Question: My Father is 69 years of age, he was diagnosed with CKD 7 years back, his q creatine is 2.6. His current ultrasound report is as below: The Right kidney measures : 7.9 x 3.2 cms The left kidney measures : 8.6 x 4.0 cms Both kidney shows grade 1 increased cortical parenchymal texture with scarring along margins. The kidneys are normal in location. The corticomedullary differentiation is normal There is no evidence of calculus The central echocomplex don't show any evidence of hydronephrosis No solid or cystic mass lesion is noted No calcification is seen The renal movements are adequate and satisfactory with respiration The psoas shadow are normal No perinephric collection is noted

Thanks Doctor, For last seven years since diagnose of CKD he (father) has been put on very aggressive blood pressure and sugar medication along with daily yoga and walk (4KM) schedule. on average his BP is around 90/140 (with medication) and sugar level of 80-90 fasting and 110-120 PP. Apart from BP and sugar medication on advice of his consulting nephrologist he has started taking sodium bicarbonate tablets and multivitamin with iron supplements from last couple of weeks. For this stage of CKD, can you please recommend on amount of water intake advisable. he is able to pass urine of around 2 ltrs in a day and there is no water retention visibly observed/ no swelling in any part of the body observed. his current water intake is around 2 ltrs in a day. A month back he suffered from urinary track infection which relapsed after 12 days from date of stoppage of antibiotic. currently he is again on antibiotic and doing fine. only concern is that how to avoid again the recurrence or relapse of same. Can he increase water intake by say another half a liter or one liter? without affecting his CKD staus?