A Visit with the Nephrologist
February 28th, 2007 at 03:32 pmI had my first nephrologist visit yesterday. I really liked his Physician's Assistant. I would have actually rather had her be my doctor. He was okay though.
He sent me for blood work this morning and an ultrasound of my kidneys this afternoon. I go back to see him in 2 weeks to find out the results.
He put me on a low-dose blood pressure medicine. I was doing everything I could to try to avoid another BP med, since the last one caused me so much grief, but I guess it wasn't to be. My BP was 155/100 at the office. He said we'll increase the dosage little by little until we find the minimum I need. It's Lisinopril and I've made sure to check the side-effects out.
It's an ACE inhibitor that is supposed to relax the blood vessel walls so the blood flows more easily and it also reduces the blood volume. It must be working because after only one dose about 8 hours ago my BP is 114/76. I haven't noticed as many irregular heartbeats either today.
He told me that my sodium levels are low so he cut out my one diuretic (the one I JUST paid for 3 months worth ). I'm kind of nervous about that because this was the one I ran out of last week and missed 3 doses and immediately gained 4.5 pounds. Then once I took 1 pill when they came, I lost 3 pounds overnight. So I weighed today to make sure I know my starting weight with it and will know if I start retaining fluid. I'll need to weigh every day to keep track.
He also said I've been drinking way too much water. I normally drink between 100 and 200 ounces a day. He doesn't want me to get any more than 1.5 liters a day. He said that was contributing to the low sodium levels. That's really going to be hard because I am always thirsty. It has been nice not running to the bathroom constantly though. LOL! He said that I've been drinking so much that I've made my thirst indicators think that I'm just always thirsty.
So I won't know if they find anything until I go back I guess. At least he's looking for the cause of the edema and high blood pressure and not just treating the symptoms.