Chronic kidney disease : elevated Creatinine and BUN

[Cerberus]

Aslam o Alikum.
how are you doing guys.
Disclaimer: I am sharing it here because we have very good doctors on forum, I have seen past threads on kidney diseases (as its common here in Pakistan) so god forbid if any member or his relative going through this, i wanna know treatment options, management methods and any help

My Mom is recently diagnosed with Chronic Kidney disease. She is having blood pressure issue for many years (15-20) and diabetes type 2 for 3 year and is 50 year of age. Her sugar is managed though (100-130mg)
Her latest Cardiologist, on seeing very high Blood Pressure and other symptoms, advised Renal function test, Ultrasound, Urine analysis. it was performed this sunday 26-02-2017
RFT results
Creatinine : 3.2mgdl (0.8-1.1)
BUN 120 (0-50)
Ultrasound results
relatively shrunken right kidney and slightly shrunken left kidney
Urine analysis:
protein ++, rbc, hemoglobin++, rbc 20-25
On seeing these results Echo Cardiography was performed a day after which gave good results Alhamdulillah.
another RFT was performed on 01-03-2017, creatinine was stable at 3.2 and BUN reduced to 107 from 120. (she was given ciprofloxacin for 3 days)
Now doctor is saying that just avoid high protein, potassium foods for now and see how it goes, then we will decide next step. or if Nephrologist is needed.

As I said earlier, God forbid if you or your relatives going through kidney disease, what treatment option you picked and results it gave, also other management strategies that gave good results.
Anyone opted for homeopathy, as I have heard its possible to revert in homeopathy if a good homeopath is opted.
Found out chinese micro medicine osmotherapy is fake (which is top result in google when searching kidney diseases)

Your advise suggestion will be really really appreciated.
JazakAllah

 

[Yasir Nadeem]

tagging [MENTION=695]haroonshaikh[/MENTION]

 

[haroonshaikh]

The kidneys have been damaged due to chronic increase in blood pressure and diabetes. It is NOT possible to revert the damage but we can definitely prevent further injury by optimizing her blood pressure and sugar control. At serum creatinine of 3.2, many patients would remain stable and would not require dialysis. Only when Serum creatinine continues to rise then a dialysis might be needed.
You need to stay in touch with a nephrologist who monitors your mum's kidney function. And i hope that she would remain stable at these levels without dialysis.

Things your mum should avoid include all those medications which cause kidney damage. There is a huge list but majority of PAIN KILLERS including Voren is very toxic to already damaged kidneys. Always consult your nephrologist before starting any new medication. And always always avoid all sorts of homepathic medications. They are only going to make matters worse. Trust me.

 

[Cerberus]

@haroonshaikh thanks a lot . I will be making appointment with a nephrologist ASAP them. and avoid all sort of medics we usually take like panadol etc without doctor's opinion.
its a good relief knowing disease is not much worse. I was planning to either visit SIUT or Bahria Town Hospital as I have heard good about them in nephrology.
Should she take water as usual or reduce/increase its limit (I read over internet that in ckd water is limited to urine output).

 

[azaabkhan]

Assalam o Alaikum,

Brother, tell her to eat Kalonji (Black seeds) with water

Salim Bin Abdullah narrates with reference to his father Hazrat Abdullah Bin Omar that Rasool Allah (Pbuh) said, “Let fall these black seeds upon you, these contain cure for all diseases except death.”

The western medicine, antibiotics such as Ciprofloxacin create more diseases rather than fixing the problem. Cipro will destroy the microbiome of intestines which in result will make diabetes and kidney problems more severe.

Please, I beg you to stick to herbal approach, tell her to eat leafy green vegetables, do not give oily, fast food, hard to digest meals to your beloved mother.

More options to explore:
- Multi-vitamins
- Vegetable/fruit juices
- Hijama
- Spine massage (especially the kidney area) with Olive oil
- Increase water intake.

There is CURE present for every disease in NATURE.

