Question 1

I'm really worried about my dad. He's got this kidney issue, diagnosed with CKD, and though he's stable now, today he mentioned he's having trouble urinating and the amount has decreased. I was wondering if giving him Urispas would help with his urination. Do you think it's okay to give him that?

Accepted Answer

consult nephrologist to know wheather there is any accumlation

Question 2

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 3

My mom is 65 and her recent tests show EGFR 76 with creatinine at 0.93 mg/dl she's been diagnosed with CKD stage 2. Is treatment necessary at this point or is it okay to just monitor? Should we see a nephrologist now or wait? Also, she's scheduled for gallstone surgery next month is it safe for her to go ahead with the procedure given her kidney condition?

Accepted Answer

For a 65-year-old with stage 2 CKD (eGFR 76, creatinine 0.93 mg/dL), monitoring and lifestyle modifications are likely the initial approach, while a nephrologist consultation is recommended, not necessarily immediately, but within the next few months to assess the underlying cause and discuss long-term management options. The gallstone surgery is generally safe if properly managed, especially if the surgeon is aware of the kidney condition.

I'm a bit concerned about my creatinine level being quite low at 0.56. What should I do to be on the safe side? Is there a specific diet I should follow to help with this?

it is normal

More Nephrology Health Queries

I'm really worried about my dad. He's got this kidney issue, diagnosed with CKD, and though he's stable now, today he mentioned he's having trouble urinating and the amount has decreased. I was wondering if giving him Urispas would help with his urination. Do you think it's okay to give him that?

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