Asked for Male | 56 Years
Nephrologist doctor needed
Answered by Samruddhi Bhartiya
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Samruddhi Bhartiya
Questions & Answers on "Nephrologyy" (72)
Hello (apologies for long post) Caucasian, Male, 60, 6'0", 260 lbs. Meds: Lisinopril 40 mg, Metoprolol 50 mg x2 a day, Amlodipine 10 mg, Furosemide 20 mg, Glimepiride 1 mg, Janumet 50-1000 x 2, Atorvastatin 10 mg...NO drink/smoke or rec. drugs. Issue: After a lot of work, have lost 40+ lbs in last 5-6 years...blood pressure 130/85, A1c 7.0 ...here is the issue. In March of 2023, after years of my GFR staying constant in mid/upper 40's, (not great, but consistent), it was lower at 41. Dr wanted to check it again in 1 month. I very strictly controlled my diet/sugar/protein/soda/increase water intake, etc...take meds religiously...GFR dropped to 35. Dr sent me to a nephrologist, but before the scheduled appointment (which was 6 weeks later), he took me off of Triamterene...said it can be hard on kidneys. When the nephrologist sent me for labs, GFR went UP to 50. Another test 2 weeks later and GFR went up to 55. Nephrologist says that removing Triamterene from regimen played NO part in GFR rising...put me on Spironolactone due to edema returning . 6 months later at next check-up, all numbers and BP continue to be good, but GFR back down to 40. Is it possible that the diuretics have been hard on my kidneys and causing the lower GFR. I understand with years of HBP/diabetes, the GFR is not ideal, but I'd like to keep it in the 50's if possible. Family doctor took me off the Spironolactone and put me on Lasix in March of 2024...bloodwork coming up in a couple of weeks. Family doctor seems to think the diuretics have contributed to lower GFR...Nephrologist says they have nothing to do with my fluctuating GFR numbers... seeking input from anyone here with knowledge/experience...appreciate any insights re: affect of diuretics on GFR...alternatives to traditional diuretics, etc. I've read loop diuretics like Lasix best for kidney issues.
Male | 60
Diuretics such as Triamterene may have been responsible for your kidney problems, which in turn may have resulted in the increase or decrease of your GFR. The switch from you to Lasix by your family doctor is a good decision as it is a diuretic that may be less harsh on the kidneys. Continue to collaborate with a nephrologist to discover the optimal treatment for you.
Answered on 22nd Aug '24
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Firstly, approximately 20 years ago, I experienced a significant shoulder impact while playing football, resulting in a sprain that extends from my neck to the back of my shoulder. Whenever I engage in physical activity, particularly on the injured right shoulder side, I feel a burning sensation accompanied by heat. Additionally, I've noticed that my right hip appears elevated since the injury. In a previous scan, I discovered a left-sided disc prolapse. Moreover, I occasionally experience sprains in the middle of my back. I have not been taking any medications for this issue as previous doctors have been unable to identify the problem. I am concerned about the long-term implications and would greatly appreciate your expertise in evaluating and providing guidance on the appropriate course of action. Are there any specific tests or examinations that you recommend to better understand the underlying causes and potential treatment options for my shoulder, hip, and back issues? Furthermore, I recently discovered that I have kidney stones in both of my kidneys. I do not have diabetes or high blood pressure, and I am not diagnosed with arthritis. Additionally, I have been informed that I have elevated uric acid levels. Considering these multiple health concerns, I am wondering if blood tests or any other diagnostic tests would be beneficial in identifying any potential connections between these issues and guiding the most appropriate treatment plan.
Male | 44
To address your musculoskeletal concerns consult an orthopedic specialist. They would recommend imaging studies, physical therapy, and medications as needed. For your kidney stones and elevated uric acid, seek guidance from a urologist nearest to you or a nephrologist who can perform diagnostic tests. I suggest to follow certain dietary changes, and monitor your kidney health. Open communication with your specialists for a tailored treatment plan for your multiple health concerns.
Answered on 23rd May '24
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Dr, I was diagnosed with IGA nephropathy 32 years ago. I am 64 years of age and my creatinine is 2.31 and has been hovering around that number. I have lost 124 lbs over the past year with the assistance of Zepbound. My kidneys have not improved and appear to be getting slightly worse. I run 3 miles a day and eat around 1200 calories a day never exceeding my sodium or potassium requirements. I do not have protein or blood in my urine. Please help. What is causing my creatinine to continue to rise? I am currently In Stage 4 kidney disease. Should I get an updated biopsy since my only biopsy was done in 1992. What can I do? Could the Zepbound be causing my kidneys to worsen? I drink 100 ounces of water daily.
