Question 1

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 2

Im looking at the results from a physical examination and Im a bit worried. It mentions a 'slight turbid' appearance and there's a 'faint trace' of protein in the chemical examination. The microscopic examination shows pus cells at 56 and red cells at 10-12, with epithelial cells marked as 23. Should I be concerned about these results? What could they indicate about my health?

Accepted Answer

The urine sample shows slight turbidity, with a faint trace of protein in the chemical examination. The microscopic examination reveals 5-6 pus cells, 10-12 red blood cells, and 2-3 epithelial cells, which may indicate mild urinary tract irritation or infection. Its important to follow up with a healthcare provider for further evaluation and appropriate treatment.

Question 3

I'm 22 and was born with just one kidney. Lately, I've had high blood pressure and my serum creatinine has also gone up. It started at 1.9, then 2.24 after a few days, and on the day of my biopsy, it was 2.34. My eGFR is 40.8. After six days, my serum creatinine was 2.42 and potassium was 3.8. My doctor has put me on BP meds, defocord, and calcium tablets, and wants me to come back in a week. But Im worried. Is there hope for my serum creatinine to return to normal? Do you think Ill be okay again? How come I didnt notice any symptoms from the high BP and creatinine levels?

Accepted Answer

It's understandable to feel concerned, but with proper treatment, such as BP control, medications, and monitoring, it's possible to manage your condition and prevent further damage. The goal is to stabilize your kidney function and improve your overall health. Many people with high BP and creatinine don't experience noticeable symptoms, so it's important to keep regular check-ups to catch any changes early. Your doctor will guide you through the next steps for optimal care.

Is drinking hot water good for kidneys?

Drinking warm water daily in the morning flushes/clears out the kidney toxins and fat deposit in the intestine through the urinary region.

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