Recently Answered Questions
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Is there anything of concern in my brother's annual health lab reports?
Query: Hello doctor, My brother has done his annual health checkup and received the lab reports. I am attaching all the reports. Could you please review the reports and let me know whether we should worry about anything, especially creatinine or diabetes? Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen the reports sent by you (attachment removed to protect patient identity). Does he have any complaints? Is he hypertensive? Any past history of surgery or medicines, etc? Any history of renal diseases in family members (parents or siblings)? All his report... 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 »
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 should... Read Full »
Why are the readings in kidney function test high?
Query: Hi doctor, I am scheduled for extracorporeal shock wave lithotripsy (ESWL) to treat a kidney stone that was discovered through testing for gross hematuria. My pre-operative blood work came back with a number of readings that were flagged as high. It includes Alpha-1-acid glycoprotein (AGP) 17, blood... Read Full »
Answer: Hello, Welcome to icliniq.com. Your high readings in kidney function tests are probably attributed to the kidney stone that you are having. Any stone present in kidney that is causing hematuria is very likely to cause transient rise in creatinine levels and alter the kidney function test too. Thi... Read Full »
Is there a permanent cure for my prolonged macrocytosis?
Query: Hello doctor, I have had macrocytosis for a long time. My last B12 and folate levels were high. I have symptoms of nervousness, snarkiness, light headedness, palpitations, and sometimes tingling in the hands and feet. It is making me crazy. My MCV is 104.9, MCH 35.6 and last TSH 2.18. I have consult... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Macrocytosis can be present because of hypothyroidism, alcohol, liver disease, etc. Your TSH value is within the limit. So, I do not think a thyroid problem can be the cause. You can get the following tests to rule out liver and kidney problem: SGOT (serum g... Read Full »
Can you give me any advise based on my lab reports?
Query: Hello doctor, I am a 68-year-old male. I am currently on tablet Gluformin G2 Forte for diabetes, tablet Cinod-N 10/2.5 for blood pressure and tablet Olmezest 20. The below is my laboratory report is from last week. HbA1c - 6.8. Uric acid - 7.41 mg/dL. Fructosamine - 299.7 mmol/L. eGFR - 83. APO B /... Read Full »
Answer: Hello, Welcome to icliniq.com. Your HbA1c is in good control and the other parameters are within the normal range. ACR (albumin creatinine ratio) is slightly high. You need to recheck the albumin-creatinine ratio after three months. Please repeat your uric acid levels after two weeks. If it is sti... Read Full »
Query: Hi doctor, I have been experiencing the following symptoms for the past 15 days. Feet pain, occasional finger bone pain, radiating bone pain, occasional cold feet, occasional abdominal cramping, or a feeling of pressure in the abdomen. I had ureteroscopy for my right proximal ureter stone removal a ... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read your concern in detail and will surely help you out. I have seen all the reports you have attached (attachments removed to protect the patient's identity). I will answer your queries step by step. 1. Can I take Neurobion forte (daily one at night)? And... Read Full »
My mother is suffering from chronic kidney disease. Can she avoid dialysis?
Query: Hi doctor, My mother is suffering from chronic kidney disease, and her creatinine level is 9.8 mg/dL. She has a history of diabetes for the past 25 years. She is taking Insulin from the beginning. She has hypertension for the past 35 years. Her hemoglobin is about 11.0 gm/dL. Her eyesight has been ... Read Full »
Answer: Hello, Welcome to icliniq.com. I have reviewed your query. There are specific indications for dialysis in patients with chronic kidney disease. They include low creatinine clearance, high potassium, patient becoming acidotic, symptoms of uremia (increased urea in the blood), loss of appetite, urem... Read Full »
What foods benefit my wife with a steady BP and high creatinine?
Query: Hello doctor, My wife's creatinine is 2.7 mg/dL. Now BP is brought to normal. What food should I give and what to do? Read Full »
Answer: Hello, Welcome to icliniq.com. First, you should get regular follow-ups with her doctor (nephrologist, cardiologist or even internal medicine specialist). Foods to avoid are salt, dark-colored colas, canned foods, orange, and orange juice, red rice, etc. Foods to eat are water the best you can... Read Full »
My serum creatinine levels are high and I am diabetic for the past 28 years. Kindly advise.
Query: Hi doctor, I am 62 years old, and I have been diabetic for the past 28 years. After having a fever for three days, I took a blood test, and my creatinine level is 1.58 mg/dL. My creatinine level was 1.21 mg/dL three months back. All the other readings are normal. Kindly suggest your opinion. Thank y... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read your concern in detail and will surely help you out. We need to evaluate whether serum creatinine rises due to diabetes or some infection. I suggest you take the following tests. 1) KFT (kidney function test). 2) CRP(Q) (c-reactive protein) test. 3) U... Read Full »
Can diabetic medicine cause rise in creatinine level?
Query: Hello doctor, My aunt is 44 years old. Her reports are plasma glucose is 119 mg/dL, blood urea is 61 mg/dL and serum creatinine is 3.0 mg/dL. Doctor has told that, the medicine she has been taking for sugar is affecting her kidney. Please provide some advice. Thank you. Read Full »
Answer: Hi, Welcome to icliniq.com. I would like to know whether your aunt is a long-standing diabetes patient. Diabetes mellitus is a condition where ones sugar level is higher than normal and need to take medicines to bring to normalcy. If she has been a long-standing diabetes patient kidneys can get af... Read Full »