Female | 64
It is concerning that your creatinine levels are rising despite your efforts. IGA nephropathy can progress slowly over time, and factors like age, diet, and medications may influence kidney function. Zepbound's impact on your kidneys should be evaluated by a specialist. I strongly advise you to consult a nephrologist for a thorough assessment and consider getting an updated biopsy to understand the current state of your kidney disease.
Answered on 8th July '24
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I describe below our patient problem: 1. Suggestive of left renal mass with thrombus in left vein. 2. left paraaortic lymphadenopathy. 3. Visible part of chest shows multiple soft tissue nodules in basal segments of both lung, largest one - 3.2X 2.8 cm - suggest metastasis.
Female | 36
Answered on 10th July '24
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Pain in urine and also in kidney and some thick white paste in urine
Female | 22
You may have pain when peeing, discomfort near your kidneys, and thick white discharge in your urine. These are signs of a urinary tract infection (UTI) or a kidney infection caused by bacteria entering the urinary tract. Drinking plenty of water, taking antibiotics prescribed by a doctor, and resting can help improve your condition. However, it is essential to visit a nephrologist for a proper diagnosis and the right treatment.
Answered on 29th July '24
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Sometimes when I’m in a certain position and I cough or laugh hard my kidney will have a quick sharp pain. It has happened twice today and I noticed it about a month ago I would say but it’s not often. Should I be concerned about this? It is giving me anxiety.
Female | 18
You may have "referred pain" from kidneys. Sometimes, coughing or laughing hard moves kidneys slightly, causing sharp pain. This could be a kidney stone or muscle strain near the kidney. To ease anxiety, drink water and avoid motions triggering pain. If pain continues or worsens, contact a nephrologist for evaluation.
Answered on 12th Aug '24
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I am 17 year old male my urine color is yellow can you tell me why since I was a child
Male | 17
Urine normally appears yellow due to urochrome pigment. Darker yellow often results from dehydration or certain foods consumed. Drinking more water typically lightens the color. Pain or burning during urination merits discussing with a urologist. Urochrome presence alone is usually innocuous and not a major concern. But combined with other symptoms, it may signal an underlying issue requiring medical evaluation. Overall, yellowish urine alone is generally harmless, as long as no other troubling signs accompany it.
Answered on 26th June '24
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I am 66 years old. Known case of ESRD on heamodialysis 3 times for the last 5 months. H/O htn on medication for the last 9ys . No DM . Past HO hepatitis c ( cured)
Male | 66
When you have ESRD, your kidneys do not work well. Although dialysis is working for you, high blood pressure may cause more difficulties. Be on the lookout for signs like being tired, swollen body parts and/or having trouble breathing. Do not stop taking your hypertension drugs; also follow a diet that is good for the kidneys plus keep being active.
Answered on 30th May '24
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Kidney stone problam i have 3more stones
Male | 31
A sharp pain in your side might signal kidney stones. Back or abdominal discomfort occurs, too, with pain during urination. Risk factors include dehydration, salty diet choices, and genetic predisposition. Drinking ample water prevents stone formation. Lifestyle adjustments plus medical guidance facilitate the passing of any existing stones bothering you.
Answered on 8th Aug '24
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My girlfriend is suffering from kidney stone, so my question is can we do intercourse during?
Female | 45
It's important to be gentle with someone who has kidney stones, as they often experience intense pain. Intercourse may worsen the pain or cause infections. Kidney stones typically cause stomach and back pain, blood in the urine, and a frequent urge to urinate. To help your girlfriend, ensure she stays well-hydrated and take her to a nephrologist for proper treatment.
Answered on 26th July '24
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My left kidney hurts really bad. It comes and goes.
Male | 42
You're feeling pain, and that’s tough. The pain in your left kidney could be due to kidney stones, infections, or muscle strains. If the pain comes and goes, it’s important to get it checked. Drink plenty of water, avoid salty foods, and see a nephrologist soon.
Answered on 13th Aug '24
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Hello Doctor, My grandmother age is 72. She has Diabetes, BP, urinary tract infection. Recently, a mild cyst found in her kidney through CT Scan. 15 days ago, her condition went serious and we joined her In hospital. Her sugar levels were 600mg/dl. Doctors treated her and dropped her sugar levels to normal. Now, she is mentally not stable and taking full bed rest. She is unable to stand or sit on her own. She is able to recognise all of us and can eat or drink on her own. But she is very week and mentally disturbed so much. She talks unrelated. Please suggest what treatment we should take for her. Thank you doctor.
