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.

Answered by 1 Apollo Doctors

Dr Ibrahim Salah

General Practitioner

MBBS
2+ Yrs

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Persistent symptoms despite treatment_:

Inadequate treatment duration: 2 months might not be sufficient to fully address your condition.

Insufficient medication dosage: Rabeprazole and domperidone dosages might need adjustment.

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:

Reflux-related symptom: Stomach acid reflux can cause throat irritation.

Postnasal drip: Mucus accumulation can cause throat soreness.

H. pylori treatment:

Not untreatable: H. pylori infections can be treated with antibiotics and acid reducers.

Treatment challenges: Antibiotic resistance, inadequate treatment duration, or insufficient medication dosages can make treatment difficult.

Dr. Ibrahim Suggests...

Consult a Nephrologist

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Answered 04/07/2025

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I'm kind of worried about my recent lab results. My creatinine level is 1.5, and the 24-hour urine protein is at 416 mg. The DMSA scan also showed some renal parenchymal dysfunction with cortical scars. Should I be concerned about these numbers, and what do they actually mean for my kidney health?

Your test results indicate chronic kidney disease (CKD) with impaired renal function (elevated creatinine), significant proteinuria (416 mg24h), and evidence of renal parenchymal damage with cortical scars on DMSA scan, warranting further evaluation and management by a nephrologist to slow disease progression.

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I've just had a routine ultrasound and it turns out my left kidney is now just 7.5 cm, even though my right one seems to be normal. When I had a scan about five years ago, the left kidney was 10 cm. I also did a urine test that showed 100 mgdL of protein and my serum creatinine level is at 1.24. Should I be worried about this? Could this be Chronic Kidney Disease (CKD)?

While these findings could indicate early kidney issues, including CKD, its important to get a thorough evaluation from a nephrologist. They will be able to assess the underlying cause of the kidney size change, proteinuria, and creatinine elevation. With early intervention and appropriate treatment, kidney function can often be preserved, so dont delay in seeking specialized care.

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Management of Diabetes for Preventing Kidney Failure?

Prefer foods lower in fats, sugar/salt and calories and higher in fiber. Focus on fruits, green vegetables and whole grains. Regular physical activity, take medicines and have regular doctors visits.

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