Question 1

My mom is 65 and her recent tests show EGFR 76 with creatinine at 0.93 mg/dl she's been diagnosed with CKD stage 2. Is treatment necessary at this point or is it okay to just monitor? Should we see a nephrologist now or wait? Also, she's scheduled for gallstone surgery next month is it safe for her to go ahead with the procedure given her kidney condition?

Accepted Answer

For a 65-year-old with stage 2 CKD (eGFR 76, creatinine 0.93 mg/dL), monitoring and lifestyle modifications are likely the initial approach, while a nephrologist consultation is recommended, not necessarily immediately, but within the next few months to assess the underlying cause and discuss long-term management options. The gallstone surgery is generally safe if properly managed, especially if the surgeon is aware of the kidney condition.

Question 2

I'm noticing some albumin in my urine for the past month or so. It's been bouncing between 1 and 2, though now it's less than 1. Sometimes it still goes up to 1 or 2. Should I be worried about this? Could there be an issue with my kidneys or something else with my urine?

Accepted Answer

This can be a sign of kidney damage or dysfunction. To help reduce the albumin in your urine and protect your kidneys, you can take medications such as ACE inhibitors like Enalapril 10mg once daily or ARBs like Losartan. It is important to also follow a low-salt diet and stay hydrated. Regular follow-up with your healthcare provider is recommended to monitor your kidney function.

Question 3

I'm currently on dialysis because my serum creatinine level is 8. I'm worried about my heart too since I've got an issue with my ejection fraction. Are there any meds or treatments that could help both my kidneys and heart? I'm also curious if there are any Ayurvedic options I could consider for renal and heart failure. Any tips or references would be really helpful!

Accepted Answer

For the treatment of heart failure and to improve ejection fraction, medications such as ACE inhibitors like Enalapril or Lisinopril, beta-blockers like Carvedilol or Metoprolol, and aldosterone antagonists like Spironolactone can be beneficial. In addition, medications like Diuretics such as Furosemide may be prescribed to help reduce fluid buildup in the body. It is important to consult with your healthcare provider for the appropriate dosage and monitoring. As for Ayurvedic medicine for the treatment of renal and heart failure, it is important to note that Ayurvedic treatments should be used with caution and under the guidance of a qualified practitioner. Some Ayurvedic herbs that are traditionally used for renal health include Punarnava (Boerhavia diffusa) and Gokshura (Tribulus terrestris). For heart health, Arjuna (Terminalia arjuna) is commonly used in Ayurveda. However, please consult with an Ayurvedic practitioner for the proper formulation and dosage tailored to your specific condition.

What is the first sign of kidney problems?

Any symptoms such as decreased urine output, fluid retention that leads to swelling in limbs, facial puffiness and shortness of breath are signs of kidney damage.

More Nephrology Health Queries

I'm noticing some albumin in my urine for the past month or so. It's been bouncing between 1 and 2, though now it's less than 1. Sometimes it still goes up to 1 or 2. Should I be worried about this? Could there be an issue with my kidneys or something else with my urine?

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