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Kidney Disease Health Feed

Hi I am from Mumbai I got symptom of kidney infection can I got help I want to consult doctor I had bad breath and pain in urine back pain thigh pain etc.

Dr. Ashwini Vivek Mulye 88% (393 ratings)
BAMS
Ayurveda, Navi Mumbai
Hi I am from Mumbai I got symptom of kidney infection can I got help I want to consult doctor I had bad breath and pa...
Do a usg of Kub i. E Kidney and urinary bladder. Drink water. Take liq Cital diluted in water. After reports. Medicine can be given.
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As per Thyrocare test reports: 1. Blood urea nitrogen (Bun) Photometry, value 14.21 mg/dl, Normal range: 7--25 2. Creatinine --Serum: Photometry, Value 1.29 mg/dl (High) Normal Range 0.6--1.1 3. Uric Acid: Photometry, Value 3.2 (Low) mg/dl, Normal range 3.7--9.2 4. Calcium: Photometry, Value 9.42 mg/dl Normal range 8.8--10.6 5. Bun / SR. Creatinine Ratio: Calculated Value 11.02 Ratio, Normal range 9.1--23.1 Dr. Sir/ Madam, The Value of Creatinine-- Serum is High. Please give me your suggestions / treatment to get Normalcy in Creatinine etc.

Dr. Bhagyesh Patel 94% (3338 ratings)
FMAS, MS
General Surgeon, Gandhinagar
As per Thyrocare test reports: 1. Blood urea nitrogen (Bun) Photometry, value 14.21 mg/dl, Normal range: 7--25 2. Cre...
Hello dear lybrate-user, hi Warm welcome to Lybrate.com I have evaluated your query thoroughly.* This does not depict any major alteration keeping in view of all other perfect parameters.* Still strongly recommended to drink as plenty of liquids as possible, take repeat creatinine report after 10 days and consult with it in private consultation. Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance. Regards take care.
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I got my diagnosed report, I came to know that EST. GLOMERULAR FILTRATION RATE (eGFR) - 79, CREATININE - SERUM - 1.18, BUN / SR. CREATININE RATIO - 8.73, My Question is what precautions should I take or is there anything to worry?

Dr. Bhagyesh Patel 94% (3338 ratings)
FMAS, MS
General Surgeon, Gandhinagar
I got my diagnosed report, I came to know that EST. GLOMERULAR FILTRATION RATE (eGFR) - 79, CREATININE - SERUM - 1.18...
Hello dear lybrate-user, hi Warm welcome to Lybrate.com I have evaluated your query thoroughly.* Though report indicates a bit low of GFR, but any report has to be evaluated keeping in view all the symptoms of the patient only, kindly provide the same. Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance. Regards take care.
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Congenital Nephrotic Syndrome - Is Your Child Suffering From It?

Dr. Deepak Sharma 87% (752 ratings)
FIMSA, MD-Nephrology, DM - Nephrology, MD-Medcine, MBBS
Nephrologist, Delhi
Congenital Nephrotic Syndrome - Is Your Child Suffering From It?

As the name suggests, congenital nephrotic syndrome affects the kidneys of newborn babies. Though congenital means the disease must be present from birth, babies who develop nephrotic syndrome in the first three months are also said to suffer from this condition. This is a rare genetic disorder that is passed down from parents to their children. Boys are at a higher risk of suffering from this disorder than girls. The congenital nephrotic syndrome causes the kidneys to leak large amounts of protein into the baby’s urine. This can lead to swelling of the body tissues and a weakened immune system.

Some of the common symptoms of this disease include

  1. Low birth weight
  2. Lack of appetite
  3. Swelling of the body
  4. Foamy or frothy urine
  5. Lowered urine production
  6. Cough

Pregnant women are usually screened for this condition before the baby is born. The doctor will be looking for a placenta that is larger than normal in an ultrasound and high levels of alpha fetoprotein in amniotic fluid samples. If found; the doctor might ask for a genetic test to confirm the diagnosis.

Once the baby is born, he or she will show signs of fluid retention as the body begins to swell. Other signs your doctor will look out for are high blood pressure, signs of malnutrition and abnormal sounds from the heart and lungs. A urine analysis will also show high levels of protein in the urine though the overall protein levels in the body may be low. The doctor may also ask for a kidney biopsy in some cases to confirm the diagnosis.

Aggressive forms of treatment in the early stages of this disease can help control it. This may include antibiotics, blood pressure medication, ACE inhibitors and angiotensin receptor blockers to reduce protein leakage and diuretics to manage excess fluid build-up. Nonsteroidal anti-inflammatory drugs may also help reduce the amount of protein leaking into the urine. In addition, the doctor may advise you to limit fluid the baby’s fluid intake to control the swelling. As a last resort, the kidneys may need to be removed to prevent protein loss. This will be followed by dialysis or a kidney transplant.

