have pain in the left side of the abdomen, and I vomit. I did not have a bowel movement for five days. Please help me get better. I had two lumps on my back. One of the lumps was removed with surgery, but it is not healing. The other lump is near my shoulder, which is very painful. I have indigestion, and I vomit as soon I eat food. I have attached all my reports.
22 Apr 2024 - 1 min read
Kindly view my reports and advice whether my kidneys are damaged.
Hello doctor,
I am a 43-year-old male. And I work out six days a week. I am in excellent shape. I consistently get my blood work done every four months. I am a kidney stone former and had kidney stones on and off for the last 10 years. I have a few kidney stones on my right side. I had blood drawn two times last month. My GFR was 63, and 65, creatine level was 1.34 and 1.36. Cystatin C was 1.21, and ACR was 0.6. All other blood tests are fine. Based on these results, do you think my kidneys are damaged? Do you think I should cut back on working out?
06 Oct 2023 - 1 min read
What causes extreme weakness with low carbon dioxide?
Hello doctor,
I am experiencing episodes of extreme weakness, lethargy, and tiredness. I feel unable to get out of bed, and I find myself going to the bathroom often at night. Two years ago, I had an ECG-proven ventricular tachycardia after an episode that lasted for several days. I have had lab tests done close to two episodes. A month ago, my carbon dioxide levels were slightly low at 19, and there was trace blood in my urine. The USG (Urine Specific Gravity) reading was 1.005, and the urine pH was 7. Recently, this month, my second lab results showed mild low bicarbonate levels. The current medications I am taking include Methotrexate, Mobic, Metoprolol, Vitamin D, and Folic acid. I have undergone lab tests for blood and urinalysis.
Kindly help.
24 Jul 2023 - 1 min read
What are the ways to maintain blood pressure during dialysis?
Hello doctor,
My father 70 years old, is just recovering from a septic shock and amputation. He has had is leg amputated below the knee. He had an infected wound on his foot and fell into a septic shock.
1. He has kidney failure and needs dialysis. His blood pressure dips too low during dialysis and it had to be aborted. Is there anything that can be done for him to keep his blood pressure up during dialysis?
2. His amputation wound is not healing. Can anything be done to promote wound healing? Could another amputation above the knee help the wound to heal?
17 Jul 2023 - 1 min read
