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

My wife has albumin in her urine along with a UTI. There isn't any sugar showing up in her urine, but she does have a history of diabetes. Should I be concerned and check her diabetes levels?

Accepted Answer

Albumin in the urine can be a sign of kidney damage, especially in the presence of a urinary tract infection (UTI). Since your wife has a history of diabetes, it is important to monitor her blood sugar levels regularly. I recommend checking her blood sugar levels and consulting with a healthcare provider to determine the best course of action. In the meantime, she can take antibiotics for the UTI and ensure proper hydration.

Question 3

I'm really worried about my dad. He's a CKD patient on alternate day dialysis and he loves eating 8-10 raw almonds every day. I've heard mixed things about almonds, so I'm wondering if they're actually good or bad for him. Also, he enjoys snacking on black grapes, but Im not sure if theyre okay for his condition. Can you help me figure this out?

Accepted Answer

As a CKD patient on dialysis, it's essential to monitor your father's diet to ensure it's not exacerbating his condition.

_Almonds for CKD Patients_

Eating almonds can be beneficial for CKD patients in moderation. Almonds are a good source of:

1. _Protein_: Can help maintain muscle mass.
2. _Healthy fats_: May help reduce inflammation.
3. _Fiber_: Can aid in digestion and blood sugar control.
4. _Antioxidants_: May help reduce oxidative stress.

However, it's crucial to consider the following:

1. _Phosphorus content_: Almonds are relatively high in phosphorus, which can be problematic for CKD patients. Excessive phosphorus consumption can lead to hyperphosphatemia, which can worsen kidney function.
2. _Potassium content_: Almonds are also a good source of potassium. While potassium is essential, excessive intake can be harmful for CKD patients, potentially leading to hyperkalemia.

Given your father's dialysis schedule, it's recommended to limit his almond intake to 1-2 ounces (28-57g) per day, approximately 1-2 almonds.

_Black Grapes for CKD Patients_

Black grapes can be a healthy addition to your father's diet in moderation. They are rich in:

1. _Antioxidants_: May help reduce oxidative stress and inflammation.
2. _Fiber_: Can aid in digestion and blood sugar control.
3. _Potassium_: While potassium is essential, CKD patients should monitor their intake to avoid hyperkalemia.

However, it's essential to consider the following:

1. _Resveratrol content_: Black grapes contain resveratrol, a polyphenol that may interact with certain medications, including blood thinners.
2. _Sugar content_: Grapes are relatively high in natural sugars, which can impact blood sugar control.

In moderation, 12 cup of black grapes (about 80g) per day is a reasonable serving size for your father.

History is not sufficient to advice,visit Cardiologist for appropriate support

More Nephrology Health Queries

My wife has albumin in her urine along with a UTI. There isn't any sugar showing up in her urine, but she does have a history of diabetes. Should I be concerned and check her diabetes levels?

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