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High creatinine level and breathlessness - Online Doctor Chats

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

General & Family Physician
Practicing since : 2008
Answered : 3631 Questions
Doctor :   Hi
User :   Can I chat with Dr. AAAAAAA
Doctor :   I am Dr XXXXXXXX here.
Doctor :   How can I help you?
User :   Great, Doctor, my mother was to be shifted from ICU today, but unfortunately, serum creatinine level has increased now to 3.5 and breathlessness has increased with both hands becoming swollen
Doctor :   Ok
User :   Is it possible to advise what could be the possible reason and if it is possible to control the creatinine levels
Doctor :   Let me brief you.
User :   ok
Doctor :   Both kidney functions and heart functions are regulated by few common factors.
Doctor :   One of them is the the blood volume and blood pressure.
User :   ok
Doctor :   The cardiac output and the blood pressures can be affected due to an acute heart event like an myocardial infarctions.
Doctor :   This along with fluid changes may have brought about the worsening of the kidney functions.
Doctor :   Another theory may be due development of infections.
User :   you mean infection, what exactlyis myocardial infection
Doctor :   Myocardial infarction is the medical term for heart attack.
User :   ok
Doctor :   Since I am unable to perform a physical examination, i cannot predict which of the 2 causes have brought in the worsening.
User :   So, is it possible to control the creatinine level in some manner
Doctor :   Yes, creatinine levels can be controlled.
Doctor :   This will depend on the cause.
Doctor :   She may need oxygen to assist breathing, diuretic drugs to remove excess fluid that may have accumulated in the lungs, treatment of infections if any.
Doctor :   She will have to be monitored - both heart and kidney functions( creatinine, blood urea and potassium levels).
Doctor :   Dialysis is the option if feasible and if there is worseining.
User :   Ok doctor
Doctor :   I would suggest you to discuss the details with both her cardiologist and nephrologist who is treating her.
Doctor :   They will be able to provide you with the specific reasons for the worsening.
Doctor :   and the necessary treatment strategies.
Doctor :   Have you followed what I have suggested?
User :   yes doctor
Doctor :   Do you have any other query?
User :   no doctor, that will be all, thank you so much
Doctor :   I can understand what is going through with you, but be positive in your attitude. Your encouragement can make a lot of difference to your mother.
Doctor :   Our wishes and prayers are with her.
Doctor :   Thanks for consulting me.
User :   Thank you doctor
Doctor :   Bye for now.
User :   bye, doctor
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