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Diabetes, high BP, renal failure, serum creatinine high, loss of appetite, vomiting

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Practicing since : 2002
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Hello Doctor, My father is 50 yr old having Diabeties for last 17 yrs and also suffering from High BP sometimes for last 2-3 yr. 3 yr back he get to know that his Kidney is getting damage due to Diabeties and high BP he started taking medicines from many kidney specialists. at that time serum creatinine was 3.1 which incraesed to 6.6 at present. Now I want to know that is there any way by which this creatinine can be reduced? The main problem he facing is vomiting at early morning and inability to take food even if feeling hunger....Thanx
Thu, 17 May 2012 in Kidney Conditions
Answered by Dr. Robert Galamaga 1 hour later

It seems that your father has developed renal failure likely related to his diabetes. When the creatinine rises to this level we have to consider the option of dialysis. The high creatinine is contributing to the nausea and vomiting as well. Having a high creatinine can also place him at risk of electrolyte abnormalities. Controlling his blood pressure and blood sugar are important in assuring that further worsening of his kidney function does not occur. He should see a kidney specialist to discuss the management of his kidney function as well as the consideration of dialysis.

I hope I have provided an adequate response to your query. I am available for your followups.
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Follow-up: Diabetes, high BP, renal failure, serum creatinine high, loss of appetite, vomiting 21 hours later
he has already met to many kidney specialist but their medications resulted in many other problems like constipation and high blood sugar. His blood sugar and BP is now under control but his blood urea is high (at present 134) so is there some medications available for him to cure this high creatinine and blood urea or dialysis is the only option...and also tell about kidney transplant????
Answered by Dr. Robert Galamaga 2 hours later
Hi there, regarding your followup when the blood urea builds up it can create a condition called "uremia". When a patient has uremia it can cause many symptoms such as weakness, fatigue, nausea or vomiting. Because the kidney function is limited, his kidneys can's excrete the urea in the urine. At this point, there really are no medications which will cure the high urea and creatinine. Dialysis is an option. Depending on his overall health status, he may be evaluated for a consideration of a kidney transplant. This would be at the discretion of the transplant specialist. I think a careful discussion among you, your father, his priary physician and kidney specialist needs to happen so you can establish goals of continued care and determine the next appropriate option for him. I appreciate your query and am available for your followup.
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