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How Rheumatoid Arthritis can be diagnosed with medicine ?

Hello Doctor! My mother-in-law is 56 yrs old, got affected with kidney problem and she is suffered from Rheumatoid Arthritis and Infection Arthritis for around 9 yrs. Her Kidney scan report -- KIDNEY: Both Kidneys are contracted small in size, shape and position. No calculus in the kidneys. No separation of collecting system. Right kidney: 8.3 X 4.3 cm. Left: 8.7 X 4.7 cm. Hyper echoic tarenchemal critical echoes. CMD reduced -- URINARY BLADDER:Volume 200ml, wall thickness 4mm, post void urine volume 50ml. Significant post void residual urine volume -- PELVIS: Uterus antiverted, normal in size, shape and position. Endometrial thickness is normal. Endometrium: 3mm. Uterus size: 4 X 2.1 X 1.8 cm. Right Ovary: 1.8 X 1.3 cm. Left: 2 X1.8 cm. IMPRESSION: Chronic cystitis . By lateral/ contracted kidneys - Medica / Renel diseas. Suggested: Urstoscopy. Please advice on the critical stage of Kidney, whether it can be cured by medicine. Thanks
Asked On : Fri, 26 Aug 2011
Answers:  2 Views:  193
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Orthopaedic Surgeon 's  Response
Welcome to Healthcare Magic
There is long time damage to the kidneys which means there is no cure. Medical management is needed for now to control her Serum Urea and Creatinine and prevent complications. She should avoid salt in diet. Blood pressure and blood sugar to be maintained in normal range. There is problem with the urinary bladder, it is more thick inside. Need to get a sample of the tissue from bladder to diagnose why bladder is thick and then give treatment.
Answered: Fri, 26 Aug 2011
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Internal Medicine Specialist Dr. Fatima Clinic's  Response
Welcome to Health Care Magic.
Thanks for your query.
Both the kidneys are contracted and there is no treatment for this condition.
She require medical management of high blood urea and high serum creatinine.salt intake should be restricted as per the advice of a clinical nutritionist.Blood pressure and blood glucose level should be maintained to normal level.Better to avoid non-veg and high protein diet.The patient should not take "Masoor Daal" as it has more nitogenous products etc in it.
Keep in touch with the Nephrologist for the better management.
Thank you
Answered: Fri, 26 Aug 2011
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