Hello, Welcome to icliniq.com. I want you to be concerned only about the rise of creatinine, which (from your history mentioned) could be due to diuretics or contrast taken during the CT. Low potassium also could be related to a high dose of diuretics. High CO2 is related directly to low potassium, so do not worry about it. I hope this helps.
Hello, Welcome to icliniq.com. Many children with a single kidney will have a normal life without further complications. But still, there is some risk of the development of some problems later in life : 1. Development of high blood pressure. 2.
Hello, Welcome to icliniq.com. I can see clearly that your daughter’s condition is improving (attachment removed to protect patient identity). This is the nephrotic syndrome of minimal change type as usually comes in the children. The reason behind less improvement in the private area and stomach edema is that steroids are causing central obesity and I believe that this is temporary and will subside when she tapers down the steroids (after remission of the disease). Supposedly steroids are reducing the amount of protein filtered in the kidney and consequently, serum albumin will improve with time without the need for albumin infusion.
Hello, Welcome to icliniq.com. ACR (albumin to creatinine ratio) of 30-300 equals what is called microalbuminuria. It is an effect of diabetes on the kidney. Telmisartan is a good treatment for it. Good control of diabetes, and also good control of blood pressure (below 130/80 mmHg) are mandatory to avoid deterioration.
Hello, Thanks for trusting us with your health care. I can understand your concern. Blood pressure need to be controlled more than this level to avoid deterioration of kidney functions. Need to share more details about history and level of creatinine. Measures that possibly slow the kidney damage are as follows: Control of blood pressure and diabetes. Low salt, low fat diet.
Hello, Welcome to icliniq.com. Attached investigations do not show evidence of autoimmune condition (attachment removed to protect patient identity). But it shows some impairment in kidney functions as GFR is lower than normal and creatinine is 1.4. This could be an effect of longstanding hypertension or due to another factor.
Hello, Welcome to icliniq.com. I want to reassure you that this finding is not significant and most likely not related to your abdominal pain. Further assessment including detailed history and proper examination should be done to diagnose the possible reason..
Hi, Welcome to icliniq.com. Yes, unfortunately this is chronic kidney disease stage 4 to 5. May be the late stages of CKD (chronic kidney disease) is rapidly progressive especially in diabetics. If urine output has not been improved after treating the infection and achieving good water balance, I am afraid he might need dialysis..
Hi, Welcome to icliniq.com. Getting rid of these fluids is dependent on knowing the cause of its accumulation. She may need to increase the dose or change to intravenous diuretics (to be taken in the hospital). We should check also protein levels in the blood and liver and kidney functions. Follow up with cardiologist.
Hello, Welcome to icliniq.com. My opinion is that he should be admitted to the hospital. Good that he has enough urine output so far. But it can decrease any time, and kidney functions will start to drop. The best is to admit him for close intravenous hydration and daily monitoring of kidney functions and CPK (creatine phosphokinase).
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