Hello doctor,
I have pain on the right side of my back, and I have a fever of 100 F. I do not have shortness of breath, and my urine output is fine. I get shoulder pain when I breathe deeply, and I feel tired. I got a blood test yesterday, and my neutrophils are 9.68, lymphocytes are 13.10, total leukocyte count is 12.80, MCH is 32.10, RBC count is 4.34, chloride is 97, creatinine is 1.42, albumin is 4.72, total protein is 8.70, bilirubin total is 0.69, bilirubin direct is 0.15, bilirubin indirect is 0.54, LDL cholesterol is 104, HDL is 32.30, and non-HDL is 130.70. I currently take Envas 5, Amdepin 10, and Dytor plus 10.
Hi,
Welcome to icliniq.com.
- Stop Envas (Enalapril) immediately, and check your weight and blood pressure daily. If fever persists, then Dytor plus (Spironolactone and Torasemide)  also needs to be reduced.
- High creatinine of 1.4 is mostly because of fever, which would settle once the fever goes. To know the cause of fever, get a blood culture, urine routine and microscopic, and ultrasound of the abdomen done.
- After that, I suggest you start on some antibiotic based on your primary physician's opinion.
For more information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist
Hi doctor,
Thank you for the reply. After checking my reports, what do you think, how serious is this? Are my kidneys close to failing?
Hi,
Welcome back to icliniq.com.
- No dear, nothing like that. But you need constant monitoring of creatinine.
For further queries consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist
Hi doctor,
Thanks for the reply again. My physician is unavailable for a while. Can I have paracetamol, two times a day till he comes back?
Hi,
Welcome back to icliniq.com.
- Yes, you can have Paracetamol. But, you definitely need an antibiotic.
For further queries consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist
Hi doctor,
Thank you so much. I have attached one report that I got today. Rest of the reports will come in a few days. Please tell me your opinion.
Hi,
Welcome back to icliniq.com.
- I have seen the attached report (attachment removed to protect patient identity). Your urine report is absolutely normal.
For more information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist
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