Question 1

I'm really worried right now about my health. I've been checking my blood pressure every day for the past two weeks, and it's been around 190110 consistently. I'm already taking Telmisartan 40mg, but it doesn't seem to be helping at all. On top of that, my creatinine level is 1.8, my potassium is high, urine protein is at 2484, and my albumin is 3.3. My vitamin B12 is really low at 82. Can you help me understand what all these numbers mean and what I should do next?

Accepted Answer

Typhoid and Malaria Co-Infection

_Dark Yellow Urine_

1. _Medication side effect_: Certain medications, such as rifampicin (used to treat typhoid), can cause urine to turn orange or dark yellow.
2. _Dehydration_: Inadequate fluid intake or excessive fluid loss due to fever, sweating, or diarrhea can cause concentrated, dark yellow urine.
3. _Liver function_: Typhoid and malaria can affect liver function, leading to changes in urine color.

_Concerns and Recommendations_

1. _Consult your doctor_: Inform your doctor about the dark yellow urine, as it may indicate dehydration or liver function changes.
2. _Increase fluid intake_: Drink plenty of fluids, such as water, clear broths, or electrolyte-rich beverages like coconut water or sports drinks.
3. _Monitor urine output and color_: Keep track of your urine output and color to ensure you're staying hydrated and to detect any potential issues.
4. _Complete the treatment course_: Continue taking your medications as prescribed, and complete the full treatment course to ensure effective management of typhoid and malaria.
5. _Follow-up appointments_: Schedule follow-up appointments with your doctor to monitor your progress, adjust treatment if needed, and address any concerns.

Question 2

I've been diagnosed with IgA nephropathy and Im kind of worried about whats coming next. My creatinine levels jumped to 3.9 but are back down to 1.9 with the help of steroids. Im following a renal diet and keeping my salt intake under 5 grams. The steroids are being tapered off and should be stopped by the end of this month. I'm also on telmisartan and metoprolol for blood pressure control. My uric acid levels are at 8, which is higher than normal, but all my other minerals are looking good according to the prescription ranges. Can you give me some insight into what I might expect with this disease in the future and any advice on how I can keep things under control?

Accepted Answer

If your girlfriend is indeed pregnant, abortion is not the only option, but it's essential to consider it within the legal timeframe.

Other options, depending on your location and circumstances, may include:

Adoption: Allowing another family to adopt and raise the child.
Parenting: Raising the child together as a couple.
Emergency Contraception (EC): Not applicable in this case, as EC is effective only up to 72-120 hours after unprotected sex.

It's crucial to have an open and honest conversation with your girlfriend about your feelings, options, and decision.

Consult a healthcare provider or a trusted resource, like Planned Parenthood, for guidance and support.

Question 3

I'm a bit anxious about my recent lab tests. I got both LFT and KFT done, and I'm really concerned about the creatinine and uric acid levels. My creatinine came back at 1.1, and my uric acid is at 7.2. I had chickenpox last December, so I'm wondering if those levels are okay or if I should be worried. What should I do next? I've attached my report for reference.

Accepted Answer

usee medicine

Is coconut water good for kidneys?

Those with kidney disease should limit consumption of foods that are too high in potassium like coconut water.

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