Asked for Male | 60 Years

क्या मूत्रवर्धक मेरे जीएफआर स्तर को प्रभावित कर सकता है?

Patient's Query

नमस्ते (लंबी पोस्ट के लिए क्षमायाचना) कोकेशियान, पुरुष, 60, 6'0", 260 पाउंड। दवाएँ: लिसिनोप्रिल 40 मिलीग्राम, मेटोप्रोलोल 50 मिलीग्राम x2 प्रति दिन, एम्लोडिपाइन 10 मिलीग्राम, फ़्यूरोसेमाइड 20 मिलीग्राम, ग्लिमेपाइराइड 1 मिलीग्राम, जानुमेट 50-1000 x 2, एटोरवास्टेटिन 10 मिलीग्राम...कोई पेय/धूम्रपान या नशीली दवाएं नहीं। समस्या: बहुत मेहनत करने के बाद, पिछले 5-6 वर्षों में 40 से अधिक पाउंड वजन कम किया है...रक्तचाप 130/85, ए1सी 7.0...यहाँ समस्या है। 2023 के मार्च में, मेरा जीएफआर 40 के मध्य/उच्च में स्थिर रहने के बाद, (बहुत अच्छा नहीं, लेकिन लगातार), यह 41 पर कम था। डॉ. 1 महीने में इसे फिर से जांचना चाहते थे। मैंने अपने आहार/चीनी/प्रोटीन/सोडा/पानी का सेवन बढ़ाना आदि को बहुत सख्ती से नियंत्रित किया...दवाएं सावधानी से लें...जीएफआर गिरकर 35 हो गया। डॉ. ने मुझे एक नेफ्रोलॉजिस्ट के पास भेजा, लेकिन निर्धारित नियुक्ति से पहले (जो 6 सप्ताह बाद था) ), उन्होंने मुझे ट्रायमटेरिन से दूर कर दिया...कहा कि यह किडनी के लिए कठिन हो सकता है। जब नेफ्रोलॉजिस्ट ने मुझे प्रयोगशाला के लिए भेजा, तो जीएफआर 50 तक पहुंच गया। 2 सप्ताह बाद एक और परीक्षण और जीएफआर 55 तक पहुंच गया। नेफ्रोलॉजिस्ट का कहना है कि आहार से ट्रायमटेरिन को हटाने से जीएफआर बढ़ने में कोई भूमिका नहीं हुई... मुझे एडिमा लौटने के कारण स्पिरोनोलैक्टोन पर रखा गया . 6 महीने बाद अगली जांच में, सभी संख्याएं और बीपी अच्छा बना रहा, लेकिन जीएफआर वापस 40 पर आ गया। क्या यह संभव है कि मूत्रवर्धक मेरी किडनी पर कठोर हो गए हैं और जीएफआर को कम कर रहे हैं। मैं समझता हूं कि एचबीपी/मधुमेह के वर्षों के साथ, जीएफआर आदर्श नहीं है, लेकिन यदि संभव हो तो मैं इसे 50 के दशक में रखना चाहूंगा। पारिवारिक डॉक्टर ने मार्च 2024 में मुझे स्पिरोनोलैक्टोन से हटा दिया और लासिक्स पर डाल दिया... कुछ हफ्तों में रक्त परीक्षण शुरू हो जाएगा। पारिवारिक डॉक्टर को लगता है कि मूत्रवर्धक ने जीएफआर को कम करने में योगदान दिया है...नेफ्रोलॉजिस्ट का कहना है कि मेरे उतार-चढ़ाव वाले जीएफआर नंबरों से उनका कोई लेना-देना नहीं है... यहां ज्ञान/अनुभव वाले किसी भी व्यक्ति से इनपुट मांग रहा हूं...मूत्रवर्धक के प्रभाव के संबंध में किसी भी अंतर्दृष्टि की सराहना करता हूं जीएफआर पर...पारंपरिक मूत्रवर्धक के विकल्प, आदि। मैंने लेसिक्स जैसे लूप मूत्रवर्धक के बारे में पढ़ा है जो गुर्दे की समस्याओं के लिए सबसे अच्छा है।

