Question 1

I'm a patient of Dr. K C Kedia and I've been having some trouble reaching him. I've got a few issues going onmy creatinine level is at 3.56, I'm diabetic, and I have COPD. Lately, I've been having a hard time breathing because of a persistent cough. I've tried using Duolin and Budecort nebulizers twice, but they haven't really helped. Plus, my legs and hands have started swelling up. I'm taking Dytor 10 in the morning and 5 in the evening for that. I'm wondering if there's any antibiotic medicine you could recommend that might bring me some relief? Also, my doctor vaccinated me for influenza pneumonia.

Accepted Answer

need hospitalization and check creatinine level again and proceed

Question 2

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.

Question 3

Can a urine dysmorphic RBC test really tell if the blood in my urine is coming from my kidneys or the urethra? I had results showing 1012 cellshpf in my urine, but when I did the test again 4 days later, it dropped to 12 cellshpf. Does this mean it was a false reading, or could the sample have been off? I'm a bit confused about what to make of these results.

Accepted Answer

Yes ideally Dysmorphic RBCs indicate renal problem,but in your case as it is an incidental finding for once and is not continuing you can ignore it,if you are woried visit Nephrologist for evaluation and appropriate management

More Nephrology Health Queries

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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