Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

152 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for chronic kidney disease

Answered by
Dr. Ravi Bansal


Practicing since :1996

Answered : 342 Questions

Posted on Wed, 20 Aug 2014 in Kidney Conditions
Question: I want suggestions from Nephrologist only. Reports are attached.

My problem is Doctor gave me no medicine to stop, prolong or to cure remaining CKD function. He gave me two tablets (Please check medicines in medicine section). Both these medicines have effect on kidney liver, etc and doctor told me that creatinine would go more higher with use of these medicines. But then these medicines would make it worst. (Don't you think so?).

1) Should I continue or stop these medications? Any other medicine recommended to help stop the progression. I have been on no oil, 5gm salt, vegetables, fruits and healthy diet and my cholesterol got down from 7.8 to 4.8 by just being on this diet.

2) I read articles on using Sodium Bicarbonate (Baking soda). Is it advisable in my case? If yes how to consume it and what amount?

3) I also read articles where they say cells/tissue got back with the help of Bone Marrow. How true medically is this?

4) Should I totally stop taking beans (Dals or limit the intake).

5) Can I use olive oil in cooking? If yes how much daily quantity.

6) Can I eat egg white, toffu?

7) Please provide me Diet Chart. It would really help things out.

8) Please provide any other suggestion, meditation etc.

Answered by Dr. Ravi Bansal 8 hours later
Brief Answer:

Detailed Answer:
Hi XXXXXXX preet,

You have IgAN with CKD :

!) yes you have to continue the above medicines. Candesartan belongs to a group of medicines called angiotensin receptor blocker. It decreases protein loss in urine and controls progression of kidney disease it increases serum creatinine only initially and in a very small amount upto 10 to 20% of baseline value. so it is safe. But in some cases creatinine may keep on rising continuously, here you need to stop this medicine. So we need to do serum creatinine , and potassium level every 2 weeks initially to keep a track of things. To stop progression- good BP control and diet are most important.Your blood reports are not as bad as your kidney biopsy report. So thins seem to be in control.

2. Sodium bicarbonate is used to correct acidosis. it is more applicable for chronic interstitial nephritis patients. in your case it may not help but the need can be established by a test called Arterial blood gas, or by a venous bicarbonate level. then only the dose can be decided.

3. Bone marrow based therapies are not applicable for your disease they are only under research protocols.

4. No, don't stop dal. protein intake has to be 0.8gm/kg per day- dal paneer or any other protein substance. meat product contain lot of protein and should be avoided.

5. you can use olive oil. try to keep as less as possible.

6. yes you can eat egg white and tofoo. but again the protein from all sources should not exceed your daily recommended allowance.

7. for diet chart you have to meet dietitian but i can give you gross recommendation.- avoid juices and juicy fruits of all types . less salt. avoid non veg. vegetarian diet is OK. avoid salty things and any added table salt.

8. meditation , physical exercise routine barring weight exercises will definitely help you.

Stop feeling down all the time. gear up and back to life. the disease will fall into place and things will be fine . you need regular check-up with the doctor at least once every 2 months.

best wishes
Above answer was peer-reviewed by : Dr. Yogesh D
Follow up: Dr. Ravi Bansal 41 hours later
Answered by Dr. Ravi Bansal 7 hours later
Brief Answer:
Close discussion

Detailed Answer:

Please close discussion if satisfied
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Drug/Medication ,  
Lab Tests
Medical Topics ,   ,  

