What you mention states that you "discussed" kypokalemia and hyponatremia, low potassium and low sodium, respectively. But it doesn't say how low the levels are. You need to be cautious about the potassium especially. Both are important but the potassium can be far more dangerous.
Metabolic acidosis and the low serum CO2 are very probably related. The CO2 has to strike a balance with the Chloride, or Cl, to maintain a proper blood pH. However, ALKALOSIS and low CO2 is rather hard to figure. Seeing the Chloride and other lab numbers all together will help.
Anemia, in the absence of bleeding, generally is caused by to renal failure, but this can be treated rather easily with Procrit or Epogen or sometimes Aranesp.
Sorry I haven't any good guesses but the lab numbers might help a lot.View Thread
It can take from 6 weeks to a few months for the fistula to 'mature'. The vein does tend to enlarge somewhat; that is what the maturation process is all about. The machines work most effectively when they get a lot of good, unobstructed blood supply, so a larger diameter vein gives better flow. That's the whole idea. Obviously younger, stretchier, springier veins may enlarge more than older, less resilient ones. But if the vein wouldn't enlarge at all then that would defeat the purpose of doing it.
There are generally a few minor restrictions to activity right after the fistula surgery is done, mostly to let the incision heal completely. You don't want an artery to tear and suddenly start bleeding. (Remember, we are attaching an artery directly to a vein without passing through the tiny capillaries. So the pressures and the bloodflow right at the fistula are greater than you'd have in the tiny capillaries of the skin.)
Anyway, that area will need to be protected while it heals, and continue to be somewhat protected as the artery/vein combo matures and enlarged.View Thread
I really think that the stress of losing the baby is affecting your perceptions a little bit; that is totally understandable. And the stress, perhaps depression, can be affecting your physical health as well.
Pregnancy is a huge stress on the body and on all its systems. Changes to renal function are not at all unusual during and after a pregnancy.
Nephrologsts are not risk takers: they have seen too many cases to assume that there is ever a predictable pattern that fits every patient. So they tend to be very, very cautious doctors.
I'm male not female, but I'd say to have a bit of faith in the nephrologist, and give your body another 6 to 12 months to reset itself, realign, and recover.
There might indeed be a slight bit of residual damage to the protein capturing function of the kidneys, but it is too soon to know that. And even if some change did occur, if it is minimal and stays that way, then it should pose no long term problem.
An extra note: never have blood tests done within a day or two of a strenuous workout like a triathlon or even a 500k. The lab values will be so out of whack that the results are invalid. And I would hope that you are not hooked on extremely high-protein diets or supplements like whey protein or creatine monohydrate. These substances will at least screw up lab test numbers and possible can cause long term and irreversible renal damage.View Thread
Indeed, Henry, there are no 'general' guidelines for renal failure: every case is different. And what works for one case is the exact wrong thing to do for another. Only a qualified specialist can decide what is best for each individual.View Thread
How are your blood pressures doing on the tired days versus the not-tired days? What are blood test numbers looking like recently?
Dehydration can definitely cause fatigue, but I'd be reluctant to pin it on that without checking out everything else.
You might carefully try increasing water intake for a few days to see what happens, but don't get too drastic with it too fast: you can seriously upset the body's electrolyte balance with big overdoses of water. And that could have serious side effects.View Thread
First, he really needs to be seen by a nephrologist.
What other health conditions are present? A jump to 5.8 is certainly significant, but even at 4.8 we need to understand the exact underlying cause. It might be some cardiovascular condition, it might be a metabolic condition like diabetes, it might be an autoimmune condition. One likely culprti is the paraprotein found with multiple myeloma, but you'd have to ask an oncologist or an immunologist about that.
Staying well hydrated may help some, but don't overdo it to the point where it affects blood pressure or causes any swelling.View Thread
The general rule is 15 ml/min for most patients, 20 ml/min for diabetics. Physician recommendations vary with the specifics of each case.
Personally I would say that earlier is always better. Renal disease does not progress at an even and predictable rate. You can never really gauge the future on the past. I waited far too late. Try not to repeat my mistakes.View Thread
It's not clear what this might be. Calcifications can occur in any soft tissue of the body: muscle, arteries and veins, lungs, virtually anywhere that blood flows.
Since the radiologist specifies that it is "outside" the kidney, it could be a cyst, maybe an old granuloma, some random bit of scar tissue.
It's interesting that no size is specified. This might suggest that it is too tiny to be of any significance. I mean, it could be the size of a head of a pin, or it could be as large as a pingpong ball. Who knows? It may take a more extensive test like a CT or MRI to get more info.
I'd say ask your doc to take a look at the images and give you an opinion.View Thread
Regarding the BP drop: This is known as 'orthostatic hypotension' and generally reflects some overall vascular condition, or sometimes 'hypovolemia', lower than ideal fluid volume in the bloodstream. But it has dozens of other causes, including a laundry list of medications.
As for adrenal insufficiency: there are blood tests to check levels of the adrenal hormones, but it is not a routinely administered test, so your doc will have to order it and have it added on to a general set of metabolic panels.View Thread