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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Treatment Other Than Dialysis Can Be Given To A Diabetic With Depression For Elevated Creatinine Levels ?

my father critinine 7.5 urea100 hg 9.1 my father also is depressive patient i can not transfer hem to hospital to make dialysis and his condition is become more worse with time now he can not go alone to w.c and his legs muscle almost disappears and he can not sleep without valinil tab and take (methyl dopa 500 tab-diletrol 25 tab)for hypertention and insulin for diabetic and his blood presure around 140/90 and blood suger 120 random i need you advice thanks
Mon, 30 Apr 2012
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Addiction Medicine Specialist,  's  Response
Based on the few numbers you've given, his diabetes seems relatively well controlled, but this is hard to say since I only have one random sugar to make that judgement. His blood pressure also is not very bad. However, he clearly has kidney failure and must get dialysis if he is to survive. Peritoneal dialysis may be an option for you. This kind of dialysis can be done at home. First he must have a catheter placed in the abdomen to use for the dialysis. I also assume the hg 9.1 is his hemoglobin, which is low. This is common with kidney failure. He may benefit from iron supplementation.
He should already be seeing a kidney specialist. If not, please have him see one to discuss peritoneal dialysis at home, iron infusion (and ongoing supplements), as well as safe medications that can be used in kidney failure patients to treat depression. Fluoxetine may be a good option for him to help with the mood. However starting dialysis and eliminating toxins may also help improve the depression. Good luck.
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Oncologist,  Dr. dr. Jawahar Ticku's  Response
Your father is a case of end stage renal faliure. Dialysis is a must for him. If he is not dialised he will go into uraemic Coma. In this the patient breathes his last very peacefully.
Control of hpertension and diabetes comes next to dialysis. if no dialysis is done the drugs he is taking will not be excreted and their level in blood will increase and they will cause further deterioration to your fathers health. He can use valini tab. for sleep but without dialysis the dose has to be less than half.
Ideal for him would be Renal Transplant if not otherwise contraindicated.
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Emergency Medicine Specialist,  Dr. Kavitha Anoop's  Response
DEAR ELSECRAN ,

HI I AM DR.KAVITHA. I WOULD LIKE TO HELP YOU. YOUR FATHER IS IN CHRONIC RENAL FAILURE AS YOU ALREADY KNOW AND HE NEEDS REGULAR DIALYSIS.
IF YOU CANT TAKE HIM FOR IT YOU MUST CONSIDER THE OPTION OF CAPD(CONTINUOUS AMBULATORY PERITONEAL DIALYSIS).YOUR NEPHROLOGIST CAN GUIDE YOU IN DETAIL ABOUT IT AND GET YOU IN TOUCH WITH THE PEOPLE WHO WILL HELP YOU SET IT UP AT HOME.
YOUR FATHER NEEDS A REGULAR PROTEIN RICH DIET ,CALCIUM,IRON AND VITAMIN D3 SUPPLEMENTS,WEEKLY INJECTION OF ERYTHROPOETIN AND MAYBE A MILD ANTIDEPRESSANT TO HELP HIM COPE WITH HIS ILLNESSS.
MUSCLE WASTING IS A SIGN OF SEVERE MALNUTRITION.
FOR GOOD SLEEP HE WILL NEED TO GET LITTLE BIT OF EXERCISE DAILY EVEN IF IT IS FOR A FEW MINUTES.HIS BLOOD PRESSURE AND DIABETESSEEMS TO BE IN GOOD CONTROL SO CONTINUE WHATEVER YOU ARE DOING NOW
GIVE HIM LOTS OF HUGS AND A CHEERFUL ATMOSPHERE AT HOME SOTHAT HE CAN GET THROUGH EACH DAY. YOU ALSO MUST TAKE CARE OF YOURSELF AND TAKE ALL THE HELP YOU CAN GET IN LOOKING AFTER HIMBECAUSE IT IS NOT A EASY THING TO DO. PRAYING FOR BOTH OF YOU .
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What Treatment Other Than Dialysis Can Be Given To A Diabetic With Depression For Elevated Creatinine Levels ?

Based on the few numbers you ve given, his diabetes seems relatively well controlled, but this is hard to say since I only have one random sugar to make that judgement. His blood pressure also is not very bad. However, he clearly has kidney failure and must get dialysis if he is to survive. Peritoneal dialysis may be an option for you. This kind of dialysis can be done at home. First he must have a catheter placed in the abdomen to use for the dialysis. I also assume the hg 9.1 is his hemoglobin, which is low. This is common with kidney failure. He may benefit from iron supplementation. He should already be seeing a kidney specialist. If not, please have him see one to discuss peritoneal dialysis at home, iron infusion (and ongoing supplements), as well as safe medications that can be used in kidney failure patients to treat depression. Fluoxetine may be a good option for him to help with the mood. However starting dialysis and eliminating toxins may also help improve the depression. Good luck.