Effective Medicines For Proteinuria: What Works Best? Episode 77 | AwaisZaka.com
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- Опубліковано 10 лип 2024
- Discover the best medications for managing proteinuria in this informative session with Dr. Awais Zaka. Learn what protein levels in urine are normal, how much reduction is achievable, and which medicines can effectively control proteinuria.
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If this video helps you better understand how to manage proteinuria, please like, subscribe, and comment. Share your experiences or questions below to join the conversation.
Chapters:
00:00 - Introduction to Proteinuria and Its Impact on Kidney Health
02:00 - What are Proteinuria and Normal Protein Levels
04:00 - Target Levels for Proteinuria Reduction
06:00 - Overview of Medications for Proteinuria
08:00 - Detailed Discussion on Effective Medicines
12:00 - Lifestyle Changes to Complement Medication
14:00 - Conclusion: Optimizing Treatment for Proteinuria
This video is about Effective Medicines For Proteinuria: What Works Best? Episode 77. But It also covers the following topics:
Protein Levels In Urine
Kidney Disease Drug Guide
Treating Proteinuria
Video Title: Effective Medicines For Proteinuria: What Works Best? Episode 77 | AwaisZaka.com
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✅ About Kidneyblogs by Dr. Awais Zaka, MD.
I am a nephrologist and kidney doctor who believes that the best tool to reduce the burden of kidney disease globally is not medication, lab tests, or even genetics research. Instead, knowledge of kidney disease can best protect our kidneys.
This channel is part of the kidney disease awareness project I have worked on for years. It started with long conversations with kidney patients in the office and hospital. During these conversations, I was perplexed to see patients’ lack of knowledge about their kidney disease.
To fill this gap, I developed a blog for kidney disease patients, “Kidneyblogs.com,” where patients could find the correct information-and access a nephrologist for kidney-related questions. But then, I realized that not all Urdu- and Hindi-speaking patients could read English, and many preferred listening. This revelation led to the formation of the UA-cam channel you will explore.
Thank you for watching my channel.
For Collaboration and Business inquiries, please use the contact information below:
📩 Email: consult@awaiszaka.com
🔔Worried about kidney health? Subscribe for exclusive updates and revolutionary kidney health tips - Discover now how knowledge can be your best medicine!
/ @kidneyblogs
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#proteinuria #kidneydisease #ckd #nephrology #kidneyhealth #medication
⚠️Disclaimer: I do not accept any liability for any loss or damage incurred from you acting or not acting as a result of watching any of my publications. You acknowledge that you use the information I provide at your own risk. Do your research.
Copyright Notice: This video and my UA-cam channel contain dialogue, music, and images that are the property of Kidneyblogs by Dr. Awais Zaka, MD. You are authorized to share the video link and channel and embed this video in your website or others as long as a link back to my UA-cam channel is provided.
© Kidneyblogs by Dr. Awais Zaka, MD
Great
Excellent information 👌 👏
Sir, very very good and valuable formation.
Thank you very much Sir for your valuable information and tips .... 👍👍
Educational video....
Keep it up
Thank you, I will
Very useful vkog as usual God bless u
Thanks a lot sir,
Excellent nice movie with thanks so much
very nice sir
JazakAlalh
Thanks
Thank u sir
Exallent dr throughout the whole word
Thanks a lot. But that was a bit too much.
Dr sahib ji.....very good......excellent video....informative.....keep it up....lot of thanks dr sahib ji
You are welcome.
👌👌
Mashallah je. Dr sb 🌹 🌹 🌹 🌹 😍🥰
Nice doctor.
☃️
Doctors saab.i understand 100%.thank sir
Thanks!
Very nice Dr Sahab 🙏
Many many thanks
GOD bless you for taking your time to make these videos and informing prople of things they would otherwise never know!
Thank you so much respected sir ,
❤❤❤
You are very welcome
This is really a first comprehensive vlog on CKD
Otherwise all other doctor,s videos are giving very lean information on CKD
LOVE U SIR...
Most helpful for me
Ali Asghar from larkana sindh
Thanks for your support.
