Recently Answered Questions
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Query: Hello doctor, I was diagnosed with chronic kidney disease last year and my creatinine was high around 200 mg/dL, but the last three blood tests have shown trace protein, and the nephrologist suggested that my kidney function would likely return to about 80 % normal. What do you think? Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. Some improvement may be there. It may be over optimistic. Thank you. Read Full »
Query: Hello doctor, My 83-year-old mother was diagnosed with CKD G4 two years ago when her hemoglobin levels dropped significantly. She has not had any prior high blood pressure or diabetes issues. Some of the observed side effects include leg cramps, and a leg scan revealed calcification and narrow arter... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. I understand your concern about your mother's CKD (chronic kidney disease) status. Regarding her creatinine level, it should be noted that creatinine levels can fluctuate due to various factors such as changes in muscle mass, dietary choic... Read Full »
I need a second opinion on the treatment done for a child with a neurogenic bladder. Please guide.
Query: Hi doctor, A 10-year-old boy was already diagnosed with Bardet- Biedl syndrome (BBS), CKD (chronic kidney disease), hypogonadism, and neurogenic bladder complained of recurrent urinary tract infection and constipation. The child got Mitrofanoff appendicovesicostomy ten days back. I have attached the... Read Full »
Dr. Manu Chandarashekhara Bharadwaj
Answer: Hello, Welcome to icliniq.com. I went through the discharge summary (attachment removed to protect patient identity). I understand that appendicular mitrofanoff was done after the diagnosis of the Neurogenic bladder. I want to let you know that mitrofanoff is the surgery in cases of neurogenic bl... Read Full »
Can intake of diabetic medicine increase creatinine levels?
Query: Hello doctor, My aunt is 44 years old. Her reports are plasma glucose is 119 mg/dL, blood urea is 61 mg/dL and serum creatinine is 3.0 mg/dL. Doctor has told that, the medicine she has been taking for sugar is affecting her kidney. Please provide some advice. Thank you. Read Full »
Answer: Hi, Welcome to icliniq.com. I would like to know whether your aunt is a long-standing diabetes patient. Diabetes mellitus is a condition where ones sugar level is higher than normal and need to take medicines to bring to normalcy. If she has been a long-standing diabetes patient kidneys can get af... Read Full »
What diet can a chronic kidney disease patient take?
Query: Hello doctor, I am a 67-year-old male with a weight 143 lbs and height of 171 cm. I have been suffering from chronic kidney disease and post PTCA care for 17 years. I was diagnosed 15 months back with serum creatinine to be around 5 and am on medications for 15 months. I am a non-diabetic. In the l... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through the attachments (attachment removed to protect patient identity) Your reports are fine. Albumin is good that shows that your nutritional status is fine. Potassium is low that accounts for generalized weakness. So now decrease your food restricti... Read Full »
How long should a double J ureteral stent be left inside?
Query: Hello doctor, I am a chronic kidney disease patient, and there are multiple stones in my right kidney. My doctor placed a double J stent almost six months ago. I have not removed my stent. Is it risky? How long can I let the stent inside? Due to some problem, I cannot go for the checkup. Read Full »
Answer: Hi, Welcome to icliniq.com. The stent has probably been placed for draining the kidneys. Depending on the stent material, indwelling time will vary. It ranges from three months for polyurethane stent to a year for silicon stent. Neglecting stents can lead to lots of problems. Stones can form a rec... Read Full »
Will the increased creatinine levels decrease?
Query: Hello doctor, I am a 70 year old male. I am a long-term diabetic patient. My weight is 69 kg. I am suffering from CKD for the past one year. About one year back, my creatinine was 3. Now it has gradually increased to 5.18. It is my doubt. Once increased, will the creatinine level decrease? 10 days b... Read Full »
Answer: Hello, Welcome to icliniq.com. Since your creatinine has gradually increased over a period of a year, it will not decrease. In acute settings, like some infection or diarrhea, creatinine will temporarily rise and then comes down. But, in your case, it is a progression of the disease itself. So, it... Read Full »
Why breathlessness is caused in a CKD stage 5 patient?
Query: Hello doctor,My father is a patient of CKD stage 5. He is undergoing dialysis weekly twice. Right now he is having creatinine 9.1, potassium 5.2, and hemoglobin 8.9. Yesterday, he was given two units of blood during dialysis. Despite all that he is having severe breathlessness for these two days. Pl... Read Full »
Answer: Hello, Welcome to icliniq.com. Your father's potassium and creatinine levels are high. The breathlessness may be because of pulmonary edema. There is no specific medicine for these cases, as the best treatment is dialysis. Consider talking to your nephrologist to do the dialysis more frequently, s... Read Full »
My mother has 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 »
I want to undergo a GFR test. Is fasting required?
Query: Hi doctor, I am a 27 year old female. For a year, I am advised to take one Sompraz D20 on an empty stomach in the morning, and one Libotryp tablet at bedtime for TB. As a part of routine check up, I want to get tested for kidney function, that is, GFR blood test. Is fasting required for this test? I... Read Full »
Answer: Hi, Welcome to icliniq.com. I appreciate your concern regarding GFR (glomerular filtration rate). If no structural abnormality of kidneys is seen on imaging studies like ultrasound KUB (kidney, ureter, and bladder), then get serum creatinine, which is an approximate reflection of renal function. A c... Read Full »