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Dialysis after kidney failure - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Kidney Conditions
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   hi
Doctor :  
how can i help u
User :   hello sir
Doctor :  
please proceed with your query
User :   one of my relative of 55 age got kidney failure
Doctor :  
ok
User :  
now she is in dialysis
Doctor :  
ok
User :  
after 4 days of dialysis her serum urea 126 and serum creatnine 10
Doctor :  
ok
User :  
kidney size is 7.5 and 6.8
Doctor :  
ok
User :  
is there any medicine which she can take side by side dialysis so that the kidney can recupe
User :  
or there is no chance ?
Doctor :  
ok
Doctor :  
i will help u in this
Doctor :  
can i ask few Q
User :  
sure sir
Doctor :   is she diabetic
User :  
no
Doctor :   is she hypertenive
User :  
yes sir she has hypertenssion
Doctor :  
ok
Doctor :  
since how many years
User :  
2 years
Doctor :  
ok
User :  
but she was blood pressure since 8 years
Doctor :  
did she have kidney or urine infection
User :  
as per my knowledge and testing reports there is no infection
Doctor :   was she on any medications like pain killers or any
User :  
no she never use pain killers
Doctor :  
ok
User :  
she is only taking blood pressure medicines since 8 years
Doctor :   does she has any medical problems other than BP
User :  
she was found minor valve problem of heart on 18 months back
User :  
then she takes medicine for 30 days and another medicine for 3 months
User :  
after that that problem was cured
Doctor :   ok
User :  
now x-ray of heart shows minor enlargement of heart
Doctor :  
ok
Doctor :  

as per history the reason for the failure is
Doctor :  
kidney failure is high blood pressure
Doctor :   can i know the name of BP tablets
User :  
bp medicine she takes since 8 years calciguard 5mg
Doctor :   ok
Doctor :   after 4 days of dialysis her serum urea and creatinine are still on the higher side
User :  
now when kidney problem detects the doctor gives PROLOMET XL - 50MG, AMTAS-10MG, Antibiotic ALTACEF-250MG
Doctor :   ok
User :  
ANOTHER MEDICINE LASIX
Doctor :   how is her urine out put
User :   her urine output per day is 800 ml
User :  
one confusion sir
Doctor :  
wat happened
User :  
her serum urea and creatinine goes normal when dialysis done
User :  
after 4 days of rest we check the blood again and that results 126 and 10
Doctor :  
it should go down after dialysis
User :  
yes
Doctor :  
but after 4 days still the levels are high
User :   yes sir
Doctor :   kidneys are damaged more
User :  
yes sir
User :  
is there any chance of treatment
Doctor :  
thats the reason some days after dialysis the serum urea and creatinine is high
Doctor :  
first we give medications to prevent the failure of kidney
Doctor :  
second if medications fail they the option is dialysis
Doctor :  
and third and final option is kidney transplation
Doctor :  
Kidney transplantation
User :  
in age of 55 can the transplant will success
User :  
she is no diabetic
Doctor :  
its depends on number of other factors
Doctor :  
But it is not un usual for the people to get transplants at age 55
Doctor :  
so you can continue with it
User :   we are ready for transplant but need some recommendation from you to where we can do that easily
Doctor :  
Ok
Doctor :  
Which place do you stay?
Doctor :  
We will help you in arranging it
User :   cuttack city of orissa
Doctor :  
Are you willing to travel to another city in India for the transplant
User :  
yes
Doctor :  
One more thing which is important is to find a donor
Doctor :  
that suits
Doctor :  
her
Doctor :  
Is any relative willing to donate
Doctor :  
because those suit them the best
User :  
we are arranging a donor but if there any chance of purchase from out side will good.
Doctor :   are you tehre

Doctor :  
That is what I say
Doctor :  
always the kidney from the family is the best
Doctor :  
because after transplant less rejection
User :  
can we go though your first option for medication for some days
Doctor :   if dialysis itself is not able to control the uric acid and creatinine levels
Doctor :  
so the role of mediactions is very less
Doctor :  
but simulataneous use of medications for controlling the blood pressure is very important
Doctor :  
the medications include:
User :  
now blood pressure is almost in control
Doctor :  
1. Phosphorus-lowering medications- calcium carbonate or calcitriol
Doctor :   2. Iron supplementation
Doctor :  
3. Multivitamins
Doctor :  
Diet is an important consideration for those with impaired kidney function.
User :   please advice some allowed and restricted diet

Doctor :   yes i will do that
User :  
and also arrange for transplant for us
User :   our nearest place is calcutta
Doctor :  
need to limit the amount of protein in your diet
Doctor :  
Foods that are high in protein are meat, poultry (chicken), fish, eggs, and dairy products (milk, cheese, yogurt).
Doctor :   need to limit the amount of phosphorus in your diet.
Doctor :   Foods that are high in phosphorus are dairy products, beans, peas and nuts.
Doctor :   limit the amount of sodium/salt in your diet
Doctor :  
Table salt, canned foods, processed meats, soups and salted snacks are high in sodium.
User :   so what about transplant
Doctor :   regarding the kidney transplant
User :  
yes sir
Doctor :   if you arrange a donor
User :   yes
Doctor :   we can arrange for the surgery
Doctor :  
in banglore
User :   yes
User :  
what will the approx cost arise
Doctor :   its depends on the hospital fee
Doctor :  
surgeon fee
Doctor :   medication fee
Doctor :  
and other
Doctor :  
one of our team member wil collect the details
User :  
i want to know the tentative amount
Doctor :  
regarding the hospital and best surgeon
Doctor :   and even the charges
Doctor :   after collecting the information we will give yu a call within 48 hrs
Doctor :  
as tomorrow is sunday
Doctor :  
is that fine
User :  
yes sir
Doctor :  
please give the phone number
User :  
one more question
Doctor :  
proceed
User :  
if i want contact you regarding the same case how can i identify you
User :  
in a live chat
Doctor :  

