Doctor insights on:
Do Diuretics Used For Cfh Lead To Thirst
By strict definition, a diuretic is any medicine causing increased urination. More practically, a diuretic is a medicine causing the kidney to secrete excess fluid by blocking the re-absorption of either water itself or electrolytes like sodium (primarily), potassium, chloride and bicarbonate (sodium bicarbonate). These medicines are effective treatments for many disorders including ...Read more
Worrisome question: If you're planning this, i hope you will consider discussing your plans with someone who can help you through your troubles. Suicide is a long term answer to short term problems. Please seek help. There are always solutions - perhaps some you haven't considered. Consider a crisis hotline, friend, teacher, parent, sibling, or hospital er. ...Read more
Can thiazides diuretic cause impaired renal function if it used to control BP inCKD what is the safest antihypertensive drugto be used with CCB&BBlock?
Is drinking 128 oz of fluid daily safe? I try to mix in Gatorade or electrolyte tabs to prevent Na/K depletion, but concerned about dilution of other things in blood. Must do this to address orthostatic intolerance and not faint.
Better question: If that's what you need to prevent orthostasis then, nothing will happen to you but a more interesting question to ask is WHY does a 29 year old have orthostasis if they drink any less than 128 oz. of fluid daily? That is not a normal situation. Has that been investigated and discovered? If you'd like to chat about this 1-1 please write me at: www.healthtap.com/dr-drsaghafi ...Read moreSee 2 more doctor answers
Can mild sodium deficiency (hyponatraemia) due to prescription drug or other reasons exist when standard blood test for electrolytes is normal?
How to treat hypertension due to kidney disease other than taking combined drug therapy, what lifestyle and food should be adopted to protect oneself?
If vasopressin allows people to retain water, are other hormones necessary for people to make use of food and air?
Complex: Hi. It's way more complex than I can present in a short blurb. Clearest to look at what hormone deficiencies cause. Insulin deficiency causes inability to "make use of food". Insulin is an anabolic hormone, and without it, nutrients can't be stored. This is way over simplified. As for oxygen use, erythropoietin makes red cells, which transport O2, and thyroid hormone stimulates aerobic metabolism. ...Read more
I may need diuretic, but hctz (hydrochlorothiazide) and metoalzone both caused hyponatremia, 125. What are available options if diuretic is needed in future?
Diuretics: If you take a diuretic (d) one of the side effects is a low sodium level, hyponatremia (h). You can try to avoid h by weighing yourself daily in the morning, at the same time, in your bed clothes and recording the date and your weight. If you lose more than 2 lbs., hold the d for just 1 day. Too rapid weight loss, i.e. > 2 lbs/day can lead to h. If h is a problem, discuss it with your physician. ...Read moreSee 2 more doctor answers
I take KRISTALOSE/Lactulose daily. Can this cause lactic or metabolic acidosis? Are there any recommendations for monitoring?
No, It is inert: Kristalose, a brand of lactulose, is an indigestible disaccharide for treating constipation. It arrives intact in the large bowel. Bacteria break it down to lactic and formic acid increasing osmotic pressure, drawing in water, softening stool in one to two days due to transit time to the colon. Antacids may inhibit it's effect. In the elderly, it may disrupt electrolyte balance in six months. ...Read more
Doctor wanted to use 25mg spironolactone to counter effect potassium lose by hct in ben/hct.I wonder why not use Benicar (olmesartan) without hctz. How effective. ?
A good option: Benicar (olmesartan) ; hctz work so well together that the combination tablet was formulated. Potassium levels are often sustained with this combination but some folks lose too much potassium even with this low dose of hctz. An alternative to spironolactone is potassium but it can irritate the stomach. Also spironolactone itself can help lower blood pressure. ...Read moreSee 2 more doctor answers
Re diuretics used for CHF and thirst effect what should average fluid intake for 84 yr old/180 pound be? Does excess negate the diuretic?
Diuretics & fluids: A normal adult should drink about 2 liters of fluid a day to maintain healthy body functioning. As we get older we drink less and have less thirst, so it reduces to about 1.5 liters a day. Generally, when you are put on a diuretic, the amount of fluid that is recommended does not change. In fact, if you restrict your fluid intake and take a diuretic, you are at risk for serious dehydration. ...Read moreSee 1 more doctor answer
Can partial central diabaetes insipidus go away or improve? Used to need ddavp (desmopressin) to control. Eventually urine started to concentrate without it.
Diabetes insipidus: If it does happen I must confess I cannot recall I have that happening. Hopefully you have done well without for a while. That said, please bring this to the attention of your doctor who will take your history, examine you, and order labs. ...Read more
Can someone explain to me how come some patients are hesitant to use beta blockers in cardiac disease?
Depression, Anxiety: I commend you for your desire to lose weight and have good Health. Thank you for sharing information about depression, weight gain, irregular periods and Hiderax. Tramadol is for pain; Valium and Hiderax for Anxiety. Tramadol is more likely to have weight gain than Valium. Have Balanced Diet 1500 Cal/day; Exercise. See Psychiatrist for anxiety, depression, medication side effects and Therapy. ...Read more
Why can not use antihistamines and decongestants in patient with thyroid disease ? What is the machanism of action? What medicine can use to relief ?
Decongestants may: Decongestants may complicate and exacerbate hyperthyroid states. In general I do not recommend oral decongestants to any age group as there is a higher risk of cardiovascular disease with decongestant use. Antihistamines alone may be used in thyroid disease in general. ...Read more
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