Chronic Kidney Disease

Chronic kidney disease (CKD) is a long-lasting decline in kidneys' functioning, usually lasting longer than three months. CKD occurs in five stages, where mild damage is stage 1, and complete failure of kidney functions is seen in stage 5. CKD commonly occurs due to high blood pressure and sugar and can result in anemia, bone disease, and heart problems.

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My cousin, who has had chronic kidney disease, was recently diagnosed with heart failure. Why?

Query: Hi,My cousin has chronic kidney disease and has recently been diagnosed with heart failure. The doctors suggested an angiography. I would like to get a second opinion on this matter. Has his kidney disease been related to his recently developed heart failure? Please suggest.  Read Full »


Dr. Vaibhav Vishal

Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. It is challenging to answer your question without any investigation reports. A heart condition can develop due to chronic kidney disease (due to severe water retention), but both can be separate disease processes also. ...  Read Full »

My mother has chronic kidney disease, and her creatinine levels have spiked despite taking medicines. Why?

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 »


Dr. Anshul Varshney

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 »

What happens when creatinine and BUN levels become high in a diabetic, hypertensive, and CKD patient?

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 »


Dr. Manzoor Ahmad Parry

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 »

Proteins were detected in my urine. What can I do about that?

Query: Hi doctor, I took tablet Solifenacin 5 mg for increased frequency of urine along with tablet Cifran 500 mg. After 10 days, proteins were detected in my urine. Is it fatal? What should I do? Please suggest. I do not urinate frequently now, but I have right flank pain. What is happening to me?  Read Full »


Dr. Anshul Varshney

Answer: Hi, Welcome to icliniq.com. You seem to be suffering from urinary tract infection, and it could be secondary to kidney stones. In such case, I would recommend you to get an ultrasound of the abdomen and a urine culture done. Also, get your blood sugar tested if not done recently. You should drink...  Read Full »

How long can a double J ureteral stent be left inside?

Query: Hello doctor, I am a chronic kidney disease patient, and there are multiple stones in my right kidney. My doctor placed a double J stent almost six months ago. I have not removed my stent. Is it risky? How long can I let the stent inside? Due to some problem, I cannot go for the checkup.  Read Full »


Dr. Raja Ramesh

Answer: Hi, Welcome to icliniq.com. The stent has probably been placed for draining the kidneys. Depending on the stent material, indwelling time will vary. It ranges from three months for polyurethane stent to a year for silicon stent. Neglecting stents can lead to lots of problems. Stones can form a rec...  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 Me...  Read Full »


Dr. Thiyagarajan. T

Answer: Hi, Welcome to icliniq.com. Hi Sir, First, I wanted to be clear. 1. Is he still taking Glimepiride and Metformin? 2. Tiban is Teneligliptin, which I do not prescribe much. But it is safe to take 20 mg twice daily. Also, it is safe to take once daily in a person with kidney problems. 3...  Read Full »

I am suffering from chronic kidney disease stage five. Do I have to proceed with dialysis immediately?

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 »


Dr. Manzoor Ahmad Parry

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 »

I need a second opinion on the treatment done for a child with a neurogenic bladder. Please guide.

Query: Hi doctor, A 10-year-old boy was already diagnosed with Bardet- Biedl syndrome (BBS), CKD (chronic kidney disease), hypogonadism, and neurogenic bladder complained of recurrent urinary tract infection and constipation. The child got Mitrofanoff appendicovesicostomy ten days back. I have attached th...  Read Full »


Dr. Manu Chandarashekhara Bharadwaj

Answer: Hello, Welcome to icliniq.com. I went through the discharge summary (attachment removed to protect patient identity). I understand that Appendicular Mitrofanoff was done after the diagnosis of the Neurogenic bladder. I want to let you know that Mitrofanoff is the surgery in cases of Neurogenic blad...  Read Full »

Kindly review my father's report and give a suitable treatment plan for his symptoms.

Query: Hello doctor, My father has a distended abdomen, fatigue, and occasional breathlessness on walking. I have attached the reports of my father. We are quite concerned seeing his low eGFR (estimated glomerular filtration rate), pre-diabetes values, cholesterol, etc. Please guide us on the best course ...  Read Full »


Dr. Basuki Nath Bhagat

Answer: Hello, Welcome to icliniq.com. I saw his reports (attachments removed to protect the patient’s identity). His liver function test, thyroid function test, and complete hemogram are all normal. There is a slight increase in his serum creatinine, and the rest of his kidney function test is 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 »


Dr. Rahul Suresh Kulkarni

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 shoul...  Read Full »

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