Its comprehensive review of available old and new medicines which kidney patient eagerly want to know.
Thanks doctor sb for informing about latest medicines for protienurea and their side effects. Hopefully scientists may be working to improve these medicines and reduce side effects. Do you think that Vitamin A toxicity may also cause Proteinurea?
Thanks for your kind words. No, sir I am not aware of Vit A toxicity causing proteinuria but vit a toxicity can casue kidney injury just like it can cause fibrosis in other organs like liver.
Bhot vidios dekhi hen mgr ap phle insan ho jo har comment ka reply dete hn kisi preshan insan ki help karna bhi sadqa hy ye wqat kisi pe bhi aa skta hy hm dosron ka khyal kren ge tou Allah Paak hm pe bhi aasaniyan frmaen ge har cheez paisa nhi hoti bhot se drs hn jo paison k bina ghreeb ki sunte hi nhi hn wo ye tak nhi sochte k wqat badalte der nhi lagti Allah Paak har cheez pe Qudrat rkhte hen
Wasalam. Thanks for appreciating. Mai bht koshish kar raha hon kay Pakistan kay depressing environment may patients ko convey karnni ki koshish karon kay unki baat sunnny wala koi hai. Laikin bus mujy pata nahi kai mai kis had tak is ko lay kar ja sakon ga. But lets hope for the best
Wonderful information! 👌
Glad you think so!
❤
A genuine person you are... Thanks dr. You are gem of Pakistan... Big respect from india... Love you doctor
Thanks a lot, sir.
Aoa.vary iterative video Dr sahib batley ga ap kon se hospital man hoty han
Sir may apnay clinic may hota hon. 03107870073 feel free to say hello.
Sir Namaste
Sir plz explain some complications of early ckd like bone pain constipation etc
Thanks for aksing. Please review the first 30 episodes of the channel. You will find a lot of information there. At least watch epi 24, 25, 26.
Aoa Dr sahib vary informative video kindly bataiy ga ap kaha kis hospital man hoty han
Sir may apnay clinic may hota hon. 03107870073 feel free to say hello.
Sir renal glacosuri pe kay deava or treatment hey please sir suggest me
Dr sahab as per yours statement my Acr is completely goaway by RSA and Sglt2...Really you are great...Need you in India..
Today my ACR is 8.24mg from 62.75 mg...within 4month..
can I continue the medicine..
ji sir you should continue this medicine lifelong under the supervision of your nephrologist.
سر ، آپ نے بہت مفید معلومات ، اچھے انداز میں بتائی ھیں ۔میری والدہ شوگر کی مریضہ ہیں ۔ دل کے ڈاکٹر صاحب ، erlina 5/2 ایڈوائس کی ہے ۔ ECG میں تھوڑی abnormality ha۔ creatinine narmel ہے ۔ 5 سال پہلے proteinuria تھوڑی مقدار میں تھا ۔ اُسکے بعد چیک nahinu کروایا ۔ نہ موجودہ ڈاکٹر sahiby نے ایڈوائس کیا ۔ کیا ٹیبلٹ erlina 25/5 جو کے شوگر کی دوائی ہے لیکن empagliflozin+linagliptin اسمے موجود ہے ، شوگر اور proteinuria ، مفید ہو گی?
جی جناب میسج لکھنے کا بہت شکریہ پر مجھے اس بات کی سمجھ نہیں ائی
Assallamu allikum wrb,,,
ma sha allah,,, Allah SWT,,, aap ko khush aur salamth rakhe,
sir,,, urine test may Albumin traces show howa . iss ki kya wajah hoskte hai, aur iss ka treatment,,, 27 yrs old ladie ka urine test kiya tha... plz... any information
Urine may trace proteinuria kuch b ho sakta hai. Ap apna mukmal proteinuria ka work up karwayn.
ua-cam.com/video/R3VlnVHvoYM/v-deo.html
Dear Doctor, would you like to tell me/other patients too, what foods to eat toreduce the proteinuria? thank you (Fazlullah KPK, Mardan)
Please watch these episodes for healthy kidney diet. There is no specific diet to reduce proteinuria.
ua-cam.com/video/Bog9GJLpBF4/v-deo.html
ua-cam.com/video/uogMMWMLuzw/v-deo.html
ua-cam.com/video/dbHCQ1WYe7w/v-deo.html
ua-cam.com/video/MdfAHf_MzPw/v-deo.html
Hello Doc Hope you are fine thanks alot for this kind of information. My question is how can i contact with you i m live in saudi About kidney disease
Ji sir thanks. Please contact this number for appointment. +92 3107870073.
