Recently Answered Questions
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My mom's health has deteriorated completely in a year. Please help.
Query: Hi doctor, My mother is 56 years old. She has been a diabetic for the last 20 years. Her health has deteriorated completely in the last year. We found out through a biopsy that her kidney has been damaged. Her gallbladder was removed as it was infected and had a stone as big as a marble. The mouth a... Read Full »
Answer: Hi, Welcome to icliniq.com. She is having hypoalbuminemia (low level of albumin in the blood).Also, her serum potassium is high. We have to treat serum potassium first with diuretics and Insulin infusion.If the serum potassium does not come below 5.5, then she can go for dialysis.I would like to kno... Read Full »
CKD patient with high phosphorus content. Is dialysis required now?
Query: Hello doctor, My father is suffering from CKD for the past one year. His creatinine level is 11.05, urea is 144 and uric acid is 5.10. He has no swelling or breathlessness, but his phosphorus content is high 5.80. We have not started the dialysis at the moment. Could you please guide the right wa... Read Full »
Answer: Hi, Welcome to icliniq.com. After seeing all the details and your father's reports (attachment removed to protect patient identity). I would like to ask few questions. What is his age? How is his appetite? Does he feel nauseated or vomit? Is he losing weight and feels generally unwell? With... 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 mother gets 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 should... Read Full »
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 »
My mother is suffering from chronic kidney disease. Can she avoid dialysis?
Query: Hi doctor, My mother is suffering from chronic kidney disease, and her creatinine level is 9.8 mg/dL. She has a history of diabetes for the past 25 years. She is taking Insulin from the beginning. She has hypertension for the past 35 years. Her hemoglobin is about 11.0 gm/dL. Her eyesight has been ... Read Full »
Answer: Hello, Welcome to icliniq.com. I have reviewed your query. There are specific indications for dialysis in patients with chronic kidney disease. They include low creatinine clearance, high potassium, patient becoming acidotic, symptoms of uremia (increased urea in the blood), loss of appetite, urem... Read Full »
I am a stage 4 CKD patient.. Can I use Eprex in combination with Warfarin?
Query: Hi doctor, I am a CKD patient in stage 4 with a creatinine level of 6 mg/dl and a urea level of 109 mg/dl. My hemoglobin level is 10 gm/dl. I know I am not indicated to use Eprex (Epoetin alfa). Still, I am responsible for using it to enhance the quality of life, to prevent stroke and other coagulan... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query. Based on your investigations and history, you have CKD (chronic kidney disease) stage 5. Since your hemoglobin is 10 gm/dl, you do not need Eprex, but you will need that soon. So keep monitoring your hemoglobin. Regarding the use of Warfarin, I woul... Read Full »
Does my relative take the correct dosage for his diabetes medication?
Query: Hi doctor, I am sending a few doubts of my relative, who is suffering from diabetes and HTN. They have a strong case history of CKD in the family. For diabetes, the patient was taking the following medicines. A combination of Metformin 850 mg and Glimperide 1 mg in the morning and a combination of M... Read Full »
Answer: Hi, Welcome to icliniq.com. I went throgh your query and understood your concern. However, I have a few questions. 1. Is he still taking Glimepiride (anti-diabetic medication) and Metformin (antihyperglycemic drug)? 2. Tiban is Teneligliptin, which I do not prescribe much. But it is safe to tak... Read Full »
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, Neugab... 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 present... Read Full »
Kindly suggest the prognosis of CKD.
Query: Hi doctor, My girlfriend is 35 years old. She is obese, exercises regularly and tries to watch her diet. In spite of these, she is prediabetic. Her fasting blood glucose is typically around 105 mg/dL. Her A1C is normally in the range of 5.7% to 6%. She takes Metformin to manage the prediabetes. Her... Read Full »
Answer: Hi. Welcome to icliniq.com. We are here to help you. Considering her prediabetes a cause of her proteinuria, yes, she would be categorized in stage 1 CKD (chronic kidney disease). However, that is very unlikely that such a prediabetes at this age is going to cause proteinuria. Yes, this is not g... Read Full »
Does my mother's CT scan show the cause of weakness?
Query: Hello doctor, My mother's present complaint is weakness. She is also suffering from diabetes, blood pressure, CKD and heart problem. We have done the CT scan. The CT scan shows shortness of breath in the lung. I am sending the report of a CT scan and other prescriptions. Please advise. Read Full »
Dr. Amol Kumar Wasudeorao Diwan
Answer: Hi, Welcome to icliniq.com. I have read all the reports attached here (attachment removed to protect patient identity). Your mother is a known case of diabetes mellitus, chronic kidney disease and blood pressure. Her CT chest is suggestive of left upper lobe density. Here the question is whether... Read Full »