Question 1

I'm really concerned about my dad. He was suspected to have multiple myeloma, but his PET scan came back normal. Now he's losing a lot of protein through urine. His latest report shows 1260mg protein in 1750ml of urine over 24 hours. What could this mean, and what should we do next? We live in Thane West, 400607.

Accepted Answer

Given the high level of protein in your father's urine, its important to investigate the underlying cause further. A visit to a nephrologist and additional tests to assess kidney function and look for signs of kidney damage or systemic diseases will be crucial. I would also recommend that you closely monitor his condition and follow up with your healthcare provider for further guidance.

Question 2

I recently found out that there's protein mixed with my urine for 4 days and it got me really worried. Could this be a sign of something serious like kidney failure?

Accepted Answer

TSH fluctuation can be puzzling.
 
 _TSH Interpretation:_
 
 1. Initial TSH: 23 (elevated)
 2. Mid-treatment TSH: 8.4 (improved)
 3. Post-treatment TSH: 23 (elevated again)
 
 _Possible Reasons for Rebound:_
 
 1. Homeopathic medicine (B56 drops) effectiveness wore off.
 2. Underlying thyroid issue persists.
 3. Dosage or duration inadequate.
 4. Other health factors influencing TSH.
 
 _Considerations:_
 
 1. Thyroid hormone resistance.
 2. Pituitary gland dysfunction.
 3. Autoimmune thyroiditis (e.g., Hashimoto's).
 4. Iodine deficiency.
 
 _Next Steps:_
 
 1. Consult an endocrinologist or thyroid specialist.
 2. Re-evaluate thyroid hormone levels (Free T3, Free T4, TSH).
 3. Consider conventional thyroid medication (e.g., levothyroxine).
 4. Explore lifestyle changes:
 - Diet (iodine-rich foods)
 - Exercise
 - Stress management
 - Sleep hygiene
 
 _Homeopathic Medicine Limitations:_
 
 1. Variable efficacy.
 2. Lack of standardization.
 3. Potential interactions with conventional medications.
 
 _Conventional Treatment Options:_
 
 1. Levothyroxine (T4)
 2. Liothyronine (T3)
 3. Combination therapy (T4 + T3)
 
 _Monitoring:_
 
 Regular TSH and thyroid hormone level checks.
 
 _Resources:_
 
 1. American Thyroid Association (ATA)
 2. Endocrine Society
 3. Mayo Clinic Hypothyroidism
 4. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Question 3

In my urine test, they found RBC 2530 hpf and Ive been having a really high fever ranging from 102 to 103.4 along with a terrible headache at the back of my head. Do you think the fever is causing the RBC in the urine or is it the other way around? Ive already seen two doctors. One asked for all blood and urine tests and the other suggested another urine test. Im currently taking Switch 200, Aceclofenac, and Paracitamol Alock P as prescribed, but Im still waiting for the results of the second urine test because of the holidays. Its been 5 days now and the fever just keeps coming back as soon as the meds wear off. Even the Paracetamol isnt really helping with the headache. Ibugesic Plus helps a bit, but only for about 5 hours. Nothing seems to work, any thoughts on what could be happening here?

Accepted Answer

Could indicate a possible urinary tract infection (UTI) or kidney infection. The fever is likely not directly caused by the RBC in your urine, but rather both symptoms may be due to an underlying infection. Since your symptoms are persisting and the fever returns when the effect of the medicine wears off, it is important to follow up with your healthcare provider for further evaluation and management. If the current treatment is not providing adequate relief, your doctor may need to reassess your condition and consider adjusting your medication regimen or ordering additional tests. It is crucial to complete the prescribed course of antibiotics and continue taking the medications as directed until you receive further guidance from your healthcare provider. In the meantime, make sure to stay well-hydrated, get plenty of rest, and monitor your symptoms closely. If your fever persists or worsens, seek medical attention promptly.

Can a keto diet reduce kidney failure?

Ketogenic lifestyle dictates a person to have high protein and fat with low or zero carbohydrate diet which may affect metabolic acidosis. High protein diet may hasten kidney failure.

More Nephrology Health Queries

I recently found out that there's protein mixed with my urine for 4 days and it got me really worried. Could this be a sign of something serious like kidney failure?

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