My father has CHF with sudden increase in creatinine and uric acid. What could be the problem?

Hello,

Welcome to icliniq.com.

Patient with CHF (congestive heart failure) has a baseline tendency for renal dysfunction. Also, the diuretics like Lasix which is on cause renal derangements which are usually reversible. Now in his case, the cause appears to be multifactorial. Over and above the baseline tendency, it is probably a urine infection that has initiated this and his infection was severe. Urine infection alone can cause renal dysfunction and probably it is a precipitating factor. Any infection can worsen CHF, which subsequently needs elevation in a dose of diuretics and all of these can cause renal dysfunction. So, it is multifactorial and contributes to all three factors. But the good thing is, usually this dysfunction is reversible and settles with time. I hope his urine infection was adequately treated and subsequent urine tests were clear.

I hope this helps.

Hello,

Welcome back to icliniq.com.

This pushing while urinating, does not mean infection always. This is usually due to prostate enlargement, which is quite common in this age group. Also as a follow-up, he should undergo repeat urine tests to see whether the infection is cleared or not.

An ultrasound would confirm the prostate hypertrophy and he will need medications like Urimax or Silodsin to manage this issue.

So, may not be an infection but likely a prostate enlargement however urine routine examination should be obtained to rule out recurrent infection.