Brief Answer:
He has mild kidney dysfunction

Detailed Answer:
Hi.
I am good and thank you.

I have seen the latest reports of your father. It appears that he has Chronic pyelonephritis, which is the consequence of the past several urinary tract infections. Lobulated and echogenic kidney suggests that he had scars in he kidney with which the locally there is some shrinkage of the kidney leading to lobulations ( irregular outer margins of the kidneys). Creatinine is also elevated suggesting that he has mild kidney dysfunction. Cremaffin cant produce that but cremaffin which has magnesium which is already supposed to get elevated in kidney dysfunction> so you need to stop cremaffin.

Hypertension is the consequence of such scar(s) in the kidney rather than the cause. He requires therapy not only with anti hypertensive drugs but also with sodium bicarbonate therapy.

Being elderly, we should not restrict so many things in diet. Conventional prescription of low protein diet would not be good to them. You can allow him lal vegetarian diet including dhal and avoid non vegetarian diet. He can take all varietis fruits in moderate quantities.

---

Brief Answer:
no

Detailed Answer:
YOu don't need to worry about now. He has to maintain good general health and eat well. Let his all complaints be heard and attended to. let him be under regular follow-up. He must have been seen by some one before from nephrology. Don't worry. Get those test's along with few others at regular intervals.

---