Question 1

My father has a serum creatinine level of 2.18 and high uric acid. He has a heart problem and the doctor recommended bypass surgery, but his creatinine and uric acid levels are elevated. Is there any medicine that can help lower these levels before surgery?

Accepted Answer

physician opinion for raised creatinine levels is advised to thr patient.

Question 2

I'm really worried right now about my health. I've been checking my blood pressure every day for the past two weeks, and it's been around 190110 consistently. I'm already taking Telmisartan 40mg, but it doesn't seem to be helping at all. On top of that, my creatinine level is 1.8, my potassium is high, urine protein is at 2484, and my albumin is 3.3. My vitamin B12 is really low at 82. Can you help me understand what all these numbers mean and what I should do next?

Accepted Answer

Typhoid and Malaria Co-Infection

_Dark Yellow Urine_

1. _Medication side effect_: Certain medications, such as rifampicin (used to treat typhoid), can cause urine to turn orange or dark yellow.
2. _Dehydration_: Inadequate fluid intake or excessive fluid loss due to fever, sweating, or diarrhea can cause concentrated, dark yellow urine.
3. _Liver function_: Typhoid and malaria can affect liver function, leading to changes in urine color.

_Concerns and Recommendations_

1. _Consult your doctor_: Inform your doctor about the dark yellow urine, as it may indicate dehydration or liver function changes.
2. _Increase fluid intake_: Drink plenty of fluids, such as water, clear broths, or electrolyte-rich beverages like coconut water or sports drinks.
3. _Monitor urine output and color_: Keep track of your urine output and color to ensure you're staying hydrated and to detect any potential issues.
4. _Complete the treatment course_: Continue taking your medications as prescribed, and complete the full treatment course to ensure effective management of typhoid and malaria.
5. _Follow-up appointments_: Schedule follow-up appointments with your doctor to monitor your progress, adjust treatment if needed, and address any concerns.

Question 3

I recently found out that there's protein mixed with my urine for 4 days and it got me really worried. Could this be a sign of something serious like kidney failure?

Accepted Answer

TSH fluctuation can be puzzling.
 
 _TSH Interpretation:_
 
 1. Initial TSH: 23 (elevated)
 2. Mid-treatment TSH: 8.4 (improved)
 3. Post-treatment TSH: 23 (elevated again)
 
 _Possible Reasons for Rebound:_
 
 1. Homeopathic medicine (B56 drops) effectiveness wore off.
 2. Underlying thyroid issue persists.
 3. Dosage or duration inadequate.
 4. Other health factors influencing TSH.
 
 _Considerations:_
 
 1. Thyroid hormone resistance.
 2. Pituitary gland dysfunction.
 3. Autoimmune thyroiditis (e.g., Hashimoto's).
 4. Iodine deficiency.
 
 _Next Steps:_
 
 1. Consult an endocrinologist or thyroid specialist.
 2. Re-evaluate thyroid hormone levels (Free T3, Free T4, TSH).
 3. Consider conventional thyroid medication (e.g., levothyroxine).
 4. Explore lifestyle changes:
 - Diet (iodine-rich foods)
 - Exercise
 - Stress management
 - Sleep hygiene
 
 _Homeopathic Medicine Limitations:_
 
 1. Variable efficacy.
 2. Lack of standardization.
 3. Potential interactions with conventional medications.
 
 _Conventional Treatment Options:_
 
 1. Levothyroxine (T4)
 2. Liothyronine (T3)
 3. Combination therapy (T4 + T3)
 
 _Monitoring:_
 
 Regular TSH and thyroid hormone level checks.
 
 _Resources:_
 
 1. American Thyroid Association (ATA)
 2. Endocrine Society
 3. Mayo Clinic Hypothyroidism
 4. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

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

My father has a serum creatinine level of 2.18 and high uric acid. He has a heart problem and the doctor recommended bypass surgery, but his creatinine and uric acid levels are elevated. Is there any medicine that can help lower these levels before surgery?

I recently found out that there's protein mixed with my urine for 4 days and it got me really worried. Could this be a sign of something serious like kidney failure?

Health Articles for you

Are Gallstones and Kidney Stones the Same?

Guide to Screening Kidney Cancer

Post Kidney Transplant Nursing Care Plan

Post Operative Care For Kidney Transplant

10 Harmful Habits That Are Damaging Your Kidneys