Category Archives: Hypertension/High Blood Pressure

I am suffering from essential hypertension for more than 20 yrs (BP not more than 140/95 mmhg at first) and taking drugs for lowering BP like Dytide, Natrilix etc. I am taking Losartan potassium + Hydrochlorothiazide for last 15 years and BP is now more or less 130/85 mmhg, taking thyroxine sodium 75 mcg for last 6 months. I am suffering from Gilbert’s syndrome from very beginning. My Creatinine is over 1 mg/dl for last 10 years. At last it is 1.25 mg/dl (now I am 46 yrs old) Indian, wt.69 kgs.FBS 89 PPBS 133 HbA1C is 6.1, Ca+ 10 mg/dL PO4 4 mg/dL, no protein, sugar, ketone bodies found in urine R/E. Potassium 4 mg/dL, Total cholesterol 195mg, LDL 110 mg, HDL 54 mg, SGPT 74 mg, SGOT 45 mg, Uric Acid 6.64 . GFR calculator shows eGFR is 62-74% which is type II CKD. But my Doctors of Kolkata, India say that no medicine is available for this stage, and continue all medicines as previous. Is it really CKD? May it rise further? What is latest medicine to roll back creatinine level to below 1mg/dL or to rise eGFR to above 90%? Please advise.

I agree with your physicians in India. There are no medications which cause a decrease in the serum creatinine or an increase in the estimated glomerular filtration rate (eGFR) that is sustained and beneficial to the kidney in the long … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, GFR, Hypertension/High Blood Pressure, Kidney-Related Health Questions

I have been a type 1 diabetic for 37 yrs. My eGDR has been decreasing over the years. My new endocrinologist told me that since I have no history of spilling protein, the lowered kidney function is not diabetes related. Is that correct?

In general, diabetic kidney disease is most commonly associated with albumin or protein in the urine. If you are a diabetic and have no protein in the urine, then diabetic kidney disease is less likely. It is still possible to … Continue reading

Posted in Ask the Doctor, Diabetes, Hypertension/High Blood Pressure, Kidney-Related Health Questions

I am 44 yrs. 3+ yrs diabetic HGBA1C 5-5.8 over years. BP varies from 135-150/80-100 taking medicine. Cholestrol/trigliceride a bit borderline high. Recently I got Protein 1+ and ACR showed three reading over 4 days one in normal range, 2 in mid range (Arithmetical mean Urine creatinine 50 mg/dl Mic Alb 40 mg/l). No swelling feet, Creat 1.23, BUN, Haemoglobin OK, Uric acid 9.2 and 7 days later 6.5. USG fatty liver II, Cystitis, Kidney normal. Egfr (equation used not known) 64. Please advise on risk and next step forward?

I recommend that you consult with your primary care physician (PCP). You have diabetes, high blood pressure and excess albumin in the urine. In most cases, I believe you should be treated with an ACE-inhibitor or an ARB agent for … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diabetes, GFR, Hypertension/High Blood Pressure, Kidney-Related Health Questions

What are the first symptoms that can be observed in a person with chronic renal failure?

Most people have no symptoms when they have chronic kidney disease (CKD). The only way you know if you have CKD is to be tested. If you have a family history of CKD, if you have heart disease, diabetes or … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diabetes, Hypertension/High Blood Pressure, Kidney-Related Health Questions

I just had fasting blood work done. My creatinine level was 1.34 and the egfr was 57. I am a 60 year old white male. I do have high blood pressure but it seems to be well controlled with medication (Norvasc). I just had it checked a couple of weeks ago at my doctor and it was 117/78. I have altered my diet by stopping all sodas and increasing water; eating more fruits and vegetables; and not snacking at work which had become a habit. I have also begun an exercise program with very light weights and more walking. Are there other things I can do to protect my kidneys and will some of these measures improve my numbers? Do you have any other advice? I am a hypochondriac so I am thinking of going back to my doctor and insisting that he do a urinalysis to check for protein. My blood sugar is fine.

