How to manage my mother's BP and creatinine levels?

Question

Hello doctor,

My mother's creatinine level is 4.9, and her urea level is 37. Potassium level is 4.4. Blood pressure is 165/80 mmHg. Recently, two days back, she had Penicillin and Tazobactam 2.25 by intravenous (IV) route. My concern is about her creatinine level and urea.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

I understand that you are disturbed regarding your mother’s lab report, but let us take a look at the result. The report showed high blood pressure, high urea and creatinine, and protein in the urine. All these points point to a possible diagnosis of hypertensive nephropathy. This means your mother’s kidney is damaged due to the narrowing of the renal vessels, not supplying enough blood to the kidney due to hypertension.

Blood pressure is the major cause due to poor control. So the kidney damage may be reversible if blood pressure is adequately regulated. Please do the electrocardiogram (EKG) test, and reply to me with the result. Meanwhile, please ask your mother to take the following medications:

1 tablet Lisinopril 10 mg by mouth once daily for two weeks.
1 tablet Aspirin 75 mg by mouth once daily for two weeks.
1 tablet Methyldopa 250 mg by mouth twice daily for two weeks.

I will advise on the following:

No alcohol or smoking.
Weekly blood pressure check and monthly urine analysis.
Restrict sugar and fat intake.
Regular exercise.
Drink a lot of water.
Eat a lot of fruits and vegetables.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.