diabetes with acute on chronic renal failure
The patient has Diabetes with Renal disease
. Serum Creatinine
Swelling lethargy and lack of apatite are because of worsening kidney disease and urine infection as urine report shows large no. of pus cells.
How we can decrease creatinine--
We have to correct the factors that contribute to kidney failure. First and most importantly a urine culture should be done to identify the cause of urine infection and she should be started on antibiotics. Ultrasound
abdomen should be done to see the condition of kidneys. Blood pressure should be kept below 140/90. and weight reduction strategies should be adopted.
This will stabilize the serum creatinine level and will improve to some extent. All this should be done under guidance of your doctor.
She should be on vegetarian diet and avoid meat products.
Swelling can be taken care of by adding diuretics like torsemide
and decreasing the water intake ( all liquid intake to 1litre per day) till the swelling decreases.
Kindly get TSH test to rule out hypothyroid.
In case any further queries please write in.