My father age 62. Non diabetic and normal bp. But from dec 2022 his body was started swelling specially face legs and hands, and his lab test reports was normal creatinine, normal albumin, ecg normal, echo normal, but tsh was 40. Bp was 200/110. Dr. Prescribed thyronorm 100 mg and after 6 weeks his tsh reduced to 12, but s.creatinine jumped to 3 and next day it was 4.2 and then 5.22. S. Albumin is below range. 24 hour urine test protein was 4.5g. Last lab test report is tsh 7, s.creatinine 3.97, s.albumin 3.08. Prescribed medicine is nefrosave keto bd clonidine 100 mg bd atorvastatin 40 mg iron folic acid and calcium and vit d3. Now swelling is slightly reduced but bp was not came down. Before medicine bp is 170/90. After medicine 150/80. Dr. Said it is nephrotic syndrome. Bp is not controlled by clonidine100 mg. How to came down bp and what additional medicine should I start for her fast recovery?
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1.no alcohol 3. No smoking/ tobacco/drugs/ avoid pollution 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. Less sugar, potato, rice. Less salt. 5. 30 mts brisk walk daily if can do 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts. 6-8 hrs of sleep at night 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. 10 maintain oral hygiene medicine can not be advised for open question ,for medicine and further advise contact on private consults good luck.
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