I agree that in addition to performing your blood work to test your creatinine and your estimated glomerular filtration rate (eGFR), you should have urine testing for blood, protein and infection. It sounds like you are doing all of the … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Diet/Nutrition, GFR, Hypertension/High Blood Pressure, Kidney-Related Health Questions

I am from Ecuador and also primary care physician. My father has hypertension, gout, aortic stenosis and benign prostatic hyperplasia (50 gr) and 36% of urinary retention. His creatinine is 2 mg/dl and his urea is 84 mg/dl. For many years he didn’t control his diseases. He has the next exams: Ecography: no hydronephrosis, calculi or renal size alteration. Bladder: no signs of chronic urine retention and prostate: hyperplasia grade II. Also he was with pruritus and hyporexia. An Internal Medicine physician is treating him with allopurinol, colchicine, furosemide, valsartan, tamsulosin and pregabalin. Also an Urologist recommendation was suprapubic prostatectomy. Since his clinical treatment my father is a lot better. I wanna know your opinion and the possible prognostic of his renal disease. I appreciate your time. Thanks.

I am unable to make a specific kidney diagnosis based on the information that you present. Your father has a number of diagnoses that make him at risk for chronic kidney disease (CKD) including heart disease, high blood pressure and … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Urological Issues

I am 72 yr old African/native American female with hypertension and renal failure stage 3. Is stem cell therapy an option for me?

At the present time, there are no Food and Drug Administration (FDA) approved stem cell treatments for chronic kidney disease. You can go to a government web site and see if there are any stem cell research trials in your … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Clinical Trials/Studies, Hypertension/High Blood Pressure, Kidney-Related Health Questions

My husband is 62 yrs old. His creatinine level was 105 last year and up to 213 this year with GFR 29. He has sciatica pain and have undergone epidural last June. He has also undergone robotic surgery of his prostrate last Nov and at the moment is still monitoring his PSA which was maintained. How could the creatinine jumped so tremendously, could it be due to the painkiller he’s taking for the sciatica or the blood pressure medicine? His daily intake of medicines include: 1 no. 10mg Triplixam 1 no. Concor 5mg, twice daily, 2 nos. GlumetDC 500mg twice daily and 1no. Simvastatin 10mg once daily. For sciatic he’s trying to limit once per day (tho’ doctor said he can take 3 times a day) 1 no. Acugesic 50mg and Uphamol 650mg. Please advise what is causing the jump and what medicine he should be avoiding. Please also advise what treatment is best to take to improve his condition.Thanks.

I am unable to provide a specific diagnosis for kidney disease based on the information that you present. I can only recommend that you discuss your husband’s condition with your physician and see if further testing is needed in order … Continue reading

Posted in Ask the Doctor, GFR, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Medication and Kidney Function, Treatments

Hi Doctor, I was diagnosed in 1997 with right side smaller kidney that did function. Recently I was told that now it is not functional it is at three percent, left side kidney is at ninety seven percent. My question is do you think I should see a nephrologist and or dietitian. I am a fifty seven year old woman, I have high blood pressure and cholesterol, other than that I am in good health. Thank you in advance for your response.

If you have no symptoms and are otherwise doing well, a single functioning kidney can last a very long time. I suggest that you consult with your primary care physician (PCP) and see if consultation is required. In most cases, … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Nephrologist

I am 67 years old. I have a creatinine level of 1.4 and slightly high blood pressure (taking Lopressor). My family doctor said to limit my sodium. I asked about a specialist, but was told I didn’t need to at this time. I have been dieting and watching amounts of protein and sodium intake (down to 210 from 228). Should I contact a renal dietitian and a nephrologist?

I believe that a family physician or a primary care provider (PCP) should be able to manage early stage chronic kidney disease (CKD).  I recommend that you follow his or her advice. You should also adopt the DASH diet. The … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Nephrologist