Question 1

I'm really worried about my father. He's 67 and has been dealing with diabetes for 25 years, which has now affected his kidneys. Back in October 2016, his creatinine level was at 2.92, and we were told he's got CKD. By December 2016, it climbed to 3.0, and in January 2017, it shot up to 4.77. He stopped eating and became really inactive, and we had to rush him to the hospital. Then on January 25th, his creatinine was 6.7, and just two days later, it jumped to 7.7, even with all the medications he's on.

His diabetes levels range between 130-200 for fasting and post-lunch, and they say it's under control. His blood pressure averages between 137 to 140 daily. Both ECG and 2Decho came out fine, but his hemoglobin is low at 8, and his potassium is at 4.2. Given these numbers, especially with his creatinine levels rising so quickly, I'm really anxious. What should we do next? Are there any specific treatments or precautions we need to consider to help manage his condition better?

Accepted Answer

Ideally he must be taken up for Dialysis to bring creatinine atleast less than 5 with good urine output and normal electrolytes,dont worry follow your doctors advice

Question 2

My father has a serum creatinine level of 2.18 and high uric acid. He has a heart problem and the doctor recommended bypass surgery, but his creatinine and uric acid levels are elevated. Is there any medicine that can help lower these levels before surgery?

Accepted Answer

physician opinion for raised creatinine levels is advised to thr patient.

Question 3

I'm really worried about my father-in-law because he's been taking a lot of painkillers, and now his kidneys have shrunk. Can you tell me what kind of treatment options are available for him?

Accepted Answer

_Chest Pain with Needle-Like Sensation: Possible Causes_

Feeling like needles are poking your heart can be a concerning and uncomfortable sensation. This symptom can be related to various conditions, ranging from mild to serious. Here are some possible causes:

*Cardiac-Related Causes*

1. *Angina*: Reduced blood flow to the heart muscle can cause chest pain, which may feel like needles poking.
2. *Myocardial infarction (Heart Attack)*: A blockage in the coronary arteries can cause severe chest pain, including a needle-like sensation.
3. *Pericarditis*: Inflammation of the sac surrounding the heart (pericardium) can cause sharp, stabbing chest pain.

*Non-Cardiac Causes*

1. *Costochondritis*: Inflammation of the cartilage connecting the ribs to the breastbone (sternum) can cause sharp, stabbing pain.
2. *Precordial catch syndrome*: A benign condition characterized by sudden, sharp chest pain, often feeling like a needle or pin.
3. *Gastroesophageal reflux disease (GERD)*: Stomach acid flowing back up into the esophagus can cause chest pain, including a burning or needle-like sensation.
4. *Anxiety or panic attacks*: Stress and anxiety can manifest as physical symptoms, including chest pain or a needle-like sensation.

*What to Do*

If you're experiencing a needle-like sensation in your chest, it's essential to seek medical attention to rule out any underlying cardiac conditions. Contact your healthcare provider or visit the emergency room if you experience:

- Severe chest pain or pressure
- Shortness of breath
- Dizziness or lightheadedness
- Pain radiating to your arms, neck, or jaw

A thorough medical evaluation, including a physical exam, electrocardiogram (ECG), and imaging tests (if necessary), will help determine the cause of your symptoms.

More Nephrology Health Queries

My father has a serum creatinine level of 2.18 and high uric acid. He has a heart problem and the doctor recommended bypass surgery, but his creatinine and uric acid levels are elevated. Is there any medicine that can help lower these levels before surgery?

I'm really worried about my father-in-law because he's been taking a lot of painkillers, and now his kidneys have shrunk. Can you tell me what kind of treatment options are available for him?

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