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Teeth gums swollen. Blood and urine test showed high sugar and positive albumin protein. Anything serious? - Online Doctor Chats

Date : 09-Jun-2013
User rating for this question
Very Good Posted in: Kidney Conditions
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
Doctor:How can I help you?
User:Need a small help
Doctor:I shall help you in the best way possible.
User:My father is getting swelling in teeth the dentist told to do a blood and urine test
User:in his report sugar is high
User:and also one albumin protein is +ve
User:the person in the lab told if this protein is +ve
User:it may have sum kidney effect
User:can u guide me on the same
User:it will be agreat help
User:and can u suggest which medical dept we shd go
Doctor:Presence of albumin in urine suggests renal pathology. However it does not confirm that a person has a serious renal disease.
User:so wht u suggest..he has high bp too
Doctor:He can be evaluated by a general physician with MD qualification or a Nephrologist to determine the exact cause.
Doctor:Blood pressure may or may not be related to urine albumin.
User:ok thanks
Doctor:He can be investigated further and we can understand the associations better.
Doctor:Have you followed?
Doctor:Do you have any other query?
User:actually i m in sxearch of gud doctor
User:in my city
User:any idea?
Doctor:Being away from Orissa, I do not have any personal reference or know about any good specialist there.
Doctor:Since his problem is still unknown, I would suggest you
Doctor:going to a general physician with MD specialisation.
Doctor:He/she can evaluate him and once the condition is detected we can help you find a good specialist.
Doctor:Hope this makes sense.
User:anybody in bangalore
User:Sugar level was:fasting:140 after food:240
User:is he diabetic
User:or only sugar level is high
Doctor:Is he on any medications?
User:just he has went 2 dentist and then he was told 2 do sugar test i guess
User:so the result was tht
Doctor:Yes, the blood sugar does indicate that he has hyperglycemia. He will need dietary modifications and medications to control it.
Doctor:Since he also has a preexisting high blood sugar, there is a possibility that his kidneys are not functioning properly.
Doctor:Therefore I would recommend him to get investigated further.
User:dont make me afraid doctor
User:listening kidney...
Doctor:I am sorry, my intention is not to create undue panic.
Doctor:However I would not want to miss something.
Doctor:I do not confirm that he suffers with renal disease.
User:if he is..
User:then it can be cured
User:or not
Doctor:We can get some more investigations such as serum creatinine, blood urea, serum electrolytes and ultrasound scan and urine albumin levels to understand the renal state better.
Doctor:Renal conditions can be treated. There are wide variety of treatment available to treat it.
Doctor:Further it is still not sure that he has one.
User:my father asked the doctor 2 do ultrasound..but he told take sum medicine after 2 mnths we ll do ultrasound
Doctor:So my suggestion was to get him completely evaluated under the guidance of a physician.
Doctor:I think you are currently staying away from your father.
User:yes..thatz the reason more worried and feeling helpless
Doctor:At this point of time, I would like to get his blood sugars down with dietary modifications and medications.
User:ok anybody u can tell in blore who is gud in that
User:ok sure
Doctor:Also control blood pressure with religious medications.
User:i have asked my mother 2 take care of his diet
User:i know
Doctor:We can also get renal profile monitored to know about the exact state of renal functions.
User:but how?
User:doctor should give a writing to do these tests
User:rght then only he can do
Doctor:In addition we also should have a look at his heart - ECG and fasting lipid profile and eyes checked (as diabetes and high blood pressure can have some influence on these organs).
Doctor:A physician should be able to get all these tests if it has not been done yet.
User:any place in Blore where i can these whole package of health checkup
Doctor:We can then consider consulting different specialties if we find any tests abnormal.
User:or in chennai
Doctor:A health check up package is available at any reputed laboratory and specialty hospitals.
User:does any need of prescriptio of doctor required
Doctor:You should be looking at getting renal package done on your father.
User:any hospital u recomment in chennai/Blore#
Doctor:A prescription is not needed here, you could visit any reputed lab such as clumax, SRL, XXXXXXX diagnostics OR even hospitals such as Manipal, Apollo, Fortis and other multidisciplinary hospitals.
User:Thanks Doctor For your valuble time
Doctor:Have you followed?
Doctor:Do you have any other query?
Doctor:Are you there?
User:yes i have query
User:but iz giagnic related
Doctor:Proceed with your query.
User:ok thanks
User:i m trying to concieve from last 1year
User:but no gud nes :(
User:I m now consulting doctor laso
User:she had me mand my husband to do sum blood test...and that
User:everything was fine
User:but in scan of mine she feel a very very small pco
User:is there
User:but c told it is now common
User:nothing 2 wrry
Doctor:That's right.
User:she gave folic acid
User:then i guess my follice size was nt big
User:so gave sepherene medicine fr D1-D6
User:i dont know know whether i m spelling the medicine properly
User:or not
User:they c recommened for alternate scan to see follice size...
User:it was properly developding
Doctor:I guess it was tab. SIPHENE
User:it was almost 20 in D12 or D13
Doctor:which contains clomiphene.
User:then c told i shld ovulate next 24 hrs..
User:but next day scan it was 22
User:i m saying this month case only
User:then c gave me one HCG injection i guess to ovulate
User:and i ovulated i guess
Doctor:Yes, hcG induces ovulation.
User:as i find a white mucus kind of thing
User:so i feel may be due to my ovulation prob..i m nt concieving
Doctor:PCOD is sometimes associated with reduced ovulation, formation of cyst and irregular period.
User:if this monnth also no gud news..then se was telling to 2 IUI
User:i never have irregualr period
Doctor:However this is not an absolute association; I mean not all women with PCOD have difficulty to ovulate.
User:till 2day it was evertime 4-6 days prior
User:my period
Doctor:Like I said, irregular period and difficulty to ovulate is not absolute association with PCOD.
User:This is whole my case i explained
User:so i feel may be due to my ovulation prob..i m nt concieving
Doctor:From what I understand your doctors have prescribed you medications to enhance follicle growth; followed by ovulation inducer.
Doctor:I am not sure if ovulation was confirmed with repeat ultrasound scan.
User:scan we did this mnth only
Doctor:Presuming you ovulated this month following hcG injections, if you had timed unprotected sexual intercourse at this time, there are good chances of pregnancy.
User:we had a relation
User:hoping fr gud
User:that sheet
Doctor:However sometimes the quality of ovum produced by medications are unhealthy which can result in failure.
User:but gud doesnt come 2 me so soon
Doctor:Therefore if it fails, IUI is the next step.
User:but this idoesnt also gurantee rght
Doctor:If there are no fruitful results with IUI, then the next step will be IVF>
Doctor:The chances of success with any trial of IUI or IVF is 20%.
User:yes i know
Doctor:The success rate increases with every trial.
User:what u recomment how many times i shld try with IUI
Doctor:Therefore if you fail with the first trial of IUI/IVF, the chances increases in the subsequent cycles.
Doctor:I think an experience infertility specialist will be able to answer this query about - the number of cycles you need - better.
User:ok thanks
Doctor:As a physician with limited experience in infertility management, I would not be the right person to answer that.
Doctor:Have you followed?
User:ok np
Doctor:Do you have any other query?
User:no thanks
Doctor:You could leave a query on Ask a Doctor about your fertility problem.
Doctor:One of the specialist will be able to address it better.
Doctor:Is there any other query?
Doctor:Thanks for consulting me.
User:Bye Have a Nice Day
Doctor:Bye for now.
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