If left unchecked, this disorder can lead to a number of complications including acute kidney failure, blood clots, infections and diseases related to malnutrition. It can also lead to the death of a baby in the first year of catching the infection or before his or her fifth birthday.

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Chronic Kidney Disease - Know The Common Types!

Dr. Deepak Sharma 87% (752 ratings)
FIMSA, MD-Nephrology, DM - Nephrology, MD-Medcine, MBBS
Nephrologist, Delhi
Chronic Kidney Disease - Know The Common Types!

What are the functions of the kidney?

The kidneys filter waste and excess fluid from the blood. As kidneys fail, the waste accumulates in the body. The two most important enzymes, which kidney makes are erythropoietin & renin. Erythropoietin are made by the kidneys if there is less oxygen in the blood. It tells the bone marrow to make more red blood cells. So this means there will be more oxygen carried in the blood.

Renin is made by the kidney if there is low blood pressure, low volume of blood, or too low salts in the blood Renin make the blood vessels smaller and tells the adrenal gland to make aldosterone. It also makes a person feel thirsty and all of this makes the blood pressure go up. Since Kidney plays a very important role in the overall functioning of the body, it’s very important to take care of its health.

Let’s have a look on various kind of kidney disease including the one which are chronic:

  1. Kidney stones
  2. Kidney Infections
  3. Glomerulonephritis
  4. Congenital Kidney disease
  5. Diabetic Nephropathy
  6. Hypertensive Nephropathy
  7. Drugs

Now what is Chronic Kidney Disease?

Chronic kidney disease include conditions that damage your kidneys and decrease their ability to keep healthy by doing the jobs listed, if it gets worse, wastes can build to high levels in the blood and make person sick.
Chronic kidney disease is caused by diabetes, high blood pressure and other disorders.

What causes chronic kidney disease?
The two main causes of chronic kidney disease are diabetes & high blood pressure which are responsible for up to two third of the cases. Other conditions that affect the kidney are:
1. A group of diseases that cause inflammation and damage to the kidney’s filtering unit.
2. Inherited disease such as poly cystic kidney disease.
3. Malformation that occur as a baby develop in mother’s womb.
4. Lupus and other disease that affect the body’s immune system.
5. Repeated urinary infections.

What are the symptoms of chronic kidney disease?
1. Feel more tired and have less energy
2. Have trouble concentrating
3. Poor appetite
4. Trouble sleeping
5. Muscle cramping at night
6. Swollen feet and ankles
7. Puffiness around the eyes especially in the morning
8. Dry itchy skin
9. Need to urinate more often, especially at night.

In case of the similar symptoms one needs to get it diagnosed and connect with the physician for good care and treatment. Stay Healthy!

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Urinary Tract Infection - Do You Think It Can Be Prevented?

Dr. Ravinder Singh Bhadoria 88% (10 ratings)
DNB (Nephrology), M.D ( Internal Medicine), MBBS
Nephrologist, Noida
Urinary Tract Infection - Do You Think It Can Be Prevented?

The structure responsible for production, transportation, storage and excretion of urine form the urinary tract. Kidney, ureters, bladder and urethra are structures involved in urine formation and excretion process. Kidney filters nearly 3 ounces of blood, removes waste materials every minute. When these get infected with entry of any micro organism or any other pathological condition, then the person gets urinary tract infection (UTI).

Causes and symptoms
Urinary tract infections are more common in women than men because of the small size of the urethra (4cms) and also because of the squatting position of voiding. Entry of organisms like bacteria, viruses and fungi are the major cause of UTI. The person may experience burning sensation and pain when voiding, fever is indicated when the infection has reached the kidneys or prostate glands in male. Other symptoms include pain in back, ribs, nausea and vomiting.

Preventive measures
Though antibiotics are used to treat the present infection there are increased chance of getting the recurrent infection. So it is best advised to follow the preventive measures to stay away safely from getting infected

  1. Drink plenty of water nearly 2- 3litres of water per day.
  2. Urinate when you feel the need , don’t control or resist voiding when you feel the urge as this may give room for the organisms to grow well
  3. Urinate after sexual intercourse. change the birth control measures if UTI is a recurrent problem
  4. Wash front to back, wipe off thoroughly after emptying the bladder so as to prevent the entry of organisms into the urethra.
  5. Avoid wearing tight fitting clothes. Always prefer cotton inner garments and loose fitting clothes so that air entry keeps the area moist and free from bacteria.
  6. Cranberry juice works best and it is the natural treatment for bladder infections. Cranberries have a special substance that can avoid the entry of E.coli into the bladder, but it does not have much effect on recurrent UTI infections
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If traces of protein are found in urine of a 5 years old girl. What do we need to do?

