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Treatment to control creatinine level through medicines - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Kidney Conditions
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1357 Questions
User :   hi doc
Doctor :   Hi
Doctor :   Iam.Dr.XXX
User :   i require your kind help for my father
User :   hello dr XXX
Doctor :   yes please proceed
User :   it is kidney related
User :   currently we are takin medicines from nephrologist mr XXXXXXXX XXX
User :   my fathers creatinine level is increased under his medication
User :   its gone to 8.4
User :   and urea around 184
Doctor :   May i know his age?
Doctor :   is he diabetic?
User :   his age is 68
Doctor :   is he having high bp?
User :   yeah but its under control
Doctor :   ok
User :   yeah
User :   every third day its going to 170 90
User :   for bp he is having
User :   nicardia
Doctor :   ok
User :   and prezopas
User :   and one more med
Doctor :   what about his blood tests?
User :   how do i get this creatinine level reduced
User :   his electrolyte is under control
User :   we are worried about the creat level
Doctor :   ok
Doctor :   he needs a combined approach
User :   like how
User :   we do not want to do dialysis as his urin and motion are passing through
Doctor :   controlling his bp,sugar and kidney function
User :   yeah
User :   can v do it thru medicines
Doctor :   but creatine level are high
Doctor :   yes
User :   yes its gone high last one month
Doctor :   but if his urine output is decreasing
Doctor :   might need dialysis
User :   his urin output is proper
User :   as per his inputs
User :   we are giving frusnex two tablets twice
User :   and 15 days back we had given zytanix 5 also
User :   zytanix we have stopped
Doctor :   ok
User :   as sometimes his potassium drops
Doctor :   when was his last doctor visit
User :   10 days back
Doctor :   yes it is a ll due to his poor kidney function
User :   we need to reduce his create level
User :   wat is ur sugestion doc
User :   we are also giving eporise 4000 for the haemoglobin count
User :   and resource protein once
Doctor :   it needs to be done by medicines diet control fluid restriction etc
User :   ok
User :   pls guide me doc
User :   i am staying at XXX
Doctor :   i feel he is having poor renal function
Doctor :   ok
User :   yeah
User :   we want it to improve
Doctor :   and that needs alot of intervention
User :   by reducing create level and bun
Doctor :   were are you from?
User :   XXX
Doctor :   yes
User :   is resource protein gud
Doctor :   yes
User :   and eporise 4000
Doctor :   it is a food supplement
User :   yes , is that gud
User :   how do i go about it doc
User :   ru there doc
Doctor :   wait a min
User :   ok
Doctor :   WWW.WWWW.WW
Doctor :   use that link
User :   can u give me some reference for a gud doc
Doctor :   i can help you get expert opinions form our panel
User :   yeah
User :   cn i get doc
Doctor :   yes
User :   i want to control thru medications only pls
Doctor :   you can get reply via phone or email
Doctor :   as you wish
User :   ok
User :   YYYY@YYYY
Doctor :   WWW.WWWW.WW
Doctor :   use this link
Doctor :   and register
Doctor :   and get an appointment
User :   or 0000 , i am 24 hours available on these contacts
Doctor :   from dr XXX
User :   is he frm XXX
User :   wat is ur special scope doc
Doctor :   no he is from XXX
Doctor :   i feel he needs an detailed examination nd if reqd admission
Doctor :   since renal functions are very imp
Doctor :   to control bp
Doctor :   and for overall prognosis
Doctor :   and if reqd he will have to undergo dialysis
Doctor :   as there is no way out
User :   cant we control his create thru medicines
Doctor :   not possible everytime
User :   is there any medicines which can control create and bun
Doctor :   Dialysis cleanses the body of waste products in the body by use of filter systems. There are two types of dialysis; 1) hemodialysis, and 2) peritoneal dialysis.
User :   our doc hs not given any medi for the same
Doctor :   Once the kidneys fail completely, the treatment options are limited to dialysis or kidney replacement by transplantation
User :   but there must be some medicnes with whih we can control the create
User :   his kidneys are not yet failed
Doctor :   no some medicines are given
Doctor :   for hemoglobin increase etc
User :   as he is passing urine and motion
User :   how do we control the create
Doctor :   ok
Doctor :   Diet is an important consideration for those with impaired kidney function
Doctor :   Since the kidneys cannot easily remove excess water, salt, or potassium, these may need to be consumed in limited quantities.
User :   like wt all
Doctor :   Phosphorus is a forgotten chemical that is associated with calcium metabolism and may be elevated in the body in kidney failure.
User :   the diet is also very limited
Doctor :   ok
User :   ok
User :   so wat can i give to my father
Doctor :   as i said
Doctor :   the diet control
Doctor :   give salt less foods
Doctor :   avoid fruits rich in potassium like grapes etc
User :   oki
User :   how can i reduce the creat and bun
Doctor :   it can only be done by reducing bp and next is by dialysis
User :   ok doc
Doctor :   This is necessary in advanced kidney disease because the kidneys are unable to remove potassium. High levels of potassium can cause abnormal heart rhythms. Examples of foods high in potassium include bananas, oranges, nuts, and potatoes.
Doctor :   Salt restriction: Limit to 4-6 grams a day to avoid fluid retention and help control high blood pressure.
Doctor :   stop smoking
User :   ihe is not smokign at all
User :   ok doc , i will get back to u
User :   tks for the info so far
Doctor :   Thanks for consulting..............
Doctor :   Bye for now..........................
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