Asked for Male | 60 Years

Could Diuretics be Impacting My GFR Levels?

Patient's Query

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.

Nephrologyy

Answered by Dr. Babita Goel

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.

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Dr. Babita Goel

General Physician

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Questions & Answers on "Nephrologyy" (72)

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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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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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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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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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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I am 18 years old . I am taking Apple cider vinegar and chia seeds in lukewarm water in morning with empty stomach . 2 years ago i had kidney minor pain due to less intake of water so i have a question does apple cider vinegar affect on my kidney or not i take it it in 2-3 drops daily . Plz tell mee what should i do now?

Female | 18

Be careful with the apple cider vinegar if you have a history of kidney issues. A few drops a day may be safe, but excessive consumption could aggravate the kidney condition. To be safe, think of discussing your kidney health with a nephrologist who can give you individualized recommendations.

Answered on 26th July '24

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Kidney and creatine level problem?

Male | 53

Kidneys filter waste from blood. If creatinine levels rise, kidneys struggle. Tiredness, swelling, and nausea occur. Causes include hypertension, diabetes, certain medications. Doctors prescribe medicine, diet changes, sometimes dialysis. Following medical advice preserves kidney function.

Answered on 2nd Aug '24

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I am 30 years old. i am kidney patient. 8 years kidney problem.BP high. Now creatine level 3 point, Hemoglobin 8 point.Injection medicine more use try. No more response.

Male | 30

These health issues you have might be due to lessened kidney functionality. One of the causes might be chronic kidney disease. Visit your healthcare provider to talk to him about the treatment plan, and what measures can be taken before there is a need for the intervention. A nephrologist is capable of controlling your disease.

Answered on 24th June '24

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Hi I am Sri lekha one and I have delivered half year completed just formality I have tested creatine in that 0.4 have came for nitrogen urea 11 , please suggest me shall I meet doctor or can I leave it

Female | 23

According to the information, you underwent some medical tests and the feedback indicated a slightly higher creatinine level and a high urea nitrogen content. These are mechanisms that are directly related to kidney function. Symptoms can include feeling tired, swelling, and stenosis. Diarrhea, urine smell, and hair loss are some of the side effects of whey protein can cause too. The causes can be dehydration, certain medications, or kidney issues. You should ask a nephrologist for advice about what to do next.

Answered on 16th July '24

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Kidney problems dull pain on right side

Male | 18

Your right kidney area hurts slightly, and you're going pee often with blood. Possible causes: stones, infections, or inflamed kidneys. To know for sure, see a nephrologist. They'll check your urine and maybe get scans done.

Answered on 25th July '24

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what is creatine in kidney? My creatine is found 2.5. What to do now? I have not understood. Is it dangerous for my kidney? Please guide me.

Female | 42

Creatine is produced by the body and generally excreted by the kidneys. A creatinine level over 2.5 can indicate kidney dysfunction. Symptoms may include fatigue or swelling. Conditions such as hypertension or diabetes can lead to this problem. To support your kidneys, ensure sufficient hydration, consume nutritious meals, and adhere to medical advice.

Answered on 28th May '24

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Hi I have a kidney cyst and it's been 8 months since I attended to it is this really not good or what should I do I'm scared

Female | 33

Discovering kidney cysts can be frightening, but stay calm—they're usually harmless and symptom-free. However, if you experience back pain, blood in your urine, or high blood pressure, see a nephrologist promptly. They will likely order tests to assess the situation properly. Delaying care for eight months is inadvisable; prompt evaluation ensures your well-being. Though usually benign, ignoring potential issues can lead to complications. With timely check-ups and appropriate treatment, kidney cysts are manageable.

Answered on 29th July '24

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

Could Diuretics be Impacting My GFR Levels?

Questions & Answers on "Nephrologyy" (72)

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

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.

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

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

Kidney and creatine level problem?

I am 30 years old. i am kidney patient. 8 years kidney problem.BP high. Now creatine level 3 point, Hemoglobin 8 point.Injection medicine more use try. No more response.

Hi I am Sri lekha one and I have delivered half year completed just formality I have tested creatine in that 0.4 have came for nitrogen urea 11 , please suggest me shall I meet doctor or can I leave it

Kidney problems dull pain on right side

what is creatine in kidney? My creatine is found 2.5. What to do now? I have not understood. Is it dangerous for my kidney? Please guide me.

Hi I have a kidney cyst and it's been 8 months since I attended to it is this really not good or what should I do I'm scared

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