What are the causes of high creatinine and blood urea nitrogen levels in elderly patients?

Question

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, and hemoglobin level is 8 g/dL. He is taking capsule Sompraz IT, tablet Faronac 300 mg ER, tablet Febuxostat 40 mg, tablet Irozorb plus, tablet Ketoalfa-DS, tablet Amlovas LS, and an Insulin dose to control diabetes.

The insulin dosage is given according to the blood glucose level. He has taken SGPT, ESR, KFT, CBC, a random blood glucose test, and a urine test. I have attached the reports.

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

I have seen the report attached (attachment removed to protect the patient's identity).

Could you please let me know your specific query or concern?

I will be happy to assist you.

Answer 2

Hi,

Welcome back to icliniq.com.

Since your father has a kidney function of 13 ml/min, he has reached the end stage. Follow these steps;

1. Your father should stop taking tablet Amlodipine (calcium channel blocker) 5 mg and take tablet Carca (Carvedilol) 3.125 mg twice daily for high blood pressure.

2. Monitor the blood pressure daily.

3. Your father should eat less than 0.17 ounces of salt and a low-protein diet.

4. Avoid painkillers and herbal medicines to prevent kidney damage.

5. You should consult a specialist for treating AV (arteriovenous) fistula and a kidney transplant.

I hope this helps you.

Thank you.