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What is the prognosis for CKD with eGFR of 52?

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Posted on Mon, 16 Oct 2017
Question: Hi! I am an XXXXXXX Female 57yrs. I have been regulatory checking my Thyroid, Liver, Kidney conditions through 6-monthly blood tests I was diagnosed with Hypothyroidism and presently on a daily dose of 100mcg. My present T3, T4 and TSH levels are normal - 78, 9.4 and 1.29. However, I am diagnosed with CKD (second stage), with eGFR of 52 and Creatinine-Serum of 1.17. I show continued symptoms of water retention in my ankles, legs and puffiness of face. I am also overweight and have recently started 30mt exercise which is helping me. Amount of urine is still less, if I don't take ditide.
doctor
Answered by Dr. Suresh Heijebu (5 hours later)
Brief Answer:
Dialysis or renal transplantation are superior treatment options

Detailed Answer:
Hello Madam,

I can certainly understand your concern.

I have worked through your query in detail.

With regards to your health related issues, it's very important for you to know that CKD- Chronic kidney disease is a progressive condition.

It's very important to know the cause of CKD in your case.

I request you to give a relevant information on the following.

1. Are you a diabetic or a hypertensive Individual ? If yes, since how many years and what medication are you currently on and are you maintaining your blood sugar levels under control ?

2. Have you ever taken an ultrasound abdomen to detect CKD or even prior to that ? If yes, kindly upload the relevant test reports.

The main treatment of CKD is dialysis and renal transplantation.

Dialysis is an excellent therapeutic option to reduce the blood creatinine and potassium levels as well as removing the accumulation of body water.

Kidney transplantation is permanent treatment modality which offers cure.

Are you satisfied with my consultation ?
Is there anything else left to discussion with regards to your query.?

Post your further questions if any.
Thank you


Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Suresh Heijebu (13 hours later)
Please see attached latest Test Reports taken a few days ago. I am not a diabetic, however due to overweight I am slight hypertensive - i the range of 130-135/85-90

Can CKD be controlled by diet alone?

If I take no/low sodium diet, will it help?

If I continue to control my hypothyroidsm, will my CKD progress further?
(To me it appears, that my CKD sysmptoms have arisen at the same time as my hypothyrodism).
doctor
Answered by Dr. Suresh Heijebu (5 hours later)
Brief Answer:
CKD cannot be reversed by diet and low sodium intake

Detailed Answer:
Hello Madam

I have worked through your attached reports in detail.

Reports clearly show 2 important changes- Reduced GFR s/o CKD and Severe Vitamin D deficiency, which require immediate correction through oral vitamin D supplementation.

With regards to your further questions, here are my answers

1. Hypothyroidism is the causative factor for CKD in your case even though both are temporally related.

2. CKD is always a progressive condition despite aggressive measures like diet modification, low salt intake or control of Hypothyroidism.

For Vitamin D deficiency, I generally prescribe oral pills of vitamin D( cholecalciferol) 60 K IU, one pill once a week for 12 weeks. After which vitamin D levels should be reassessed to determine further course of action.

Please check with your physician if he shares my view and if can prescribe these medications to you.

Post your further questions if any.
Thank you
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Suresh Heijebu

General & Family Physician

Practicing since :2010

Answered : 3659 Questions

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What is the prognosis for CKD with eGFR of 52?

Brief Answer: Dialysis or renal transplantation are superior treatment options Detailed Answer: Hello Madam, I can certainly understand your concern. I have worked through your query in detail. With regards to your health related issues, it's very important for you to know that CKD- Chronic kidney disease is a progressive condition. It's very important to know the cause of CKD in your case. I request you to give a relevant information on the following. 1. Are you a diabetic or a hypertensive Individual ? If yes, since how many years and what medication are you currently on and are you maintaining your blood sugar levels under control ? 2. Have you ever taken an ultrasound abdomen to detect CKD or even prior to that ? If yes, kindly upload the relevant test reports. The main treatment of CKD is dialysis and renal transplantation. Dialysis is an excellent therapeutic option to reduce the blood creatinine and potassium levels as well as removing the accumulation of body water. Kidney transplantation is permanent treatment modality which offers cure. Are you satisfied with my consultation ? Is there anything else left to discussion with regards to your query.? Post your further questions if any. Thank you