Sir I am ckd patient using Aavsar 5/80 but my bp is in control without taking drug so my dr suggested to take a half dose and I feel beter alternate day
I am not in favor of taking these medicines on and off. Please take the medicine daily and try to use the full dose if your blood pressure can tolerate. Most medicines work best when they are taken in full dose.
sir mara urine ma protine likag hota ha(+++) doctor dikana bad sabi test kyea & biopsy vi kya kidny ma kohy problem nahi ha sir uska bad medicine dya 3 month ka lakin kuch sudhar nahi hua uska bad far 2 month ka medicine dya lakin far vi kohi sudhar nahi hua ha.
avi test kya to protine far likag ho Raha ha pahala jasa(+++)
sir mara dibitese .high blad paser. hatproblem kuch vi nahi ha.
lakin kolastor high ha
sir please advise
Sir aap please is number per contact kar kay online consultation karain aapka case bht complicated hai. Is ko detail say daikhna parray ga.
Dear Doctor,
Assalamu Alyekum. My Albumin/creatinin ratio was 50. I was put on Invacano and my ratio was dropped to 15.5. My question to you is, is it possible I can use the 2nd group of medicine, or is it OK to be on Invacano? Also, I would like to know that Albumin/creatinine ratio can be lower than 15.5, if I continue Invacano?
Moreover, how do you know that protinuria is because of glomerules or tubules?
Wassalam
First of all you need to know why do you have proteinuria. Second, if your albuminuria has resolved with Invacaon that is enough. Third there is no easy way to differentiate between glomerular and tubular proteinuria.
Dear doctor Assalamu Alyekum,
Could you please tell me how to know the cause of proteinuria?
My father is age 71. His diagnoses are DM (1999) CVA (2006) PCI in 2009 and again in 2014, First time he was diagnosed with Kidney disease in 2014. Since then we are visiting a nephrologist every month. His last labs are EGFr 15, Complete blood counts are normal. Potassium is 5.4. Last month his UCAR was 58mg/day. Can he take Flozins? Currently, his vitals are stable with a control BSR under 200.
Thanks for sharing your father's experience. I don't see any problem using Flozins in a 71 year old person with Stage 5 CKD. But your doctor may not go for it because research on this topic has not published yet.
I am a long-term Nephrotic Syndrome patient (for the last 20 years). I have taken homeo herbal treatment for the last 15 years as steroids were not effective for me. I have not taken a biopsy. I am currently not on immunosuppression or steroids, but I keep getting 400-600 mg protein in 24 hours. I have not taken herbal treatment either for the last 9 months. Nephrologist says biopsy can not be done unless I am spilling 2 grams in 24 hours. How do you reduce this protein to under 300 mg? Please reply.
Sir you can reduced this protein by using the medicines mentioned in the video under the supervision of your nephrologist.
Sir mere peeshab mai protein bht AA raha hy
Is k Liye koi medecen Bata do
Assalam u Alikum
umeed h ap thk hngy
mujay 2016 mai Fsgs/mcd nephrotic syndrome biopsy k through diagnosed hva tha. 2016 sy ab tk mai ny kafi medicine use ki h jasy k steroids, myfortic, cyclosporine, cyclophosphamide injections but kis medicine ny protein leaking ni roki. abi m cyclosporine ly rha hun 4 saal sy. Overall mra kidney function or creatinine normle rha h. mra question ya h k kya mai protoin leakage ki thk medication kr rha hun ?
