Suggest Treatment For Arthritis And Increase In ESR Count

Posted on Sun, 31 May 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sun, 31 May 2015 Answered on

Mon, 22 Jun 2015 Last reviewed on

Question : 61 years old man complained from arthritis ,malaise , loss of weight and lab were persistent increase ESR,CRP normal protein electrophoresis except alpha ,normal CT but area of consolidation treated by many AB , he was neg PCR for TB , also normal abdominal ct and ultrasound but small renal cyst benign , he receive many many treatement and sudden incresse in kidney function were 5 for creatinine and 80 for urea lastly 0 mg
One alpha
Plavix
Neutomax
Concor 2.5 , steroid 10 mg and he was asymptomless now what can he do now

Answered by Dr. Dr. BR Hudda (12 minutes later)

Brief Answer:
Please upload more information and rest of the reports

Detailed Answer:
Hello
I appreciate your concern
Looking at your description and reports this could be a case of kidney disease with polycythemia.

I would like further information to help you better
Relevant medical history like diabetes or kidney disease in past
Any complaints of bleeding in urine

I would advise you to get a urine test for microscopy as well as culture.
Please upload me rest of the reports, this will help me to reach at a conclusive diagnosis

In my opinion you should immediately consult a urologist as earliest possible.

Please revert back to me with my answers , I will definitely help you in best possible way.

Best wishes

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Dr. BR Hudda (43 minutes later)

He had heamaturia two times but now totally improved my concern is whatis after he also was aniemic 9 lfour month ago as he recieve blood transfusion once , he is now he gain weight although smoker too and return back to his work but lab is still bad result Many thanks sir

Answered by Dr. Dr. BR Hudda (8 hours later)

Brief Answer:
You should see a nephrolgist immediately

Detailed Answer:
Hello
Thanks for your reply
This can be caused by obstructive nephropathy or connective tissue disease like gout or an auto immune disease.

I would advise you for serum uric acid and barium study of urogenital tract.
Ask him to quit smoking.
Here I would like to know number of cigarettes he smokes a day and since how long?

Elevated Blood urea and creatinine is a matter of concern this could be dangerous if not treated in time.
It also warrants physical examination, so in my opinion you should immediately see a nephrologist as earliest.

Thanks for your question
best wishes

Above answer was peer-reviewed by : Dr. Shanthi.E