What Do These Routine Checkup Reports Indicate?

Posted on Thu, 27 Aug 2015

Question: Hello,
Hope you are doing good.
This XXXXX, I have been following-up for my father.Hope you should be able to access the previous records to have quick recap.

As per your suggestion, we did routine checkup after 6 months.Please find the reports attached.Kindly suggest.

one of the report says bilateral kindneys show grade -11 echotexture with lobular margin.not sure what that means.is there anything to worry?

Answered by Dr. Rakesh Madhyastha (2 hours later)

Brief Answer:
Progression of kidney disease

Detailed Answer:
Hello

Thanks for the query

Thank you for attaching the reports, I have gone through the reports you have attached and also the previous ones. From the reports there are some improvements like the Hemoglobin has improved and also the sugar is under good control. However the Serum creatinine has progressed.

Here is what you should do

1. make sure he is exercising daily, for atleast 30 min
2. Avoid red meat
3. Avoid fruit juices and tender coconut water.
4. Make sure his blood pressure is under good control
5. He should be on ACE/ARB. If you give me the list of tablets he is on, I can tell you if he is already on it

You do not have to woeey about the change in the echotexture. It only means that he might be having mild form of kidney disease

I hope I was of help, if you have any further queries please get back to me

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rakesh Madhyastha (13 minutes later)

Hello Sir,

Thanks much.
My father is using the below medicine currently.
And also we did threadmill,echo,ECG like all cardiac tests done and says normal.

Supermet xl-50
Telma 40
Atorva 10
Aplrax 0.25

So can we repeat the same tests after six months?or Should we do anything before that?

Thanks.

Answered by Dr. Rakesh Madhyastha (7 minutes later)

Brief Answer:
Once in three months

Detailed Answer:
Hello

Thanks for getting back. He is on tab telma which is a wonderful drug and helps protect the kidneys. No further test is required at the moment. But since there is a mild renal impairment please repeat renal function test once in 3 months

Regards

Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar