Hello, Welcome to icliniq.com. I have gone through the details about your history. The cause of deranged renal function is multifactorial. First of all, Ketruda, which is Pembrolizumab, can cause interstitial nephritis, potentially leading to kidney damage and an increase in creatinine levels. Sartel is for blood pressure, but it can cause a rise in creatinine in an acute setting, such as after surgical stress, so stopping is a good decision.
Hello, Welcome to icliniq.com. I understand your concern. I went through your reports that you sent (attachment removed to protect patient identity). One report shows a slightly low normal potassium level of 3.8.
Hi, Welcome to icliniq.com. I can understand your concern. I went through all your reports (attachment removed to protect patient identity). You have a urinary infection, which is causing all your symptoms of vomiting and abdominal pain. The kidneys are not removing toxins from your body, and their accumulation is causing all symptoms.
Hello, Welcome to icliniq.com. There are number of ways to try to avoid fall in blood pressure. 1. Do not take blood pressure medicines prior to dialysis. 2.
Hi, Welcome to icliniq.com. I have gone through the attachment (attachment removed to protect patient identity). On considering your weight, it is normal. Do a urine routine and a urine protein creatinine ratio. Do you have any symptoms? Why are you checking your creatinine level? For more information consult a nephrologist online .
Hello, Welcome to icliniq.com. The body generally uses glucose as its source of energy. When it uses fat as a source of energy, ketones are formed. It is a common finding in diabetes, called as diabetic ketoacidosis. It can also occur during starvation when glucose is not available as an energy source.
Hello, Welcome to icliniq.com. I have seen your detailed reports (attachment removed to protect patient identity). Lithium commonly causes two types of renal disease, namely nephrogenic diabetes insipidus and chronic tubulointerstitial nephritis. Diabetes insipidus is causing the symptoms of increased thirst and polyuria in your case. Check your ADH (anti diuretic hormone) level to confirm the diagnosis.
Hi, Welcome to icliniq.com. I will advise you to check UPCR (urine protein to creatinine ratio) and evaluate fundus for diabetic retinopathy or hypertension retinopathy. Thanks. .
Hello, Welcome to icliniq.com. Seeing your current report (attachment removed to protect patient identity) there is mild damage to your kidney, and creatinine before four months was also elevated, then it is a slight degree of permanent damage. So the cause of the damage is long-standing bilateral stone can cause gradual damage to the kidney, so it needs evaluation for things, like urine routine, ultrasonography of kidney, test for sugars, blood pressure and if need a kidney biopsy. About workout, you can reduce the frequency of workout but no need to stop completely, if you got a mild degree of permanent damage (CKD), you need to restrict protein intake to 0.7gm/kg/ day, blood pressure monitoring, and kidney stone management.
Hello, Welcome to icliniq.com. I went through your reports (attachment removed to protect patient identity), see basically beyond 40 years of age, there is 1ml/min/1.73 m2 decline in eGFR per year, and that is a normal physiological response because of an increase in age, same as skin wrinkles, since you have high creatinine, but is static and there is no protein in urine, your chronic kidney disease is very slowly progressing. Differential diagnosis, in this case, is chronic tubulointerstitial disease or benign nephrosclerosis, as you told you are not taking any drugs, NSAIDS, gym supplementation. About confirming the diagnosis, it will need a kidney biopsy to confirm it.
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