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Doctor Q&A for Dr. Ljubomir Ilic

A 20-year-old male asked:
Dr. Ljubomir Ilic
Nephrology and Dialysis 22 years experience
Proteinuria: The observed proteinuria should be verified and further quantified. If truly present, it does represent a marker of kidney disease. Furthermore, if your serum creatinine is stable around the value provided, you would indeed have CKD stage 1. More importantly however, you should see a nephrologist as causes of proteinuria vary from benign to serious.
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A 35-year-old male asked:
Dr. Ljubomir Ilic
Nephrology and Dialysis 22 years experience
Insulin resistance: Diet, exercise, and, most importantly, weight loss will decrease insulin resistance and likely normalize your blood sugars.
A 70-year-old female asked:
Dr. Ljubomir Ilic
Nephrology and Dialysis 22 years experience
Evaluation: Elevated creatinine is a marker of decreased renal function, which can have many causes including urinary obstruction and infection which are likely in your case. Please see a nephrologist to have a complete evaluation.
A 42-year-old female asked:
Dr. Ljubomir Ilic
Nephrology and Dialysis 22 years experience
Dietician: Every dialysis unit has a dietician who will work with you to set up a personalized diet based on your metabolic needs and results.
A 34-year-old female asked:
Dr. Ljubomir Ilic
Nephrology and Dialysis 22 years experience
Quarantine: Please isolate yourself from family and community for 2 weeks. It is also important to let your close contacts know that you tested positive so they can take appropriate measures. If you have any symptoms, please share them with your physician. The majority of Covid19 cases can be managed at home but there are potentially life-threatening complications.
A 56-year-old male asked:
Dr. Ljubomir Ilic
Nephrology and Dialysis 22 years experience
Weak natriuretic: Spironolactone has weak natriuretic properties. You are unlikely to notice changes in your urinary frequency from spironolactone alone.
A 47-year-old male asked:
Dr. Ljubomir Ilic
Nephrology and Dialysis 22 years experience
Gross hematuria: it sounds like you are experiencing gross hematuria, which can have multiple causes, some of which can be serious. Prolonged gross hematuria might need Foley insertion and continuous bladder irrigation. Both the workup and the treatment of the gross hemaruria should begin in an emergency room, which I am suggesting you visit right away.
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A 39-year-old male asked:
Dr. Ljubomir Ilic
Nephrology and Dialysis 22 years experience
2-week quarantine: You have been exposed to Covid-19. Please shelter in place for 2 weeks and call a physician if you develop fever, headache, cough, shortness of breath, sore throat, or diarrhea.
A 23-year-old female asked:
Dr. Ljubomir Ilic
Nephrology and Dialysis 22 years experience
Inflammation: ESR and CRP are non-specific markers of inflammation and are used to monitor both infectious and autoimmune processes
A 23-year-old female asked:
Dr. Ljubomir Ilic
Nephrology and Dialysis 22 years experience
Heart rhythm monitor: You should have an ECG and possible a heart rhythm monitor (holter) to capture the electrical activity of your heart at the time of your symptoms.
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