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

186 Doctors Online
Doctor Image
MD
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.

Swelling on feet. Suggest nephrologist

Answered by
Dr.
Dr. Ravi Bansal

Nephrologist

Practicing since :1996

Answered : 339 Questions

default
Posted on Fri, 4 Jan 2013 in Kidney Conditions
Question: My grandmother with below particulars is having swelling on her feet for last 2 months despite suggested medications. Please advise and suggest some good nephrologist around my area.
doctor
Answered by Dr. Ravi Bansal 19 hours later
Hi there,

Thanks for posting your query and uploading the reports. I have seen them.

When the kidney is not working completely it is not able to maintain water and salt balance. if you take more salt or water more is retained inside the body causing swelling.

Management is by--

1.decreasing liquid intake to less than 1 litre per day. ( including water, tea coffee and any other fluid.

2. do not take extra table salt in anything like raita, salads. and take very less salts in food also.

3. diuretics like lasix which she is already taking - but the dose can be increased.

Swelling is generally manageable but you have to be in follow-up of a nephrologist.

Changes is the antihypertensive medication may also be required if swelling remains.

Urine culture also shows infection but the report is from mid November, I think it must have been treated by now. You can recheck with urine routine and urine culture test.

Hope this helps.
kindly inform your city I will suggest some doctor there if possible.

Regards,

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
default
Follow up: Dr. Ravi Bansal 18 hours later
Dear Dr.Bansal,

Thanks for your valuable advice. I stay at Noida. Please suggest good nephrologist, be it anywhere across NCR. My grandmother has been consulting nephro. from Metro Hospitals Noida till now but is not satisfied with ongoing treatment, and despite following instructions from current doctor, swelling on feet is persistent.

I have uploaded latest blood reports of Triglycerides and Creatinine, Serum for your kind consideration. Can you please advise on food intake, like what kind of fruits, dry fruits and vegetables to be avoided, etc. Can she have guava, banana, orange, almonds, raisins, cashews, pistachio etc. ?

Thank you
doctor
Answered by Dr. Ravi Bansal 1 hour later
Hi,

Thanks again for following up.

1. Well Noida is close to Delhi. If you can visit Delhi then you can consult me at Pushpawati Singhania Research Institute and hospital at XXXXXXX near Select City Mall. I am working there as XXXXXXX Consultant Nephrologist from 9am to 5 pm daily on working days. On Sunday morning, I am available at my clinic at E-61 with prior appointment (ph no: 0000).

At Noida, you can go to Dr. N.P XXXXXXX at XXXXXXX Crossley Hospital.

2. The triglyceride levels are high, but not too much. They can be controlled by antilipid medications.

3. Serum creatinine is 2.5 which suggest moderate kidney disease.

4. All fruits except guava, XXXXXXX and papaya should be avoided. All dry fruits should be avoided. Palak and Sarasoon have to be avoided.
She can have all routine veg food including chapati, dal, sabji, paneer and egg.

Hope this helps. Let me know if you have other concerns.
If all your queries are answered, please close this discussion.

Regards

Above answer was peer-reviewed by : Dr. Prasad
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Drug/Medication
Medical Topics

Recent questions on  Creatinine

doctor1 MD

I am doing a patient dianose for school and my file says the patientis 37, 70inches tall weighs 169.The pateint complant is she feels she can t stop. i think it is the thyroid hermone being over active is causing the problem. urine sample reads 41 glucose, 59 NA+, 3 HCO3-, 25 K+, 448 Urea, 67 Cl-, 60 creatinine. Osmolarity 279. am i right or could there be another cause

doctor1 MD

Dear Sir, My dad (60 yrs) is suffering from Anklosing Spondylitis for 25 years, and have been using Microcid 25 mg ( 2 tab ) in morning & 2 tab in night ( 100 mg per day ) for 25 yrs. Recently for the last 2 years, we added K-Link product ( K-Artis ) to reduce his pain. Now, we have found that his kidney is shrunk and urea ( 40) , creatinine (1.4) value is in border . 1.Will the renal failure is due to microcid? 2. Can we try using microcid for one week to check if urea & Sr. Creatinine increases or is stable? Please advice

doctor1 MD

Hi, may I answer your health queries right now ? Please type your query here...

                                        My father Mr. Paresh nath Pal, 69 years old having major kidney failure, wanted to know about what are the ways or alternatives.

I am providing details about him till now.

He has Hyper Tension , Diabetes for near about last 20 years. Pacemaker have been implanted on 2006 because of low pulse rate.

According to his recent report on 8th april:

Blood pressure- 124\75

Blood sugar- fasting92\pp141

Blood urea-104

Blood creatinine-3.90

potassium 4.8

hemoglobin-9

doctor1 MD

Dear Sir,

My mother has been suffering from Kidney disease. She never had any problem with BP or Blood Sugar but he has been declared to have bilateral renal parenchyma disease since 2005.

She is taking a calculated diet limiting the salt content in the food to 3 gm/day. The recent blood test conducted (2 months back) has reported bad results and the details are listed below:-

Creatinine - 7.5

Hemoglobin - 8.1

Blood Sugar (Fasting) 88 mg/DL

Urea - 150

Sodium - 131

Potassium - 4.2



What should be the next step? Is kidney transplantation the only choice? When/where should it be done? Is it getting very worse or we still have some time to go for the transplantation?

Please help.

Thanks, Kunal



                                                  

doctor1 MD

Im a 70 year old stage two diabetic. I woke up in the night with dry heaves...I just went to the store and fell faint and nauseated. I rested for 30 minutes and felt a lot better. I home now and concerned ! I had low blood presure. Now its 128...

doctor1 MD

I feel completely dumb I can't concentrate I can't think straight I feel like I can't function has the time even though I am I'm having memory loss I sometimes blackout for a Split Second I had an MRI month ago and it showed nothing same with the...

doctor1 MD

Sir, I am 59 years with no sugar and blood pressure problem . During routine yearly blood test , my Amylase and Lipase tests showed elevated levels. Amylase level showed MORE THAN 1000 in Thyrocare lab and 3661 IN XXXXXXX HOSPITAL LAB, BENGALURU....