Doctor insights on:
High Alt In Kidney Disease
I have arterial hypertension and polycystic kidney disease bilateral and I am on olmesartan 10mg and lercanidipine 20mg for 10 years & high sgpt help?
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
Hb is high at 17.1(16) and my upper side of face is turning reddish from last forty days, is it some serious issue of kidney diseases and if so then?
If: You smoke, that can stimulate hg counts to o up'. In kidney disease, the hg typically goes down due to decreased epo. So the face issue may have another source, have it checked. ...Read more
Ask your kidney doc: High protein diet can cause the kidney to "work" more as it has to process the protein waste.This may lead to faster progression of loss of function.However the downside of this diet may lead to low albumin/protein level in your blood and this can cause more negative consequences to your body. Most doctors recommend a moderate protein restriction if Albumin levels are normal. ...Read moreSee 1 more doctor answer
Could be: High BP can cause kidney disease, even if you are already on BP meds. Kidney disease can also cause high bp, which can then cause a viscious cycle of sorts. If you have kidney disease and high bp, it is important to have regular f/u with your kidney doc to treat both conditions optimally. ...Read more
Given that high BP can cause kidney disease, but going the other way, what is it about kidney disease that causes high bp?
Kidney disease - BP: Diseased kidneys retain sodium and sodium retention elevates BP; diseased kidneys also secrete renin in excess; renin generates angiotensin and angiotensin tightens blood vessels, particularly arteries, and this elevates BP also; angiotensin also retains sodium and promotes aldosterone synthesis, and aldosterone also retains sodium; and then high BP damages kidneys more - a vicious cycle !!!! ...Read moreSee 1 more doctor answer
How high?: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, it would have been helpful to know the actual creatinine and eGFR values. If these are abnormal if would be prudent to consult a nehprologist so that a treatable entity is not overlooked. ...Read more
BP med: Kidney disease is not induced by BP medication, unless an allergic reaction evolved. This is very rare. Lisinopril is a terrific BP lowering med; it preserves kidney tissue from hypertensive damage; lisinopril and other ACEI can result in a reduction in kidney function that is transient and is due to arterial disease in the kidney arteries; thus cautions accompany ACEI Rx and Docs must check lab ...Read moreSee 1 more doctor answer
Now that my IONIZED CALCIUM is low and my INTACT PTH is high, does it mean or does it confirm that I have kidney disease?
Not diagnostic: Hi. Low ionized calcium and high PTH (a condition called secondary hyperparathyroidism) is in no way diagnostic of kidney disease. Secondary hyperparathyroidism may be seen in kidney disease. Kidney disease is usually diagnosed by an elevated serum creatinine and sometimes by other things like protein or blood in the urine. There are common non-kidney causes of secondary hyperparathyroidism. ...Read more
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