- male
- 60 Years
- 23/01/2025
I'm really worried because my blood creatinine level is 5.91mgdl and I've been told that both my kidneys have shrunk in size. I've got normal blood pressure and sugar levels, and I don't have any major diseases, but I've been feeling a lot of bone pain. The doctor mentioned that my kidney function is down to about 50% and gave me some medication to try for a month before deciding if I'll need dialysis. I'm really frustrated with all of this and would love some advice on what I should do next or if there's anything else I can try.
Answered by 1 Apollo Doctors
Testicular Lump and Scrotal Symptoms
Symptoms:
- Painless lump: A mass or lump under your testicles, usually painless.
- Dull ache: Pain in the testicles during physical activity or masturbation.
- Worm-like structure: The lump feels like a worm or a soft, movable mass.
- Scrotal heaviness: Your scrotum becomes heavy and hangs loose on one side.
Possible causes:
- Varicocele: A swelling of the veins in the scrotum, which can cause a worm-like structure.
- Hydrocele: A fluid-filled sac in the scrotum, which can cause swelling and heaviness.
- Spermatocele: A cyst that forms in the epididymis, which can cause a painless lump.
- Epididymitis: Inflammation of the epididymis, which can cause pain, swelling, and heaviness.
Next steps:
- Consult a urologist: Schedule an appointment with a urologist for a thorough examination and diagnosis.
- Get a physical examination: A urologist will perform a physical examination to assess the lump and scrotal symptoms.
- Imaging tests: Your doctor may recommend imaging tests, such as an ultrasound, to confirm the diagnosis.
Dr. Ibrahim Suggests...
Consult a Nephrologist
Answered 04/07/2025
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What are the symptoms of stage 1 kidney disease?
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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?
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.
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.