Question 1

I'm really concerned because my loved one has been diagnosed with pyelonephritis along with bilateral pleural effusion at Wockhardt Hospital on Mira Road. I'm wondering if we should seek a second opinion before starting any treatment. Do you think it's necessary to confirm the diagnosis with another doctor, or should we trust the findings and proceed with the treatment plan they've suggested? Any advice on how to handle this situation would be appreciated.

Accepted Answer

do CT scan and consult others physicians

Question 2

I'm really worried about my daughter's health. She was born with just one kidney, and even though shes been sticking to strict diet and lifestyle changes, her creatinine levels are still going up. It's now at 2.3. Plus, she's dealing with high blood pressure. Currently, she's on Olmezest 40, Moxovas 0.3, and Folvite. What can we do to help manage her increasing creatinine levels and high BP? Looking for any advice or steps we can take.

Accepted Answer

Persistent symptoms despite treatment_:

1. _Inadequate treatment duration_: 2 months might not be sufficient to fully address your condition.
2. _Insufficient medication dosage_: Rabeprazole and domperidone dosages might need adjustment.
3. _Underlying conditions_: H. pylori infection, gastroesophageal reflux disease (GERD), or other conditions might require alternative treatments.

_New symptom: Soreness on the back of the throat_:

1. _Reflux-related symptom_: Stomach acid reflux can cause throat irritation.
2. _Postnasal drip_: Mucus accumulation can cause throat soreness.

_H. pylori treatment_:

1. _Not untreatable_: H. pylori infections can be treated with antibiotics and acid reducers.
2. _Treatment challenges_: Antibiotic resistance, inadequate treatment duration, or insufficient medication dosages can make treatment difficult.

Question 3

Management of Diabetes for Preventing Kidney Failure?

Accepted Answer

Prefer foods lower in fats, sugar/salt and calories and higher in fiber. Focus on fruits, green vegetables and whole grains. Regular physical activity, take medicines and have regular doctors visits.

Is 1.7 Creatinine level dangerous for a diabetic patient?

Creatinine level of 1.7 is significant of mild elevation from normal range, but it alone does not dictate severity of kidney disease in Diabetic patients.

More Nephrology Health Queries

Management of Diabetes for Preventing Kidney Failure?

Health Articles for you

Understanding Robotic Kidney Transplant Procedures

Can Kidney Transplant Patient Drink Lemon Water?

Managing Hyperphosphataemia in CKD: Your Diet and Treatment Guide

Guide to Beer For Kidney Stones

Nephrotic Syndrome Overview and Management Options