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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Lower Back And Shoulder Pain

I am 43 years old,in Aug 2014 i had a creatinine level of 1.43 which when later checked again was in a normal range ,recently since a month back i am having a severe lower back pain and a right choulder pain so my general physician advised me to see a ortho after meeting and having the X-ray done no injury to the spine or shoulder bone so has advised Back exercise but recommended me to see a nephrologist looking at my earlier report ,i once again did the creatinine test and it showed 1.7 the Nephrologist advised me for a Kidney sonography ,renal profile ,vit D and Vit B test and prescribed me nefromega tablets 1 -0-1 ,sodamint tablets 2-2-2 ,dolla tablet 1-0-1,on doing the above tests my kidney sonography was normal ,renal profile serum creatinie - 1.51 and globulin was low 2.1 ,Vit D is in insufficieny range and vit B is also low ,rest all has come ok ,my Dr has suggested me to continue with the above tablets for a month and advised to take D-well tablet power 60u for 12 weeks and Vit B tablet for a month and comeback with the routine urine test and serum creatinine test. would like to know if i can get back my serum creatinine back in normal range. I do have thyroid use Eletroxin tablets 50mg in morning since 2000 and rozavel-f and ecosporin75 for cholestrol since 2012-13. your advise will be of great help to me. Regards, Rajesh R Kadam - Mumbai
Wed, 31 May 2023
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General & Family Physician 's  Response
Hi,

Lower back pain and shoulder pain can have multiple causes, including muscle strain, injury, or inflammation. In your case, as your X-rays did not show any injury to your spine or shoulder bone, your pain may be caused by musculoskeletal issues. Your doctor has recommended exercises to help alleviate your pain, which is a good start.

However, your high creatinine levels are concerning and require further investigation. Creatinine is a waste product produced by muscles and filtered out of the body by the kidneys. Elevated creatinine levels can indicate kidney damage or dysfunction. The fact that your creatinine levels were previously elevated and have now increased again suggests that there may be an underlying kidney problem.

Your nephrologist has ordered additional tests, including kidney sonography, renal profile, and vitamin D and B tests. It is good that your kidney sonography came back to normal. However, your renal profile shows a serum creatinine level of 1.51, which is still elevated. It is important to continue following up with your nephrologist and following their treatment recommendations.

In terms of the medications prescribed to you, Nefromega tablets are used to support kidney function and protect against further damage. Sodamint tablets are commonly used to relieve symptoms of acid reflux and indigestion. Dolla tablet contains a combination of vitamins and minerals and is often prescribed as a nutritional supplement. D-well tablets contain vitamin D, which is important for bone health and immune function. Vitamin B is also important for maintaining overall health and is often recommended as a supplement.

It is important to continue taking your medications as prescribed by your doctor and to follow up with them for further evaluation of your kidney function and pain management. They may also recommend dietary changes or lifestyle modifications to support your overall health.

If you require a personalized response, kindly use the Ask A Doctor service and post a follow-up. Take care. Hope I have answered your question.

Regards,
Dr. Priyanka, General & Family Physician
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Suggest Treatment For Lower Back And Shoulder Pain

Hi, Lower back pain and shoulder pain can have multiple causes, including muscle strain, injury, or inflammation. In your case, as your X-rays did not show any injury to your spine or shoulder bone, your pain may be caused by musculoskeletal issues. Your doctor has recommended exercises to help alleviate your pain, which is a good start. However, your high creatinine levels are concerning and require further investigation. Creatinine is a waste product produced by muscles and filtered out of the body by the kidneys. Elevated creatinine levels can indicate kidney damage or dysfunction. The fact that your creatinine levels were previously elevated and have now increased again suggests that there may be an underlying kidney problem. Your nephrologist has ordered additional tests, including kidney sonography, renal profile, and vitamin D and B tests. It is good that your kidney sonography came back to normal. However, your renal profile shows a serum creatinine level of 1.51, which is still elevated. It is important to continue following up with your nephrologist and following their treatment recommendations. In terms of the medications prescribed to you, Nefromega tablets are used to support kidney function and protect against further damage. Sodamint tablets are commonly used to relieve symptoms of acid reflux and indigestion. Dolla tablet contains a combination of vitamins and minerals and is often prescribed as a nutritional supplement. D-well tablets contain vitamin D, which is important for bone health and immune function. Vitamin B is also important for maintaining overall health and is often recommended as a supplement. It is important to continue taking your medications as prescribed by your doctor and to follow up with them for further evaluation of your kidney function and pain management. They may also recommend dietary changes or lifestyle modifications to support your overall health. If you require a personalized response, kindly use the Ask A Doctor service and post a follow-up. Take care. Hope I have answered your question. Regards, Dr. Priyanka, General & Family Physician