suffering from chronic kidney disease - #10919

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

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