suffering from chronic kidney disease

Question #10919

239 days ago

325

suffering from chronic kidney disease - #10919

Anuj

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.

Age: 19

Chronic illnesses: CHRONIC KIDNEY DISEASES

300 INR (~3.53 USD)

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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.

239 days ago

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

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

238 days ago

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

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Dr. Alan Reji

I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.

236 days ago

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.

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Dr. Neeraj Agarwal

I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.

238 days ago

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

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

190 days ago

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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