 

[Cerberus]

[MENTION=134607]azaabkhan[/MENTION] thanks a lot brother for your suggestions
Kalonji is no doubt a cure for all disease.
Cipro was given only for 3 days twice a day.
Regarding leafy vegs, most are rich in potassium which in turn not good for damaged kidneys

 

[cobby]

Should a person also avoid certain multi vitamin . If then which one ?

The kidneys have been damaged due to chronic increase in blood pressure and diabetes. It is NOT possible to revert the damage but we can definitely prevent further injury by optimizing her blood pressure and sugar control. At serum creatinine of 3.2, many patients would remain stable and would not require dialysis. Only when Serum creatinine continues to rise then a dialysis might be needed.
You need to stay in touch with a nephrologist who monitors your mum's kidney function. And i hope that she would remain stable at these levels without dialysis.

Things your mum should avoid include all those medications which cause kidney damage. There is a huge list but majority of PAIN KILLERS including Voren is very toxic to already damaged kidneys. Always consult your nephrologist before starting any new medication. And always always avoid all sorts of homepathic medications. They are only going to make matters worse. Trust me.

 

[NaNoW]

@azaabkhan thanks a lot brother for your suggestions
Kalonji is no doubt a cure for all disease.
Cipro was given only for 3 days twice a day.
Regarding leafy vegs, most are rich in potassium which in turn not good for damaged kidneys

I am not a doctor, nor in any position to say this; but please do NOT fall in the "western medicine is harmful" and blah blah trap. If there is a medicine which the doctor has recommended, use it.

Read : There is no scientific case for homeopathy: the debate is over | Edzard Ernst | Opinion | The Guardian

fter 200 years of fruitless discussion, we finally have, in the Australian evaluation, a comprehensive, transparent and evidence-based review from a panel of experts who are competent and free of conflicts of interest as well as a government that is determined to abide by the advice thus generated

Herbal medicine and Homeopathy both are "shots in the dark", you can try them, but please you cant be dependent on them. No hard proven real science behind alot of it.

You area smart guy, so please read medical research papers online from verifiable sources.

I pray for her recovery.

 

[Cerberus]

[MENTION=4177]NaNoW[/MENTION] thank you for the kind words. Yes I will be opting for allopathy and have got appointment from Nephrologist today. Going there in half hour. I hope condition is reversible and manageable.
Yes bro, Since her diagnosis, I am going through lot of articles and went through this one as well today, and excluded many hoax medical methods claimed positive on internet.
Thanks for prayers Ameen

 

[Yasir Nadeem]

Hope Allah grants your mother a speedy recovery . (Aameen)

 

[Cerberus]

[MENTION=695]haroonshaikh[/MENTION]
We visited nephrologist. He said renal functionality is 30%. and has prescribed ace inhibitors along with meds for kidneys. BCAA-REN powder and Calcium Acetate tabs

 

[haroonshaikh]

That's all right. She just needs to maintain and normalize her blood pressure and blood sugars. Ace Inhibitors will keep the blood pressure in check. Hopefully she would stay well and would not require dialyses. However, Do repeat serum UCE ( Urea, creatinine, electrolytes) on monthly basis.

 

[KDKHAN]

@Cerberus :

I am not a doctor neither got any personal experience hence cannot suggest anything. However I pray for early recovery and good health of your mother.

What you are doing and how much concerned you are is indeed appreciable. This is what you need to keep up. Dont look worried to her and dont scare her of medical reports. Tell her there is nothing to be worried about and that she will be fine. Keep her happy and free from tensions.

 

[nafu]

I can only pray if not advise. May ALLAH Grant her a good recovering and health.

 

[Cerberus]

thank you [MENTION=26562]KDKHAN[/MENTION] and [MENTION=21647]nafu[/MENTION] bhai
Prayers are the first remedy so they are of course needed.

 

[Vigo]

don,t worry bro we will keep your mother in our prayers.
inshAllah she will be all right soon

 

[lifeinabucket]

Assalam o Alaikum,

Brother, tell her to eat Kalonji (Black seeds) with water

Salim Bin Abdullah narrates with reference to his father Hazrat Abdullah Bin Omar that Rasool Allah (Pbuh) said, “Let fall these black seeds upon you, these contain cure for all diseases except death.”

