Is surgery needed for bilateral fetal hydronephrosis?
Hello doctor,
This query is about my 19 weeks pregnant sister-in-law. She had a USG today and found bilateral moderate fetal hydronephrosis. Her gynecologist told her that the kid will require surgery after delivery. Can you please check the report and explain the situation? Is surgery required? If so, what is the outlook of surgery? Can this be life threatening for the kid after birth?
Thank you.
25 Apr 2024 - 1 min read
Does lower back pain indicate kidney failure?
Hello doctor,
I have pain on the right side of my back, and I have a fever of 100 F. I do not have shortness of breath, and my urine output is fine. I get shoulder pain when I breathe deeply, and I feel tired. I got a blood test yesterday, and my neutrophils are 9.68, lymphocytes are 13.10, total leukocyte count is 12.80, MCH is 32.10, RBC count is 4.34, chloride is 97, creatinine is 1.42, albumin is 4.72, total protein is 8.70, bilirubin total is 0.69, bilirubin direct is 0.15, bilirubin indirect is 0.54, LDL cholesterol is 104, HDL is 32.30, and non-HDL is 130.70. I currently take Envas 5, Amdepin 10, and Dytor plus 10.
22 Apr 2024 - 1 min read
What diet can a chronic kidney disease patient follow?
Hello doctor,
I am a 67-year-old male with a weight 143 lbs and height of 171 cm. I have been suffering from chronic kidney disease and post PTCA care for 17 years. I was diagnosed 15 months back with serum creatinine to be around 5 and am on medications for 15 months. I am a non-diabetic. In the last 15 months, I have lost 30 lbs. Monthly renal lab tests are being done. Six months ago, my serum creatinine was 4.4, hemoglobin was 12.9, uric acid 3.7.
I want to know about my diet. I am a non-vegetarian. Presently I am taking 50 to 60 g of chicken or one egg white or two small pieces of fish thrice a week. I am on restricted use of pulses, tamarind, lemons, milk products, fruits in any form, limited to one liter of water per day, very less salt, no cool drinks, outside food, spices, sweets. I am hungry all the day. My urine output is 1500 mL per day. Protein is 2+.
Please advise me the suitable diet particularly non-veg. I am at present on rice in lunch and rice items for both breakfast and dinner with vegetables like capsicum, bottle guard, ladies finger, cauliflower, carrot, and cabbage. I do not take chilies. How can I improve the quality of life and eating? I am able to walk slowly for 30 minutes daily. I am not able to stand in a queue for not more than five minutes. If I sit for five minutes I am alright.
I am on the following medicines:
I have also enclosed recent lab reports for your reference. Please advise.
16 Feb 2024 - 1 min read
Hi doctor,
I am a 34 year old male. 18 months ago, my serum creatinine and blood urea were 0.9 mg/dL and 15 mg/dL respectively. Around a year back, it was 1.2 mg/dL and 25 mg/dL and now, 1.2 mg/dL and 38 mg/dL respectively. I do not have diabetes. It is 94 mg/dL at fasting. The blood pressure is 110/70 mmHg. My total cholesterol is 209 mg/dL, LDL is 118 mg/dl, HDL is 42 mg/dl and triglycerides is 130 mg/dl. My liver function test shows mildly elevated SGPT, 75. All other parameters are normal. I have gone through five Amoxicillin-Clavulanic acid courses during last one year for sinus and ear infection that is in total 60 tablets during the last year. I am currently taking Urso 300 to lower SGPT, Naturolax for constipation, Ecosprin 150 and EPA-DHA Omega-3 for lowering cholesterol. My doctor has stopped statin drug due to elevated SGPT. Is my kidney deteriorating?
15 Feb 2024 - 1 min read
I have IgA neuropathy, is it normal for the protein and blood levels in the urine to fluctuate?
Hi doctor,
I was diagnosed with early IgA nephropathy, about five years ago, and I am on medication. Protein and blood are present in the urine, and their levels have varied over time, ranging from traces to ++. My recent urine analysis showed protein (+), erythrocytes (++), RBC (8-10 /HPF), creatinine (1.2 mg/dL), and eGFR (67). Does the fluctuating levels of protein and blood, present in the urine sample considered normal, given that I have been diagnosed with early IgA and undergoing medication? My concern is that the levels tend to fluctuate with every test (which is usually conducted at six monthly intervals). Your advice and views are appreciated.
06 Feb 2024 - 1 min read
