HomeAnswersNephrologykidney disordersI have kidney related problem with diabetes, high BP, and edema. Why?

How to improve kidney issues with diabetes, BP, and edema?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Divya Banu M

Published At October 29, 2019
Reviewed AtApril 16, 2024

Patient's Query

Hello doctor,

I have kidney related problem associated with diabetes, hypertension, and pedal edema. Currently, I am on prescribed medication for diabetes and hypertension. I have undergone a full medical check-up, including lab tests. Please provide me with guidance.

Answered by Dr. Tarek Algamal

Hello,

Thanks for trusting us with your health care.

I can understand your concern.

Blood pressure need to be controlled more than this level to avoid deterioration of kidney functions. Need to share more details about history and level of creatinine. Measures that possibly slow the kidney damage are as follows:

  1. Control of blood pressure and diabetes.
  2. Low salt, low fat diet.
  3. Regular exercise.
  4. Regular checkups.
  5. Stop smoking and alcohol.

Talk to the nephrologist about any new symptoms.

Hope this helps you. Feel free to ask if you have any further queries.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

I want to know what best medication I can take for hypertension. I am taking Trilosar (a combination of three medicines).

Answered by Dr. Tarek Algamal

Hi,

Welcome back to icliniq.com.

I need to know how much creatinine level and if it is changing or stable. I need to know other results also. Trilosar (a combination of Chlorothiazide, Losartan and Amlodipine) is fine but need to monitor the kidney functions and potassium level. You can increase dose to 25 mg instead of 12.5 mg, that may improve edema and control of blood pressure. But again you need to monitor blood electrolytes and to tell me how much creatinine.

I hope this has helped you.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

Please find the attached file for the test results. The creatinine level is measured at 2.98 mg/dl, and the GFR (glomerular filtration rate) is 25 ml/min/1.73 square meters of body area.

Answered by Dr. Tarek Algamal

Hi,

Welcome back to icliniq.com.

I have reviewed the attached test reports (attachment removed to protect the patient’s identity). Please stop taking Trilosar. I suggest you to start tablet Amlodipine 10 mg daily and Furosemide 40 mg daily in the morning if you experience leg swelling. The complete blood count you sent indicates high white blood cells. Are you experiencing any fever or infections? Also, it shows signs of anemia. Have you noticed any bleeding or experienced blood loss? We need to conduct an iron profile test.

Looking forward to your response in order to help you.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Tarek Algamal
Dr. Tarek Algamal

Nephrology

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