My daughter has high blood pressure, and we recently found out she was born with only one kidney. Despite following strict food and lifestyle restrictions, her creatinine levels keep increasing. Right now, her creatinine is at 2.3. She is taking Olme...
Based on your daughter's condition:Key Concerns1. High creatinine levels: 2.3 is elevated, indicating impaired kidney function.2. High blood pressure (BP): Uncontrolled BP can further damage the single kidney.3. Single kidney by birth: Increased risk of kidney damage and disease progression.Medication Review1. Olmezest 40: Olmesartan, an angiotensin receptor blocker (ARB), helps control BP.2. Moxovas 0.3: Moxonidine, a central alpha-2 adrenergic agonist, helps lower BP.3. Folvite: Folic acid supplement, often prescribed for patients with kidney disease.Recommendations1. Consult a nephrologist: A kidney specialist can provide personalized guidance and adjust medications as needed.2. BP monitoring and control: Regularly monitor BP and adjust medications to achieve optimal control (<130/80 mmHg).3. Dietary modifications: Follow a kidney-friendly diet, including:- Low protein intake- Low sodium intake- Increased omega-3 fatty acids- Adequate hydration4. Lifestyle changes: Encourage your daughter to:- Maintain a healthy weight- Exercise regularly (consult with a nephrologist)- Avoid smoking and secondhand smoke5. Regular kidney function tests: Monitor creatinine levels, electrolytes, and urine protein regularly to assess kidney function.6. Consider additional medications: A nephrologist may recommend medications like ACE inhibitors or beta-blockers to further control BP and slow kidney disease progression.Next Steps1. Schedule an appointment with a nephrologist.2. Discuss medication adjustments and additional treatment options.3. Implement dietary and lifestyle changes to support kidney health.