petertan.com icon
Archive for the 'Chronic Renal Failure' Category



On Lipitor 10mg

Monday, January 2nd, 2012

Until two days ago, my only medicine was Detrusitol SR 4mg for a neurogenic bladder. Yesterday, on the first day of 2012, I had to add one more to my daily medication for another health problem that has cropped up. My HDL and LDL cholesterol are not at their ideal levels. There is also the family history of heart disease. My father died of congestive heart failure.

The lipid profile done on November 18, 2011 was not too positive. My HDL cholesterol was 0.97 mmol/L and LDL cholesterol was 3.09 mmol/L. The ideal ranges should be above 1.10 mmol/L and below 2.59 mmol/L for the HDL and LDL respectively. In short, I have high cholesterol!

Lipitor 10 mg crystalline atorvastatin calcium
Lipitor 10mg (atorvastatin) daily to treat my high cholesterol.

Taking into consideration the family history, the undesirable levels of both HDL and LDL cholesterol and the fact that I lead a very sedentary lifestyle, I was advised by Dr. Kumaran of the UMMC Spinal Rehab Clinic to go on atorvastatin therapy. This is to keep my cholesterol levels in check and lower the risk of heart attack and stroke later on.

I took my first dose of 10mg Lipitor (crystalline atorvastatin calcium) last night just before bed. The serious side effects of taking Lipitor include muscle problems that could lead to kidney failure, and liver problems. A blood test to check on my liver and renal functions is scheduled in February. Hopefully, Lipitor will not exacerbate my existing kidney problem. I am keeping my fingers crossed.



Tags: , , , , , , , ,

Recent Posts:

Posts that may be related:


Blood Tests, KUB Ultrasound and ECG for November 2011

Thursday, December 1st, 2011

I went for my schedule medical checkup at the University Malaya Medical Centre Spinal Rehabilitation Clinic on Wednesday. The good news is that the renal and liver profiles did not show significant changes. Serum creatinine has gone down to 272 umol/L from 291 umol/L in July 2011.

Renal profile for November 18, 2011

Sodium 139 mmol/L
Potassium 4.8 mmol/L
Chloride 105 mmol/L
Total CO2 26.0 mmol/L
Anion Gap 13 mmol/L
Urea 7.8 mmol/L
Creatinine 272 umol/L

Liver profile for November 18, 2011

Total Protein 76 g/L
Albumin 38 g/L
Globulin 37 g/L
Total Bilirubin 8 umol/L
Conjugated Bilirubin 2 umol/L
Alk Phosphatase 86 IU/L
ALT (GPT) 17 IU/L
AST (GOT) 15 IU/L
Gamma GT 12 IU/L

The cholesterol levels are not too encouraging though, especially when there is a history of heart problem in the family. My father passed away from congestive heart failure. I was advised to go on the lowest dosage of Lipitor (atorvastatin calcium) which is 10mg to keep the cholesterol levels in check.

Lipid profile for November 18, 2011

Triglyceride 1.4 mmol/L
Total cholesterol 4.7 mmol/L
HDL 0.97 mmol/L
LDL 3.09 mmol/L

The ultrasound of the kidneys, ureters and bladder report is somewhat similar although the length of the left kidney size was measured at 8.9cm this time as compared to 9.1cm in December 2010 and 6.89cm in February 2004. There is an inconsistence in the three reports, with the 2010 report being the odd one regarding size of both kidneys and the position of the cyst.

KUB Ultrasound Report for November 18, 2011

Findings

Comparisons made previous ultrasound dated 27.12.10
Both kidneys are normal in size but with increased echogenicity
The right kidney measures 9.5cm in BPL and 0.6cm in cortical thickness
The left kidney measures 8.9cm in BPL and 0.5cm in cortical thickness
There is a small cyst seen in the upper pole of the left kidney measuring 1.0cm
The bladder wall is trabeculated
Prostate is normal in size with smooth outline

Impressions
Renal parenchymal disease
Left renal cyst
Trabeculated bladder secondary to neurogenic bladder

Electrocardiograph (ECG) for November 30, 2011
Electrocardiograph (ECG) for November 30, 2011.
Photo by Wuan with Samsung Galaxy S II.

I also had an electrocardiogram (ECG) done on the same day as the checkup. According to the doctors, the results did not show any problem which is a relief.

ECG figures for November 20, 2011

Rate 88

PR 152
QRSD 94
QT 380
QTC 460

AXIS
P 62
QRS 90
T 67

Overall, I am happy with the blood test results except for my cholesterol levels. Renal and liver profile tests will be done two months after I have started on Lipitor to check whether these organs are effected by it. A urodynamics study is also scheduled in the first quarter of next year to determine the pressure in my bladder. It was last done in 2008 at Subang Jaya Medical Centre.



Tags: , , , , , , , , , , , , , , , , , , , , ,

Recent Posts:

Posts that may be related:


Eat Now, Regret Right After

Tuesday, November 15th, 2011

The chronic kidney disease has curbed my enthusiasm for good food since I was diagnosed with it in 2004. Mr. Liong, the urologist at Lam Wah Ee Hospital in Penang, gave me an advice that I remembered till today, that I should take good care of my failing kidneys, which if not, would cause a lot of undue hardship to my family when they fail totally and I need to go for dialysis. I took that advice to heart and have been keeping to a strict renal-friendly low-protein, low-sodium and practically low-everything to keep the decline in check.

I pride myself for adhering to having just two matchbox sized portions of meat daily most of the time. I also scrutinise the mineral contents in the food that I eat. As hard as I try, there have been occasions that I allowed temptation to get the better of me with the notion that I should reward myself with some taboo food for depriving myself for so long. So, I would tuck in the food and savour every mouthful like it was my last meal. Food never tasted so good.

And as always, inevitably, the moment I put down the cutlery, I would ask myself if I over-indulged. Did I eat more meat than I should? Was that gravy a tad too salty? I would regret even more should I start to itch and had to take anti-histamine tablets. I did say I stuck to the low-protein diet most of the time. Those other time I did not, I would be trouble over a period of time wondering if I overloaded my kidneys and tipped them over the edge.

I am writing this post because I have a scheduled blood extraction together with an ultrasound of the kidneys, ureters and bladder on Friday, and I am troubled by the few times I ate more than I was allowed to or did not catheterise as often as I should have. This is the same emotional cycle that I go through every time I have to go for blood tests and ultrasound. It would persist until I get the test result when during the scheduled medical appointment two weeks later.



Tags: , ,

Recent Posts:

Posts that may be related: