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How Should Raised Uric Acid, Triglyceride And PSA Levels With Some Kidney Issues Be Addressed And Treated?

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Posted on Wed, 16 May 2018
Twitter Wed, 16 May 2018 Answered on
Twitter Wed, 24 Jan 2024 Last reviewed on
Question : dr Ditah please have a look update blood works i was fasting
doctor
Answered by Dr. Prof. Kunal Saha (8 hours later)
Brief Answer:
Indications explained

Detailed Answer:

Hi,

It seems Dr. Ditah is not available at the moment and therefore I am therefore taking it up.

I have checked the reports. Here are my inputs.
* The kidney function is compromised to some extent. This could be an effect of long-standing diabetes as indicated by raised HbA1c.
* The blood triglyceride level is raised and needs to be controlled with dietary restrictions as well as medicines like fenofibrate.
* Uric acid level is raised. If joint pain is present, treatment with allopurinol would be needed.
* PSA or prostate specific antigen is raised. It could indicate prostatic cancer or could indicate other prostatic problems. Prostate cancer on the other hands could lead to increased cellular destruction and thereby raised uric acid levels.

Clinical correlation is therefore needed. Feel free to write back.

Regards
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Prof. Kunal Saha (4 days later)
i do take 2 a day Entresto 97mg-103

2 a dayCarvedilol 6.25 mg

1 Furosemide 40mg

1 bayer low dose 81mg



3 Vitamin D3 1000IU

2 gummies B12 500 mcg
1 atorvastatin 20mg
1. clopidogrel 75mg
1 metformin er 500mg
and dr ditah said my age 76 my PSA i will live longer than the PSA

also 2012 i had Aortic valve and stents done
doctor
Answered by Dr. Prof. Kunal Saha (4 hours later)
Brief Answer:
Clinical evaluation and periodic follow up is necessary

Detailed Answer:
Thanks for providing the list of medicines that you take. However, this list would not suffice. You need to visit and stay under the follow up of a local physician who can evaluate your clinical presentations and correlate the reports and prepare a regimen. Thereafter, the can re-evaluate the response in follow up visits and can modify the regimen as per desired effects.

Nevertheless, feel free to ask me about health related queries that you may have.

Regards
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

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How Should Raised Uric Acid, Triglyceride And PSA Levels With Some Kidney Issues Be Addressed And Treated?

Brief Answer: Indications explained Detailed Answer: Hi, It seems Dr. Ditah is not available at the moment and therefore I am therefore taking it up. I have checked the reports. Here are my inputs. * The kidney function is compromised to some extent. This could be an effect of long-standing diabetes as indicated by raised HbA1c. * The blood triglyceride level is raised and needs to be controlled with dietary restrictions as well as medicines like fenofibrate. * Uric acid level is raised. If joint pain is present, treatment with allopurinol would be needed. * PSA or prostate specific antigen is raised. It could indicate prostatic cancer or could indicate other prostatic problems. Prostate cancer on the other hands could lead to increased cellular destruction and thereby raised uric acid levels. Clinical correlation is therefore needed. Feel free to write back. Regards