Doctor insights on:
Bilateral Medical Renal Disease
My sister just 14 year old, but she got a diseasa bilateral renal medical disease.what is the solution?
Depends on disease..: For treatment options, lifestyle modifications, and expected outcomes it is important that this conversation is had with the specialists who are monitoring your sister and her condition."b/l renal medical disease" is not specific enough for an online physician to even make suggestions about potential solutions because there are nearly countless conditions that could meet that description. ...Read more
Sir, my brother is 23 yr old. He has got clubbing. After a medical check up his medical report says bilateral type 1 renal disease, hepatomegaly with diffuse parenchymal disease and splenomegaly. Are these serious conditions?
Unfortunately yes: Your brother needs to be seen and followed up in a big tertiary care hospital or a university hospital, wish him and yourself wellness ...Read more
My brother is 23 yr old....he has got clubbing. After a master check up his final report says bilateral type 1 renal disease. Is it a seriouscondition?
Here are some ...: Life expectancy in general or in relation to a disease should be taken as a general reference. So, a patient with the described clinical profile naturally lives fewer years to come. How long? No one can put a finger at it. Nonetheless, living longer if possible is still the common wish for all, except occasional private hidden agenda. How? Lifestyles + timely medical care give the best possible hope. ...Read more
Ultrasound reports say its grade i medical renal disease for male aged 53 grade 1 increased echo genesity & central sinus echo complex. What do we do?
US and renal disease: You cannot tell the grade of chronic kidney disease from an ultrasound (us) report. Have a 24-hour urine collection for creatinine clearance (cc) to get an actual glomerular filtration rate. Us's are interpreted by radiologists and their interpretations are subjective. A cc give an objective assessment of one's renal function. See a nephrologist to get a better idea of your kidneys' function. ...Read more
My ultrasound said abnormal resistive index on r kidney suggesting medical renal disease or renal stenosis. My kidney blood levels were all low?
High Resistive Index: I have two questions, why did your doctor order a resistive index on you? Do you have hypertension (BP) that is difficult to control? If you do not have any bp, then you likely do not have a renal artery stenosis (ras). If you do have bp, you may need a renal artery angiogram to see if your BP is caused by a ras. See a nephrologist for more answers. Good luck. ...Read more
My radiologist told me that i have subtle increase in cortical echogenicty in both kidneys which may be a start of a possible medical renal disease.?
Medical exam: Including urinalysis and CMP to include kidney function analysis. ...Read more
Edema, fatigue: There are many types of renal diseases with different symptoms. Symptoms may include: swelling in legs/around eyes (edema), malaise (not feeling well), fatigue, foamy urine, blood in urine, pain in kidney area (flank), decreased or increased urinary output (decreased or increased urination). These symptoms are not specific for kidney diseases and can be associated with other conditions. ...Read more
See Below: End stage renal disease is stage five CKD or GFR 15 or less. Dialysis is started when the function of the kidneys is inadequate to remove the metabolic byproducts of metabolism. In practice this is usually determined by measuring gfr. Most people have to start dialysis when GFR drops to 10-15 though it may have to be started higher or lower than that. ...Read more
A good Nephrologist: General principles would include control of hypertension, relief of any kidney obstruction, adequate hydration (assuming kidney function is not severely reduced), good control of diabetes, if present. Depending on renal function varying degrees of sodium, potassium, and protein dietary restriction may be required. ...Read more
Phosphorus control: If you are talking about reducing elevated phosphorus (P) levels in patients with kidney failure, P levels are brought down by two drugs. One is P binders that prevent P from being absorbed in the intestine. If those patients have high parathyroid hormone levels (PTH), drugs like cinacalcet reduce serum P levels by preventing it and calcium from being liberated from the bone by PTH. ...Read more
Renal Diets: Patients with any form of kidney disease should be offered a nutritional or dietary counselling. There are many types of kidney disease with various stages and complications that require careful attention not only to macronutrients (protein, carbs, and fat) but to micronutrients. For example, diabetic patients with renal disease require a completely different approach than those with hypertensive. ...Read more
No: When end stage renal disease (esrd) is diagnosed that means the patient no longer has kidneys that are effectively filtering toxins from the blood. The use of dialysis or kidney transplant is necessary to maintain life. So esrd means it is too late to reverse and save any kidney function. ...Read more
Dialysis /Transplant: Ersd/kidney failure means most kidney function has been lost + that subject will die unless they undergo dialysis or receive a kidney transplant. Means that kidney/s are unable to remove the nitrogenous waste products produced by your body produced by metabolising ingested protein + spent muscle. Esrd also defined as inadequate function to sustain lif or < 15 ml/min. Glomerular filtration rate. ...Read more
See nephrologist: And get treatment plan. May need diagnostic labs or biopsy. ...Read more
Renal disease: It depends on what type of kidney disease. ...Read more
When kidneys fail: End stage renal disease is stage five CKD or GFR 15 or less. Dialysis is started when the function of the kidneys is inadequate to remove the metabolic byproducts of metabolism. In practice this is usually determined by measuring gfr. Most people have to start dialysis when GFR drops to 10-15 though it may have to be started higher or lower than that. ...Read more
Yes: From uremia or electrolyte/mineral abnormalities or fluctuating drug levels (due to reduced renal clearance) among several possible causes. ...Read more
Dialysis diet: The answer to your question is too long for this space. Go to this link and learn about a diet for dialysis patients: http://www.davita.com/kidney-disease/diet-andnutrition/diet-basics/the-hemodialysis-diet/e/5314. It is best to ask the dietician at a dialysis center what diet should be followed, as diabetic patients' diets are different from those that are not diabetic. Good luck. ...Read more
The answer to your question is too long for the space allotted here. Go to this link for the answer you are seeking: http://www.davita.com/kidney-disease/diet-andnutrition/diet-basics/the-hemodialysis-diet/e/5314
If the patient is already on dialysis, have the patient ask the dietician at the patient's dialysis for a diet to follow. ...Read more
It is possible: The kidneys filter blood, removing substances that are harmful to the body, and helping to maintain water and electrolyte balance. Depending on the severity of the kidney disease, some patients need dialysis or a kidney transplant to survive. ...Read more
It wasn't: Before dialysis methods, renal failure lead to death. ...Read more
Carefully: It can be done, but dosing has to be monitored carefully. ...Read more