Kidney Failure - Test results of my Father (in India)

Author

Test results of my Father (in India)

dyno

2004-12-18, 11:08 am

This is a follow-up message to the message posted earlier. The earlier
message could be read at
http://www.he.net/~brumley/renal/pa...ages/15783.html

After much convincing the nurse agreed to share us the diagnostic results of
my Father. Please go through it and say if my Father has reached a safe
level and whether he could continue to lead a life without dialysis. He had
his third dialysis on Dec 18th early morning. The test results after this
are not available till monday. So the results are after his dialysis a day
ago.

****Diagnosis results start****

ECG Normal
Heart rate normal
Chest X-ray normal

Scan results
Kidney: Both kidneys show grade2 increased Parenchymal echo
genicity-correlate
clinically to rule out medical renal disease.

Various results:
Blood Urea:
When admitted - 154 mg/dl
After 2 dialysis - 57 mg/dl
Normal 10 - 50 mg/dl

Cerum Creatinine
When admitted - 6.8 mg/dl
After 2 dialysis - 3.5 mg/dl
Normal 0.9 - 1.4 mg/dl

Leukocytes (white blood cells)
When admitted - 19200 c/cu.mm
After 2 dialysis - 15300 c/cu.mm
Normal 4000 - 11000 c/cu.mm

Sodiuum:
After 2 dialysis - 128 m/Eq/l
Normal 133 - 155 m/Eq/l

Potassium:
After 2 dialysis - 4.1
Normal 3.4 - 5.4

Chloride:
After 2 dialysis - 101
Normal 99-106

Bi-Carbonate:
After 2 dialysis - 13
Normal 24 - 33

Fasting Glucose:
After 2 dialysis - 103
Normal 80 - 110

****Diagnosis results end****

Based on this can we say that if his health is improving? Also is it
possible to control his renal disease with proper diet and medication?

Thanks a lot folks. Every letter you type gives me encouragement. Please
respond.

Thanks
DJ

REP

2004-12-19, 4:07 am

In article <hrmdnb_G5MeCq1ncRVn-iQ@gwi.net>,
"dyno" <cannot-disclose@spam.com> wrote:

> Based on this can we say that if his health is improving? Also is it
> possible to control his renal disease with proper diet and medication?

I am not a doctor, but based on his BUN/creatinine, I'd say no, it is
not possible to manage his kidney failure without dialysis. Proper renal
diet is a big factor during dialysis, but is no substitute. Both renal
diet (proper restrictions in potassium, phosphate, sodium, etc, based on
doctor's recommendations for patient) and dialysis on a regular schedule
are the only way to manage kidney failure without an kidney transplant.

Yes, he was in better shape after dialysis than he was before it.

--
"Did Father shoot him? I will eat Grandfather for dinner."
- Helen Keller, on learning of the death of her grandfather

dyno

2004-12-20, 2:08 am

"REP" <rep@inanna.com> wrote in message
news:32kuu7F3mb7poU1@individual.net...

> it is not possible to manage his kidney failure without dialysis.

Thank you very much REP.

Is dialysis performed always thrice a week or varies from person
to person?

>
> Yes, he was in better shape after dialysis than he was before it.
>

My Dad's scan results show

"Kidney: Both kidneys show grade2 increased Parenchymal echo
genicity-correlate clinically to rule out medical renal disease."

Is this bad? What does these mean?

Thanks
DJ

REP

2004-12-20, 4:07 am

In article <wvCdnVLw-rxqyVvcRVn-tA@gwi.net>,
"dyno" <cannot-disclose@spam.com> wrote:

> "REP" <rep@inanna.com> wrote in message
> news:32kuu7F3mb7poU1@individual.net...
>
>
> Thank you very much REP.
>
> Is dialysis performed always thrice a week or varies from person
> to person?

There are different types of dialysis: hemodialysis; CAPD (continuous
ambulatory peritoneal dialysis); CCPD (continuous cyclic peritoneal
dialysis) and IPD (intermittent peritoneal dialysis). Hemodialysis is
the most common kind, and it is done at hospital or dialysis center,
usually 3 times a week for 3-4 hours each time. CAPD and CCPD are done
at home, and as their names suggest, are done continuously. Which method
is best depends upon the patient, and how much of their own care they
are able (or want) to do.

> My Dad's scan results show
>
> "Kidney: Both kidneys show grade2 increased Parenchymal echo
> genicity-correlate clinically to rule out medical renal disease."
>
> Is this bad? What does these mean?

I'm not a nephrologist or radiologist - just a kidney patient - but I'm
guessing that since increased parenchymal echogenicity is a common
radiological finding in chronic renal diease, they were ruling out
kidney failure due to taking certain medicines (some common drugs can
cause sudden kidney failure) or by a large stone in his kidney, etc.
That's just a guess though; but increased parenchymal echogenicity is
what you'd expect to see in someone with kidney disease. It's not good,
but given his creatinine/BUN/etc numbers, it's not surprising nor is it
especially bad. The results of his blood work are the most clinically
important (as far as I know as a patient).

At this point, since he is already in kidney failure, biopsies and
imaging will just confirm what is already known - he has a kidney
disease that has caused his kidneys to stop working. They took images of
his kidneys to make sure there wasn't a stone blocking his ureters (for
example) and to confirm that his failure is due to long-standing kidney
disease.

--
"Did Father shoot him? I will eat Grandfather for dinner."
- Helen Keller, on learning of the death of her grandfather