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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Kidney Degeneration

BACKGROUND ON CONDITION -PART 1: Blood Tests My mother has many ailments and is now developing kidney disease symptoms. Below are the blood test readings that are out of normal range. This is something fairly new and emerging for my mother. BLOOD TEST READINGS THAT LAB SHOWS OUT OF NORMAL RANGE Glucose serum 10.3 Creatinine 102 eGFR 46 Cholesterol 6.21 Triglycerides 2.27 Hemogl AIC 0.06 HDL cholesterol 1.27 Non-HDL cholesterol 4.94 WBC 11.5 Lymphocytes 4.14 Monocytes 0.92 Eosinophils 0.46 Leukocyte small -Part 2: Medical History Fibromyalgia Diabetes Arthritis May have moderate chronic kidney disease Had triple bypass heart surgery ~2001 Has disc degenerative disease -PART 3: Symptoms As you will note in the medical history, my mother also has a host of other ailments. I am providing a highlight of her other symptoms to provide an overall picture of her health. - Blood sugar levels, especially in the morning are generally in the 10-12.5 range on her meter. (The normal level to target for on her meter is 6-7.) -She has had neck and head pain for many years – now it is constant (7 x 24). It is her most troublesome symptom. Chronic back pain. -Her depression is worsening; her doctor is switching her from celexa to cipralex (10mg) but she has not yet started it. -She has pain through out her body. -She gets no to very little sleep each night. Last 10 nights, though, she did get some sleep. -She has no energy. -She has frequent bouts of diahhrea (eg. 2 times per month) and constipation. She has a stomach ache most of the time – it begins in the morning. -She has mucus in nose, mouth and sometimes feels it in her head. Doctors are attributing this to sinus blockages but use of sinus stick has not helped thus far. -Little appetite QUESTIONS NEEDING RESPONSE Please advise if her kidney condition is reversible and/or what steps should be taken immediately to slow down kidney degeneration. -Will better control of blood sugar help? If so, how do we do that since she is already tightly managing her diet. -She has recently reduced her Glucophage / metformin intake from 1 tablet 3 times a day to 1 table once a day. She did that because we heard that metformin contributed to kidney problems. Would you concur with that? If there is anything else that you can see that could help her overall health, please let us know. Particularly, if you could point us to the specialties to consult regarding the head pain (likely due to disk degeneration in neck), would appreciate.
Mon, 20 Apr 2015
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General & Family Physician 's  Response
Hello,
This is a case of diabetic nephropathy .it occurs due to high glucose levels at a given point of time.chronic kidney disease with egfr 46 is moderate disease which will progress BUT with control of glucose and protein levels ,progression to dialysis can be stopped.antidiabetic drugs are to be taken strictly as per your physician advice.avoiding high quantity meal,eat frequently but overall less than total initial consumption ,avoid protein diet like non veg,pulses but eat fishes and its liver oil ,decrease banana or coconut,add onions and garlic in diet.regd neck pain orthopedic opinion required but slight yoga relatining to neck muscles will be helpful.this is more a control than treatment.of course Ace inhibitor and lipid lowering drugs are needed.


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Suggest Treatment For Kidney Degeneration

Hello, This is a case of diabetic nephropathy .it occurs due to high glucose levels at a given point of time.chronic kidney disease with egfr 46 is moderate disease which will progress BUT with control of glucose and protein levels ,progression to dialysis can be stopped.antidiabetic drugs are to be taken strictly as per your physician advice.avoiding high quantity meal,eat frequently but overall less than total initial consumption ,avoid protein diet like non veg,pulses but eat fishes and its liver oil ,decrease banana or coconut,add onions and garlic in diet.regd neck pain orthopedic opinion required but slight yoga relatining to neck muscles will be helpful.this is more a control than treatment.of course Ace inhibitor and lipid lowering drugs are needed.