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मेरे 81 साल के पिता की क्रिएटिनिन लेवल बढ़ रही है और सूजन भी है, अब आगे क्या करना चाहिए?
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Kidney & Urinary Health
Question #29312
69 days ago
158

मेरे 81 साल के पिता की क्रिएटिनिन लेवल बढ़ रही है और सूजन भी है, अब आगे क्या करना चाहिए?

Client_23fc4d

मेरे पिता, जिनकी उम्र 81 साल है, अस्पताल में भर्ती हैं। उनका क्रिएटिनिन बढ़ रहा है और अब यह 7 है। वह दिल के मरीज भी हैं। सूजन भी है। आगे क्या कदम उठाना चाहिए जबकि उन्हें सांस लेने में तकलीफ जैसी अन्य जटिलताएं नहीं हैं?

How long has he been experiencing these symptoms?:

- More than 6 months

Has he had any recent changes in his diet or fluid intake?:

- Yes, minor changes

What medications is he currently taking?:

- Only prescribed medications

Has he experienced any other symptoms recently?:

- Fatigue or weakness

How is his blood pressure currently managed?:

- Occasionally high or low

Has he had any recent tests done besides creatinine?:

- Yes, recent blood tests

What is the current treatment plan from his doctors?:

- Not informed about the plan
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
68 days ago
5

Hello dear See definitely creatinine levels are high But this itself doesn’t is a concern only You need to have urine analysis and kidney function test to see Urine output Filtering Urea level Sugar Potassium level Please share the below tests for confirmation with urologist Cbc Esr Serum ferritin Serum tsh Serum hb Rft Lft Gfr Serum creatinine Serum bilirubin Hemogram Kidney USG Hopefully you recover soon Regards

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When faced with an elderly patient whose creatinine levels have markedly increased to 7 mg/dL, especially alongside a history of heart disease and the presence of swelling, it requires immediate and careful medical evaluation. This scenario often suggests acute kidney injury or worsening chronic kidney disease, possibly exacerbated by underlying cardiovascular issues. The increased creatinine implies a significant reduction in kidney function, which could result from numerous factors such as dehydration, heart failure exacerbation, nephrotoxic medication, or obstruction. It’s essential to address these potential causes urgently to prevent further deterioration. Swelling, or edema, in the context of heart disease can signify fluid overload due to congestive heart failure, further impairing renal function due to poor cardiac output and kidney perfusion. Immediate management often involves dietary interventions such as sodium and fluid restriction, alongside diuretics to aid in fluid removal. However, caution is needed as overzealous diuresis can worsen kidney function. Close monitoring of his vital signs, kidney function tests, and electrolytes is critical. Adjustment in heart failure medications might be necessary, and it’s vital these are evaluated by the healthcare team taking care of your father. If there is no adequate response to conservative measures or if kidney function continues to decline, temporary dialysis may be considered to manage the acute situation. This decision is complex, given your father’s age and overall health, and should be made by the attending nephrologist or medical team. Additionally, reviewing medications for potential nephrotoxicity and addressing reversible causes can be part of an ongoing evaluation. Given the serious nature of an increased creatinine level compounded by cardiac issues, further investigation possibly including imaging studies, echocardiogram, or referral to a nephrologist for specialized input might be warranted. It’s crucial to communicate openly with your father’s medical team to ensure coordinated care tailored to his specific needs.

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