Doctor insights on:
Anemia And Kidney Failure Change A A1c Level
Is a constant blood calcium level of 10.1 and constant kidney stones a possible parathyroid problem with a normal pth level?
The kidneys are paired organs that lie on either side of the vertebral column. Part of their critical functions include the excretion of urine and removal of nitrogenous wastes products from the blood. They regulate acid-base, electrolyte, fluid balance and blood pressure. Through hormonal signals, the kidneys control the ...Read more
Can u have kidney failure bec of urination frequency while ur kidney ultrasound resulted to normal and creatinine result is low? Appreciate help.
Can high bun/creatinine ratio (53, 2.0) in absence of GI bleeding mean dehydration if sodium and chloride is slightly lower than normal range and potassium is slightly elevated? Patient has diabetes, anemia, chf and on fluid restriction.
Poor kidney func can cause hbp but is creatinine in blood the only test needed to check for that? Is proteinuria and occult blood sign of kidney prob
Proteinuria: Is definitely important as well. The types of proteins are also informative. ...Read more
Both kappa lambda out of range in urine but ratio normal in urine and blood. Renal failure and anemia but no calcium or bone lesion. Diabetic. Steps?
Could diabetes type 1.5 be the underlying cause of TIA like symptons, hypertension, hi glucose, low mpv, and low kidney function+protein in urine?
Yes : Type 1.5 diabetes involves autoimmune Insulin deficiency in addition to the Insulin resistance seen in type 2 diabetes. Cardiovascular problems, retinopathy, kidney failure, etc. Are sequelae to this disease. Tia risk is markedly increased by these factors. ...Read moreSee 1 more doctor answer
Can weak kidney function lead to a D-xylose absorption test with a normal blood value but a below normal urine value?
PBC Elevated LFT's: Primary biliary cirrhosis (pbc) itself is a terminal cirrhotic state of liver, requiring liver transplant. There is not much ast & alt enzymes left in liver to go up. Certain insults, can expedite liver damage, by elevated lft's: medicines metabolized by liver, alcohol, an obstruction in porta hepatis, ? Malignancy, need to be considered. ...Read more
What causes EPO level to drop. Can it be something not serious. Kidneys scan and ceatinine level in blood normal. Got moderate anemia. Epo low. 70 yrs?
Anemia in a 70'er: The 70 year old person likely has chronic kidney disease (CKD), despite having a normal level creatinine. Have that person see a nephrologist for a 24 hour urine for creatinine clearance to assess the person's kidney function. It the glomerular filtration rate (GFR) is ...Read more
Can pristiq (desvenlafaxine) cause low blood sugar of 64 in a patient with stage 3 CKD & elevated amylase and lipase enzymes. No diagnosis of pancreatitis from mayo.
Very unlikely: Up until october of 2013 there have only been 7 cases of hypoglycemia reported to the fda regarding Pristiq (desvenlafaxine) out of hundreds of thousands of prescriptions that have been written. Also, 64 is not technically low blood sugar.It must be below 50, and some specialists would use 40 aat a hypoglycemic cut-off. ...Read moreSee 1 more doctor answer
72 yr old male, with diabetes and hbp... Kidney funct. Normal, elev. Microalbumin and microalb. Creatinine, high hemoglobin a1c. Do I have kidney dis?
Yes: By definition, if your creatinine is elevated, you have kidney disease. When we calculate your kidney fucntion, we take into consideration your weight and age. An elevated hb a1c suggests poor blood sugar control. Although it is not directly related to kidney function poor glycemic control, a persistently elevated a1c may contribute to a decline in renal function. Please talk to your doctor. ...Read moreSee 1 more doctor answer
I have anemia and gastritis. My B12 level is normal. Could the gastritis alone cause anemia related to blood loss? Thank you.
Need more eval: Gastritis means inflammation on the stomach lining. It does not cause anemia- unless if it is not just gastritis but also you have bleeding on the stomach lining or if the gastritis is affecting absorption of certain nutrient like iron for instance. There are many things that can cause anemia besides iron, vit B12 def or bleeding. You definitely should have further evaluation to find the cause. ...Read more
Pt with history of acute pancreatitis and gall stones, presents with disorientation ammonia levels 800 n rising.Liver profile normal, no ph, suggest cz?
Not enough info: Have the gallstone & past pancreatitis issues been treated with gallbladder surgery? What radiology tests gave been done? Is there bile duct blockage? Sounds more like liver failure or other serious liver dysfunction. Your doctor should know better who has all the test results. See a gasteoenterologist for an opinion if needed. ...Read more
Neurogenic bladder. Can bun 74 creatinine 2.5 values improve with b12? It went down to 44/1.5. Does the ratio indicate azotemia or urinary retention?
3.5 to 5.0-5.5: Generally, the potassium should be kept within normal limits just as for a person without renal disease. Most labs have a normal range of 3.5 on the low end and may be anywhere from 5 to 5.5 on the high end. Potassium is less well eliminated by patients with kidney disease and generally with advanced kidney disease, the potassium intake must be reduced. ...Read moreSee 1 more doctor answer
Can heart failure or low cardiac output be associated with protein deficiency and how to best recover? Bnp=300 & protein 5.8g/dl
Heart failure : Right sided hf can lead to swelling of intestines and then poor nutrient absorption. This can go along with abdominal bloating. If this is happening or if you have difficulty breathing with exercise, you need more water taken off. I like to use (lots of) Aldactone (spironolactone) for this. Also check to see if you are losing protein in your urine. ...Read moreSee 1 more doctor answer
Complete liver failure and chronic kidney failure and diabetes, one doctor said emergency dialysis, and another said not bad enough? How can this be?
Kidney function: The decision to initiate dialysis usually is based on several factors. First laboratory testing can be performed to estimate the glomerular filtration rate. In addition clinical signs are taken into account such as the presence of swelling, poor appetite, weight loss, and decreased level of functioning. Since these are not absolute criteria, there may may some variance in opinion between physician. ...Read more
T1 diabetic, kidneys leaking 1000 mg of protein. Is this full failure or K. disease that can be fixed with Ramipril and good control of blood sugar?
A condition in which your kidneys suddenly stop working normally. Since your kidneys remove waste products and help balance water and salt and other minerals (electrolytes) in your blood, when your kidneys stop working, waste products, fluids, and electrolytes build up in your body. This can cause problems ...Read more
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