नेफ्रोलॉजी

Answered by Dr Babita Goel

ट्रायमटेरिन जैसे मूत्रवर्धक आपकी किडनी की समस्याओं के लिए जिम्मेदार हो सकते हैं, जिसके परिणामस्वरूप आपके जीएफआर में वृद्धि या कमी हो सकती है। आपके पारिवारिक डॉक्टर द्वारा आपको लैसिक्स पर स्विच करना एक अच्छा निर्णय है क्योंकि यह एक मूत्रवर्धक है जो किडनी पर कम कठोर हो सकता है। ए के साथ सहयोग करना जारी रखेंकिडनी रोग विशेषज्ञआपके लिए सर्वोत्तम उपचार खोजने के लिए।

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Dr Babita Goel

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Questions & Answers on "Nephrologyy" (93)

Cardiac or diabetes and issues is proteinurea

Male | 67

If someone is having problems with their heart or diabetes and is also having protein in their urine, this may mean there could be damage to the kidneys. The signs of this illness are the puffiness of the body, the appearance of bubble-like urine, and the presence of hypertension. This can be caused by increased sugar levels or high blood pressure in the blood. Eat healthy, control your blood sugar, and take medication as directed.

Answered on 26th June '24

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Şu anda 20 yaşındayım yeni biyopsi oldum sonucuma bakarmısınızIKLAMA: 7yaşında nefrotik sendrom tanısı alan ve tedavi gören olgu, albumin düşüklüğü sebebi ile biyopsi alınma kliniği bildirilen olguya ait HE detayda, 20 adet glomerül izlenmiş olup, 2 glomerülde global skleroz izlenmiştir. Diğer glomerüller irili ufaklı çaplarda olup, Bowman aralıkları açık olarak gözlendi. Glomerüler bazal membranlarda hafif kalınlaşma bazı glomerüllerde mevcuttu. Ancak tüm glomerüllerde mezengial hücre artışı-matriks artışı gibi bulgular izlenmedi. Glomerüler alanda izlenen bulgular spesifik olarak izlenmezken,interstisyel damarlardan (orta çaplı damarlarda) bir tanesinde duvar kalınlaşması, lümen daralması gibi vasküler basınç değişiklikleri lehine yorumlanabilecek bulgular izlenmiştir. Detayda ilave olarak interstisyel fibrozis (%20-25) iken; interstisyel alanda köpüksü histiositler ve lenfoplazmositlerin de eşlik ettiği ksantogranülomatöz pyelonefrit morfolojisi izlendi.Tubuler alanda patoloji izlenmedi. Sayfa 1\ 2

Dişi | 20

The biopsy results can be interpreted that you may have some changes in your kidneys. The findings suggest that there is a thickening in the walls of some blood vessels and areas of fibrosis. These alterations can be attributed to a condition called xanthogranulomatous pyelonephritis. This condition is mostly caused by a severe kidney infection. Proper treatment may involve the use of antibiotics and close monitoring of a nephrologist to manage the condition.

Answered on 12th Aug '24

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I am 66 years old. Known case of ESRD on heamodialysis 3 times for the last 5 months. H/O htn on medication for the last 9ys . No DM . Past HO hepatitis c ( cured)

Male | 66

When you have ESRD, your kidneys do not work well. Although dialysis is working for you, high blood pressure may cause more difficulties. Be on the lookout for signs like being tired, swollen body parts and/or having trouble breathing. Do not stop taking your hypertension drugs; also follow a diet that is good for the kidneys plus keep being active.

Answered on 30th May '24

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My girlfriend is suffering from kidney stone, so my question is can we do intercourse during?

