Dear Doctor, I was diagnosed with CKD 3 months back. I was told I have high blood pressure which has led to scarring of my left kidney size 110 mm and shrinkage of right kidney size 75 mm. In spite of taking a low sodium diet, and medicines plus water intake restricted to 1 liter per day, my creatinine has increased from 2.1 – 3.9 in last 3 months. My parathyroid levels being 700. My age 27, height 4.11feets, wt 46kg. I take medichnes regularly for bp and bp is in control since last 2 months. I have never smoked or drunk. What shoud I do? Doctor says I should drink only 1 liter fluid a day.

I do not understand the advice to drink only one liter of fluid per day.  Otherwise it sounds like you are doing all that you can do to prevent any further damage to your kidneys.  The initial rise in the serum creatinine may be related to your blood pressure now being lower and your kidney function has now stabilized since you now have control of your blood pressure.  I recommend that you continue to follow with your physician and follow his or her advice.


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