My mom has high creatinine and GFR values with high BP. Kindly suggest treatment options.

Hello,

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I checked the reports of your mother (attachment removed to protect patient identity). It shows features of CKD (chronic kidney disease) with the possibility of renovascular disease. CT (computed tomography) angiography will be a good choice to rule out any renovascular disease. If that is normal then kidney biopsy can be contemplated. Rest, she should have good blood pressure control to prevent any further kidney function loss.

Hello,

Welcome back to icliniq.com.

Your mother has kidney disease with low kidney function. She needs to be evaluated for this. One important cause of this is most likely due to renovascular disease, for which you would need CT(computed tomography) angiography. I do not know how much it would cost in your country, if it costs too much, you should prefer to return to the home country. Also, she needs further investigation, which again can be cumbersome without insurance. But I would suggest you check out with the local hospital to get an idea of how much it will cost to make decisions accordingly.

Hello,

Welcome back to icliniq.com.

If it is this much costly, you can come back to your country. Since it is not that serious, you can take one or two months, but it is better to evaluate soon. A kidney biopsy is not for cancer but to see why kidney functions are low, especially if CT angiography is normal.

Hello,

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I meant it is not that serious in terms of life. But if we delay the investigation, the treatment will be delayed, and kidney function may not improve later.

She needs to have a low salt and low protein diet (especially avoid animal protein). She can take fluids as per urine output (urine should be around 1.5 to 2 liters). Also, avoid processed food. Rest, she can do normal work.