Female | 45

It's important to be gentle with someone who has kidney stones, as they often experience intense pain. Intercourse may worsen the pain or cause infections. Kidney stones typically cause stomach and back pain, blood in the urine, and a frequent urge to urinate. To help your girlfriend, ensure she stays well-hydrated and take her to a nephrologist for proper treatment.

Answered on 26th July '24

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I have started having sharp pain in right back side so I go to the doctor and I did sonography and my sonography showed 7mm kidney stone at right kidney in upper calayx and irregular urinary bladder wall? cystitis pvr 5cc noted then doctor give me medicine I took tablets 15 days and now after two months Vomiting once and fever at night and back pain on right side and little burning urine and weakness and I go to the bams doctor and he give me calcury tab 2tab two time a day for 10 days but this time no fever or vomate only sometime right back pain and sometime burning urine. Do I go back to the Calcuri tab at the same dose?

Male | 21

Your symptoms of back pain, urine burning, and general weakness are likely due to the kidney stone. I suggest you to keep on taking Calcury tablets as the BAMS doctor prescribed you. Stay well-hydrated and eat a balanced diet. If these symptoms last or worsen, it's vital to get medical help.

Answered on 22nd Aug '24

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My son suffering from dm 1 ,now ckd ,what may be solution

Male | 25

Diabetes type 1 and chronic kidney disease make a challenging combo. Kidneys can get damaged by diabetes over time. Look out for fatigue, swelling, and urinary troubles - these signal kidney problems. Controlling blood sugar levels and blood pressure helps protect the kidneys. Eating right and regular doctor visits matter a lot.

Answered on 23rd July '24

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My wife is 39 years old suffering from CKD.Her cretanine pevel is 6.4

Female | 39

Your wife is likely to be getting symptoms such as fatigue, swelling, and trouble breathing if the creatinine level is 6.4. This could be from Chronic Kidney Disease (CKD), which is when the kidneys get damaged. To help manage this, she needs to follow a low-salt diet, take the prescribed medications, and possibly undergo dialysis. It's vital to ensure that her condition is stable by doing regular check-ups.

Answered on 3rd Sept '24

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Toilet baar baar aata hai jalan hota hai aur 1 hours me 10 to 15 times urine jaana padta hai left kidney ke 2-3mm stones hai please help me

Female | 24

You could have felt the kidney stones along with a burning/ painful situation during pee. For the larger part, kidneys produce such types of stones that are made up of water, calcium oxalate, and uric acid. Water is the best and first food to flush out these stones, so you should drink a lot of it. If the pain won't go away, visit a nephrologist and go through the advised treatments, if any.

Answered on 3rd July '24

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DMSA-Renal Scan test report The scan was performed 2 hours after an I,v, injection of 150 MBq of 99mTc-DMSA with patient under the gamma camera in posterior, anterior, anterior & posterior oblique projections. The scan shows normal-sized, regularly outlined right kidney in its normal anatomical position with fair homogeneous radiotracer uptake, Mild cortical damage is appreciated is appreciated at upper pole. The normal sized irregularly outlined left kidney is visualized in its normal anatomical position inhomogeneous radiotracer uptake , cortical damage is noticed along its upper margin and lower poles Morphologyicall normal, fair functioning right kidney Normal sized reduced functioning left kidney with evidence of cortical damage along its upper and lower margin

Female | 7

The test report shows that your right kidney is good. But the left kidney has a bit of trouble. Some damage is there in the outer part of the left kidney. You may not have any problems right now. But you should look for pain or change in urine. To help your left kidney, you should drink lots of water. You should also talk to a nephrologist for more advice soon.

Answered on 23rd May '24

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My mother has kidney cyst problem what should we do?

Female | 60

Kidney cysts are comparable to tiny fluid-filled balloons that develop on the kidneys. They are widespread, notably as we grow old. Individuals with kidney cysts display no symptoms and require no treatment. However, if the cysts are painful, infectious, or result in hypertension, your mother needs an experienced nephrologist. In cases where the cysts are problematic, a physician may propose them to be drained off sometimes even surgery might be necessary depending on certain conditions.

