Question 1

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 2

I'm feeling a bit worried about my dad's latest blood test results. His SGPT is at 80, SGOT is 72, serum urea is 78, serum creatinine is 4.7, and bilirubin is 16.5. Are these numbers something to be concerned about? Does this indicate any serious issues or abnormal conditions we should be aware of?

Accepted Answer

every thing is normal.

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.

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More Nephrology Health Queries

I'm feeling a bit worried about my dad's latest blood test results. His SGPT is at 80, SGOT is 72, serum urea is 78, serum creatinine is 4.7, and bilirubin is 16.5. Are these numbers something to be concerned about? Does this indicate any serious issues or abnormal conditions we should be aware of?

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