Aqeel sahib, let’s think logically. Protein ki sahi medicine wo hai jo apkay protein leakage ko rokay and koi damage na karay. Ab ap kay pass is ka jawab hai? Ap ka proteinuria is dawai say kam hoa? Or kitna kam hoa? You have the answer
Sir ..aapko dil se salute....
Mai ye dawai Use kar raha hoo....1) Telmisartan and 2) Dapaglitozin ....
Abhi tak to koi side effects mujhe feel nahi hue hai....
Ji sir side effects aisay nahi hota jaisay apko hakeem or homeo waly batatay hain. Side effects tub hotay hain jub ap unnecessary dawai har waqt laitay rahtay hain.
@kidneyblogs, slam, father ki age almost 61 ha, HBA1c = 9 , cr =2.1 with Edema mein
Aik Nephrologist ny Dapa Met XR 5/1000 mg (Depagliflozin) 1 Morning with 2 times insulin suggest ki
Jb k Dosry Nephrologist ny Diampa M 12.5/1000 mg (Empagliflozin) 1 Morning with 2 times insulin suggest ki
Ap ki opinion?
Ji dono nephrologist kay prescription may koi faraq nahi hai.
Assalm o alikum...sir mein b kidney patient hou right kidney ki open surgery hoi thee 29 % kaam krta hai ab left kidney mein 5.6 mm ka stone hai kuch mnths pehly urn complete examination krwaya tha protein + ai thee dctr ne soda mint recommend ki thee kya ap bta skty hain soda mint kya kam krti hai???
ji bilkul. here it is.
ua-cam.com/video/lyrNfMJ_w0k/v-deo.html
Sir c1q nephropathy ki bimary me Koch kaho
Sir is kay baray may aik vido banayn gay near future may. Yeh aik rare disease hai or mujy hushi hoi kay aap kay nephrolgoist nay itna zabardast diagnosis banaya or may umeed karta hon wo is ko acha manage b kar rahay hon gay.
Are probiotics or nafrosave medicines like that really reverse kidney problem or completely cure it?Are they really effective?
Sir there are no meds to reverse the fibrosis of kidney disease so far. If we will make them in the future is unknown. Probiotics and Nefrosave are not medicines to reverse the kidney disease.
Dr sahib mira urine alb/creat ratio 102mg/g hi.yi konsi category mi ata hi aur kia isi control kia jasakta hi
Moderate proteinuria. Watch this.
ua-cam.com/video/R3VlnVHvoYM/v-deo.html
Sir dapagliflozin Sy urine m sugar passive atti hy Agr koi aur group lain maslan getryl TU nai atti kun
kio kay dapa ka kam karnay ka tareeqa he yeh hai kay yeh dawai apki sugar peeshab kay rastay harij karti hai.
Hi I am a proteinurea patient since 10 years I had kidney biopsy two times and got diagnosed as minimal change disease both times. I on Tab prednisone since than when I take prednisone my proteinurea gets normal but when I try to get off from prednisone my proteinurea comes back. My doctor said I am prednisone dependent. I have to take prednisone rest of my life. Could you please give me piece of advice thanks
Ji your doctor is saying right. But you can discuss with him and try other stornger immunosuprressive medicines like cyclosporin or tacrolimus. There are no specific guidelines for them, but between your doctor and you, it can be tried.
Dr mujhe ap se baat krne han mere nana ko ckd patient hn in ka creatine 4 base han un ke age 73 han reply zaaru dea ga apke consultant fee kia hn
Thanks for asking. Please contact on this number for details. 03107870073.
Sir I'm diabetic patient since last 20 years my protein urea 150 mg I'm using Rami pace 1,25 for reduce protein urea
I am sorry that someone has put you on a useless dose of rampace. My apologies on behalf of my doctor community. Please change your doctor.
