Question 1

How does diabetes affect the kidneys?

Accepted Answer

With time, raised blood sugar can damage blood vessels in the kidneys as well as nephrons making them not work as well as they should. Many people with diabetes also develop high blood pressure, which can damage kidneys too.

Question 2

I'm really worried about my dad. He's been on dialysis for 10 years and was recently admitted to the hospital with a really bad lung infection. They tried some antibiotics like merotac and mucinac but those didnt seem to work. Then they sent his sputum culture to Hinduja hospital, and once they figured out the bacteria, they switched up his treatment. He was on Mikacin and Zonamax for a bit, and then they put him on Altitpod CV 200. He's doing a bit better now but his cough hasn't improved at all, and he still needs oxygen when he feels tired after walking a bit at home. I'm just wondering if you think the treatment he's getting is right and if there's anything we can do to help with his cough. Any advice you could offer would be great.

Accepted Answer

Probable diagnosis is upper respiratory tract infection.Patient is advised tab augmentin duo 625mg thrice daily, for 5 days, tab pan d,orally once daily for 14 days ,syrup sucralfate 10ml thrice daily for 14 days.Also avoid spicy and hot items is advised to the patient.

Question 3

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)

How long can you live after a kidney transplant?

Although most transplants are successful and last for many years, how long they last can vary from one person to the next and also depends on other comorbidities

More Nephrology Health Queries

How does diabetes affect the kidneys?

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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