Patient's question:
I have kidney disease, and my creatinine level is over 300. Recently, my ankles have been swollen. What factors or causes could be responsible for this? What should I pay attention to?Doctor's answer:
Hello, I am your health advisor. Based on your description, your foot swelling is caused by nephrotic edema due to kidney disease. It is mainly due to water and sodium retention, as well as the shift of fluid into the interstitial spaces.I don’t know how your urine output is currently. If it is significantly reduced, then dialysis may be necessary.
Recommendations:
1. In daily life, it is important to follow a low-sodium, high-quality protein diet. High-quality protein refers to soy protein, among others.
2. If you have high blood pressure and high blood sugar, it is essential to control them well.
3. Calculate your estimated glomerular filtration rate (eGFR). If it has reached the stage of uremia, dialysis treatment must be initiated. You can choose peritoneal dialysis or hemodialysis. There is no other option besides dialysis.
I hope my answer is helpful to you!
Doctor’s inquiry: Do you have diabetes or high blood pressure?