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Suggest Treatment For Arthritis And Increase In ESR Count
Question: 61 years old man complained from arthritis ,malaise , loss of weight and lab were persistent increase ESR,CRP normal protein electrophoresis except alpha ,normal CT but area of consolidation treated by many AB , he was neg PCR for TB , also normal abdominal ct and ultrasound but small renal cyst benign , he receive many many treatement and sudden incresse in kidney function were 5 for creatinine and 80 for urea lastly 0 mg
One alpha
Plavix
Neutomax
Concor 2.5 , steroid 10 mg and he was asymptomless now what can he do now
One alpha
Plavix
Neutomax
Concor 2.5 , steroid 10 mg and he was asymptomless now what can he do now
Brief Answer:
Please upload more information and rest of the reports
Detailed Answer:
Hello
I appreciate your concern
Looking at your description and reports this could be a case of kidney disease with polycythemia.
I would like further information to help you better
Relevant medical history like diabetes or kidney disease in past
Any complaints of bleeding in urine
I would advise you to get a urine test for microscopy as well as culture.
Please upload me rest of the reports, this will help me to reach at a conclusive diagnosis
In my opinion you should immediately consult a urologist as earliest possible.
Please revert back to me with my answers , I will definitely help you in best possible way.
Best wishes
Please upload more information and rest of the reports
Detailed Answer:
Hello
I appreciate your concern
Looking at your description and reports this could be a case of kidney disease with polycythemia.
I would like further information to help you better
Relevant medical history like diabetes or kidney disease in past
Any complaints of bleeding in urine
I would advise you to get a urine test for microscopy as well as culture.
Please upload me rest of the reports, this will help me to reach at a conclusive diagnosis
In my opinion you should immediately consult a urologist as earliest possible.
Please revert back to me with my answers , I will definitely help you in best possible way.
Best wishes
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
He had heamaturia two times but now totally improved my concern is whatis after he also was aniemic 9 lfour month ago as he recieve blood transfusion once , he is now he gain weight although smoker too and return back to his work but lab is still bad result Many thanks sir
Brief Answer:
You should see a nephrolgist immediately
Detailed Answer:
Hello
Thanks for your reply
This can be caused by obstructive nephropathy or connective tissue disease like gout or an auto immune disease.
I would advise you for serum uric acid and barium study of urogenital tract.
Ask him to quit smoking.
Here I would like to know number of cigarettes he smokes a day and since how long?
Elevated Blood urea and creatinine is a matter of concern this could be dangerous if not treated in time.
It also warrants physical examination, so in my opinion you should immediately see a nephrologist as earliest.
Thanks for your question
best wishes
You should see a nephrolgist immediately
Detailed Answer:
Hello
Thanks for your reply
This can be caused by obstructive nephropathy or connective tissue disease like gout or an auto immune disease.
I would advise you for serum uric acid and barium study of urogenital tract.
Ask him to quit smoking.
Here I would like to know number of cigarettes he smokes a day and since how long?
Elevated Blood urea and creatinine is a matter of concern this could be dangerous if not treated in time.
It also warrants physical examination, so in my opinion you should immediately see a nephrologist as earliest.
Thanks for your question
best wishes
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Above answer was peer-reviewed by :
Dr. Shanthi.E
Answered by
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