Goutchek 80 MG Tablet Health Feed

Respected Sir
As per the details provided your estimated GFR is 22 ml/min/1.73 sq. M, comes under CKD Stage IV.
1.Kidney function is severely decreased in stage 4 CKD. Protein waste, toxins and minerals build up in the body and lead to uremia with symptoms such as nausea, vomiting, loss of appetite, abnormal taste, bad breath, nerve and sleep problems, difficulty concentrating and fatigue. Fluid retention due to a decrease in urine output may also occur.
2.Protein Restriction: A prot...more

Creatinine, thyroid function tests, fasting sugar and ecg should be done annually and bp check at regular intervals
other tests are less useful
febuget is required only for those with gout. It’s not very helpful if taken just for blood level. In your case uric acid rise is side effect of bp medicines. Better to change bp medicines than to add medicines similarly many people are prescribed thyroid medicine for elevation of tsh in blood. Always better to keep long term medicines minimum ...more

At that she may be suffering from osteoarthritis of the knee joints and spondylitis of low back. I suggest physiotherapy, mild analgesics and topical analgesic gel with hot fomentation.

Mostly joint pain is chronic and started acute pain in a few days, so you need to take x-ray of both knee standing with consult physician for frequnt urinary problems.

1. Avoid protein rich diets like mutton, egg, fish, sea food (sardines)/prawn
2.Avoid pulses, lentill, mushrooms, green leafy vegetablles like broccoli, cauli flower, cabbage, spinach, beans, peas
3. Take fruits like apple, banana, orange, black cherry, lime etc
4. Drink plenty of water (8-10 glass) daily
5. Avoid alcohol and caffeinated drinks, excess sweets cakes/cookies
6.Reduce weight if overweight
7. Take medicine after consulting physician.

A type of arthritis that occurs when flexible tissue at the ends of bones wears down.
The wearing down of the protective tissue at the ends of bones (cartilage) occurs gradually and worsens over time.
Joint pain in the hands, neck, lower back, knees or hips is the most common symptom.
Osteoarthritis treatment: homeopathy helps to slow down the process of joint pain (osteoarthritis) &
also gives a long term relief in pain without side effects.

Continue your medications on a regular basis along with low protein diet and regular exercises and relieve pain thr physiotherapy means.

Calcium channel blocker Clinidepine can cause swelling but better do a liver function ,kidney function and cardiac evaluation as swelling can be due to any of the above 3 causes.

Have you got serum uric acid levels checked if not please get it done. You may also need to get an mri done to find out about retrocalcaneal bursitis which is a common complaint leading to ankle and heel pain.

You have to continue physio and you should know about the causes of the neck pain. It can also be the neck posture while using mobile phone /laptops, and during sittig. The postural corrections should be made with the monitoring of the physiotherapists and certain do and do not's should be followed. Refer with the nerab physiotherapists for a recovery. For time being you can use ice pack and do some hot water fermentation. Use a low size pillow and a soft one which make help to maintain with the...more