Recently Answered Questions
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What results in urinalyses determine whether I have a chronic kidney disease?
Query: Hello doctor, I have diabetes type 2. I have had two out of three abnormal urinalyses in the last six months. Six months back results were albumin 332.0, creatinine 297, ratio 111.8, glucose 3+, gravity 1.039, protein 1+ and everything else within the normal range. Two months back results were creat... Read Full »
Answer: Hello,Welcome to icliniq.com.Relax and do not worry. You have uncontrolled diabetes mellitus. HbA1c should be less than 7. Regarding urine analysis, ACR (albumin-creatinine ratio) should be watched carefully. Less than 30 means normal. 30 to 300 means microalbuminuria means starting of CKD (chronic ... Read Full »
Why does my father have high BP and serum creatinine and low Hb?
Query: Hi doctor, My father is 62 years old, and his hemoglobin levels have deteriorated for the last two years. His ultrasound report shows that the kidneys are smaller than their natural size. His legs are swollen at times. His blood pressure is high. The serum creatinine level is between 2 to 3 mg/dL. H... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. According to the reports provided (attachment removed to protect the patient's identity), the kidneys are shrunken and damaged. It is known as chronic kidney disease. The swelling in the legs and high blood pressure are due to chronic kidne... Read Full »
I have chronic kidney disease. Do I need dialysis shortly?
Query: Hello doctor, I am a 43-year-old male. I often feel tired, confused, and nauseous. I have back pain, headaches, and indigestion often.I am feeling sick from PKD. I am suffering from renal failure with GFR of 13. I am currently not under any medication. I need an ESRD diagnosis. Kindly help. Attach... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your reports (attachments removed to protect patient's identity). The reports suggest chronic kidney disease (CKD) stage five due to polycystic kidney disease (PKD). The stage of CKD is such that you need to prepare for renal replacement therapy.... Read Full »
My diabetic father has high creatinine and BUN levels. Why?
Query: Hi doctor,My father is suffering from diabetes, hypertension, and chronic kidney disease. His creatinine level is 5 mg/dL, blood urea nitrogen level is 90 mg/dL, hemoglobin level is 8 g/dL. He is taking capsule Sompraz IT, tablet Faronac 300 mg ER, tablet Febuxostat 40 mg, tablet Irozorb plus, table... Read Full »
Answer: Hello,Welcome to icliniq.com.I have seen the report attached (attachment removed to protect the patient's identity). What is your query? Read Full »
Why has my mother's creatinine level spiked despite taking tablets?
Query: Hi doctor, My mother is suffering from chronic kidney disease, and her creatinine level spiked to 3 from 2.4 within a week. She is having issues in breathing. She is in ICU now. Why did this happen even after taking medication? She has a history of diabetes. She is taking Insulin 10 to 20, Neugaba M... Read Full »
Answer: Hi, Welcome to icliniq.com. As she is suffering from chronic kidney disease, she would have also had an acute kidney injury. The most common cause of such an acute insult is an infection. The infection can be in the blood or urine. The other cause could be a cardiac involvement. At pres... Read Full »
Do my reports indicate kidney damage?
Query: Hello doctor, I am a 43-year-old male. And I work out six days a week. I am in excellent shape. I consistently get my blood work done every four months. I am a kidney stone former and had kidney stones on and off for the last 10 years. I have a few kidney stones on my right side. I had blood drawn ... Read Full »
Answer: 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... Read Full »
Will I get pain relief from the joints and pelvic region after my calcium levels are increased?
Query: Hello doctor,I am 62 years old. I have been on kidney dialysis for the past two years. A few weeks ago I developed CKD-MBD. I am taking a drug to lower my phosphorus levels (8.5), D3, and niacin as well as the normal B12, calcium, and vitamins. How long will I have to deal with the constant pain in ... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern regarding your CKD (chronic kidney disease)and MBD (mineral bone disorder) status. Your calcium is low and phosphorus is high, but this does not explain your PTH (parathyroid hormone) level, it should have been high but it is not. Since when ar... Read Full »
My mother is having vesicoureteral reflux. Is it a life-threatening condition?
Query: Hello doctor, My mother has vesicoureteral reflux, which was diagnosed 20 years ago. At that time, her left kidney was functioning 27 % and her right kidney 72 %. She is getting tired and she is a heavy drinker and smoker. Should I be concerned for her? She does not want to see a doctor. Is her cond... Read Full »
Answer: Hi, Welcome to icliniq.com. It is strongly advised that your mothergets a kidney function tests like serum creatinine, blood urea, and nitrogen. She should at least try to reduce her smoking and drinking, as it would further contribute to the worsening of the kidney function. If possible, she shou... Read Full »
My blood pressure level is 140/90 mmHg. Should I take BP medication?
Query: Hello doctor,I am a 32-year-old male. One month back I checked my BP, it was 120/90 mmHg and today again I checked, it was 140/90 mmHg. Both were done in doctor's clinic. I did blood hemogram and cholesterol tests everything is normal. Two yrs back I did USG of full abdomen it was normal. In my fami... Read Full »
Answer: Hi, Welcome to icliniq.com. Blood pressure is different at the same time by different machine or the instrument used previously. Now regarding the value of blood pressure, it is not mandatory that the value is fixed. It is different for different people of the same age. But it depends on weight, h... Read Full »
Query: Hello doctor,I have a creatinine value of 90 umol/L and cystatine C of 0.95 mg/L. This gives a relative average eGFR of 79 which then is classified as CDK stage 2. But if I calculate my height and weight the absolute eGFR is 94. Do I have CDK stage 2 or should I look at absolute eGFR? Kindly suggest... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern regarding eGFR values. CKD (chronic kidney disease) is defined if GFR (glomerular filtration rate) is less than 60 for more than three months or if urine protein is more than 20 mg for more than three months. GFR depends on many factors, with ... Read Full »