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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Uric Acid Borderline, High Urea Level. Foamy Urine, Swollen Ankle And Knee. Had Slip Disc. Medicine?

My wife 47 year old with createnine ranging from 2-8---2.4--2.2--2---2.4 in last six months. recent check up uric acid is in border line urea getting higher at 62. take regular medicine for calcium , selcal os, renhold, febutus, high pressuremedicine tezloc 40 am. urine is foamy. last two days her ankle and knee of left leg is swealing. She had earlier slip disk problem. left knee join cant move forward and backward. What sort of test and medicine should be taken. already started taking neurobion injection. after one inj not relieved
Thu, 22 Nov 2012
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General & Family Physician,  's  Response
Dear Concerned.,

Thanks for writing to us.

Let us analyse each of the reports.,

(A)The uric acid is in border line therefore the Gouty Arthritic problem is ruled out.But refrain from Alcohol and high Protein Diet (Boiled Veggies are good for her)as the uric acid may raise if they are not stopped.Colchicine and allopurinol need not be started at this juncture .

(B)Serum Urea and Creatinine are definitely high indicating Target Organ Damage due to uncontrolled HT/Hypertensive Nephropathy.Foamy Urine is mentioned but no report of Albuminuria? It could be due to Albuminuria.The ankle and knee swelling are due to pitting type of Pedal Oedema.

(C)For PIVD(Prolapsed InterVertebral Disc), Consult a Physiotherapist for SWD and Traction//Usual preventive measures like not bending ,not squatting/using hard bed rest/Lumbosacral belt/not lifting weights have to be followed.

Pls consult a Physician and Cardiologist/Nephrologist for assesment of Cardiac Status// Kidney Status//any change in class of medications required.

Wishing you a speedy recovery.,

Best Regards.,

Dr Lt Cdr ASN Bhushan.
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Uric Acid Borderline, High Urea Level. Foamy Urine, Swollen Ankle And Knee. Had Slip Disc. Medicine?

Dear Concerned., Thanks for writing to us. Let us analyse each of the reports., (A)The uric acid is in border line therefore the Gouty Arthritic problem is ruled out.But refrain from Alcohol and high Protein Diet (Boiled Veggies are good for her)as the uric acid may raise if they are not stopped.Colchicine and allopurinol need not be started at this juncture . (B)Serum Urea and Creatinine are definitely high indicating Target Organ Damage due to uncontrolled HT/Hypertensive Nephropathy.Foamy Urine is mentioned but no report of Albuminuria? It could be due to Albuminuria.The ankle and knee swelling are due to pitting type of Pedal Oedema. (C)For PIVD(Prolapsed InterVertebral Disc), Consult a Physiotherapist for SWD and Traction//Usual preventive measures like not bending ,not squatting/using hard bed rest/Lumbosacral belt/not lifting weights have to be followed. Pls consult a Physician and Cardiologist/Nephrologist for assesment of Cardiac Status// Kidney Status//any change in class of medications required. Wishing you a speedy recovery., Best Regards., Dr Lt Cdr ASN Bhushan.