Can a chronic kidney disease increase the blood pressure, and cause swelling in the legs?

Question

Hi doctor,

My father is 62 years old, and his hemoglobin levels have deteriorated for the last two years. His ultrasound report shows that the kidneys are smaller than their natural size. His legs are swollen at times. His blood pressure is high. The serum creatinine level is between 2 to 3 mg/dL. He is on medications for blood pressure, diabetes, and thyroid problems. I am attaching his reports for your reference. Kindly suggest.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern. According to the reports provided (attachment removed to protect the patient's identity), the kidneys are shrunken and damaged. It is known as chronic kidney disease. The swelling in the legs and high blood pressure are due to chronic kidney disease. Chronic kidney disease can be due to various reasons. His low hemoglobin is also due to kidney damage because kidneys are not able to make erythropoietin which helps in hemoglobin formation. Your father requires supportive care for his kidney problem, which may include dialysis support shortly. I suggest you consult a nephrologist to start an appropriate supportive treatment. I hope this helps you.

Thank you.