Hello doctor, My father is suffering from CKD for the past one year. His creatinine level is 11.05, urea is 144 and uric acid is 5.10. He has no swelling or breathlessness, but his phosphorus content is high 5.80. We have not started the dialysis at the moment. Could you please guide the right way of treatment? He is on Insulin, but his fasting sugar is 59 and hemoglobin is 8.90 at the moment. Urine output is equal to input. His current medicines are these Minipress 0.25 mg, Moxovas, Zyloric and Arkamin. He is having constipation problem. I have attached his reports for your reference. Please help.
Hi. After seeing all the details and your father's reports (attachment removed to protect patient identity). I would like to ask few questions. Iron profile, ferritin and iPTH. Chronic kidney disease (CKD) or end-stage renal disease (ESRD) due to possible diabetic nephropathy. 1. Continue your previous medications along with the tablet Revlamer 400 mg one tablet twice daily with meals. 2. Take Lactifiber two scoops at night. Avoid all sorts of painkillers and alternative medicines containing heavy metals. Revert back after the investigations to a nephrologist online.--->