Can a person with advanced kidney failure gain weight without it being a concern?

50-year-old woman5 years ago
She is not coming down to her usual weight despite taking diuretics. Is this a normal sign of disease progression? She has just started Zaroxolyn. Is this the last resort for diuretics? Do I need to monitor ions and creatinine? And can diuretics cause renal failure by increasing creatinine or decreasing the filtration rate of the kidneys? Thank you for your excellent advice to help this person!
0 like
49 views
2 days

Alexandre Chagnon · 5 years ago
Hello,
In advanced heart failure, there is indeed a very thin line between "normal disease progression" and decompensation. Your central question being whether the situation you describe (weight gain) is "normal", I unfortunately have to refer you to his doctor in order to answer this question. Depending on each person's profile, a gain of a few liters of water can either be considered non-issue or sometimes a sign of decompensation and a reason to go see a doctor.
Diuretics usually create a transient increase in serum creatinine. Again, an increase of a few points is often negligible in most patients, but some people with advanced kidney disease may not tolerate this increase as well, leading to temporary changes in treatment.
Bref, in a situation like the one you describe, the best thing to do is to contact one's doctor and pharmacist directly to see about modifying the treatment if they deem it necessary given one's profile and this history.
True to your pleasure,
Alexander
50-year-old woman · 5 years ago
Hello, how does a person come to have kidney failure? By the medications including diuretics? Thank you!
Alexandre Chagnon · 5 years ago
Kidney failure can first and foremost be of "natural" origin, that is, age-related. Secondly, it sometimes happens that some people undergo a renal "trauma" affecting the ability of the kidney to do its work. This trauma can indeed be linked to the taking of medication that we will call nephrotoxic. This is the case of certain antibiotics, among others. Diuretics, on the other hand, will be able to traumatize the kidneys only if those kidneys are already weakened or the person taking them is very very very dehydrated.
50-year-old woman · 5 years ago
Thank you so much! This answers my questions well. Thank you for your time!
Alexandre Chagnon · 5 years ago
It feels good!"
Happy day,
Alexander

0 like

Looking for reliable answers?
Explore questions answered by real health professionals!