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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hypertension, Taking Antibiotic. Done Kidney Biopsy. Low Cost Treatment?

I am Bangladeshi marrid femail & 40 years old and Wt. 95 kg.3 children.I am suffering from Hypertention-(160 by110) Albumin & RBC in urin +++ On 1st time urin exam & Createnin-1.00 before 5 month.then I consult one nephrologist Dr.Prescribe one antibiotic ,Anti Hypertensive & anti cholestoral drug and advise early Kidney biopsy .then consult another Professor of nephrologist.other Verious Blood and urin exam then he advise continue the same drug and control Wt. 75kg.after two month if Blood&Urin exam report is same then biopsy must.Now Wt.84kg.Last 06.09.12 Urin exam report is ACR- 5.1,Albumin(+)&RBC 2-4/HPF. BP .(150 By 100).Please advise low expensive better treatment.
Mon, 8 Oct 2012
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  User's Response
HELLO..

Thanks for writing us..

Your hypertension may be secondary to glomerulonephritis( kidney disease) which is treated by specific
drugs and sometimes on treatment B.P returns to normal also.

Therefore i think you should undergo Kidney biopsy, control your B.P to less than 130/80 by ACE inhibitor/ ARBs( kidney protective).

Reduce your weight to maintain BMI around 22-24, continue anti cholesterol to maintain LDL
Good luck
I find this answer helpful
Cardiologist,  Dr. Anantharamakrishnan's  Response
Hi
Your BP is not well controlled till now.
you MUST be followed up by NEPHROLOGIST (Kidney Specialist) only
You should not take risk aiming for less expense - if the cost is the consideration, look out for Government or Charity institutions - there are many in India and Bangladesh and they are doing good work indeed. You will have to search out.
All the best
Good luck

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Hypertension, Taking Antibiotic. Done Kidney Biopsy. Low Cost Treatment?

HELLO.. Thanks for writing us.. Your hypertension may be secondary to glomerulonephritis( kidney disease) which is treated by specific drugs and sometimes on treatment B.P returns to normal also. Therefore i think you should undergo Kidney biopsy, control your B.P to less than 130/80 by ACE inhibitor/ ARBs( kidney protective). Reduce your weight to maintain BMI around 22-24, continue anti cholesterol to maintain LDL Good luck