Doctor insights on:
What Is Diffuse Parenchymal Renal Disease
Kidney Disease: "diffuse" means all over the kidney, "parenchymal" means the solid part of the kidney that filters the liquid waste products out of the blood, and "disease" means something is wrong. Typically "diffuse parenchymal disease" means an overall medical problem with the kidney, such as diabetic nephropathy, or post-streptococcal nephritis. In the pediatric world we use this term slightly differently. ...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
Ultra sound scan said I have an altered renal echogenicity suggestive of parenchymal renal disease. What further tests I should do please?
Urine collection: You will need to collect your urine for 24 hours and send that collection, along with blood work to determine your creatinine clearance and protein content of the urine. If you have a protein content of your urine > 150 mg/24 hours, you have an abnormal amount of urine. Depending on the amount of proteinuria, you may need to have further blood tests to determine if the cause of the proteinuria. ...Read more
Ultrasound term: The phrase you stated is commonly seen on kidney ultrasound reports. This indicates only that a chronic process has been going on. You need to see a nephrologist who will do a detailed history, physical, and laboratory exam. Once a diagnosis is attained, your question regarding prognosis (cure) can be addressed. ...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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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