Can I undergo dialysis without AV fistula for my chronic kidney disease?
Hi doctor,
I underwent dialysis before six years. My creatinine level is increased from 3 mg/dL to 5 mg/dL, now it ranges between 8 mg/dL to 10 mg/dL. I am taking medications. I do not have swelling, indigestion, or insomnia.
Please help.
30 Apr 2024 - 1 min read
How to improve kidney function?
Hi doctor,
My father has been diagnosed with osteochondrosis of the spine, which has been bothering him for the past eight years. When the disease started, he underwent a complete examination; creatinine was normal. However, he also had a tingling sensation in his fingers.
After the blood tests, there are some abnormal values, precisely- urea- 250 mg/dL, creatinine- 7.12 mg/dL, uric acid- 10.82 mg/dL, amylase- 111 U/L, sodium- 134 mEq/L, potassium- 5.5 mmol/L, bicarbonate- 19 mEq/L, calcium- 7.1 mg/dL, phosphates- 6.4 mg/dL. He also has a very high vitamin D level (he took multivitamins and lived in a very sunny country where he spent almost a whole day in the sun for a long time).
There is unconfirmed polycystic kidney disease. After this test, the local doctor assures that the efficiency of the kidneys is very low and dialysis will be needed. My father’s breathing problem goes away after the massage (osteochondrosis of the thoracic and cervical region); on the contrary, the respiratory problem goes away with exercise. Also, my father has had colitis since his childhood. Also, before there was blood in the urine, they turned to the therapist and performed a urine test showing elevated red blood cells; then, they reported this to the local nephrologist; he said that the indicators of this analysis were not important. I have attached the results of his urine and blood tests. My nephrologist also prescribed the following medications:
Powder Resinsodio one spoon in one glass of water.
Tablet Adenuric 80 mg once every day.
Tablet Sodium Bicarbonate 50 mg twice a day.
Tablet One-Alpha two per day.
Tablet Calcium Carbonate on Monday, Wednesday, and Friday.
Tablet Renvela 800 mg three times a day.
Tablet Norvasc (if the blood pressure is above 130/80 mm Hg).
Please help as soon as possible; I would be very grateful.
30 Apr 2024 - 1 min read
Why is a patient with kidney failure, who stopped dialysis, unable to move?
Hi doctor,
A 56-year-old female patient was diagnosed with kidney failure. The last dialysis was almost two months ago. The patient said she wanted to stop dialysis because it did not help her, and the catheter caused her pain. Therefore, it was removed (despite the doctor’s protestations) about three weeks ago. She again went back into the hospital a week ago. She could not move before going to the hospital, so doctors have investigated why she could not move. They said MRI (magnetic resonance imaging) shows a problem with her spine. Current medications are BP (blood pressure) medication and IV (intravenous) pain relievers. Her present symptoms are neck, upper back, shoulder to arm pains, numbness in arms and legs, itchy skin, tiredness, stomach feeling full, and no bowel movement since she has been in the hospital. She is not undergoing any treatment for kidney problems. Concentration is trying to figure out why she cannot move. Her urine is very yellow, and she fills about two bags daily.
16 Apr 2024 - 1 min read
What factors contribute to the health challenges of an 86-year-old woman?
Hello doctor,
I want to discuss a case that involves an 86-year-old woman with a ten-year history of hypertension and kidney complications, currently exhibiting the following symptoms:
Loss of appetite.
Nausea tendencies.
Mild abdominal discomfort.
Irregular bowel movements.
Urination difficulties.
General weakness.
Current medication:
Sampras-D BD.
Dilnip-M-25 BD.
AB Phyline-BD.
Dytor-10 mg OD.
Febutaz-40 mg OD.
Despite medication, her blood pressure remains high (192/94), with a pulse rate of 58. Recent blood reports indicate alarming levels of creatinine (4.11), urea (118.30), uric acid (8.30), and fasting glucose (147.80), alongside abnormal TSH (thyroid-stimulating hormone) and urine analysis findings. Just one month back she fell down and nothing serious happened, even her CT was normal. Kindly help.
Thank you.
24 Mar 2024 - 1 min read
Why are my anion gap values out of normal range?
Hi doctor,
My three questions are related to laboratory investigations that I got done last month.
1) I would like to have a verification that I calculated this correctly.
Anion Gap (with K) = (Na + K) - (Cl + HCO3). When I do this using my laboratory investigation values, I get (138 + 3.7) - (102 + 19) = (141.7) - (121) = 20.7 Even when I use other types of calculations, such as leaving out potassium. I still get 17.
Of the slightly varied formulas I have found, the lowest result I come up with is 16.8; that one uses an albumin adjustment. But, I do not know if it is appropriate to do that, as I mentioned. I do not know why this is happening.
2) If my laboratory investigation values do show an out of normal range anion gap, then I would like to know why?
3) I would like to know what I should be doing about it.
31 Jan 2024 - 1 min read
