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Acute renal failure and swollen body - 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 you
User :   hello
Doctor :   please go ahead with ur medical query
User :   my grandfather is very sick in the hospital
Doctor :   ok
User :   he has renial failure and is swollen due to retaining water
User :   they put a catheder in and that helped him
Doctor :   ok
User :   he is weaping on his left arm
Doctor :   since when he is in renal failure
User :   he has no appetite
User :   last tuesday
User :   he is 93
User :   i feel like doctors are giving up
Doctor :   yes people with renal failure will have decreased appetite
User :   i am a very positive person and i am hoping for the best
Doctor :   is he undergoing dialysis for renal failure
User :   what will give him appetite
User :   no he is not and will not
User :   due to his age
Doctor :   at this age , it is difficult to say how well he can recover
User :   can he rocover
Doctor :   does he any other medical problems
User :   ?
Doctor :   other than this
User :   no
Doctor :   hope so he can recover

Doctor :   i need to know the detailed medical history
Doctor :   hi
User :   Hi
Doctor :   how can i help you
Doctor :   are you there?
User :   yes
User :   Are you the same doctor i was speaking to
Doctor :   i need to know his detailed medical history
Doctor :   yes
User :   ok
User :   He had a stroke 22 years ago
Doctor :   does your grand father has any other medical problems
User :   no just the kidneys
User :   he was at 5.7 and he is now at 4.3
Doctor :   his serum creatinine levels isit
User :   yes
Doctor :   what was the cause for his kidney failure
Doctor :   ?
User :   age i assume
User :   he's 93
Doctor :   was he hypertensive or diabetic or due to infection?
User :   no
User :   well his kidneys were bad for the last 2 years
User :   he just happened to get c diff
Doctor :   ok
User :   due to the antiobiotics he was taking
User :   he got out of the hospital a month and a half ago
Doctor :   ok
User :   he had double pnmonia and severe broncitits
Doctor :   various factors including infections, autoimmune diseases, and other endocrine disorders, cancer, and toxic chemicals cause kidney failure along with certain medicines as well
Doctor :   ok
User :   i need hope
User :   he is like my father and i hate seeing him like this
Doctor :   Once kidney failure occurs, it requires immediate management and even then prognosis is often not satisfactory unless kidney transplantation is done or dialysis is needed
Doctor :   sometime kidney will regain function
Doctor :   this is called acute renal failure
User :   that is what he has
User :   i forgot to put acute
User :   im sorry
Doctor :   when there is sudden impairment of renal function marked by rapid, and steadily increasing accumulation of toxic products in the blood, normally excreted by the kidneys
Doctor :   thats fine
Doctor :   In acute kidney failure, general treatment measures include avoiding drugs that require renal excretion, balancing fluid intake with output, high carbohydrate and low-protein diet, essential amino acid replacement and at least 100gms of glucose per day, decreased intake of salt and potassium, vitamin supplements, prevention of injury or infection, weight management, electrolytes monitoring, and monitoring of vital signs, cardiac status, and mental status
Doctor :   Peritoneal or haemodialysis is the treatment of choice when other measures fail
User :   what is that ?
User :   pertioneal oand haemodiaysis
User :   ?
Doctor :   this is done to remove the toxins
User :   and is this painful
Doctor :   i mean waste products to bring the creatinine levels to normal
Doctor :   yes these are procedures inwhich waste products are removed
Doctor :   when kidney function is imparied
User :   do you think at 93 he will be eligible
Doctor :   yes it can little painfult
User :   how long is the procedure?
Doctor :   but it needs to be done when there is raise in creatinine levels
Doctor :   it depedns on the patient s general condition
User :   ok for the swelling what can he do about that
User :   everything is swollen
Doctor :   hemodialysis is done usually for 4 -6 hours
User :   they put the catheder in and his left arm and leg has gone down
Doctor :   usually in hospitals
User :   is it done several times
Doctor :   yes swelling will come once the excess water is removed
Doctor :   which again is removed when dialysis is done
Doctor :   along with waste products which kidneys will remove
Doctor :   when functioning normally
Doctor :   are you able to follow?
Doctor :   please do ask questions if u have any doubt
User :   yes
Doctor :   as the dialysis is done, gradually the swelling will come as the excess water is removed
User :   so the only thing is dialysis
Doctor :   it will take 2 or 3 sitting of 4-6 hours or sometime even longer period
Doctor :   as of now he needs continously
User :   ?
Doctor :   i mean dialysis till the time his kidney function is restored
User :   wheif you dont mind me asking where are you from?
User :   and what med school did you go to?
Doctor :   we are based in india
Doctor :   bangalore
User :   ok cool
Doctor :   any doubts
Doctor :   please ak
Doctor :   ask
User :   can you wait on second please
Doctor :   yes sure
Doctor :   are you there?
User :   yes
User :   yes
Doctor :   ok
Doctor :   Please fill the feedback form say done when done.
Doctor :   Have you filled the feedback form?
Doctor :   Is there any thing else I can help you with
Doctor :   are you there?
Doctor :   I have to close this window since there is no response from your side, please get back to us if you need further medical advice.
Doctor :   hi
Doctor :   are you there?
User :   HI
User :   Hello
User :   Hi
Doctor :   hi
Doctor :   are you there?
Doctor :   I have to close this window since there is no response from your side, please get back to us if you need further medical advice.
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