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Treatment for constant high BLOOD PRESSURE, CREATININE level.

Resolved Question:

Constant high blood pressure and high CREATININE level

CREATININE Level
14th feb 2015 - 4.85mg/dl
17th feb 2015 - 7.39 mg/dl
19th feb 2015 -6.95 mg/dl
20th feb 2015 -7.33 mg/dl

Blood pressure
14th feb - 200/110
15th feb- 179/120
16th feb - 184/122
17th feb -170/110
19th feb- 200/120
20th feb - 130/110
21st feb- 169/118

refer attached relevant tests and their result.
1) Kidney Function tests
2) Chest-x Ray
3) USG KUB
4) CT KUB -PLAIN
5) URINE R/E,ROUTINE
6) HAEMATOLOGY


Please let me know what should be the ideal treatment for kidney condition.

Thanks Regards
Bushra


Category: Nephrologist

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Category: Pediatric Nephrologist
Dr. Sree Bhushan Raju is online now

Expert:  Dr. Sree Bhushan Raju replied 4 Days.

Hello,
Thank you for your consult. I am one of the in-house physicians at DoctorSpring.com.
Please review the doctor's reply :
He has significant kidney damage and requires admission in the hospital for evaluation. He still has kidney size of more than 9 cm each and kidney biopsy should be fine if not done earlier. Giving a clinical decision is not based on few reports alone and any such opinion is not complete and should be avoided . You need to give the complaints, duration of problems , other medical problems and treatment received till date
Feel free to discuss further,
Regards.


Patient replied :

Thank you for prompt reply.
Please refer attached document for patient history and treatment received from hospital.
He was hospitalized and discharged yesterday as doctor is waiting for biopsy report.
Looking forward for your advice on treatment option for current scenario.

Thanks
Regards
Bushra


Expert:  Dr. Sree Bhushan Raju replied 3 Days.

Yes. As the kidney biopsy is already done, we can discuss further once we get the kidney biopsy report
Kindly get back to me with the biopsy report.
Regards.


Patient replied :

Hi Doctror,
RPRF
Aceduated HTN
KIDNEY BIOPSY OVER PHONE BY DOCTOR:
- TMA,HTN Vascular changes
Final biopsy reportcstill awaited
Thanks
Regards
Bushra


Expert:  Dr. Sree Bhushan Raju replied 2 Days.

Hello,
Kindly wait for the whole report.
Once I see I can guide you better.
It will provide information on the size of kidneys, and a lot of other vital information.
So once you have it, I will get back to you.
Regards.


Patient replied :

Hi Doctor ,
Kidney size is already mentioned in CT Scan report which i sent via mail earlier.
Kidney size as per CT Scan
Right Kidney Measures 9.4x4.3 cm
Left Kidney Measures 9.8x4.6 cm
Please refer attached CREATININE AND Other results Analysis.
Doctor recommended immedate dialysis as CREATININE reached to 8.5.
I will surely forward you kidney biopsy report as soon as i get it.Doctor got report on phone and he said Biopsy confirmed that Renal failure was due to high bloop pressure.

Please suggest as Dialysis is to be done tomorrow.
Thanks
Bushra



Expert:  Dr. Sree Bhushan Raju replied 1 Day.

Hi
When the creatinine is 8.5 mg/dl , irrespective of the reason for kidney failure, you require to prepare for the dialysis. There will be several reasons for the same report of Bp leading to kidney failure. You can still ask for the detailed report. The earlier the dialysis the better for the body at this time
Regards


Dr. Sree Bhushan Raju
Category: Pediatric Nephrologist
Experience: 
FISN : Fellowship of Indian Society of Nephrology(ISN), 2012
FIACM : Fellowship of Indian Association of Clinical Medicin(IACM), 2012
FICP: Indian College of Physicians Association of Physicians of India, 2012
Fellowship: DM, DNB, All India Institute of Medical Sciences, New Delhi, 2002
Residency: MD, General Medicine, Nizam's Institute of Medical Sciences, 1998
Medical School: MBBS, Gandhi Medical College, 1994
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