Doctor :  
Speciality - Family medicine
User :  
yes sir
User :   i am waiting for phhone call
User :  
thank you
Doctor :   yes
Doctor :  
not to worry
Doctor :  
be relaxed will call yu soon
Doctor :  
after collecting the details
User :  
ok bye
Doctor :  
pelase fill the feed back form
Doctor :  
please fill the feed back form
User :   ok i filled

Doctor :  
thanks, bye for now
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
Doctor :   hi
User :   am i chating with
Doctor :   do yu want to chat
User :  
no
User :  
just asking
Doctor :  
i am Dr here
Doctor :  
how can i help u
User :  
i am found diabetic last one and half year back
Doctor :  
ok
User :  
doctor gives me the medicine zoryl mp1, olmecip 40mg and xmet-500
Doctor :  
ok
User :  
periodically i have checket my sugar and it was normal always
Doctor :  
ok
User :  
now i have checket with thyrocare preventive care package
Doctor :  
ok
User :  
everything is ok and there is found some thyroid problem with T3 and T4
User :  
my doctor suggests me to take thyrox-50mg for 2 months
Doctor :  
ok
User :  
and he advice to stop taking zoryl mp1
Doctor :  
ok
User :  
now i am feeling erection problem
User :  
what to do ?
User :  
is it normal or there is any problem
Doctor :  
wats your age
User :  
35+
Doctor :  
ok
Doctor :  
do yu have high BP
User :  
no
User :  
bp is always normal
User :  
or you can say no bp
Doctor :  
ok
Doctor :  
but you are taking OMICEP 40 mg
Doctor :  
right
User :  
yes
Doctor :  
this is a Bp controlling tablets
Doctor :  
only
Doctor :  
are u there
Doctor :  
?????
User :   i have also asking my doctor about this and he told me that when he checks the bp was 164/78 so take this medicine for some days
User :  
but after that whenever i checks my bp it was with in 130-145 and 60-80
Doctor :  
140 is still a higher range
User :   ok

Doctor :  
so the medications are required
User :  
then what should it be
Doctor :   to control the Bp
Doctor :  
are yu married
User :  
yes
Doctor :   do yu have kids
User :  
yes one son
Doctor :  
ok
Doctor :   is the erection of penis good
Doctor :  
how long does the erection says
User :   no now i am not feeling erection
Doctor :   is the ejaculation normal
User :   ejaculation is normal but i ejaculates within or less than a minute
Doctor :  
how many times in a week do yu have sex
User :  
i feels these problem since six months
Doctor :   its premature ejaculation
Doctor :  
ok
User :  
4 days a week
User :  
yes premature ejaculation
Doctor :  
ok
User :  
i did not get hardness
Doctor :  
let me explain the cause for
Doctor :  
1. Hypertenion and the medication used for it
Doctor :  
both can cause problems in erection
Doctor :  
2. Diabetes mellitus
Doctor :  
3. and Hypothyroid
Doctor :  
reduced thyroid harmone is one of the main cause for sexual problems
Doctor :  
so a good control on BP, diabetes status and thyroid levels
User :   can i recover it

User :   can you suggest some medicine for me
Doctor :  
the improvement is there
Doctor :  
not complete recovery
User :  
yes so can u suggest some medicine
Doctor :  
there are many medications avialable in
Doctor :   market but these medications are not up to dat
Doctor :  
and have lot of side effects
Doctor :   a good contol on the diabetes and Bp will help u a lot
User :   is hypothyroid is a permanent problem
Doctor :   do yu smoke or consume alcohol
User :  
alcohol maximum twice a month and smoke occassionally
Doctor :  
yes Hypothyroid is a permanent disorder
Doctor :  
Thyroxine supplimentation is required for life long
Doctor :  
i will advice yu 2 medications
Doctor :   Tab Rejuvit plus
Doctor :  
once daily for 1 month after the dinner
User :  
another one is
Doctor :   its a gel to over come premature ejaculation
Doctor :  
but it should be applied on erected penis
Doctor :   let the erection get better then u can use the gel
Doctor :  
need to completely quit smoking
Doctor :  
as its a main factor for erection problems
User :   ok
User :  
will i stop thyrox-50 or i can take it with REJUVIT PLUS
Doctor :  
consumption of alcohol once is 15 days is fine
Doctor :  
not more than 120 180 ml
User :  
OK
User :  
whats the name of gel ?
Doctor :   Tab thyrox is thyoxine suppplimentation
Doctor :  
need to take it life long
Doctor :  
son never stop that
Doctor :  
Rejuvit is very good multivitamin for sexual problems
Doctor :  
Prilox gel
Doctor :  
apply 5 min on the penis
Doctor :  
then go for vaginal intercourese
Doctor :  
avoid anal sex as it will cause premlature ejacualtjion
Doctor :  
is that ok
User :  
ok
Doctor :  
Is there any thing else i can help yu with?
User :  
no thanks
Doctor :  
please fill the feed back form
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