The western medicine, antibiotics such as Ciprofloxacin create more diseases rather than fixing the problem. Cipro will destroy the microbiome of intestines which in result will make diabetes and kidney problems more severe.

Please, I beg you to stick to herbal approach, tell her to eat leafy green vegetables, do not give oily, fast food, hard to digest meals to your beloved mother.

More options to explore:
- Multi-vitamins
- Vegetable/fruit juices
- Hijama
- Spine massage (especially the kidney area) with Olive oil
- Increase water intake.

There is CURE present for every disease in NATURE.

I suggest you don't at least mislead people who can get benefit from Western Medicine.

I totally agree with you, that there is "Natural Cure" for everything as is enjoined in the Quran. However, we simply may not have discovered that "Natural Cure" and antibiotics are an alternative.

Do you know the world's first antibiotic was "Penicillin" which was actually discovered from the fungus "Penicillium" which is also "Found in Nature"

Most antibiotics are based on the 'NATURAL ELEMENTS OF WHICH THEY ARE 100"

Did you know "Ciprofloaxcin" is made of "Carbon and Fluorine" which is "Naturally occurring elements".

Of course these medicines have their side effects.

Have you ever eaten a chocolate cake? Delicious isn't it? But what if you ate 5 cakes over 5 days? Your body's metabolism will be disturbed even though cake is made of natural ingredients.

Medicine in appropriate amounts is beneficial if there is a certain condition. And most medicines are made of natural things. But as all natural things, overdoing them has side effects.

Just thought I'd let you know that when you offer blanket statements as "Western Trap" remember that all the "Trap is made from essentially naturally occurring fungi, mushrooms, bacteria and 100 basic elements of life".

Think before you offer advice.

 

[lifeinabucket]

[MENTION=26661]Cerberus[/MENTION]

I am sorry to hear about your mother.

Diabetes and Hypertension both take their toll on the kidney. You should get BUN and Creatinine every month.

ACE inhibitors should be started at the first sign of microscopic protein in the urine and it is Renoprotective that is these medicines protect the kidney from excessive filtration injury.

The only side effect you should be looking at are two.

Sometimes ACE inhibitor can cause cough. Just hope it doesn't happen to your mother inshAllah because ideally she needs ACE inhibitors indefinitely.

Also second is they lower potassium levels. I suggest that you do monthly serum electrolytes as well, since your mother is already avoiding potassium diet. Too low potassium can suddenly stop the heart.

Beyond that, feel free to ask any questions. I am certified by the Medical Council of Canada, and can help you extensively in this regard.

My prayers are with you.

 

[Fluorescent]

Very surprised your mother was never put on ACEIs prior to her seeing a nephrologist. The 30% functionality seems accurate considering creatinine is insensitively linked to kidney function and starts climbing only once a substantial amount of kidney function has already been lost.

Its crucial for her to be in regular touch with her nephrologist, even if her creatinine stabilizes. The objective is prevention. At this point in time, its reasonable to state she can avoid serious complications so long as she remains vigilant about her health. If she finds it difficult, be her aid. Skipping appointments, cheating on dietary restrictions etc shouldn't be acceptable.

 

[Fluorescent]

I'm feeling incensed. I'm ashamed to say this, but there is an incredibly large number of incompetent doctors in our country. If I have understood you correctly, its incomprehensible her creatinine was already 3.2 by the time someone decided to check her RFTs, a test that should've been run regularly considering her age and her comborbids. I strongly suggest you find a foreign trained nephrologist who has moved somewhat recently back to Pakistan. Sadly, this is pretty much the only way you can ensure finding yourself a competent doctor.

If shes hypertensive and has recently become a diabetic, there are a bunch of other preventative measures she needs to institute, such as regular eye exam (she should have had her first the second she was diagnosed of diabetes, but I'm guessing this isn't the case. FIND HER A GOOD DOCTOR.