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Asked for Male | 56 Years

Nephrologist doctor needed

Answered by Samruddhi Bhartiya

Please visit our page to find relevant specialists - Nephrologist in India.

 

Let us know if you have any other doubt/concern, also tell us if you have any city-specific preferences, take care!

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Samruddhi Bhartiya

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

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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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

send reports initially

Answered on 10th July '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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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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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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