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Are headaches and foamy urine symptoms of chronic kidney disease?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At May 17, 2024
Reviewed AtMay 17, 2024

Patient's Query

Hello doctor,

I have chronic kidney disease with eGFR 22. I weigh 176 pounds and have a height of 5 feet 2 inches. My symptoms include frequent headaches and foamy urine.

Please help.

Answered by Dr. Karthic Kumar

Hello doctor,

Welcome to icliniq.com

I understand your concern.

Your kidney function has declined gradually and unfortunately, you are not on any medications. The headache could be due to the high blood pressure. I would suggest you check your blood pressure and revert. Secondly, foamy urine is because of a significant protein leak in your urine. I would like to get a few more details from you. Please connect so that I would be happy to assist you and make you feel better. Try not to take any painkillers for headaches. Please share the detailed investigations. The probable cause can be hypertension.

Investigations to be done:

Investigations to be done include:

  1. USG (Ultrasonography) Abdomen and Pelvis.

  2. Complete Hemogram Electrolytes (Sodium, Potassium, Phosphorus, Bicarbonate, Calcium, Chloride)

  3. Total Protein or Serum Albumin.

  4. Random blood sugar (Rbs).

The differential diagnosis is:

CKD (Chronic Kidney Disease) VS AKI (Acute Kidney Injury)

The probable diagnosis can be CKD (Chronic Kidney Disease).

The treatment plan includes-

Monitoring blood pressure and management of BP (blood pressure) is required. Medicines to protect further kidney function.

  1. Tablet Sodium bicarbonate 500 mg, thrice daily.

  2. Tablet Alphacalcidol 0.25 mcg once in the morning, twice a week.

  3. Tablet Folic acid 5 mg once daily in the morning.

  4. Tablet Ferrous sulfate once daily in the morning.

  5. Tablet Amlodipine 5mg twice a day, preferably once in the morning and once in the evening.

  6. Tablet Multivitamin once daily, in the morning.

Consult your doctor and take the medicines accordingly.

Regarding follow-up: Next two days

The preventive measure is to take medication properly and on time.

I hope this helps.

Kindly follow back if you have more concerns.

Regards.

The Probable causes

? hypertension

Investigations to be done

USG ABDOMEN AND PELVIS COMPLETE HEMOGRAM ELECTROLYTES ( SODIUM, POTASSIUM, PHOSPHORUS, BICARBONATE, CALCIUM, CHLORIDE) TOTAL PROTEIN / SERUM ALBUMIN RBS

Differential diagnosis

CKD VS AKI ON CKD

Probable diagnosis

ckd

Treatment plan

MONITOR BLOOD PRESSURE AND MANAGEMENT OF BP IS REQUIRED MEDICINES TO PROTECT FURTHER KIDNEY FUNCTION DECLINE REGULAR FOLLOW UP WITH NEPHROLOGIST T SODIUM BICARBONATE 500MG 1-1-1 T ALPHACALCIDOL 0.25 MCG 1-0-0 (2/7) T FOLIC ACID 5 MG 1-0-0 T FERROUS SULPHATE 1-0-0 T AMLODIPINE 5MG 1-0-1 T MULTIVITAMIN1-0-0

Preventive measures

TAKE MEDICINES PROPERLY AND FOLLOW UP DOCTOR

Regarding follow up

next 2 days

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Karthic Kumar
Dr. Karthic Kumar

Nephrology

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