@@kidneyblogs very thanks sir fr reply.i go lab fr acr and contact with us
Sir plz help me.. I had kidney stone and it was removed by urethroscopy and then they put a stent.. Then after 2 weeks they removed it.. But I started feeling pain on my right side again it became worse..I went to hospital then did a urine test.. They told me there is protein in my urine it was not normal.. It was 50 to 60% out of 100..but they did a blood test and ctr scan.. Then they told me that my kidney is working properly n there is no infection in ctr scan and in blood test.. Now I am home and my pain is getting worse day by day but doctors are unable to find the problem.. They say I have no infection.. Plz doctor help me.. I really need your help
Sir you can come to our office for evaluation. We will try to figure out. please call this number for appointment. 03107870073.
I'm 35 male, diagnosed in 2021, at stage 3b with egfr 33. I have been taking valsartan 80 and farxiga 10. Alhumdulillah stable currently. Doing exercise and trying to eat healthy, with low protein. Please keep making such videos. I'm still confused about low protein diet
Thanks for sharing your experience. First of all, there shouldn't be any confusion about your protein intake. CKD doesn't need any protein restriction. You can eat upto 60gm protein per day. Plus, you should be taking maximum dose of valsartan and Farxgia if your blood pressure tolerates, for maximum benefits. Discuss with your nephrologist
@kidneyblogs thanks. Which protein is better? Animal or plant based? Lately my bicarbonate is fluctuating between 16 to 25 in the last 6 tests with 2 months gap each. My nephrologist says no need to worry as it is not consistent yet and uric acid has remained below 7
@kidneyblogs I think I am taking more than 60g per day sometimes, I am trying to restrict though. But my results are stable mostly. Also, reduced my weight to be on 26bmi currently from 30 using rebylsis, because nothing else was helping
@@smokysmoko That all sounds good. With all these lifestyle modifications, your health is insured.
@@smokysmoko You should aim to include both proteins in your diet. Both meat and lentils have their own nutritional values. Keep bicarbonate about 22, that’s it.
u did not mention dual endothelin angiotensin receptor antagonists (DEARAs)
If you are talking about Filspari, this drug has not been studied in CKD other than IgA nephropathy. So, we cannot use this drug in non-igA patients.
Kia Albumin or protein are same ???
Because Agha khan lab only test Albumin to Creatinine Ratio.
They are almost same at the patient level. Watch this.
ua-cam.com/video/R3VlnVHvoYM/v-deo.html
Ertugliflozin is easily available in pakistan . many brands available
Good then. I wasnt aware. Thanks for letting me know.
Arb ace increases Cristine
What to do
Follow with your nephrologist
ua-cam.com/video/mNTZOZXZ6Ps/v-deo.htmlsi=NwI2cnQMjQAjbg3S
Sir what are the cases in which doctor does not give any medicine to proteinuria rely only bp medice.
There is no such case. Doctor should always give medicine for proteinuria.
Sir.At present my Potassiam level is 5.4.Pl advise me what I should do to reduce it?
I would advise low potassium diet. If it doesnt work, ask your physician for some medicine.
Sir how many grams of protein one must consume daily.?
Please watch this and ask me if you have any questions.
ua-cam.com/video/dbHCQ1WYe7w/v-deo.html
I am taking 3 group medicine last 4 months still my protenuria up and down ACR 300 to 350 should I continue this medicine sir please reply
Yes, you will continue these medicines lifelong. And ACR 300 is not bad. Most likely, it will get even better.
Sir plz muje koi achi medicine bta dein...aur perhaiz b
Medicine batanay kay liy or us ko manage karnay kay liy ap ko consultation karni parray ge.
Sir bisoprolol se protein urea control hota hai kya ??
nahi. Laikin bisoprolol say agar apka blood pressure bhtr ho ga tu proteinuria may kuch bahtri ay ge. laikin bisoprolol kidney protective medicine nahi hai.
Very helpful information sir ji. I belong to india. Sir ji mujhe protienuriya hai 300 mg kya ye allopathy se sahi ho sakta hai please sir reply sir ji mera weight bhi 10 kg ghat gaya hai. Please iska allopathy me ilaj hai please reply?
Thanks for sharing your concern. Ji bilkul yeh ALLOPATHY say kam ho sakta hai. Or ini 3 dawaioin say kam ho ga jin ka may nay zikr kia hai. Please apnay doctor say discuss karain.
