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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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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hydroniphrosis problem in 2 years baby.before piroplust right kidney work 50%.Ufter piroplust 3 month latter right kidney work 15%...what to do in this sictution

Female | 2

The baby has a condition, hydronephrosis. This is swelling in the kidney from blocked urine flow. It can cause pain, fever, and trouble urinating. Since kidney function decreased, the baby needs more tests like ultrasound or a scan to find the blockage. Treatment may involve a procedure to remove the blockage or medication to improve kidney function. Following the nephrologist's advice for proper care and treatment.

Answered on 23rd May '24

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Hi wondering is protein trace leukocytes and high ph on urine dip test a sign of kidney infection? Also has flank pain and nausea

Female | 17

When your urine test finds protein, white blood cells, and high pH with flank pain or nausea, it may mean a kidney infection. Bacteria entering the bladder usually causes these infections. Drink lots of water. Take antibiotics your doctor prescribes. See a nephrologist for a proper diagnosis and treatment plan.

Answered on 2nd Aug '24

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Hello Doctor, My grandmother age is 72. She has Diabetes, BP, urinary tract infection. Recently, a mild cyst found in her kidney through CT Scan. 15 days ago, her condition went serious and we joined her In hospital. Her sugar levels were 600mg/dl. Doctors treated her and dropped her sugar levels to normal. Now, she is mentally not stable and taking full bed rest. She is unable to stand or sit on her own. She is able to recognise all of us and can eat or drink on her own. But she is very week and mentally disturbed so much. She talks unrelated. Please suggest what treatment we should take for her. Thank you doctor.

Female | 72

Your grandmother faced challenging times. Her health conditions recently caused worries. Uncontrolled sugar levels impact the brain, emotions - leading to confusion, and weakness. A kidney cyst may add stress too. Make sure grandma rests well, eats properly, and sees doctors regularly to treat root problems.

Answered on 16th Aug '24

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Hello, i am a 29 year old wit diabetes and stage 3 kidney disease with an egfr of 34. How can I stop the damage progression in the kidneys

Male | 29

Hello, managing diabetes carefully is crucial for slowing kidney damage. Keep your blood sugar and blood pressure under control, follow a kidney-friendly diet, and avoid nephrotoxic medications. It is important to consult a nephrologist for personalized treatment and advice. Regular check-ups with your doctor will help monitor your condition and adjust your treatment as needed.

Answered on 19th July '24

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Pain in urine and also in kidney and some thick white paste in urine

Female | 22

You may have pain when peeing, discomfort near your kidneys, and thick white discharge in your urine. These are signs of a urinary tract infection (UTI) or a kidney infection caused by bacteria entering the urinary tract. Drinking plenty of water, taking antibiotics prescribed by a doctor, and resting can help improve your condition. However, it is essential to visit a nephrologist for a proper diagnosis and the right treatment.

Answered on 29th July '24

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Hi, I have end-stage kidney failure and I've been doing hemodialysis for 4 years now, and I've been worrying about my fistula or how long it is going to last before I get a tube stuck in my neck as an alternative. Today, the bulge on my arm which I assume is the fistula got moved or at least something got moved slightly causing discomfort and a change of shape of the bulge. Is that a cause for concern? It doesn't have redness or pain in the exact place, but I'm worried sick. Can this be fixed by a surgery? Other questions that have been bothering me. How about if it got ruptured? It started to bulge and reddened. Can it still be fixed? Also, let's say my left arm fistula died and I had to use my right arm. Can I still use my left arm for fistula once it's healed in the future? Thank you for your answers in advance, I'm a teenager who got dealt with a bad hand right from the get-go and I wish to know more about my current situation.

Male | 18

It’s understandable to be concerned about changes in your fistula. If you notice any discomfort, change in shape, or other symptoms like redness, it's important to check it. A vascular surgeon can assess your fistula and determine if any intervention is needed. Even if your current fistula fails, it's possible to create a new one in the same arm after healing. This should be evaluated by your doctor. Please consult your nephrologist or a vascular surgeon for a detailed examination and advice.

Answered on 18th June '24

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Sir now a day my father suffering from chronic kidney diseases last stage before six months ago. And he takes some medicines like nodosis 500 mg thrice daily. But I am not satisfied then what can i do please suggest me.

Male | 57

Chronic kidney disease is usually a progressive disease and tends to progress over time. But inspite of having it patient can be maintained in a reasonably good health with proper medication, diet and routine Nephrologist's consultation. I request you to reach to a nephrologist near you for treatment optimisation.

Answered on 23rd May '24

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From last one week doctor, i am suffering a lot due to stone

Male | 35

If the problem is severe you should consult a best Urologist in India to get things cleared.

Answered on 23rd May '24

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Contrast Enhanced Computed Tomography of the whole abdomen showing moderate hypatomegaly with coarse attentuation, edematous GB mild dilated portal vein,splenomegaly,diverticulituis in sigmoid colon. Crystitis. My brother suresh kumar's report has been admitted in Maharaja Agrasain Hospital, Punjabi Bagh and the doctor has recommended us for a second opinion. Kindly advise / suggest next course of action if possible.

Male | 44

WhatsApp the report to me

Answered on 8th Aug '24

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Sometimes when I’m in a certain position and I cough or laugh hard my kidney will have a quick sharp pain. It has happened twice today and I noticed it about a month ago I would say but it’s not often. Should I be concerned about this? It is giving me anxiety.

Female | 18

You may have "referred pain" from kidneys. Sometimes, coughing or laughing hard moves kidneys slightly, causing sharp pain. This could be a kidney stone or muscle strain near the kidney. To ease anxiety, drink water and avoid motions triggering pain. If pain continues or worsens, contact a nephrologist for evaluation.

Answered on 12th Aug '24

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Sir I am facing swelling in kidney area what could be the reason for it?

Female | 16

The question of whether your kidneys are swollen should be considered. Symptoms can vary, including a sensation of stomach bloating or difficulty urinating. It is reasonable to suspect a kidney infection might be the cause. Therefore, drink plenty of water and consult a nephrologist. The doctor may prescribe medications or other treatments.

Answered on 8th 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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I have removed 9.5mm ureteral stone 3 months ago and doctor advised to do a songography usg abdomen pelvis after 3 months. i was diagnosed with 1 stone in Right mid calyx - 4mm 1 stone in left mid calyx - 4.2mm 1 stone in left lower calyx - 3.4mm

Male | 34

So you need to workup the cause for stone formation. The stone can be removed multiple times still you need to treat the cause it is happening.

Answered on 23rd May '24

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My father is suffering from CKD stage V now my USG report is showing ADPKD MY question is i recently joined gym for my body transformation fat to fit for that goal i have to eat 2 grams per body weight of protein is it good for my kidney also i want to add creatine supplement can i add that supplement

Male | 24

The function of the kidneys worsens when you eat large amounts of protein, and the kidney problems become more severe. The extremely high rates of creatine supplements can make the kidneys unable to function properly. Before you start any regimen, consult with your doctor to figure out the best approach that is right for your body.

Answered on 3rd 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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30 year old, creatine and urea level high, diarrheas, from past 4 days. Back ache.

Male | 30

you need to visit emergency department if your bp is more than 180/100 and having symptoms like headache for properly evaluation and management of your condition. This could be hypertensive emergency and needs immediate ecg and bp lowering medication to avoid possible complications.

Answered on 23rd May '24

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Sometimes when I’m in a certain position and I cough or laug...

Sudden kidney pain when coughing or laughing

Sometimes when I’m in a certain position and I cough or laugh hard my kidney will have a quick sharp pain. It has happened twice today and I noticed it about a month ago I would say but it’s not often. Should I be concerned about this? It is giving me anxiety.

Questions & Answers on "Nephrologyy" (72)

hi in age of 75 years female the kidney gfr is 8.4 can live without dialysis how much time is there to live

Cardiac or diabetes and issues is proteinurea

hydroniphrosis problem in 2 years baby.before piroplust right kidney work 50%.Ufter piroplust 3 month latter right kidney work 15%...what to do in this sictution

Hi wondering is protein trace leukocytes and high ph on urine dip test a sign of kidney infection? Also has flank pain and nausea

Hello, i am a 29 year old wit diabetes and stage 3 kidney disease with an egfr of 34. How can I stop the damage progression in the kidneys

Pain in urine and also in kidney and some thick white paste in urine

Sir now a day my father suffering from chronic kidney diseases last stage before six months ago. And he takes some medicines like nodosis 500 mg thrice daily. But I am not satisfied then what can i do please suggest me.

From last one week doctor, i am suffering a lot due to stone

Sometimes when I’m in a certain position and I cough or laugh hard my kidney will have a quick sharp pain. It has happened twice today and I noticed it about a month ago I would say but it’s not often. Should I be concerned about this? It is giving me anxiety.

Sir I am facing swelling in kidney area what could be the reason for it?

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

I have removed 9.5mm ureteral stone 3 months ago and doctor advised to do a songography usg abdomen pelvis after 3 months. i was diagnosed with 1 stone in Right mid calyx - 4mm 1 stone in left mid calyx - 4.2mm 1 stone in left lower calyx - 3.4mm

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.

30 year old, creatine and urea level high, diarrheas, from past 4 days. Back ache.

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