Dialysis is a preferable treatment for kidney failure patients with a GFR (glomerular filtration rate) of less than 15. In this procedure, toxins, wastes, and excessive electrolytes are removed from the blood. The types include hemodialysis, peritoneal dialysis, and continous renal replacement therapy (CRRT).
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What is the treatment for focal segmental glomerulosclerosis in a 12-year-old?
Query: Hello doctor, My 12 year old son is suffering from nephrotic syndrome since the last seven years. Two years ago, when his biopsy was done, the result said FSGS. His creatinine levels at that time was 4. Now it is raised to 10.1. He is currently taking Calcium, Folic acid, Pantoprazole, Sodium bicar... Read Full »
Dr. Geetha Priyadarsini Kamminana
Answer: Hello,Welcome to icliniq.com.Please furnish the following medical information, so that I will be able to give you further advice.What is the cause of focal segmental glomerulosclerosis (FSGS)?Has dialysis been done? What is his urine output?What does his antinuclear antibody (ANA) profile say?Has he... Read Full »
My mother's creatinine level is increasing. Is there a need for dialysis again?
Query: Hello doctor, My mother's creatinine level is increasing. Is there a need for dialysis again? Kindly help. Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query. Your mother has already undergone dialysis. It means she might probably suffering from chronic kidney disease. Serum creatinine of 7 mg/dL cannot be managed with medical treatment alone, you should go for dialysis on an urgent basis. It lea... Read Full »
I have high creatinine levels due to polycystic kidneys. Could you please suggest medications and diet to normalize the urine parameters?
Query: Hello doctor, I have high creatinine levels due to polycystic kidneys. The level reaches up to 14 mg/dL. So the doctor suggested dialysis and I underwent four dialyses to date. Now the creatinine level is 6.73 mg/dL, urea is 91.69 mg/dL, BUN is 42.8 mg/dL, eGFR is 8.84 mL/min, and uric acid is 6.65 ... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern regarding your CKD (chronic kidney disease) status and your willingness to get off dialysis. In ESRD (end-stage renal disease), once you are on dialysis it is not easy to immediately stop it. But yes with a good diet and lifestyle, it can be t... Read Full »
My mom's health has deteriorated completely in a year. Please help.
Query: Hi doctor, My mother is 56 years old. She has been a diabetic for the last 20 years. Her health has deteriorated completely in the last year. We found out through a biopsy that her kidney has been damaged. Her gallbladder was removed as it was infected and had a stone as big as a marble. The mouth a... Read Full »
Answer: Hi, Welcome to icliniq.com. She is having hypoalbuminemia (low level of albumin in the blood).Also, her serum potassium is high. We have to treat serum potassium first with diuretics and Insulin infusion.If the serum potassium does not come below 5.5, then she can go for dialysis.I would like to kno... Read Full »
CKD patient with high phosphorus content. Is dialysis required now?
Query: Hello doctor, My father is suffering from CKD for the past one year. His creatinine level is 11.05, urea is 144 and uric acid is 5.10. He has no swelling or breathlessness, but his phosphorus content is high 5.80. We have not started the dialysis at the moment. Could you please guide the right wa... Read Full »
Answer: Hi, Welcome to icliniq.com. After seeing all the details and your father's reports (attachment removed to protect patient identity). I would like to ask few questions. What is his age? How is his appetite? Does he feel nauseated or vomit? Is he losing weight and feels generally unwell? With... Read Full »
My mother who is in her early sixties and a dialysis patient has severe back pain. What should be done?
Query: Hello doctor,My mother who is in her early sixties is under dialysis for the past four years. She is getting severe back pain during dialysis and at other times also. Please suggest any medication. Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query. You have not mentioned whether the patient is on hemodialysis or peritoneal dialysis. Back pain in peritoneal dialysis is commonly due to increased abdominal pressure which can be managed by reducing dialysate volume under a doctor's superv... Read Full »
Does temporary dialysis prevent creatinine levels from increasing?
Query: Hi doctor,My 66 year old father suddenly got a high fever and in few days we discovered he has a urinary tract infection. He is a diabetic and on insulin. He is a very disciplined person when it comes to his health. He checked his creatinine levels early this year and it was in the normal range. Af... Read Full »
Answer: Hello, Welcome to icliniq.com. I am sorry to hear about your father. He is presently having a severe infection (sepsis) due to the urinary tract infection. There is an acid accumulation in the blood due to the infection. There is worsening of renal function as a result of stress to the body due to t... 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 »
How to improve the kidney function of a liver cirrhosis patient?
Query: Hi doctor, My father is suffering from liver cirrhosis as reported by the doctors. His kidneys are also damaged and due to constipation brain is also getting affected. Urine is not passing. He is unconscious. We tried dialysis twice but there are no signs of improvement as per the doctors here. I j... Read Full »
Answer: Hello, Welcome to icliniq.com. As described in the case summary, the patient's condition is critical (attachment removed to protect patient identity). Decompensated cirrhosis is an irreversible disease, and it seems the patient has all the complications of the disease. The optimum medical manageme... Read Full »
Why is there headache after dialysis?
Query: Hello doctor, My dad has been on dialysis for 2 years and has only recently been getting pounding headaches 1 hour into dialysis. He says they are pretty painful and it only occurs in his forehead and just to the right of the forehead. It does not make him sensitive to light, sound or any vision ch... Read Full »
Answer: Hi, Welcome to icliniq.com. Having headache one hour into dialysis suggest either it could be related to transient increase in blood pressure or changes in electrolytes during this interval. Is his BP monitored during dialysis and where do they stand. One way to get around is by slowing the dialysis... Read Full »