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Renal Patient. Taking Renalog, Cardace. Undergone Health Check Up. Worried For High Cholesterol, Weight Gain

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Posted on Fri, 19 Apr 2013
Question: I am a Reenal patient has happened due ti very high BP about 11/2 Year ago.
I am under the medication of a Nephrologist and taking the following mediacies daily.
Renalog 2-2-2
Sobiasis - 1-1-1
Cardace 2.5 - 1-0-0
Armlong - 1-0-1
Shelcal - 1-0-0
Telista 80 - 0-1-0
Recently undergone a master health check up and my cretaitine level is 2.3 which was the same between 2.2 to 2.4 for the last one year. But I have put on a lot of weight and it is now 80 Kgs and my age is 54 and height is 5.6. During the latest master check up found that my Choloestral level is very high and all chlosteral tests are vey high but no thyroid found during T3,T5 and TSH test.
Grateful if you could suggest medicies for my high cholasral level looking in to my Renal problem
Thanks & Regards,
XXXXXX


doctor
Answered by Dr. Avinash Ignatius (23 hours later)
Dear XXXXXX,

Thanks for your Query

As per your details you are having Chronic Kidney Disease possibly stage 3.

Your renal functions are fairly stable with the present line of treatment.

However your concerns are high cholesterol and weight gain.

Most important step before any medications is a review of your diet and to exclude foods containing or cooked in oils/fats, as much as much as possible.

Second is to include physical activity - such as brisk walking for at minimum of 30 mins, at least 5 times a weeks. (If generally a sedentary lifestyle please increase activity level based on your physical tolerance, gradually step by step)

Medicines belonging to the class of statins (Atorvastatin/Rosuvastatin) can be added to reduce cholesterol levels, quite safely. However generally are used in lower doses than in those with normal kidney function.

Also your triglyceride levels would indicate the need for adding any other medications to statins.

Warm Regards


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Avinash Ignatius (6 days later)
Dear Doctor XXXXXXX
Thanks a lot for your kind reply. As advised - certainly I can start walking 30 mts a day and avoid oily food.

My intake of food consist of very littel oil and salt and following strict diet practices except physical mactivities.

Also I don't understand the Terms mentioned - Calss of stains - Atorvastain/Rosuvastain and really worried to note that I am in stage 3 of Chronic Kidney Disease. is is very alarming ? and worrysome as I heard about satges only with cancer patients. My urine out go is quite normal and please advise - whether my deficiency can be cured in full and completely or worrysome

Please Guide and advise.
Thanks & Regards,
XXXXXX
doctor
Answered by Dr. Avinash Ignatius (54 minutes later)
Dear XXXXXX,

Statins are medicines prescribed to reduce cholesterol. These are commonly used and can be prescribed by your treating doctor.

You don't have to be worried based on the stage of your kidney disease. Actually you are one of the few fortunate people who are detected to have kidney disease at an early stage, and early treatment helps slow the disease.

Most people are detected to have kidney disease only in late stage 4 or stage 5.

The damage in your kidney is not reversible, however your kidney functions are quite stable on the present line of treatment and your CKD is progressing very slowly, so you needn't be so worried.

Warm Regards

Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Avinash Ignatius

Nephrologist

Practicing since :2001

Answered : 119 Questions

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Renal Patient. Taking Renalog, Cardace. Undergone Health Check Up. Worried For High Cholesterol, Weight Gain

Dear XXXXXX,

Thanks for your Query

As per your details you are having Chronic Kidney Disease possibly stage 3.

Your renal functions are fairly stable with the present line of treatment.

However your concerns are high cholesterol and weight gain.

Most important step before any medications is a review of your diet and to exclude foods containing or cooked in oils/fats, as much as much as possible.

Second is to include physical activity - such as brisk walking for at minimum of 30 mins, at least 5 times a weeks. (If generally a sedentary lifestyle please increase activity level based on your physical tolerance, gradually step by step)

Medicines belonging to the class of statins (Atorvastatin/Rosuvastatin) can be added to reduce cholesterol levels, quite safely. However generally are used in lower doses than in those with normal kidney function.

Also your triglyceride levels would indicate the need for adding any other medications to statins.

Warm Regards