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Stage Four Chronic Kidney Disease, Liver Tumour. CT Scan Done. How Can The Stomach Pain And Headache Be Solved?
Dear,
CKD stage 4, means your husbands GFR is between 15-29ml/min. At CKD 4 there is a high risk for worsening of his GFR after a contrast exposure. Definitely reducing the dose would have reduced the risk.
Fever can be due to the liver tumors or may be unrelated. It would be worthwhile to check his serum creatinine.
Any painkillers (NSAIDs) are going to further worsen his kidney function. Paracetamaol or tramadol would be safer alternatives. Do get in touch with your nephrologist before taking any new meds.
Regards
CKD stage 4, means your husbands GFR is between 15-29ml/min. At CKD 4 there is a high risk for worsening of his GFR after a contrast exposure. Definitely reducing the dose would have reduced the risk.
Fever can be due to the liver tumors or may be unrelated. It would be worthwhile to check his serum creatinine.
Any painkillers (NSAIDs) are going to further worsen his kidney function. Paracetamaol or tramadol would be safer alternatives. Do get in touch with your nephrologist before taking any new meds.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for your answer. Is there anything he can do to ease the pain in his stomach that is safe for his kidneys ? He said he is also constipated.
He has to avoid painkillers belonging to the group called NSAIDs- (aspirin, diclofenac, ibuprofen, acelofenac, etc).
It needs to be assessed whether the pain is due to tumors or an unrelated cause.
However pain relief can be provided in a step wise manner with painkillers safe for the kidney:
starting with Paracetamol 650mg upto 4 times a day
then addition of tramadol or tapentadol
followed by flupiritine
Ideally a pain specialist would be able to help.
Syrup lactulose can help for his constipation, given 15ml once at night to upto 30 ml thrice a day.dose will have to adjusted as per his response
Regards
It needs to be assessed whether the pain is due to tumors or an unrelated cause.
However pain relief can be provided in a step wise manner with painkillers safe for the kidney:
starting with Paracetamol 650mg upto 4 times a day
then addition of tramadol or tapentadol
followed by flupiritine
Ideally a pain specialist would be able to help.
Syrup lactulose can help for his constipation, given 15ml once at night to upto 30 ml thrice a day.dose will have to adjusted as per his response
Regards
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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