path forward for CKD elderly mum in hospital

[bournville]

hi my mum is a 90 year old lady with 1 kidney - her baseline gfr in January 2023 was around 40.

She was taken by me to A&E one week ago with suspected acute kidney injury after a course of water tablets & 2 courses of anti biotics ( for possible urine infection ) led to dehydration, nausea and vomiting bile.

Her kidney function gfr was 24 on hospitalisation gfr now reading 27.

The nausea and bile gagging continues she is on anti sickness meds. Hospital seem unsure what’s wrong and are going to CT scan for potential blockage tomorrow .

Any advice - does the ongoing nausea, gagging & bile gaging sound like a kidney related problem ? I’m concerned hosp may discharge her with anti sickness meds back Into community without a clear diagnosis or plan. GP seems unable to manage her symptoms or work with her kidney effectively.

[drmind]

Sorry that your mother is having these problems. We can't make diagnoses on this forum, but some could share their experiences. Thus, it's likely so far that none have.had similar experiences. Hoping that the CT scan will offer up information so that some treatment can be available. In today's medical world, it's not easy to be 90 and taken seriously. I'm in my senior years and occasionally encounter some age discrimination. However, I'm so fortunate to have a medical team who looks at me as a person and not at my age. Best of luck caring for your mom.

[bournville in reply to drmind]

thank you

[Blackknight1989]

I have no idea on you mom BUT I haven’t had an eGFR as high as 27 since 1996 and I don’t suffer those symptoms you describe. My eGFR runs about 17 and has since February 1996, or at least 17-23. I do have 2 kidneys. Maybe they need to evaluate other causes?

[bournville in reply to Blackknight1989]

thanks that’s very helpful and much appreciated

[Blackknight1989]

My pleasure and my best. Parents being sick is so hard, been there and have some understanding. My heart goes out to you!

[bikerchrish in reply to Blackknight1989]

I read a few things you posted. You are a good person. God bless you.

[Blackknight1989 in reply to bikerchrish]

Such a wonderfully nice comment. I seek only to help others without any expectation of anything in return and your sweet compliment made my day! Thanks!

[bikerchrish]

I will pray right now for your mom. I am sorry she is going through this. I wish I had advice but I am stage 3 and this is all new to me.

[bournville in reply to bikerchrish]

thankyou she has slowly improved over the last few days and it looks like she will be well enough to be discharged home soon