Question 1

I'm really worried about my uncle who's a dialysis patient and is 67 years old. Usually, his blood pressure hovers around 160180, occasionally hitting 120140, but after his last dialysis session three days ago, it's dropped to 10070. Today, during dialysis, it went even lower, between 8090. What can we do to help increase his blood pressure?

Accepted Answer

Low blood pressure during dialysis may be due to
1. Excessive water removal, than the weight gain between dialysis 2. New onset cardiac problem
3.if the patient is having any internal infection
4. If patient is taking BP medicine before going to dialysis
Clearly may be any one of them
If the BP is low , dialysis may not be adequately done.
Next Steps
2D Echo,ECG
Health Tips
Stop taking BP medicine before dialysis schedule

Question 2

I'm really worried about my dad. He's been on dialysis for 10 years and was recently admitted to the hospital with a really bad lung infection. They tried some antibiotics like merotac and mucinac but those didnt seem to work. Then they sent his sputum culture to Hinduja hospital, and once they figured out the bacteria, they switched up his treatment. He was on Mikacin and Zonamax for a bit, and then they put him on Altitpod CV 200. He's doing a bit better now but his cough hasn't improved at all, and he still needs oxygen when he feels tired after walking a bit at home. I'm just wondering if you think the treatment he's getting is right and if there's anything we can do to help with his cough. Any advice you could offer would be great.

Accepted Answer

Probable diagnosis is upper respiratory tract infection.Patient is advised tab augmentin duo 625mg thrice daily, for 5 days, tab pan d,orally once daily for 14 days ,syrup sucralfate 10ml thrice daily for 14 days.Also avoid spicy and hot items is advised to the patient.

Question 3

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?

Accepted Answer

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.

What medications can damage your kidneys?

Numerous medications can damage kidneys. Some of them are Aspirin, naproxen, ibuprofen, antibiotics.

More Nephrology Health Queries

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?

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