Dr. Rajesh Jain 91% (12524 ratings)
MBBS
General Physician, Jalgaon
If traces of protein are found in urine of a 5 years old girl. What do we need to do?
Please It may be due to some urinary tract infections It's not a serious problem Give plenty of water daily Sy Chandnasav 5 ml three times a day for 7 days Reconsult after 7 days for further advice.
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My sr. creatinine was 1.9 It reduced gradually after medical supervision. Recently it was 1.5 and eGFR also coming down to 60. I was takingNEFROZON (N-Acetylcysteine and Taurine one Tab per day). My doctor added KETOADD (Alpha ketoanalogue 2 tab per day. Should I reduce the dose of KETOADD to one tab per day?

Dr. Bhagyesh Patel 94% (3338 ratings)
FMAS, MS
General Surgeon, Gandhinagar
My sr. creatinine was 1.9 It reduced gradually after medical supervision. Recently it was 1.5 and eGFR also coming do...
Hello dear lybrate-user, hi Warm welcome to Lybrate.com I have evaluated your query thoroughly.* The mentioning required here is whether the KETOADD was twice a day from beginning and now the reports are creat. 1.5 or after reports doctor added it? Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance. Regards dear take care.
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Dear Doctor, I am suffering from cramps on both my legs at night during sleep. I have completed Creatinine tests (0.8 mg/dl, S.Urea (37 mg/dl, S/P Glucose (80 mg/dl, Hb% (14.8),PCV (45, S.Bilirubin (Total 0.4 mg/dl, Total Protein (6.6gm/dl, S.Albumin (4.3gm/dl, S.Globumin (2.3gm/dl) S.Alk. Phosphate (68U/l, SGPT.(alt) 26U/l, S.G.O.T.(ast) 29U/l, CK-MB <2.50 ng,cTnl <0.50, Myo (40. 9 ng), Total WBC (6100), S/P Glucose (after food) 90 mg/dl. I suppose my Sugar and Uric acid are under control. Why am I suffering from cramps and allergy then, when all the tests reveal normalcy?

Dr. Prabhakar Laxman Jathar 96% (11921 ratings)
MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Dear Doctor,
I am suffering from cramps on both my legs at night during sleep. I have completed Creatinine tests (0.8...
Thanks for the query. Nocturnal cramps are common in persons after 50 years. There is no specific cause identified for these. Multiple reasons have been sited like electrolyte imbalance, B12 deficiency, calcium deficiency etc. However, there is no clear evidence to support these. There is no specific treatment for this condition. You might take ORS and calcium, B12 and Vit D3 supplements. These may help. Thanks.
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Depression - How Dialysis Patients Can Manage It?

Dr. Sudeep Singh Sachdev 88% (10 ratings)
MBBS, DM - Nephrology, MD-General Medicine
Nephrologist, Delhi
Depression - How Dialysis Patients Can Manage It?

A diseased kidney is one that has lost its ability to carry out the filtration process in a proper manner. This process of filtration usually sends the waste and toxins out of the body in a routine manner. In such cases, a kidney disease manifests which requires a number of treatment measures. Dialysis is something that enters the treatment plan at a later stage as chronic early stage kidney disease can remain in the patient’s body for many years.

When the kidney function comes down to 15%, then most doctors recommend the start of dialysis which is basically a process that removes the excess waste and fluid from the blood. This can be a process that will leave the patient fatigued and in a mental state that is not exactly stable and positive at all times. It is common to see dialysis patients battling depression due to the chronic nature of the treatment as well as the low chances of recovery.

So, let us find out how dialysis patients can cope with depression.

  1. Professional Help: Depression is said to be like a common cold when it comes to mental diseases. The state of a person’s body can very well affect the balance in his or her mind and lead to depression. Starting from pressing circumstances to hormonal changes as well as chronic ailments, depression can affect people due to a number of reasons. Dialysis patients who are undergoing depression must consult a professional specialist like a psychiatrist who will help the patient understand and cope with the situation with the use of therapy based counselling.
  2. Medication: The patient can also be given medication that will prevent the build up of unnecessary stress by blocking the production of those hormones that result in a negative state of mind. This medication must be prescribed after speaking the patient’s nephrologist about what kind of medication will suit the patient specifically.
  3. Psychotherapy: Long term psychotherapy is also known as talk therapy that can help the psychiatrist or clinical psychologist in talking the patient through the problems. Besides giving the patient the scope and platform to air out the problems and reach solutions regarding normal day to day functioning despite the troubles, this kind of therapy also aims at equipping the patient with a better perspective and improved attitude.

While going through this kind of therapy and medication, it is important to keep a team of nephrologists and psychiatrists in the loop so that the patient may reach out at any time in order to avail help in the most trying situations. This will give a blanket of security to the patient as well.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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