Question 1

My father is a cardiac patient (normotensive and non diabetic) and underwent CABG 3 years ago. He is currently on antianginal medications: Diltiazem 90 mg, Ranolazine 500 mg, Flavedon MR, and Monotarate 20. Today, his blood report shows:
Serum creatinine: 1.28 mg/dl
Serum uric acid: 7.5 mg/dl
Urine RM: Proteinuria 10 mg/dl
Does this indicate a kidney problem, or is it nothing to worry about?

Question 2

Two months ago, I experienced stomach pain and underwent an ultrasound scan. The report showed that the pelvicalyceal system in my left kidney is prominent, possibly due to a lower ureteric calculus (stone). The liver appears normal in size and shape, with no focal lesions or other abnormalities.
After medication, my pain has reduced to minimal levels, but I want to be sure that there are no remaining stones. I am willing to consult at a good hospital for further evaluation. Please advise on how to confirm the absence of stones and what steps I should take next.
Thank you.

Question 3

An 81 year old female has been bedridden for the last five years with a history of multiple cerebrovascular attacks. The brain left lobe is shrunken. After the fourth stroke her pulse stopped and then returned with one beat after 17 or 14 strokes consecutively. She has frequent fluctuations in blood pressure and does not take solid food. Urine report shows colour yellowish, quantity 15 ml, appearance slight hazy, deposits scanty, and specific gravity QNS.

I have been diabetic for the last 15 years. My last blood report shows fasting 109, after lunch 118, creatinine 1.14 mg and GFR 65.52 ml. I have second stage mild kidney loss and weigh 77 kg. Sometimes I have burning sensation during urination. Can you recommend any medicine for my kidney?

The sugar control looks fairly stable. Mild kidney function reduction Stage 2 CKD can be managed by controlling blood pressure, avoiding excess painkillers, and drinking enough water. Urine burning may be from mild infection or concentrated urine.

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