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Category Archives: Hypertension/High Blood Pressure
Hi Doctor, My partner was diagnosed 5 years ago, at the age of 26, with a rare Kidney disease called mesangial capillary glomerulonephritis. He has been on steroid treatment and also cholesterol, blood pressure and other pills. He has suffered with many side effects including depression, mood swings, frequency of urination, dizziness, blurred vision and most recently the beginnings of osteoporosis. I have heard of Chinese Medicine Osmotherapy and read about some studies on www.ncbi.nlm.nih.gov and it seems very effective in treating patients with IgA nephropathy. I was wondering if you think this might work for my partner too? and whether it could be used in conjunction with his current medications? My second question is how likely do you think it would be for us to pass this disease down to a child? Thank you for any help you might give us… I worry about our future family and hope that someone will find a cure soon.
Mesangiocapillary glomerulonephritis (MCGN) is an uncommon kidney disease. There are many different forms of MCGN that have been described. Chinese medical osmotherapy is of no benefit in any kidney disease that I am aware. I cannot comment on whether you … Continue reading →
Hello sir. I am from India. I am kidney transplant patient 3.5 yrs completed. But my pressure is always high like 150/100. I am taking antihypertensive medicine from beginning after transplant. Creatinine is 1.5. Can I marry now? and can after marriage can take issue?
Kidney transplant patients may be married at any time and have children. As your transplanted kidney appears to be stable for more than 3 years, it should be safe to consider having children. It is necessary that you discuss marriage … Continue reading →
I had an ultrasound done and these were the results : Decreased size and cortical thickness of the right kidney likely related to chronic infectious or inflammatory process. The kidneys demonstrate decreased cortical thickening on the right with increased cortical echogenicity on the right. No hydroureteronephrosis is identified bilaterally. The right kidney is slightly smaller than the left measuring up 3.3 cm on the right and 10.4 cm on the left. My blood work was : BUN 17, Creatinine 0.84, GFR greater than 60 with ratio of 20.2. The doctor said not to worry about it because I have another kidney and my blood work is normal. I do have HBP for which I take Lisinopril 10 mg. Would you suggest I follow up with a specialist or is there nothing that can be done?
From your description, you appear to have a small atrophic right kidney and a more normal left kidney. I don’t think there is anything else that needs to be done as long as your blood pressure is well controlled and … Continue reading →
Hi Doctor. I am from INDIA. My mother is age 60. She is diabetic and with hypertension. Taking JANUMET 50/500 MG OD, PINOM 20 MG OD, ATOCOR 20 MG OD. LIVOGEN Z OD. (Hb a1c 6.6, bp 120/80,serum creatinine 1.2, eGFR 50.). Recently underwent cataract with right eye. Given Drops MILFOUX DF 8,6,4,3,2,1. I FORTE capsules OD for 60 days. Is that safe to take this antioxidant for her. She doesn’t have any other problems. She is a vegetarian. Please do let me know. If any need in change of medicines or to stop any.
I am unable to give medical treatment advice without performing a complete history and physical examination. I suggest that the eye surgeon consult with your mother’s physician about the safety of the medications that she is taking. It is best … Continue reading →
Sir, I am aged 67 years. I am diabetic since 34 years. I am having BP since 20 years. I am on insulin & my BP and sugar level is under control. During Dec 2015 I went for regular check up and during check up it was revealed that my creatinine was 1.6. Doctor informed that nearly 50% of my kidney is damaged and advised me to be on medicines. I am following the doctors advice. Till this day creatinne level is the same. My question is that weather damaged kidney can be cured?
It is not usually possible to reversed chronic kidney damage once it has occurred. The goal of treatment is to slow the loss of kidney function and not necessarily to reverse the damage. Damage that occurs in chronic kidney disease … Continue reading →
Dear Sir My wife is on kidney dialysis which is done through a Fistula in her arm. Her hemoglobin has been at 153 for the last 5 weeks. She has been on warfarin for the last 10 years, her renal consultant wants to stop all her anti-coagulation therapy, even though she has had 3 letters from the cardiac unit within the last year, saying my wife must must stay on anti-coagulation therapy. She has Heart problems, she has had a TAVI heart operation, Stent into Illiac Artery, TIA Stroke, Angioplasty 3 Stents, a couple of heart attacks, and Cardioversions. A year ago she turned over in bed and felt a sharp pain she was admitted to hospital and a scan revealed a Vascular Injury, Abdomen, arterial tear to rectus muscle. She was kept in hospital for 48 hours as a precaution my wife was given vitamin K and her warfarin was stopped for 48 hours by the advice of the Cardiac unit, the cardiac unit said that it would be ok to restart the warfarin after 48 hours. She has been back on it for the last year. Would you please give me your opinion, is not dangerous to stop all anti-coagulation therapy given my wife’s heart history and with her hemoglobin being high?
I am not able to give medical treatment recommendations without performing a complete history and physical examination. I suggest that the cardiology consultants and your wife’s nephrologist confer with each other and make a recommendation based on her risks and … Continue reading →
I have diabetes and hbp; kidney function was at 90 one year ago. I just went to the doctor for routine tests and gfr is now 50; of course I am very anxious to do what is needed to improve. If I really exercise and eat super – correctly can the gfr improve?
In most cases, once kidney function is lost, it cannot be recovered. This is true for chronic kidney disease (CKD) but in some cases acute kidney injury can be reversed. I suggest that you consult with your physician and follow … Continue reading →
Have three queries for transplant patients 1. When bp is never constant and it goes up when one goes for morning walk or for that matter any physical movement results in bp number. If this is true then why patients are advised to keep blood pressure within a range of 120 to130/80 to 90. Is there any range for max and min after physical exercise. How much mental anxiety or stress impacts BP? 2. Cholesterol reducing medicine mostly statin is prescribed for the patients. Does intake of this medicine for long period of time affect the kidney? 3. Should patients plan volume and timing for this water intake for the day? Thanks doc as always.
The standard way to take blood pressure is to take the blood pressure sitting for 5 minutes. Exercise and physical activity increase the blood pressure and this is normal. The normal blood pressures that you quote are for 5 minutes … Continue reading →
Nutrition treatment is very much dependent on the Stage of chronic kidney disease (CKD) and also on the blood chemistries that are present. Hence, there is no single diet that is suitable for all patients with CKD. I suggest that … Continue reading →
What is my brothers prognosis? He is 59 yrs old, has Type 2 diabetes, kidney failure, on dialysis 3x/wk, cardiovascular disease, peripheral neuropathy, high blood pressure, vision loss, confusion, above the knee amputation, addiction to marijuana, very moody, angry, and nasty. Does not watch his diet or exercise.
I am unable to provide a prognosis without performing a complete history and physical examination. With the information that you present, your brother is very ill. His life expectancy is likely very short. For more information on kidney failure click … Continue reading →