Recently Answered Questions
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I lost my kidney function after an accident. Please help.
Query: Hello doctor, I had an accident a couple of years back. I lost significant amounts of my kidney function, and I am up for hemodialysis every 3 weeks. I have been trying every way to improve my overall health without further ruining my kidneys. Something about the benefits of a ketogenic diet caught ... Read Full »
Answer: Hello, Welcome to icliniq.com I understand your concern regarding the keto diet. So, the problem with the keto diet in dialysis patients is that it is very high in fat and low in carbs, which have the potential to exacerbate metabolic acidosis, which may hasten kidney failure. So, I would advise y... Read Full »
What can be done for high levels of urea and creatinine?
Query: Hi doctor, My grandfather is 82 years old. He has undergone bypass surgery before 14 years and also done angioplasty last month. He has diabetes and BP. He has a high level of blood urea and creatinine. What are the steps can be taken now? Please suggest. Read Full »
Dr. Hafiz Muhammad Hassan Shoukat
Answer: Hi, Welcome to icliniq.com. He has a worsening kidney function secondary to hypertension and diabetes. His hemoglobin is low, (attachment removed to protect patient identity) and it is 7.6 g/dL. I believe that it is low due to kidney failure and he also has a bladder infection. Consult a urologist... Read Full »
How much BP is good enough to start dialysis?
Query: Hi doctor, My father is a heart patient with amyloidosis and edema. He is in coma after cardiac arrest for seven days now. He was diagnosed with hypertension 26 years ago. His current medications are Lasix, Midodrine, Amiodarone and Eliquis. Patient also has AFib. Patient has BP readings of 121/71 m... Read Full »
Answer: Hi, Welcome to icliniq.com. Blood pressure of 120/70 mmHg is good enough for dialysis to start. You can go with SLED (sustained low-efficiency dialysis) in which the chances of blood pressure dropping is very low. Premedications which would help to prevent will be inotropes. If you c... Read Full »
What are the preventive measures to be taken to prevent blood clots during dialysis?
Query: Hi doctor, I am a retired person aged 69 years. I am a CKD patient on dialysis for the last three years. Recently, the fistula on my left hand has been blocked. Through venogram, it is seen that it could not work anymore. Due to the blood clots, the flow has been distributed; hence permacath was pl... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. Following is my opinion for your asked question. Actually, during dialysis, it is common to form a blood clot, and the reason behind this is a disturbance of blood flow during dialysis. Therefore, Heparin or some other anticoagulant can be given before and during dialys... Read Full »