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Questions & Answers on "Nephrologist" (72)
Hello (apologies for long post) Caucasian, Male, 60, 6'0", 260 lbs. Meds: Lisinopril 40 mg, Metoprolol 50 mg x2 a day, Amlodipine 10 mg, Furosemide 20 mg, Glimepiride 1 mg, Janumet 50-1000 x 2, Atorvastatin 10 mg...NO drink/smoke or rec. drugs. Issue: After a lot of work, have lost 40+ lbs in last 5-6 years...blood pressure 130/85, A1c 7.0 ...here is the issue. In March of 2023, after years of my GFR staying constant in mid/upper 40's, (not great, but consistent), it was lower at 41. Dr wanted to check it again in 1 month. I very strictly controlled my diet/sugar/protein/soda/increase water intake, etc...take meds religiously...GFR dropped to 35. Dr sent me to a nephrologist, but before the scheduled appointment (which was 6 weeks later), he took me off of Triamterene...said it can be hard on kidneys. When the nephrologist sent me for labs, GFR went UP to 50. Another test 2 weeks later and GFR went up to 55. Nephrologist says that removing Triamterene from regimen played NO part in GFR rising...put me on Spironolactone due to edema returning . 6 months later at next check-up, all numbers and BP continue to be good, but GFR back down to 40. Is it possible that the diuretics have been hard on my kidneys and causing the lower GFR. I understand with years of HBP/diabetes, the GFR is not ideal, but I'd like to keep it in the 50's if possible. Family doctor took me off the Spironolactone and put me on Lasix in March of 2024...bloodwork coming up in a couple of weeks. Family doctor seems to think the diuretics have contributed to lower GFR...Nephrologist says they have nothing to do with my fluctuating GFR numbers... seeking input from anyone here with knowledge/experience...appreciate any insights re: affect of diuretics on GFR...alternatives to traditional diuretics, etc. I've read loop diuretics like Lasix best for kidney issues.
Male | 60
Diuretics such as Triamterene may have been responsible for your kidney problems, which in turn may have resulted in the increase or decrease of your GFR. The switch from you to Lasix by your family doctor is a good decision as it is a diuretic that may be less harsh on the kidneys. Continue to collaborate with a nephrologist to discover the optimal treatment for you.
Answered on 22nd Aug '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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creatine 4.7 is normal gfr 8.5
Female | 75
A creatinine level of 4.7 and GFR of 8.5 indicate significant kidney function impairment. It's crucial to consult a nephrologist immediately for further evaluation and management. They can provide personalized advice and treatments to help preserve kidney function and maintain overall health.
Answered on 2nd July '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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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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