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?
I've anemia, kidney failure (3), gout.. Is there way to treat anemia w/o upsetting the gout and kidney? Is the anemia life threatening w/o treatment?
Erythropoietin: The kidneys make a hormone called erythropoietin which travels to the bone marrow and tells it to make red blood cells. If the kidneys are diseased they sometimes do not make this hormone and the person will become anemic. Always remember there are many reasons a person can become anemic- kidney disease is only one way. ...Read moreSee 1 more doctor answer
My A1c is 6.2 as a result of taking 2 pills of metformin. Should i now take 1 to reduce chances of liver damage or kidney failure? Please advise.
No: You should continue treatment of your metformin as it is well tolerated. You doctor can follow up on routine blood work to evaluate for the concerned conditions. You a1c is currently right at goal of < 7. If you remain at this range or lower and your diet improves or you lose weight then you doctor might find it appropriate for you to reduce you dose. ...Read moreSee 1 more doctor answer
Anemia in CKD: Chronic kidney disease (ckd) anemia is caused by the diseased kidneys not being able to make the hormone, erythropoietin (e). E stimulates the bone marrow to make new red blood cells. Epogen (epoetin alfa) is a man made drug that replicates e's affects on the bone marrow and is given to both CKD and dialysis patients to treat their anemia. ...Read moreSee 1 more doctor answer
1/29/13 yrly checkup GFR 97 creatinine .74 had urine checked 2 weeks ago no protein all ok urinating more often nml amounts A1c 4.9 -- kidney failure?
Yes: It can definitely cause anemia in what we call anemia of inflammation. It is also known as anemia of chronic disease. The kidneys secrete an important hormone called erythopoetin which helps with the production of red blood cells. For this reason, you have anemia of chronic disease. You should definitely have iron studies drawn and see if you are a candidate for medication. ...Read more
What shall I do with a patient who had history of diabetes mellitus and anemia now experience acute kidney failure and pneumonia due to vasculitis?
Many issues: 1: Both kidney failure and pneumonia need attention. The kidney specialist will take care of the acute kidney failure and a blood vessel specialist will take care of the vasculitis. Pneumonia can be handled either by these two doctors or your primary doctor. If managed carefully under control you can also get rid of diabetes. ...Read more
Ma w lupus in hosp. A wk. Esrd, chf. Now low oxygen, low HRT func. Anemia delays angiogram. Yest surg fix bad fistula. No bld thinners now. How i help her avoid bld clots while waiting angio?
I am a 58 year old type 2 diabetic a1c 5.9. Creatinine 1.4 bun 21 gfr 55...some fat in kidneys..do I have kidney disease?
Yes: Your subnormal GFR indicates kidney disease and you should consult a nephrologist. ...Read more
Does a low phoshorus level and low complement C3 but normal bun and creatin level mean kidney failure?
No: Kidney failure is defined by changes in bun/cr and more correctly GFR (glomerular filtration rate) over time. A normal BUN and cr is reassuring. Usually the phosphorus is high with kidney failure. A low complement (c3) level relates to the immune system and a possible deficiency there. ...Read more
I have type 1 diabets, now my blood sugar level is normal...Is there any problem in kidney failure in future?
I recently went for blood count and my creatinine level was 1.34. Are my heading towards kidney failure. Can it be managed ?
Good to ask!: Creatinine is a breakdown product of muscle cells, and it's normally eliminated by the kidneys. When it's elevated, it may imply that kidneys aren't functioning as well. Since diabetes and high blood pressure are the main causes of kidney failure, make sure you're ok in these areas. Talk to your doctor for info on you, but a mildly elevated creatinine does not mean that your kidneys will fail. ...Read more
What can cause magnesium levels to be real low? How can I elevate them?
(I have sarcoidosis and res card Myopathy kidney failure and other diagnosis)
Magnesium deficiency: Is common in the general population without any medical problems. Since you do have medical issues particularly kidney failure you can be at a higher risk. One way to increase the magneisum is to take supplements. However, anytime someone has comornidities, I always recommend taking medication and supplements under physician guidance. ...Read more
Lisonopril and spiranolactone dosage too high, caused acute kidney failure. Stop meds, got better. Creatinine levels fall monthly, now 1.6 is that ok?
Kidney failure: Did your doctor tell you why you had acute kidney failure (akf) on Lisinopril (l) and spiranolactone (s)? L causes akf, which is reversible, when l's stopped in cases of a renal artery stenosis. Pt's recover their original kidney function. Your creatinine (c) level of 1.6 may be abnormal if your c was 1.2 before the akf. You are 51 years old with CHF and chronic kidney disease, your c wont' be 1. ...Read moreSee 1 more doctor answer
Exercise: Maintain a healthy lifestyle with low fat food, low salt diet. Avoid excessive weight gain. Stay well hydrated. If you have diabetes or high blood pressure, make sure it is well controlled. Exercise is important to improve all of these factors. And see as doctor regularly. They can do blood tests to check for kidney disease since this is often a silent disease. ...Read moreSee 1 more doctor answer
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