إسأل Nutritionist الآن
Dr. Doaa Hajeen
Nutritionist
الأسئلة المجابة 38055 | نسبة الرضا 97.8%
Nutritionist
Welcome! How can I help with your medical...
Welcome! How can I help with your medical question?
My mother is 62 years old. She is diabetic and takes medicines for blood pressure. She had an acute kidneys failure in March 2018 where her Creatinine went up from 1.00 to 6.7. Then after a hospital care and some medicines she took the Creatinine started to decline gradually until it reached 3.00 in May 2018. It starts to rise again to 4.00 then now reached 5.20.
Her current numbers are as follows: Creatinine: 5.20. Sodium (na): 136. Potassium (ka): 4.74. Uric Acid: 7.10. Urea: 55.
Please advise why the Creatinine would increase again while the rest of the numbers like Urea etc are better? Also, what is the best treatment and is dialysis required in her case now?
Thanks in advance for your prompt response
What is the reason of the high Creatinine? Is she recommended for dialysis at this stage? If yes, will it be forever or maybe one or two times then her blood would purified and cleared then she won't need dialysis again? If not dialysis, what could ne an alternative treatment please that won't be as exhausting as dialysis?
Have you seen a doctor about this yet? What medications are you taking?
Yes and she has bern taking some medicines like Livit, Sodium Carbonates, Trajenta, Diamacron, Norvasc.
Anything else in your medical history you think the doctor should know?
She was taking Glucofans and some other times Glucofash for her diabetes.
إطرح سؤالك
إجابة الخبير: Dr. Hussam Salem
Dr. Hussam Salem
Licensed Doctor
الأسئلة المجابة 13806 | نسبة الرضا 98.7%
Dear Customer
Welcome, and thank you for trusting us.
How to treat chronic renal failure
- A high creatinine rate or a decrease in the total filtration rate of less than 60 ml / min for 3 consecutive months
- In this case, you should first control the high pressure in the appropriate medication according to the rate of albumin in the blood with the aim of making it less than 130/80 and the albumin rate is less than 0.5 g / L
- Control of diabetes is also one of the most important steps to not progress the situation through drugs or insulin and diet and regular sports to achieve a rate of HB1AC less than 7
- Infection should also be prevented
- The rate of albumin should be determined in urine
- Anemia must be controlled and the target should reach a higher hemoglobin than 12
- The control of high cholesterol in the case of higher than 200 must be given statin drugs
One of the most important reasons of the dialysis
- Acute reduction in kidney filtration rate less than 30 ml / min
- Or a 30 percent decrease in the filter rate over four consecutive months
- The high potassium level is higher than 5.5 mmol / L and no treatment reponse
- High pressure and inability to control
One of the most important reasons for the development of kidney disease and high creatinine rate
- diabetic
- Chronic hypertension
- Obstruction of urinary tract and kidney stones
- others
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Kind Regards
الرد من العميل
Thank you so much Dr. Hussam. Her blood pressure and diabetes is not high at all and she has been very cautious with her eating habits. Also, her urine out is normal vs the liquids she drinks per day and there are no stones on the kidneys. Still dialysis is required at the current stage?
إجابة الخبير: Dr. Hussam Salem
Dr. Hussam Salem
Licensed Doctor
الأسئلة المجابة 13806 | نسبة الرضا 98.7%
Dear customer
We are at your service
Currently, monitoring and follow-up should be done with treatments and away from kidney toxins
And follow-up through analysis
And you do not need at this stage for kidney dialysis
I hope that your mother's safety and good health
kinds
We are at your service
Currently, monitoring and follow-up should be done with treatments and away from kidney toxins
And follow-up through analysis
And you do not need at this stage for kidney dialysis
I hope that your mother's safety and good health
kinds
الرد من العميل
Thank you very much again Dr. Hussam for your prompt response. Do you think I should take her to a certain Nutritionist who knows about kindeys what to eat amd do not eat plus her diabetic and blood pressure case? If yes, do ypu recommend any destinations or mames please?
إجابة الخبير: Dr. Doaa Hajeen
Dr. Doaa Hajeen
Nutritionist
الأسئلة المجابة 38055 | نسبة الرضا 97.9%
Dear customer
We are at your service
nutrition Depends on the type and severity of kidney problems you are experiencing, anyway, you need to limit :
kinds regards
We are at your service
nutrition Depends on the type and severity of kidney problems you are experiencing, anyway, you need to limit :
- foods high in potassium and phosphorus since these minerals can build up in the blood when the kidneys are not functioning properly.
- avoid salt substitutes that might be high in potassium and limit foods that are potassium-rich, these include milk, yogurt, avocados, bananas and many other fruits and vegetables, nuts, seeds and beans.
- avoid foods high in phosphorus include most soft drinks, dairy products, nuts, liver and beans
- avoid processed and fast foods which are often high in salt, sugar and unhealthy fats, this includes snack foods like chips, crackers and cookies as well as prepackaged frozen meals, canned soups and other convenience foods
nutrition tips for high glucose
- do regular exercise to help you lose weight and increase insulin sensitivity
- Reduce carbohydrate intake to help with blood sugar control such as bread, pasta, cereal, corn and other grains, Juice, soda, punch, sweetened tea, beer, Desserts, baked goods, candy, ice cream
- Eat plenty of fiber to help with blood sugar control, and soluble dietary fiber is the most effective, such as whole-grain oats such as barley, black beans, lentils, raspberries, apples, sweet potatoes
kinds regards
الرد من العميل
Many thanks. Really appreciated.
إجابة الخبير: Dr. Doaa Hajeen
Dr. Doaa Hajeen
Nutritionist
الأسئلة المجابة 38055 | نسبة الرضا 97.8%
you are welcome
إسأل Nutritionist
Dr. Doaa Hajeen
Nutritionist
الأسئلة المجابة 38055 | نسبة الرضا 97.8%
- 100% ضمان الرضا
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