@@kidneyblogs very very thank you so much sir 🙏
I'm a 61 years old male, been fighting with diabetes for 22 years. Recently had a cardiac bypass as well. My creatinine levels are at 2.7 and proteinuria level indicates ++. What medication or precautions do you suggest?
First of all you, let me clarify that you need to see at least three doctors all the time-an endocrinologist, a cardiologist, and a nephrologist. And you are not in position to use any medicine just from internet or from any over the counter source. You should strictly stay with your doctors and consult all three of them even before changing the dose of any of your medicine.
@@kidneyblogs Sure Doctor
@@kidneyblogs Thanks for your kind insight
Sir i have also protein issue in urine and l take medicine sincefive years now lwant to consult you how can i please guide.thanks
Ji please is number per call karain for appointment details. 03107870073 after 11 am
My uacr .30mg/L...Normal range .24 hour urine 164(normal 150)....But still frothy urine ...for 1 year...what more test can be done to detect proteinuria?
If your creatinine is normal and 24 hour urine is just 160, I would suggest healthy life style and check these two things every 6 months. But make sure you dont have diabetes or high blood pressure.
My mother is kidney transplant patient and is having proteinuria for 3-4 years now after an episode of acute kidney rejection. Usually one-two + in urine. She has renal parenchymal disease grade 3. Taking calcium channel blocker nifidipine twice/thrice a day for bp and aimpra plus glucophage for sugar. Can medicine be given to her for proteinuria?
Ji definitely she can be given the medicines from the first group ACEIs or ARBs, but there is no research for SGLT2 Inhibitors and the third group in transplant patients.
Stop tab glucophage. Start short acting insulin Humalin R in low dose.
And please don’t try any medication without consulting your transplant team. I appreciate.
Sar Mera vajan kam ho raha hai pesab mai protine +ja raha hai creatine 1.05 blood urea 17 hai ultrasound v normal hai kidney
ji sir please ap kisi achay nephrologist ko check karwyn or apna diagnosis janain. agar ap hum say treatment karwana chahtay hain tu is number per contact kar kay appointment details lay saktay hain. 03107870073
Sir dapa5mg mina use ke hn urin in protein ka ley 2 yeras use ke muja tu side effects hua hn meri urin ma sugar increase ho ge ur saat urin be bhot zyda ana lagta
All that is normal with Dapagliflozin.
Hi doc , My Doctor had given me ARB ( Telmisartan 40mg ) , i still have Trace Protein but my BP has reached 105/65 . I do exercise daily and don't take more 1/10th tbsp salt . Should i stop taking ARB as my BP is under control
No you shouldn't stop Telmisartan. 105/65 is a very beautiful blood pressure
@@kidneyblogs but my blood pressure keeps lowering down . Wouldn't my diastolic blood pressure get even lower than 60 with telmisartan which I have read isn't safe . What do you think ? I also take 10 mg dapagloflozin daily
@imviiku consult with nephrologist, bro. As a kidney patient, you are lucky with this BP.
Sir mere baba 68 years ke, ckd hai .2 month se dialysis pe hai,lekin bahat weak hai or dialysis ke samay hatme akran or chest me pain ho raha hai or next day thik hojata hai,BP vi uparka hight raheta hai,or kuch din se khana khate bakt gardan or mathape pasina araha hai
Aaap please apnay baba kay nephrologist kay sath discuss karain. Lagta hai kay aap kay father medicine or parhaiz proper nahi kar rahay.
I am taking Tritace , which has reduced my ACR from 130 mg to 18 mg.
Great work.
How plz reply karo sadka jarya plz which tips u fallow
How long it took you ?
Do you still get foamy urine even after 18 mg ?
Dear doctor mera creatnine level 1.4 hy or urea 40 or protien 1+ urine me araha hy and B.P or sugar ni hy uric acide 7.8 hy mjhy kia krna chye or diet kia honi hy meri me sirf luki or turai kha rahi hon iron or protien ni lerahi pls diet k bary me batye or isko theek hony me kitna time lagta hy
Ap kisi nephrologist ko aik dafa check karwa lain.
