Question 1

I'm really worried about my daughter's health. She was born with just one kidney, and even though shes been sticking to strict diet and lifestyle changes, her creatinine levels are still going up. It's now at 2.3. Plus, she's dealing with high blood pressure. Currently, she's on Olmezest 40, Moxovas 0.3, and Folvite. What can we do to help manage her increasing creatinine levels and high BP? Looking for any advice or steps we can take.

Accepted Answer

Persistent symptoms despite treatment_:

1. _Inadequate treatment duration_: 2 months might not be sufficient to fully address your condition.
2. _Insufficient medication dosage_: Rabeprazole and domperidone dosages might need adjustment.
3. _Underlying conditions_: H. pylori infection, gastroesophageal reflux disease (GERD), or other conditions might require alternative treatments.

_New symptom: Soreness on the back of the throat_:

1. _Reflux-related symptom_: Stomach acid reflux can cause throat irritation.
2. _Postnasal drip_: Mucus accumulation can cause throat soreness.

_H. pylori treatment_:

1. _Not untreatable_: H. pylori infections can be treated with antibiotics and acid reducers.
2. _Treatment challenges_: Antibiotic resistance, inadequate treatment duration, or insufficient medication dosages can make treatment difficult.

Question 2

I've got a 10mm stone in my right kidney and it's been causing me some on-and-off pain on the right side of my stomach. I'm really concerned about it and was wondering if you could share some advice or insights on what I should do or expect. It's bee...

Accepted Answer

Forteo and Terifrac are essentially the same medication, teriparatide, used to treat osteoporosis. The difference lies in the manufacturer:

- Forteo: Eli Lilly and Company
- Terifrac: Sun Pharmaceutical Industries

Since your mother has used Terifrac for 6 months, it's likely okay to continue. However, consult her doctor to:

1. Assess progress
2. Determine if switching to Forteo is necessary
3. Discuss potential side effects and long-term treatment plans

Typically, teriparatide treatment is limited to 24 months.

Question 3

I've been dealing with this gout issue for the past four days, and I'm not sure which doctor I should see about it. I've already taken 8 pills of goutnil, but I'm still having trouble. Can you recommend what type of doctor I should visit or anything ...

Accepted Answer

Yes, you can still get the wound dressed. In fact, it's recommended to dress the wound to promote healing, prevent infection, and reduce scarring.

*Next Steps*

1. *Visit a doctor or a nurse*: Go back to the same healthcare provider or visit a nearby clinic to get the wound dressed.
2. *Clean and dress the wound*: The healthcare professional will clean the wound, apply an antibiotic ointment, and dress it with a bandage or dressing.
3. *Monitor for infection*: Keep an eye on the wound for signs of infection, such as redness, swelling, increased pain, or pus.
4. *Follow-up*: Schedule a follow-up appointment to ensure the wound is healing properly.

Remember to keep the wound clean and dry to promote healing. If you notice any unusual symptoms or concerns, don't hesitate to seek medical attention.

Question 4

I recently had a zsr circumcision on February 22nd and now all the staples along with the silicon ring have fallen off. There's just a tiny bit still attached to the skin and when I try to remove it, it hurts a little, which is really freaking me out...

Accepted Answer

It is not advisable to pull off the remaining portion yourself as it may lead to complications. I recommend visiting your doctor for proper evaluation and guidance on how to proceed. As for sexual activity, it is best to avoid it until you have fully healed to prevent any potential issues or infections.

Question 5

I've got a question about my ultrasound report. There's a 6mm calculus in my right lower ureter, just 1 cm away from the UVJ. I'm kind of worried about whether I really need laparoscopic surgery for this. Any advice on what I should do?

Accepted Answer

Body imbalance can be frustrating.
 
 *Causes:*
 
 1. Muscle imbalances
 2. Poor posture
 3. Uneven workout routine
 4. Injuryoveruse
 
 *Fixing Uneven Traps:*
 
 1. Identify and adjust uneven exercises (e.g., rows, shoulder presses)
 2. Target weaker side with additional setsreps
 3. Incorporate balancing exercises:
 - Reverse fly
 - Lateral raises
 - Shrugs (focus on weaker side)
 4. Strengthen core and shoulder stabilizers
 5. Consider consulting a personal trainer or physical therapist
 
 *Specific Tips:*
 
 1. Switch grip or stance to engage both sides equally
 2. Use lighter weights and focus on controlled movements
 3. Increase volume on weaker side (more setsreps)
 4. Stretch and foam roll regularly

Question 6

I'm dealing with this terrible pain because of a 3.5 mm kidney stone in my right kidney that has been hurting like crazy for the last two weeks. I met a doctor, but they just suggested painkiller injections and said that the stone is too small for an...

Accepted Answer

Make sure to drink plenty of water to help flush out the stone. Avoid foods high in oxalates such as spinach, beets, and nuts, as they can contribute to the formation of kidney stones. As for the abnormal blood test results, your elevated WBC count and low MCHC may indicate an infection. It would be advisable to follow up with your doctor for further evaluation and possible antibiotic treatment if deemed necessary. You can request your doctor to prescribe moderate to strong painkillers to achieve relief from pain.

Consult Top Nephrologists

Dr. Pardha Saradhi

Dr. Hareesha Babu K

Dr. Aswini Kumar Panigrahi

Dr. Manju Kamal

Related Questions

I've got a 10mm stone in my right kidney and it's been causing me some on-and-off pain on the right side of my stomach. I'm really concerned about it and was wondering if you could share some advice or insights on what I should do or expect. It's bee...

I've been dealing with this gout issue for the past four days, and I'm not sure which doctor I should see about it. I've already taken 8 pills of goutnil, but I'm still having trouble. Can you recommend what type of doctor I should visit or anything ...

I recently had a zsr circumcision on February 22nd and now all the staples along with the silicon ring have fallen off. There's just a tiny bit still attached to the skin and when I try to remove it, it hurts a little, which is really freaking me out...

I've got a question about my ultrasound report. There's a 6mm calculus in my right lower ureter, just 1 cm away from the UVJ. I'm kind of worried about whether I really need laparoscopic surgery for this. Any advice on what I should do?

I'm dealing with this terrible pain because of a 3.5 mm kidney stone in my right kidney that has been hurting like crazy for the last two weeks. I met a doctor, but they just suggested painkiller injections and said that the stone is too small for an...

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