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 way of treatment? He is on Insulin, but his fasting sugar is 59 and hemoglobin is 8.90 at the moment. Urine output is equal to input. His current medicines are these Minipress 0.25 mg, Moxovas, Zyloric and Arkamin. He is having constipation problem. I have attached his reports for your reference. Please help.
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.
Iron profile, ferritin and iPTH.Probable diagnosis:
Chronic kidney disease (CKD) or end-stage renal disease (ESRD) due to possible diabetic nephropathy.Treatment plan:
1. Continue your previous medications along with the tablet Revlamer 400 mg one tablet twice daily with meals.
2. Take Lactifiber two scoops at night.
Avoid all sorts of painkillers and alternative medicines containing heavy metals.Regarding follow up:
Revert back after the investigations to a nephrologist online.---> https://www.icliniq.com/ask-a-doctor-online/nephrologist
He is 58 years old. He has started losing weight since two months. His weight was 66 kg two months ago, but now he is 57 kg, a drastic change in two months. He eats well. Morning he takes tea and biscuits, for breakfast - oatmeal and milk or brown bread and milk. For lunch, he will have boiled rice along with a vegetable (gourd). In the evening again tea and biscuits. Then after an hour fox nut seeds pudding and for he will usually take porridge and a vegetable curry. His milk intake is only 200 mL per day. No nausea or vomiting as such except severe constipation. He is having backache and shoulder pain. Please guide.
Welcome back to icliniq.com.
Visit a dietician to follow this diet formula:
For further information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist
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