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Doctor insights on: Medication For Parenchymal Kidney Disease

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What is the difference between renal parenchymal disease and chronic kidney disease?

What is the difference between renal parenchymal disease and chronic kidney disease?

Renal parenchymal dz: Renal parenchymal disease is a phrase usually listed in reports from imaging studies, it is an imaging finding. If you truly have an imaging abnormality it does imply having chronic kidney disease (ckd). With only the phrase renal parenchymal disease, we can't guess on what stage of ckd a person has or the cause of the damage. ...Read more

Kidney (Definition)

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


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What pain medications can I take for gout when I have kidney disease?

What pain medications can I take for gout when I have kidney disease?

Prednisone: Prednisone can be taken or the affected joint can be aspirated and injected with cortisone. The ultimate treatment is to take a med to normalize the serum uric acid and prevent future attacks. With significant renal failure, uloric would be my drug of choice. ...Read more

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If I have chronic kidney disease, do I need to take medication as well?

If I have chronic kidney disease, do I need to take medication as well?

CKD medications: With all medical conditions medicine should only be used if absolutely neccesary, since all medicine has some risk of toxicity. In ckd meds can help, especially in more advanced stages or certain complications. Meds may be used for blood pressure control, renal protection, regulation of mineral metabolism, or help with anemia. But some patients can do great with careful diet and exercise alone. ...Read more

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Is it normal to just stop taking your thyroid medication because you have kidney disease?

Is it normal to just stop taking your thyroid medication because you have kidney disease?

No: Hi. No, it's not. You need to talk with your doc and have the reason for stopping your thyroid explained to you, and the plan for moving ahead. Good luck! ...Read more

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Which pain medications are safe to use if I have kidney disease?

Which pain medications are safe to use if I have kidney disease?

Tylenol (acetaminophen): If you have kidney disease, nsaids like alleve and Advil can further worsen your kidney disease or increase your blood pressure. Therefore these medicines should be avoided in patients with ckd. If you have pain, tylenol (acetaminophen) would be your safest option. ...Read more

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Ra leads to a chronic kidney disease, how to prevent that since even medication affects negatively the kidneys?

Ra leads to a chronic kidney disease, how to prevent that since even medication affects negatively the kidneys?

Several ways: Kidney disease in rheumatoid arthritis can be caused by some medications, amyloid deposits and vascular changes. Take care not to take higher than the recommended dose of non-steroidal inflammatory drugs such as Ibuprofen and naproxen, and never take two kinds of nsaids together. Disease modifying and disease altering drugs can prevent complications as well as control of blood pressure, diabetes. ...Read more

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Is there a risk of kidney disease, taking any of the high blood pressure medications?

Is there a risk of kidney disease, taking any  of the high blood pressure medications?

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 more

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What is the best treatment for costochondritis if I cannot take anti-inflammatory medications due to chronic kidney disease?

What is the best treatment for costochondritis if I cannot take anti-inflammatory medications due to chronic kidney disease?

Topical Ice: Initially topical ice is probably the best choice. If after a few days this is not resolving, a doctor with the appropriate training could consider doing a steroid injection in the affected cartilage. ...Read more

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Do you need to be on a special diet if you have stage three kidney disease. And my blood pressure is fine with medication, but I am anemic.

Do you need to be on a special diet if you have stage three kidney disease.  And my blood pressure is fine with medication, but I am anemic.

Low sodium: Low sodium diets are essential to avoiding hypertension and may slow the loss of kidney function. A recent article suggests maintaining a low phosphorous level and there is data from the 1970's to support this. There a phosphorous restricted diet is reasonable as long as you are not already malnourished. Anemia is common with ckd. Check iron levels. Replace with oral or IV iron if low. ...Read more

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Dr. Tarek Naguib
2,382 doctors shared insights

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