Answered on 4th June '24

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I describe below our patient problem: 1. Suggestive of left renal mass with thrombus in left vein. 2. left paraaortic lymphadenopathy. 3. Visible part of chest shows multiple soft tissue nodules in basal segments of both lung, largest one - 3.2X 2.8 cm - suggest metastasis.

Female | 36

send reports initially

Answered on 10th July '24

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My sister has blood urea-100,no diabetic,caretine - .75 As blood urea is high ,does it effect to Kidney? Please advice

Female | 36

Blood urea nitrogen levels can be a sign that the kidneys are not working as expected. This could be caused by various reasons such as dehydration, kidney disease, or certain medications. Common symptoms of kidney malfunctions are lack of energy, swelling, or alterations in the amount and color of urine. See nephrologist for further testing and get the treatment you need soon.

Answered on 20th Sept '24

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Aoa, I m 43 year old male suffering from RENAL FAILURE my reports are as under . Creatinine is 19.4 Urea 218 Hb 8.4 Vomiting Abdominal pain

Male | 43

Your kidneys may not be working properly, leading to high levels of creatinine and urea in your blood. These substances should be filtered out by the kidneys but are staying in your bloodstream, causing symptoms like fatigue, low hemoglobin, vomiting, and abdominal pain. To start feeling better, you may need treatments like dialysis and medications to lower these levels. Renal failure is a serious condition, so it's important to follow a nephrologist's guidance for proper management.

Answered on 20th Aug '24

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I am a kidney transplant patient for over 11 years now with Spina bifida with neurogenic bladder use intermittent self catheterization would only get UTI 2 to 4 times a year but don't know what happened everything changed in summer of 2018 started getting UTI once every 3 months and gradually throughout the years have become more frequent and severe I'm currently getting them from 1 to 2 times a month getting admitted to hospital often discharged with home IV antibiotic I've become resistant to many oral antibiotics and am allergic to vamcomycin I've seen about 6 different urologist and most have said there's nothing to be done my current urologist is trying out different things see what could do and ESBL infections have become frequent as has MRSA . I look forward to hearing back from you amazing doctors Thank you ? God bless ?

Female | 42

UTIs are no fun, causing burning, frequent urination, and fatigue. They can become tricky after multiple infections. Great your urologist is exploring options. Drinking lots of water, staying clean, and following doctor's orders help.

Answered on 15th Oct '24

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Patient have kidney stone ,when daily consumption of 1.5gram turmeric power with 1 glass water is healthy or unhealthy for kidney stones patient and patient also have fatty liver

Male | 65

Herbal Home Treatment for Kidney Stones and Fatty Liver One of the most surprising health benefits attributed to turmeric is the treatment of kidney stones and fatty liver. Turmeric has a compound curcumin which may assist in the disbanding of kidney stones and also reduce inflammation in the liver. However, always, it is your doctor who decides whether you can start a new treatment or not. Also, don't forget to drink more water so the stones will be easily removed.

Answered on 26th Sept '24

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hi I am thapelo In 2019 december I grew something like a brick the I 've been experiencing it untli now 2024 I went to hospital 2019 they gave me respidal till now nothing has removed and then in 2020 I suspect a kidney removed because it was on the left and then with the sex organs I could feel them I dnt know what to do my life is stuck need to get to university and finish off my studies need help.

Male | 24

Several things might have caused the growth you noticed like a tumor or cyst. So you need to see a nephrologist who can properly evaluate what’s going on with your body and give a treatment plan to help ease these symptoms.

Answered on 6th June '24

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Last months i took pre medical exam for my job. Result is triglycerides 299 and stpt 52 .for that i am taking homeopathy medicine, after two days i have two practical exam and stressed a lot during exam. During those days i have seen first time that urine is foamy and till now only sometimes morning time foam is more other times only few times. What is the main cause any issue it is related to kidney? Or it is just temporary due to stress factor?

