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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Constipation, Renal Insufficiency After An Iron Therapy. How Should I Proceed ?

I am suffering from constipation for the last one year.I am also suffering from renal insuffiency for the last 4 years.I was under medication of a nephrologist year before last year when I suddenly developed constipation from an iron therapy around last year in July with very hard stool just like stones.Then seven days after stool hardening,I developed slight pain retrosternally with giddiness which was dismissed for gastritis by my doctor.ECG was done but NAD.Then after 7 days after this event,I developed full fledged MI in the wee hours of the morning.I stayed in the hospital last year in July for about 15 days.I refused cardiac angiogram because my kidney function was disordered and createnin was showing 3+.Rather I insisted for thelium stress test which revealed anreriolateral infarct.I was given EECP which I found to be somewhat beneficial.Now some cardiologists are insisting for a cardiac angiogram while some are not due to my kidneys.The constipation was worrying me but now I'm somewhat relieved after medicines from a gastroenterologist about 4 days when I had a check up.creatinin-2.7(stable),triglycerides -240,others- Ok.No hypertension,no diabetes but Uris acid within the range but tendency to rise.I am now in Escorpin Gold 20 H.S,Ranozex 500 B.D,Nicoran 5 B.D,Urimax 0.4 O.D,Metolar XR 25/12.5,Naturalax fibres and Lubowell 24 H.S.I'm feeling Ok now but I fear my kidneys are failing for which my nephrologist is preparing me for the final rendenvous with the hospital dialysis.Im highly depressed with these feelings and also because my angiogram is pending.Please tell me how should I proceed.
Fri, 12 Jul 2013
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Pediatrician 's  Response
Hi,

Thank you for your query.

As you have not mentioned your age my advice would depend on it and not solely on the reports. In my view you should keep in constant touch with your nephrologist and get a cardiac angiogram done when an angioplasty may be done if needed.

Regarding your constipation I would suggest that you lay more stress on the nutritional aspect of it and you may visit the site http://goo.gl/zRm1Q where I have given a fairly good idea about the management.

I hope I have answered your query to your satisfaction.

Wishing you an early recovery.

Regards,

Rajiv K Khandelwal
http://goo.gl/SuCjl
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Suffering From Constipation, Renal Insufficiency After An Iron Therapy. How Should I Proceed ?

Hi, Thank you for your query. As you have not mentioned your age my advice would depend on it and not solely on the reports. In my view you should keep in constant touch with your nephrologist and get a cardiac angiogram done when an angioplasty may be done if needed. Regarding your constipation I would suggest that you lay more stress on the nutritional aspect of it and you may visit the site http://goo.gl/zRm1Q where I have given a fairly good idea about the management. I hope I have answered your query to your satisfaction. Wishing you an early recovery. Regards, Rajiv K Khandelwal http://goo.gl/SuCjl