Recent questions on  Cholesterol

doctor1 MD

I am a 47 year old diabetic lady, who had a Gastric Band fitted three years ago, and lost 6 stones. Before having this procedure, I had slightly raised cholesterol, but not high enough for medication. Over the last three years my Total Cholesterol level has gradually increased from 5.4 to now 7.1 My Bad cholestrol is very high, but my good cholesterol is VERY good, I don t have the exact figures. My Dr put me on Simvastatin approx three years ago. I took them willingly, and carried on my life as best I could, not realising how tiered and exhausted they made me feel with lots of aches and pains, I thought my problems where early menopause. Anyway last year after much research on the internet, I discovered that statins could give bad side affect in concentration and tiredness and muscle weakness, so I decided to address this with my Dr. Who instead of listening, gave me another tablet to take on top of the statins, because my cholesterol had started to rise again. (Sorry don t have the name of this one) I took these for a month, and they made me almost incapable of getting out of bed, the tiredness was so debilitating. I decided to stop taking them, and the Simvastatins. So I gradually weaned myself off of the drugs. I had decided not to tell the Dr, so I did it on my own. Anyway, when I went back to the Dr about something else a few months later, I told them what I had done, they strongly advised me to take another type of Statin. This time Atrovastatin 10mg was to be taken. I said I would but if they made me feel bad, I would stop them straight away. I took them for 10 days and started to get all the same side effects so just stopped, and the Dr could not persuade me to re take them. Then this year I have had a cholesterol test, and I am now showing a total of 7.1 When they told me how high it was, I said I didn’t care, because Id rather die tomorrow, than spend any more time taking these drugs. Anyhow they persuaded me to have one more try, and have given me Fluvastatin 20mg. That was nearly a month ago, and I haven’t talked myself into starting to take them yet, but would just like some general advice about High Cholesterol. Does high cholesterol mean that I’m going to have a heart attack or does it just mean I might? I do have heart problems in my family, my mother died at 48 of a massive stroke, but she was very over weight, and my father has just been prescribed Simvastins, for his high cholesterol, and he like me now, is a very slight man, he is 74 years old, and has developed Altzimers. He has also started to complain about tiredness and weakness ( possibly the same side effects as me). He does not eat a lot of high fat foods, and often forgetting to eat at all unless it is put infront of him. Can cholesterol really be inherited? What can I do? I live in the Mediterranean most of the time, so I feel my life style is very healthy. I eat plenty of fruit and veg, I drink moderately and do not smoke. We cant get takeaway food here, so nearly everything is prepared from scratch. My only vice is butter, and that is only when I m worrying about all this. Is there any alternatives to Statins, I did read something about a dialysis machine for cholesterol? But that was a long time ago, and was in the early stage of development. Should I try these next ones, or just forget it and see what happens. I like my life now, When I was on the Simvastatins, I felt I had no life at all, almost like I was taking part in someone else s life, not quite mine. I don t want to go back to feeling like that. Please help....

doctor1 MD

Hi I m 45 had RAIodine in 2005, on L thyroxine 100microgram now. Thyroid profile always normal however my total cholesterol is elevated 6.4 mmol/l(1.03)mmol/l.
Recently I had a vertigo last month, Neurologist told I had vestibulopathy. I also feeling cold especially on my hand and feet also has tingling and numbess, sleep and dizzy on and off. I am on Betaserc bd and tebonin gingko OD. What do you think I m suffering?

doctor1 MD

I have a question about heart rates and health in general. When I work out my heart rate seems all over the place. Today it went down to 55 and then jumped to 145 and then back down to 55 depending on how I was breathing. Is this dangerous? I feel completely fine. I thought that there might be something wrong with the machine I was using, but I tried the same thing on another machine and had similar results. One time, my heart rate went as high as 232. Also, when I sleep, my heart rate sky rockets after feeling really cold and waking up. I was told I m having panic attacks without anybody actually checking me out or running any tests. I used to be on medication for depression, but I stopped taking it because it seemed like the medication made these episodes worse. It s as if my body is thinking backwards in these situations. I m learning to just live with it, but I can t help but wonder why it happens to begin with. It doesn t seem normal. Also, my cholesterol was a little high at a health screening, so I ve cut back on dairy, and I don t eat a lot of junk food to begin with. I ve been to the doctors several times, but they just tell me my heart is healthy and sounds good. I wish people could see what s going on while I m sleeping or while I m exercising because those are the times I m really having issues. Any insight, suggestions, or advice would be appreciated.

doctor1 MD

Hi. Over the past month or so, any time I turn over to the other side in while in bed, my heart beats quickly, and I feel as though I just got finished running in a race; I have that exhausted feeling without the hard breathing. Also throughout the day, I have a shortness of breath and feel exhausted when doing anything like the laundry, making the bed, or cleaning. I have to sit down for about 10-15 minutes to rest. I also have GERD. I had an EKG, and that came back normal. I currently take 40 mg of Prilosec, and 100 mg of Zoloft. All of my bloodwork came back normal: WBC count RBC count, cholesterol, etc. I am scheduled to have a stress test, but I was wondering if it could be something else? Thank you!

doctor1 MD

Patient: Female, 73 years, 6 months old, 5'7" tall, 230 lbs., in generally good health. Hypertension well controlled with medication, lifelong history of recurring clinical depression . Currently takes medication for depression and hypertension,...

doctor1 MD

Hi, Can you please check my blood, ecg and usg reports and let me know on which areas should I take care? Also, any suggestions on any specific diet to control the problem areas and medications if any?

doctor1 MD

My Mother has gone through the medical health check-up.I need your input over the attached reports.