Hello, Welcome to icliniq.com. From your reports (attachment removed to protect patient identity), it is clear that apart from serum protein and albumin, all other parameters look normal. However, even these values are not grossly abnormal. As you may be knowing, the liver is the site of production of albumin and protein. Hence, it would be worthwhile to do an ultrasound of the abdomen to check for liver problems.
Hello, Welcome to icliniq.com. In FSGS (focal segmental glomerulosclerosis) as with most of the kidney diseases with protein leak, it is beneficial to restrict protein in the diet, especially animal protein. Salt restriction and restriction of oil and fatty foods are also recommended. Proper medications as suggested by the nephrologist like steroids and Cyclosporine or Tacrolimus are useful to prevent the disease from progressing. The magnitude of reduction in protein leak in urine is the marker for improvement.
Hello, Welcome to icliniq.com. I am sorry to hear about your father. He is presently having a severe infection (sepsis) due to the urinary tract infection. There is an acid accumulation in the blood due to the infection. There is worsening of renal function as a result of stress to the body due to the infection.
Hi, Welcome to icliniq.com. As I understand, you are having hypertension for past 15 years, apparently under control at present. Many a time, hypertension can remain undetected, without symptoms for long. So we may not know the exact duration of the disease in many patients. You have hypertension for a minimum of 15 years.
Hello, Welcome to icliniq.com. Your sister is undergoing peritoneal (stomach) dialysis. Now, she has fluid retention in her body. This can be either due to a change in her fluid intake habits wherein she has now increased fluid intake; another reason may be that the dialysis technique is not resulting in adequate water removal from her body as well as poor clearance of toxic material (which may account for her poor appetite). We also have to see if the medicine fluid which we installed in her stomach is going into her chest cavity.
Hi, Welcome to icliniq, and thank you for choosing us as your provider for health care. I have gone through all your details and appreciate your concern. From what I understand, your brother experienced an acute worsening of renal function following an episode of accelerated hypertension. It is likely that he had underlying chronic kidney disease. In such cases, blood pressure medications from the category of Azilsartan are effective for both lowering blood pressure and protecting the kidneys in the long run. However, while on such medications, it is important to closely monitor serum creatinine and serum potassium levels.
Hello, Welcome to icliniq.com. Sorry to hear about your daughter. As you rightly infer, she has vesicoureteric reflux. Right is more affected than left. This severity of affection is usually not expected, though, from grade II reflux.
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