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What Causes Shortness Of Breath And Dysgeusia When Diagnosed With Chronic Kidney Disease?

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Posted on Wed, 10 May 2017
Question: I have CKD I was on dialysis for 3 months and the port got infected. I went on vacation and had it removed but not replaced. upon return i was supposed to get it placed again but was traumatized and begged the dr to just watch my numbers and if I go down again I will resume that was in February. I went in the hospital at 7.1 and emergency dialysis was done while I remained on dialysis my creatinine was 5.4 and has been there till date. From dec- april

fast forward to know I tried to change my eating and incorporate protein and greens ready mix with almond milk and replaced breakfast with one shake daily. as time progressed I noticed I was getting shortness of breath a foul taste in my mouth and increasingly swollen.

I decided to up my prednisone (i have lupus sle) incorporate a stronger bp med ,I had( Hydralazine 25mg) I take Percardia 60 daily x1 and incorporate a water pill Lasix 40mg all by mouth to help. Unfortunately my predication for treatment was ok however I needed everything stat IV version and that’s exactly what I go here in the hospital.

I went to the dr. requested a BMP, CMP TSH 3 FRE gFR AND URINE and my potassium came in at 6.8 my bun at 106 and creatinine at 5.8 my BUN/CREATINE has been the same since my initial hospital stay back in December .

here i am admitted in the hospital with acute pancreatitis, my bun creatinine ration is 19, bun is 104 creatinine is 6.2 and gfr is 12

.. I am now trying to completely change diet and avoid dialysis WHAT DO YOU THINK? besides the pancreatitis, I have a history of

Lupus
Nephritis
CKD STAGE 5,
HISTORY OF PERICARDITIS
PULMONARY EMBOLOOSM,
high blood pressure.
I currently
take sodium bicarb 4pills x2 daily
percardia 60 mg
labalotal x3 daily
hydrolozine 25 mg 2x daily
prednione 10 mg daily
lasix 40 x2 daily asprin 3
25 x1 daily multivitam.

SHOULD BE ON IRON BUT WE ARE WORKING ON authorization for Arecres or Epogin

I work as a clinical care nurse so no my job is not stressful I have children and a pretty decent life. I don’t drink smoke or drug.
I really want to eat better and although I Cannot reverse the damage I want to prevent further damage as well as avoid dialysis. I started the transplant process and accept these conditions. As of now I am choosing to leave the hospital with my numbers as they are
My treatment plan in my head is continue with the needed meds, change diet to kidney friendly, follow up wit Nephro, Rheumy, primary and seek consult for nutrition, repeat labs monthly and hope they don’t get worse while I await a transplant.
doctor
Answered by Dr. Ravi Bansal (32 hours later)
Brief Answer:
Dialysis should be done if indicated

Detailed Answer:
Hi,

dialysis should be done if indicated. if you have swelling in legs not getting controlled by lasix you can go up to 4 tabs a day ( 2 morning 2 afternoon), or if your appetite has really gone down, you get breathless on walking or at rest. or if your potassium level is constantly above 5.0 you should seriously consider dialysis. there are many options for vascular access. if you can't do hemo because of lack of access, then you can try CAPD.

transplant is definitely the best option if possible. if SLE is not active then you can refuse wysolone further , can come down to 5 mg.

best wishes
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. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Ravi Bansal

Nephrologist

Practicing since :1996

Answered : 359 Questions

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What Causes Shortness Of Breath And Dysgeusia When Diagnosed With Chronic Kidney Disease?

Brief Answer: Dialysis should be done if indicated Detailed Answer: Hi, dialysis should be done if indicated. if you have swelling in legs not getting controlled by lasix you can go up to 4 tabs a day ( 2 morning 2 afternoon), or if your appetite has really gone down, you get breathless on walking or at rest. or if your potassium level is constantly above 5.0 you should seriously consider dialysis. there are many options for vascular access. if you can't do hemo because of lack of access, then you can try CAPD. transplant is definitely the best option if possible. if SLE is not active then you can refuse wysolone further , can come down to 5 mg. best wishes