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Dr. Andrew Rynne

Family Physician

Exp 18 years

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High ESR & Creatinine. Which medicines to take in such condition ?

Hello sir, my Dad is 62 yrs and slightly fat with weight of 102. he is having type II diabetes malitus. Last day we had a checkup and got the ESR upto 125. urine test & blodd test were normal. in Biochemistry test serum creatinine was found upto 1.70mg/dl. blood urea was found 56mg/dl. Also there wre found few small stones in Gall Bladder. It was written in report that there is chronic cholecystitis with cholelithiasis with fatty liver with prostatomegaly of grade 1. He also bears some pain in abdomen. Kindly help me understand the situation. what preventive can be done? Is there any other disease? which medicines to take in such condition? we have tried glynase, tazloc, tamsulin, rinifol,rebagen, vermisol, celestone, rozavel, olvance,foldart, nephrocap and is currently taking these medicine.
Tue, 19 Apr 2011
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Neurologist 's  Response
ur father needs insuline therapy
your father kidney functions had decreased to 50 %
Colesystectomy can be easily done with out any problem by an expert surgeon
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General & Family Physician Dr. Sapan J. Pandya's  Response
Hi! Rajeev,
Very sorry to say that your father seems to have DIABETES NEPHROPATHY, that is damage to Kidney because of Diabetes. This is suggested by increased values of Blood Urea and Serum Creatinine. For that you have to consult a Nephrologist.
If the Nephrologist and the Anaesthetic agree then Gall Bladder can be removed by Laproscopic Cholecystectomy, i.e. removal of Gall Bladder by Laproscopic Technique.
Also Alfa-blockers can be started for Hypertension and Prostate Enlargement.
He can reduce his weight to help his Kidneys.
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