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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Old Aged, Severe Chest Pain, Raised Creatinine Level, Fluid Retention In Lower Abdomen. Kidney Problem?

My mother is 91 years old and has recently had a severe pain in the right side of her chest going through to the back. She was admitted to A & E and her heart trace, although a little eratic showed no sign of heart attack . Her bloods showed she had a raised creatinine level and the doctor said she was to drink plenty. She was not x-rayed nor did they test her water. She looks like she has some fluid retention in her lower abdomen . Does this sound like she is in the last stages of kidney or heart failure or can she stabilise. She suffers from chronic diarrhoea and is walking back and forth to the bathroom numerous times a day, so you could say that she is mobile.
Tue, 1 Oct 2013
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General & Family Physician 's  Response
Hello,
Thanks for the query to H.C.M. Forum.
The fluid retention ( particularly lower abdomen ) with raised serum level , chronic diarrhea , age factors may be ,
1 Chronic renal failure , diagnosis can be confirmed by ultrasound of both kidneys .
2 Hypoproteinmia & anemia are the most important reason in this age group.
Diagnosis can be confirmed by blood examination for C B C , E S R , hemoglobin, urine for protein and albumin level.
3 Congestive heart failure , diagnosis can be confirmed by physical examination by a physician and get E CHO of heart .
In my opinion due to age factor consultation with a physician is very important .
Good luck. Dr. HET
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Old Aged, Severe Chest Pain, Raised Creatinine Level, Fluid Retention In Lower Abdomen. Kidney Problem?

Hello, Thanks for the query to H.C.M. Forum. The fluid retention ( particularly lower abdomen ) with raised serum level , chronic diarrhea , age factors may be , 1 Chronic renal failure , diagnosis can be confirmed by ultrasound of both kidneys . 2 Hypoproteinmia & anemia are the most important reason in this age group. Diagnosis can be confirmed by blood examination for C B C , E S R , hemoglobin, urine for protein and albumin level. 3 Congestive heart failure , diagnosis can be confirmed by physical examination by a physician and get E CHO of heart . In my opinion due to age factor consultation with a physician is very important . Good luck. Dr. HET