suffering from chronic kidney disease - #10919
Hey ANUJ AGRAWAL this side. I am also one of your followers. Sir, I have a question regarding which I want you to upload a reel. My father has been suffering from CKD for the last 6 months and now dialysis had been started last month. And he is also suffering from diabetes/ hypertension/ anemia/ and even he got brain stroke 2 time in the past 2 years. He has too much anger. On each and every word he shows anger and his BP is continuously showing 180+ all the time we measure. After giving BP tablets 3 times a day. And many more thing from which he is suffering from including bad habits. I am not talking about drinking and smoking. He is out of it. But still diet that he takes is very bad. Can you please suggest something that helps my father to recover fast? I will be waiting for your reply. Thank you sir.
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Doctors’ responses
Hello dear Please be advised See as per clinical history probably your father is having complex metabolic disorders which include triad of diabetes mellitus, hypertension and kidneys disease. The concerned neurologist or cardiologist must have have prescribed proper medications for disease progression I can suggest following tests that are required to be done freshly or if done please share at the earliest Serum LDH Serum troponin Serum cpk ( all types) Fresh angiogram Echo/ ecg Mri skull Ct scan Blood pressure evaluation Hemoglobin and CBC Serum ferritin Lastly, blood sugar both fasting and post prandial along with hbA1C In addition , plesse take following dietary modification Avoid hight fat/ protein diet Consume light food with easily digestible matter like yellow peas,dalia or oats Donot increase salt content of more than 1 gm ,i.e donot add seperately in the food Consume maximum fruits and green vegetables Have vitamin d sachets and multivitamin zincovit therapy regularly Take sachharin or xylitol as artificial sweetener in place of direct sugar Lastly, give the diet in gaps
I hope I have provided the best dietary modification which are required for your father In case if medicine are also required,please contact the neurologist or cardiologist in person after getting above tests done Regards
BP consistently above 180 despite medications is a hypertensive emergency risk it can trigger another stroke or heart failure. Immediately inform his nephrologist or primary physician they may need to adjust his antihypertensive regimen or use IV medications in hospital. Avoid high-salt foods completely (pickles, papad, salted snacks, processed foods). Ensure BP monitoring twice a day, keeping a record for the doctor.
Dialysis timing and fluid removal may need adjustment if high BP is from fluid overload
Your father’s health is very complex, since he has chronic kidney disease on dialysis, diabetes, hypertension, anemia, and past strokes. At this stage, recovery depends on strict specialist care — he must be under the regular supervision of a nephrologist, cardiologist, and neurologist to control BP, dialysis, sugar, and anemia together. Please focus on a renal-friendly diet (low salt, controlled protein, limited potassium & phosphorus as per doctor’s advice), strict BP medicine schedule, and counseling for anger/stress, because proper lifestyle and medical follow-up are the only way to prevent further complications.
Possible reasons why BP is not controlled:
Fluid overload between dialysis sessions
Salt in diet
Missing doses or wrong timing of BP medications
Certain dialysis-related factors (inadequate removal of fluid)
Underlying heart stiffness (LVH) from long-standing hypertension
Book urgent BP control review with his nephrologist or cardiologist — persistent 180+ BP is unsafe
Keep a 1-week BP & sugar log
Ask dialysis team to check if fluid removal is adequate
Request neurology/psychiatry opinion for post-stroke mood changes
Renal dietitian consultation — even one session will change things
Control home environment — no high-salt, high-sugar foods in kitchen
Managing chronic kidney disease (CKD), especially when coupled with multiple comorbidities like diabetes, hypertension, and previous strokes, requires a comprehensive strategy that includes lifestyle adjustments and close coordination with healthcare professionals. Given your father’s current health state, particularly his high and unmanageable blood pressure, this situation warrants careful monitoring. It’s essential for his medication regimen to be closely reviewed by his doctor to ensure the hypertension is controlled effectively. Adjustments might be necessary to his current prescriptions or the introduction of new medications. Dietary modifications are also crucial. A renal-friendly diet should be discussed with a dietitian who can tailor a plan considering his CKD stage, diabetes, and overall nutritional needs. Generally, reducing salt intake is vital, which may help manage his high blood pressure. This should be combined with managing carbohydrate and protein intake appropriately. Keeping his anger and stress levels in check is also minimally important because stress can exacerbate blood pressure issues. Encourage regular, gentle physical activity as tolerated, which also aids in overall cardiovascular health. If he’s resistant to changes, involving a mental health professional might be worthwhile to help him manage emotions and develop healthier habits. His anemia linked to CKD can be managed with erythropoiesis-stimulating agents or iron supplements, depending on specific lab results, but again, all treatments should be directed by a healthcare provider. Finally, consistent follow-up with his healthcare team to monitor his health status and be proactive about his treatment adjustments is paramount. If any acute symptoms or sudden changes in his condition occur, seek immediate medical attention.
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