Female | 72
Your grandmother faced challenging times. Her health conditions recently caused worries. Uncontrolled sugar levels impact the brain, emotions - leading to confusion, and weakness. A kidney cyst may add stress too. Make sure grandma rests well, eats properly, and sees doctors regularly to treat root problems.
Answered on 16th Aug '24
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hi in age of 75 years female the kidney gfr is 8.4 can live without dialysis how much time is there to live
Female | 75
In a 75-year-old female with a GFR of 8.4, kidney function is severely compromised, and dialysis is usually necessary for survival. Without dialysis, life expectancy can be short, often a few weeks. It's important to consult a nephrologist for proper treatment and guidance.
Answered on 28th June '24
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Sir my dad kidney serum creatinine is 7.54 what is the solution
Male | 60
Your kidneys are having trouble. A creatinine level of 7.54 is too high. This means they aren't functioning properly. You may feel tired, puffy, or notice changes in how you pee. It could be kidney disease or another health issue causing this. You need to see a nephrologist right away. They'll likely prescribe medicine, recommend diet adjustments, or suggest dialysis.
Answered on 16th Aug '24
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My WNC in urine is elevated to 250. What is the cause and treatment?
Female | 49
If your urine has many white blood cells or "WNC," it signifies a urinary tract infection. Peeing may cause pain, and you might feel an urge to pee frequently with cloudy urine. Drinking lots of water helps, but antibiotics from a nephrologist are needed to cure the infection.
Answered on 23rd May '24
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This is Salam Aziz from Iraq male with 58 years old.my CT scan report shows my left kidney normal BUT there are two well define non enhancing cysts one lower cortical measure 11 mm @ the other larger exophytic measure 75 x 55 mm ( Bosniak I) . The doctors here told me i have two options either remove it or only remove the tumor and leave the rest.I am with the second option if possible ? I am ready to fly to india. please dont hesitate to ask any question. Best Regards Salam Aziz saal6370@gmail.com +964 770 173 8677
Male | 58
your CT scan report reveals two cysts in the left kidney and one is a larger exophytic cyst classified as Bosniak I it can be explained why less invasive alternatives options are to consider. The second alternative that you described, namely the excision of a tumor (presumably a large cyst) alone while sparing other parts of the kidney. The ultimate decision should be discussed with your urologist or surgeon.
Answered on 23rd May '24
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I am 30 years old. i am kidney patient. 8 years kidney problem.BP high. Now creatine level 3 point, Hemoglobin 8 point.Injection medicine more use try. No more response.
Male | 30
These health issues you have might be due to lessened kidney functionality. One of the causes might be chronic kidney disease. Visit your healthcare provider to talk to him about the treatment plan, and what measures can be taken before there is a need for the intervention. A nephrologist is capable of controlling your disease.
Answered on 24th June '24
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I am a 64 year old female who was diagnosed with IGA nephropathy in 1992. I am now Stage 4. My creatinine hovers around 2.38 and my GFR is 23. I do not have protein spillage or blood in my urine. I have lost 124 lbs over the last 12 months with the assistance of Zepbound? Please help me understand what is causing my Creatinine to continue to rise? Could the Zepbound be causing this? I eat 1200 calories a day and stay within my sodium and potassium goals. I run 3 miles a day. But my kidneys are continuing to worsen. Please help me understand what else I can do. What is causing my creatinine to continue to rise? Should I get another kidney biopsy since my last biopsy was 32 years ago? Thank you so much for your help.
Female | 64
Considering your circumstance with IGA nephropathy, it is usual that creatinine levels may increase as kidney functions get worse. Also, rapid weight loss may affect kidney function. It is good that you are committed to eating right and exercising, but running 3 miles every day could strain your kidneys more. You should talk about these worries with a nephrologist. A further kidney biopsy might be able to tell what is happening to your kidneys now.
Answered on 7th June '24
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5mm stone left renal calculus and there is hard pain in kidney
Male | 25
A 5mm kidney stone in your left side can cause severe pain. Urine minerals gather and create the stone. Intense, stabbing pain may spread to your back or abdomen. Drink lots of water to help flush out the stone. Your nephrologist might give medicine to ease pain and help the stone pass more easily. In some cases, they may do a procedure to break up or remove the stone. Follow your doctor's advice carefully to manage the pain and get rid of that stone.
Answered on 31st July '24
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Can I take creatine if I have kidney stone?
Male | 23
Having a kidney stone might mean creatine isn't safe. Kidney stones can cause your back or side - and sometimes your belly - to hurt. They're normally a group of minerals or salts stuck together in the kidneys. By taking creatine, you could potentially make kidney stones more painful because it adds stress to your kidneys. Get advice from a nephrologist before starting creatine if you have kidney stones.
Answered on 23rd May '24
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