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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for chronic kidney disease

HELLO DR.



I AM CONCERNED ABOUT MY MOTHERS HEALTH AS SHE HAS BEEN DIAGNOSED WITH CHRONIC KIDNEY DISEASE WITH GLOMERULAR FILTERATION RATE AS 21 AND SERUM CRETININE IS 3.2 .ONE MONTH BACK THE SERUM CRETININE WAS 2.4 AND A WEEK BEFORE IT WAS 2.9 AND NOW IT IS 3.2.SHE HAS HIGH B.P 130/90 AND SHE WAS ADMITTED IN HOSPITAL BECAUSE SHE FAINTED.SHE USED TO HAVE MUSCLE CRAMPS AS WELL.WHAT WOULD YOU SUGGEST TO LOWER DOWN HER SERUM CRETININE AND WHETHER THIS IS THE STAGE FOR DIALYSIS

Wed, 28 Dec 2016
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Internal Medicine Specialist 's  Response
DEAR USER

THANKS FOR WRITING AT HIM

I UNDERSTAND YOUR CONCERN

I HAVE SEEN MANY PATIENTS OF CKD.. THOUGH THE TREATMENT OF CKD BY MEDICATIONS ALONE IS DIFFICULT BUT MEDICATIONS HELP TO MAINTAIN A CONSTANT LEVEL OF SERUM CREATININE..

BUT NOT IN ALL PATIENTS

KIDNEY TRANSPLANT IS THE ULTIMATE TREATMENT BUT IF NOT POSDIBLE DIALYSIS HELPS

ABOUT YOUR QUESTION REGARDING WHEN TO DO DIALYSIS

IT IS ASSESED BY YOUR NEPHROLOGIST DEPENDING ON CLINICAL SITUATION AND NOT ON CREAT LEVELS

USUALLY IT'S DONE WHEN YOUR NEPHROLOGIST SUSPECT METABOLIC ACIDOSIS, IF OEDEMA IS NOT GETTING TREATED WITH MEDICATION, IF THERE IS INCREASE IN CREAT NOT CONYROLLED BY MEDICATION

I SUGGEST THAT YOUR MOTHER AVOIDS EATING FRUITS

AND ALSO TALK TO YOUR NEPHROLOGIST HE CAN HELP YOU

HOPE I ANSWERED SOME OF YOUR QUERIES.. YOU CAN MESSAGE ME FOR ANY OTHER CONCERN
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HELLO DR.



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