Sir please bataiye na kidney stone me protein trace aata hai kya
Ji a sakta hai.
Dr sb, how to get appointment from you. Please let me know
Please contact this number 03107870073 after 11 am in the morning.
Fsgs pr ek video
JI getting there.
Sir.I have 1 kidney for at least 34 years.NOW IN MY URINE PROTEIN IS 1+. I AM TAKING TAB.MERLO 50 MG OD.PLU TAB .AMLODIPINNE 5MG OD.
CAN I REPLACE AMLODIPINE WITH LISINOPRILL 5MG TO REDUCE DEPRESSION OF KIDNEY AND TO REDUCE URINE PROTEIN.
That you need to ask your nephrologist. If you want to start care of your kidney with our healthcare, you are welcome to call this number for appointment. 03107870073
Sir my 24hr urine protein i find 5 gram protein.. what to do plz suggest?
You need to see a nephrologist immediately, make the diagnosis, and then start treatment.
Assalamualaikum sir muja ap say bat karni hai mari ami ki creatinine 7.9 hai or ous ka dil buht zayda khrb huta hai to plzzzz ap baty da kya kara hum buht parhsan hai plz kuch information da
Ji ap ki ami ko most likely CKD 5 hai or unko kisi nephrologist ko check karwana chahiy kion kay shydd unko dialysis chahiy foran.
My father is suffering from CKD and have proteinurea but nephrologist didn't prescribe ACE inhibitor or ARBs or flozins he suggest him calcium channel blocker 🤔
I am extremely sorry for your father, extremely extremely sorry. If I ever converted into someone who hurls insults on others, my first target would be a doctor who doesn't prescribe ACEIs or ARBs to a CKD, but I have promised everybody that I will just convey the positive message as long as I can. I am extremely sorry on behalf of doctor community that they don't prescribe ACEIs or ARBs to a CKD or DM with CKD patients in Pakistan. Would you please ask him next time why not. You father should be on one of them unless he has high potassium level or very high Cr.
@@kidneyblogs he has high creatinine 2.9 and high potassium as well
Urinary Creatinine 79.09
Urinary Protein 70.90
Used Diampa 10 mg at Breakfast only
sir how can i help?
Sir mary mothar Ki urain ma protein 605.665 Rahi ha or cratinan 2.4 ha is ka ilaj Kia ho Ga age 62 ha
Ji is ka ilaj nahi achi management ho ge. Ap kisi nephrologist ko check karwayn.
Dr sahab from india one of yours video viewers.
sir I am diabetic and hypertension in last 15yrs.Age 61 male.
My all the KFT is normal.
Diabetes is also within the goal.
but ACR 62.75...MG
DR give me Rsa inhabitor.with sglt2 inhabitor...
can I reverse from the microalbuminuria and cure..and reverse from kidney affect.
Dr sahab pls pls replies.
I am vr vr worried....
waiting for yours reply.
God bless you
Ji Sir. thanks for watching from India. Yes, your ACR of 62 is nothing to worry about. It should completely go away with RAAS and SGLT2 inhibitors. And if you dont do exercise yet, do it regularly.
@@kidneyblogs thanks sir....many Many thanks to you....God bless you.....can I called you...if you give me urs wt app no.
@kidneyblogs thank you Dr sahab..already stated 40mins brisk working with stretch poss..and yoga..total 1 hrs..with low carb ..salt restriction.no sweets...when I will repeat my next acr test
Kon sa test kerway jay
kis cheez kay liy.