Male | 32

This could be due to several factors, like kidney issues or stress affecting the kidneys, causing temporary foamy urine. High triglycerides and STPT levels also need attention. Consulting a nephrologist will help you get the right assessment and advice.

Answered on 19th Sept '24

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I am 20 years old female. I have high creatinine levels in my blood/urine. Leakage of protein I am on blood pressure tablets Ramipril 2.5mg I have this condition for 3 years and have not seen hardly any changes. I want to see someone who is an expertise in this field of kidneys

Female | 20

High creatinine levels and protein leaking into your urine are signs of kidney disease. If you combine these symptoms with the medication you have been prescribed for hypertension it could mean that what you are suffering from is called ‘proteinuria’ which affects only the kidneys. Make sure to see a nephrologist who can examine them further. They will be able to advise on how best this should be treated according to your condition.

Answered on 12th June '24

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My GFR rate is 58. 73 years old. I was prescribed Herperax 800 for 5 days 4 tablets each. Whether the kidney would have been affected and if so, how long will it take to recover to original position

Male | 73

A GFR level of 58 indicates that you are in Stage 3 kidney disease. Herperax 800 has kidney side effects. Kidney problems may be indicated by the urine output changes and the swelling. To help your kidneys recover, drink plenty of water, avoid medications that harm your kidneys, and follow up with your doctor for monitoring. It can take time for the kidneys to improve, but following these steps can help.

Answered on 23rd Sept '24

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My friends brother has effected with stroke while getting into dialysis with oxygen mask. Kindly guide what to do

Male | 60

A stroke during dialysis can be caused by low blood pressure or the brain not receiving enough oxygen. Symptoms can include, but are not limited to, sudden weakness on one side of the body, slurred speech, and confusion. Place the person on the ground, loosen anything too tight, and call for help.

Answered on 7th Oct '24

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Hello (apologies for long post) Caucasian, Male, 60, 6'0", 2...

क्या मूत्रवर्धक मेरे जीएफआर स्तर को प्रभावित कर सकता है?

Questions & Answers on "Nephrologyy" (93)

Cardiac or diabetes and issues is proteinurea

I am 66 years old. Known case of ESRD on heamodialysis 3 times for the last 5 months. H/O htn on medication for the last 9ys . No DM . Past HO hepatitis c ( cured)

My girlfriend is suffering from kidney stone, so my question is can we do intercourse during?

My son suffering from dm 1 ,now ckd ,what may be solution

My wife is 39 years old suffering from CKD.Her cretanine pevel is 6.4

Toilet baar baar aata hai jalan hota hai aur 1 hours me 10 to 15 times urine jaana padta hai left kidney ke 2-3mm stones hai please help me

My mother has kidney cyst problem what should we do?

I describe below our patient problem: 1. Suggestive of left renal mass with thrombus in left vein. 2. left paraaortic lymphadenopathy. 3. Visible part of chest shows multiple soft tissue nodules in basal segments of both lung, largest one - 3.2X 2.8 cm - suggest metastasis.

My sister has blood urea-100,no diabetic,caretine - .75 As blood urea is high ,does it effect to Kidney? Please advice

Aoa, I m 43 year old male suffering from RENAL FAILURE my reports are as under . Creatinine is 19.4 Urea 218 Hb 8.4 Vomiting Abdominal pain

Patient have kidney stone ,when daily consumption of 1.5gram turmeric power with 1 glass water is healthy or unhealthy for kidney stones patient and patient also have fatty liver

I am 20 years old female. I have high creatinine levels in my blood/urine. Leakage of protein I am on blood pressure tablets Ramipril 2.5mg I have this condition for 3 years and have not seen hardly any changes. I want to see someone who is an expertise in this field of kidneys

My GFR rate is 58. 73 years old. I was prescribed Herperax 800 for 5 days 4 tablets each. Whether the kidney would have been affected and if so, how long will it take to recover to original position

My friends brother has effected with stroke while getting into dialysis with oxygen mask. Kindly guide what to do

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