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

172 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.

What are the symptoms CKD -5 with polycystic disease?

Answered by
Dr. Ravi Bansal


Practicing since :1996

Answered : 338 Questions

Posted on Wed, 13 Aug 2014 in Kidney Conditions
Question: what are the symptoms of CKD5 with polycystic???
I would be more likely to adhere to diet just to avoid the symptoms.
example -
leg cramps????....indicates ???
very foamy urine???...indicates ???
feet swelling -..indicates too much sodium??

too much protein????
too much phosphorus?
Answered by Dr. Ravi Bansal 37 hours later
Brief Answer:
CKD -5 with polycystic disease

Detailed Answer:
Symptoms of CKD five- decreased appetite, swelling of legs, high blood pressure, vomiting sensation, anemia, menstrual irregularities in ladies, breathlessness and weakness.

Diet- Vegetarian diet, No juices or fruits as they are rich in phosphorus and potassium and these accumulate in body in renal failure and cause damage.
less salt and less liquids. total intake of liquids to be less than 1.5 liters/day including water, tea or any other liquid.

leg cramps indicate- water and electrolyte imbalance. - you have to test for blood levels of vit D, Calcium, Phosphorus, Sodium and Potassium.

very foamy urine indicated protein loss in urine or urine infection- can be confirmed by urine routine examination.

Feet swelling indicates water accumulation. if you put in more liquids through the mouth then you can pass in urine, the balance gets retained in body and appears as swelling.- this can be reduced by using torsemide or frusemide under guidence of your doctor to produce more urine.

swelling has nothing to do with protein or phosphorus.

Hope this answers all the queries . If any other questions please write in.

Best Wishes

Above answer was peer-reviewed by : Dr. Yogesh D
Follow up: Dr. Ravi Bansal 11 hours later
"leg cramps indicate- water and electrolyte imbalance. - you have to test for blood levels of vit D, Calcium, Phosphorus, Sodium and Potassium."
"very foamy urine indicated protein loss in urine or urine infection- can be confirmed by urine routine examination."
I need info on what I can do w/o tests & examination

Question#1. too much or too little vit D, Calcium, Phosphorus, Sodium and Potassium."????

#2. too much or too little protein foods??

#3. breathlessness and weakness,vomiting sensation, anemia,
Answered by Dr. Ravi Bansal 3 hours later
Brief Answer:
advanced renal failure

Detailed Answer:
Hi Miri,

" I need info on what I can do w/o tests & examination "

I Must tell you Renal Failure CANNOT be managed without blood test reports.

Most important of this is serum creatinine level.

vit D blood level has to be maintained within normal range at that cannot be judged by your symptoms. similar is the case with calcium, sodium and potassium.

As far as diet goes. You have to restrict foods rich in potassium and phosphorus. Protein intake should be 0.8gm/kg/day . so around 50gm/day protein for a 60 Kg person.

If you are have lot of symptoms like breathlessness, weakness, vomiting sensation- please check your serum creatinine and GFR. If your GFR is below 10 ml/minute you will have to start dialysis therapy under guidance of your nephrologist.

Kindly inform me your serum creatinine level.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Drug/Medication ,  
Lab Tests

Recent questions on  Torsemide

doctor1 MD

My husband has neuropathy in both legs for many years . Mayo clinic unable to diagnose after 2 visits at least 10 years ago. Not diabetic. He also broke 2 vertebra in back 5 years ago from falling and unable to fix - just had to heal with time....

doctor1 MD

Does Torsemide seriously affect Kidney function? Also, if so, how can I prevent this from happening. My Creatnin count jumped in one month from 1.8 to. 2.8. Trying to find out why this could happen. Thank you for your response.

doctor1 MD

Have pretty severe edema in legs lower legs feet and knees. So swollen cannot bend legs. Goes away after being elevated for about an hour. But swell up again in about 60 minutes when I walk around. Have started Toresmide 5mg 1 tablet 3x a week....

doctor1 MD

I am aged 72 yrs old and my B.P. is in control while taking Tabs. (1) Listril(Lisnopril)-20 mg.daily after lunch and (2) Dytor(Torsemide) - 5 mg. daily in the morning for the past over many years(In the beginning I started taking listril-5mg. and thereafter this increased to 10 mg and 20 mg. over a period of a decade. Torsemide has been added by the Physician in the last over 2 years.
Now I have been experiencing health problem of BPH such as urinary frequency,weakstream,hesitency and interrupted flow,slight nocturia and sometime incomplete emptying of the bladder. The result of Ultrasonography is that Prostate is mildly enlarged in size measuring 44 x 41 x 35mm, vol.3.7cc and there is no sign of malignancy.Both kidneys are normal in size. PSA is normal both total(0.44 ng/ml and free(0.20 ng/ml).Urinary Bladder is also normal.
The urinary problem is yet not acute but has started for the past over one year as stated above.Please advise which of the two medicines viz. "Alfusin" or "Terazosin" will suit me better for the treatment of BPH so as to avoid surgery later on in advanced age. Recently the consulting physician has prescribed 'stilnoct.625(S.R.) me to be taken at bedtime in lieu of Alprazolam 0.50 which I was taking over a decade starting with the initial dose of 0.25 mg. and thus feeling the necessity of taking this anti-anxiety medicine over 0.50 mg.for getting sleep these days. I have yet to start taking 'stilnoct' in lieu of alprax(alprazolam).but I intend start taking this medicine in the coming week alongwith anxit (alprazolam)0.25 mg.(S.R.) which has been simultaneously prescribed by my Doctor.
Kindly answer my health question mainly regarding the suitable treatment of my problem of BPH.