اپ ایک محنتی اور پازیٹیو انسان ہیں۔ اپ کے ویلاگ دیکھ کر مجھے محسوس ہونے لگا کہ مجھے گردے کا پرابلم ہو چکا ہے کیونکہ میرے پیشاب میں بھی جھاگ ہے اور میرے پاؤں میں بھی ہلکی سے سوجن محسوس ہوئی ہے مجھے۔ ہو سکتا ہے کہ اپکا ویلاگ نہ دیکھتا تو میں یہ تبدیلیاں غیر اہم سمجھتا۔ میں شوگر کا بھی انسولین ڈیپنڈیٹ مریض ہوں اور انجیوگرافی بھی کروا چکا ہوں۔ عمر 68 ہے۔ مجھے شوگر گزشتہ 30 سال سے ہیں
جی سکندر صاحب بہت شکریہ ولاگ دیکھنے کا ہو سکتا ہے کہ اپ کو گردے کا کوئی مسئلہ ہو اور یہ بھی ہو سکتا ہے کہ کوئی مسئلہ نہ ہو اور اپ اس کنفیوژن میں سے صرف اسی طریقے سے نکل سکتے ہیں کہ اپنے گردے کے ٹیسٹ کروائیں کون سے ٹیسٹ کروانے ہیں اس کے لیے یہ ویڈیو دیکھیں
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SIR CLINIC LAHORE MN KHAN HA
Sir you can call this number for appointment details. 03107870073 after 11 am in the morning.
Doctor sab i am your patient of protein uria. one thing i couldn't understand what is difference between CKD and protein uria disease. Kindly make a video on this subject pls
Ji zaror.
Aoa. Sir very informative episodes. My wife is kidney patient having problems of SLE and glumarlnephrtics 1gm. In her recent test urine protein spot is 816.1 mg/dl, urine creatinine spot is 213.6 mg/dl and protein/creatinine ratio is 3.82 mg/mg. Sir yeh test kasy hn
sir 3.82 mg/mg is still nephrotic syndrome range. If she improved from 10mg/mg to 3.8 then it is significant improvement but is she hasn't shown any progress then I am not sure what is wrong with the treatment.
Aslam o alikum sir mjy 5 maah pehle shuger hui hai uske bad mjy gurde mai pathri or uric acid huwa lakin ab 1 mounth ho gya hai mjy urine mai buble a rhy hai iska hal bta de kya hai
Is ka matlb hai kay ap ko kisi achay nephrologist ko dikhana chahiy ta kay apka mukamal work up ho.
Sir my age 45 sir Ihave been sufffering protineria last 1 yar bubbles are coming in urine sir crieatine is normol. Rt kidny pain.sir my daily atitued is normol.. Hunger is low please
Ji sir please check your urine for protein. And then see a nephrologist.
میری بیٹی کو بھی گرد کی پہلی سٹج ہے اور وہ یہ دوای لے رھی ہے اس دوای کا نام hydroxychLoroquine
Sir gurday ki pehli stage tu normal hoti hai. Unko gurday ki 3 stage ho ge or unko SLE ya lupus nephritis ho ga. is kay ilawa hydroxychLoroquine ka kidney disease mai koi yse nahi hai.
Dr Sahab mera May 2023 me 259mg MicroAlbumin aya 24 hour urine me iske bad bina medicine k 4 5 dafa 24 hour krwaye last Jan 2024 me kraya jisme less than 3mg aya 24 hour me.
Age 23. Hypertensive
Kya ye normal h?
Agar 24 hour urine may 3mg hai tu yeh normal hai.
Bhai please mujhe batao aapne kya Kiya control karne ke liye ? Kaise itna Kam Kiya ?
Dr sahab
24 hrs urine=1500mg protein
uPCR=0.94
UCE,TSH,HBA1C,ANA by immunoblast,serum albumin,mgso4,phosphorus are normal
Proteinuria for last 20 months but still couldn't diagnosed
What is could be?
Kindly reply
All labs have been repeated a week ago ,and still the ranges are same
We don’t review labs in comments. You should see a doctor nearby.
Sir ager micro albumin 69 a jy to medican thk ho jy ga . Suger patient . hbalc 9 ha
ji sir medicine say thek ho jay ga waqti tor per, per pehlay ap aoni diabetes revers karain tu apkay saray maslay he hatm ho jyn gay.
Sir Suger control honey sy permanent thk ho jata ha micro albumin. Or sir koi medicine bi Bata dy. Thanks
what is the difference between nephrotic syndrome and protein urea ?
Interesting question.
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