Recently Answered Questions
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Is a kidney transplant safe for my mother?
Query: Hello doctor, I want to ask about the kidney transplant that if it is safe to do for my mother. My mother is 60 years old and has diabetic nephropathy, chronic kidney disease, GFR is 6. Creatinine is 543. Potassium is 5. She had congestive heart failure, severe mitral regurgitation. The ejection fr... Read Full »
Answer: Hello,Welcome to icliniq.com.I passed carefully through your question and would explain that a kidney transplant would be a perfect solution for her low kidney function, but it could be at high risk because of her heart function. You should know that heart failure has a reserved life expectancy. You... Read Full »
My M2-PK level is 150. Does it mean that I have cancer?
Query: Hello doctor, My M2-PK is 150. Does it mean that I have cancer? There was no pain, just a regular checkup. Kindly help. Read Full »
Answer: Hello, Welcome to iclinic.com. No, it does not imply cancer alone. Many healthy people, as well as patients with other non-cancerous diseases like rheumatic diseases, diabetic nephropathy, chronic heart diseases, inflammatory bowel disease, pancreatitis, sepsis, may have elevated levels. So there ... Read Full »
I have excessive thirst and frequent urination. Are these due to my medications?
Query: Hello doctor,I have been on Lithium for bipolar disorder for over 20 years. From a blood test two years ago, I noticed that my GFR was below 40. So, I gradually started switching from Lithium to Epilim to avoid further damage to my kidneys. But now, I experience excessive thirst and I wake up at nig... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen your detailed reports (attachment removed to protect patient identity). Lithium commonly causes two types of renal disease, namely nephrogenic diabetes insipidus and chronic tubulointerstitial nephritis. Diabetes insipidus is causing the symptoms of incre... Read Full »
Are my kidneys damaged if I have high uric acid and albumin levels?
Query: Hello doctor, I am a 44-year-old male with a BMI of 26. During a recent health checkup of blood and urine, the following readings were observed. I have mentioned only the ones who have the higher readings. Protein 1+ detected in dipstick, serum uric acid at 9.2 mg/dL, MPV at 12.5 fL, FBS at 112 mg/... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen all your reports (attachment removed to protect patient identity). The main problem is with the serum lipid profile which is HDL (high-density lipoprotein), LDH (lactate dehydrogenase), cholesterol, serum uric acid, urine albumin-creatinine ratio whic... 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 »
My creatinine level is 2.0. Which is the best medication?
Query: Hello doctor, My creatinine level is 2.0. What is the best medication? Read Full »
Answer: Hi, Welcome to icliniq.com. This indicates diabetic nephropathy (attachment removed to protect patient identity). It means your kidneys have been affected by the long standing diabetes and you need to avoid drugs which are primarily metabolized and excreted via kidneys. Metformin should be avoided... Read Full »
How is an increase in creatinine level significant in a diabetic patient?
Query: Hello doctor, I am a 56 year old male. I was told that my creatinine level is 2.3 after my last HbA1c. I am type 2 diabetic. I am now on Atkins diet to reduce dramatically lower carbohydrates. What is the significance of increased creatinine level? What is considered as a critical level? Please exp... Read Full »
Answer: Hi, Welcome to icliniq.com. We are here to help you. Rise in serum creatinine level in a diabetic person points towards the development of diabetic nephropathy. Yes, increased serum creatinine requires alarming as this can further progress into end-stage renal disease. Now, you required ... Read Full »
Can you please suggest how to improve my father's urine output after a brain stroke?
Query: Hello doctor,My 70 years old father had a brain stroke, and he has been operated thrice since then, including VP shunt. He is diabetic, and his condition has not improved yet. He is in the ICU, and his urine output has decreased to 10 ml per hour. They performed dialysis two days back, but there is ... Read Full »
Answer: Hi, Welcome to icliniq.com. It is an acute renal failure with underlying chronic diabetic kidney disease. It is very common in patients with diabetic kidney disease to go to acute failure. The prognosis is usually bad, and the choice of treatment is dialysis. Consult your treating nephrologist and... Read Full »
What is the reason for the exaggerated protein in my routine urine test?
Query: Hi doctor, I am a 66 year male, who is diabetic and hypertensive from the last 15 years. I am on Tazloc H, Cresar AM, Metformin, and Amaryl. Routine urine exam showed proteins 30 mg/L, micro albumin 94.97 mg/L, and pus cells 4 to 5 cells. What is the inference and advise? Read Full »
Answer: Hi,Welcome to icliniq.com.I will advise you to check UPCR (urine protein to creatinine ratio) and evaluate fundus for diabetic retinopathy or hypertension retinopathy. Thanks.For more information consult a nephrologist online --> https://icliniq.com./ask-a-doctor-online/nephrologist Read Full »
What is an immunofixation test?
Query: Hello doctor, I am asking this question on behalf of my dad, who is 60 years old, 5 feet 9 inches, and 173 lbs. He was recently diagnosed with stage three chronic kidney disease. He also recently received an abnormal result on a serum immunofixation test, which I know can be an indicator of multiple... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello,Welcome to icliniq.com.As your dad has a chronic kidney disease, he is having nephropathy of the kidneys. We should look out for the cause. It could be high blood pressure or uncontrolled diabetes. He may require dialysis in the later stages.In chronic kidney diseases, active conversion of vi... Read Full »