doctor1 MD

I am trying to find the ingredients in several prescriptions I am taking. Can you help me? 1) Isosorbide MN 60tab 2)Metoprolol 25 mg 3) torsemide 10 mg 4) benazepril HCL 10mg 5) Carisoprodol 350 mg 6) potassium cl 8 MEQ 7) devastating sodium 40 mg 8) zolpidem tartare 10 mg 9) clonazepam 1 mg 10) nitrostat 0.4mg 11) aspirin 325 mg 12) dexamethasone 25 mg

doctor1 MD

I would like to discuss my mother who is currently 74 years old with h/o bronchial asthma for the last 35 years. She is a nondiabetic, non hypertensive with no history of previous CAD. She first presented with Atrial fibrillation 2 years back which was controlled on Diltiazem, initially on 120 mg bd but later on 90 bd. Her respiratory status also decompensated and she started regular requirement for oral bronchodilators, antibiotics as indicated, regular Inhaled corticosteroids which were at times given upto 4000 Ug/day. Rescue therapy with oral steroids were also given off & on.

Her sudden decompensation started in December of 2009, when her nebulization requirements increased and she was initially started on Augmentin for a 10- day period. She then became oxygen dependant . Her work up for Tuberculosis was noncontributory and her autoimmune profile in the form of ANA, pANCA were also normal. Based on the picture of rising oxygen requirements, antibiotics were given as follows:

Antibiotic history

Early Nov, 2009 - Piperacillin + Tazobactum (10 days)

Late Nov, 2009 - Tab Azithromycin (7 days)

Jan 16, 2010 - Injection Clindamycin (7 days) + injection Moxifloxacin (till Mar 8, 2010)

Jan 22, 2010 - injection Moxifloxacin (till Mar 8, 2010) + Tab Faropenem (6 days)

Jan 31, 2010 - tab Moxiflox + Isoniazid + Ethambutol This was empirically stated by the Pulmonologist along with Pulse methylprednisolone CT Scan of her chest revealed picture of Interstitial Lung Disease. She showed some response and her oxygen requirements decreased from 2 l/min to 0.5 l/min. Her general condition stabilized for a few days.

Feb 28, 2010 - tab Moxiflox + Isoniazid + Ethambutol + Injection Ertapenem (1 gm OD up to Mar 8th, 2010) She showed deterioration at this time with pedal oedema which gradually increased to anasarca. Her LFTâ??s were normal but her total protein fell to 6.2 gm. She was started on sidenafil for her Pulmonary artery hypertension and torsemide for her Congestive heart failure which was interpreted as Cor pulmonale. The cardiologist at this point of time reduced steroids as she developed leucocytosis, raised CRP, bandemia on peripheral smear and altered GTT. On stoppage of steroids she slumbered to CO2 narcosis which reached 100 torr and she had to be put on BIPAP. Her counts at admission to the Respiratory ICU were 18, 800 and she was initiated on Mar 8, 2010 - Inj Imipenem + Inj Cilastatin + Injection Teicoplanin (400 mg OD) for 4 days. The counts increased progressively to reach 26,900 with mainly polymorphic response upto 89%. Her procalcitonin levels were high but galactomannan were negative. She was initiated on Mar 10, 2010 - Injection Tazobactum + Piperacillin TDS for 3 days, + Injection Tigecycline 50 mg BD + Inj Voriconazole. Her counts stabilized for 48 hours but are again showing a rise. Her general condition is improving, her cognition has improved, her blood gases show normoxemia with permissible hypercapnia (50-60) Till date cultures sent every day have been sterile.

We would like your advice on further antibiotic therapy and supportive measures. Thanks in advance for anticipatory guidance.

doctor1 MD

Patient 76 years Old. Female - a Non Diabetic, non asthmatic with HIGH BP Stage II. Hypothyroidism on regular drug therapy - AMLP , ATLP and with AF with controlled VR [ On Acitrom] was admitted on 22.04.2014 with the c/o breathlessness and palpitaions. No H/O chest pain / sweating / giddiness / nausea or vomiting. PR 144/min, irregular [AF with Fast VR] BP 150/9O. Patient was conscious, oriented, afebrile. Became Stable with Torsemide and Amiodarone 300 mg over 30 min given intially. CAHD:Stable Angina: AML & PMLP: TVD. - Poor LV Functions - Tachycardiaopathy [ FS: 30 % EF: 58 %] Mild PAH with Sec TR [Estimated RVPSP: 46 MM HG] Mild MR: AF with Fast VR controlled with Injection: Amiodarone 300 mg High BP Stage II - Does not Tolerate Amlodipine [Edema ] / Hypothyroidism - TSH 7.51. At present taking Tab Thyrofit 25 mcg 1 0 1 Tab Metosarten 25 + 40 1 0 1 Tab Cardarone X 200 mg 1 0 1 Tab Dytor 5 mg 1 0 0 Tab Trizid SR 60 mg 1 0 1 Tab Korandil 10 mg 1 0 1 Tab Clopilet 75 mg 0 1 0 Tab Aztor 5 mg 0 0 1 Tab Acitrom 2 mg 1 @ 5 pm daily Tab Raliz D 1 0 1 [If needed for Acidity] Tab Ativan 1 mg 0 0 1 [ If needed for Sleep] Echocardiogram reveals Anterior Mitral and Posterior Mitral Leaflet Prolapse. Triple Vessel Disease ?? Atrial Fibrillation with Fast Ventricular Response during Study. Mild Pulmonary Arterial Hypertension with Secondary Tricuspid Regurgitation. [Estimated RVPSP :46 mmHG] Becasue of taking Acitrom skin becomes Blakish and spreads in forearm, legs, thighs. PTT 38 CONTROL 14 INR 2.7 with 3 mg Acitrom daily. Tab Acitrom reduced to 2 mg. My question is whether Acitrom can be replaced with ECOSPRIN 150 or 75 mg.