Is Low Diastolic Blood Pressure common with Stage 3 or 4 CKD?

Posted by Julie Chitwood @billchitwood, Jul 29, 2021

Bill has CKD. Has been on Atenolol for decades and it has keep his BP at a great range. However, we recently noticed that his BP has been dropping really low sometimes during the day, especially the diastolic (in 50s, 40s, and one day 34 diastolic. Then later it will go back to fairly normal or at least 114/60. Is this common with Stage 3 or 4 CKD? He has also been suffering from chronic diarrhea lately (once or twice a day a couple of times a week). He is 88. Doesn't want to go to doctor and have more meds as he is already on 8 prescriptions and several OTC. Has been suffering from fatigue for several years that doctors indicate they can't do anything for. Has an enlarged prostate (which coud have brought on the kidney problem along with old age?).

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@billchitwood

Complete loss of energy - said he almost feels like he is going to pass out on the way back from the bathroom to his recliner. He wants to sign up for Balance of Nature. Doctor keeps telling him buying such things off the TV ads and/or Internet are not good for him. Of course he doesn't remember being told that - or being reminded every time he sees the ad on TV (which is a lot). He has been on B12 pills for about 12 years (no noticeable improvement at any point. He gave up golf in 2009 as he couldn't make it around the golf course with even being allowed to take his cart onto the green. So has been long standing. My feeling it is just his Thyroid (in the beginning) and then the CKD jumping in as well. At 88 with his health conditions I can't believe that there is going to be a magic pill or supplement that will suddenly give him energy. He can't even sit at a table to eat dinner. He goes from bed to recliner - and bathroom trips of course. And even then he has a hard time making it.

But I could be wrong - maybe there is a magic pill out there and Balance of Nature is all that it alleges to be. Of course if he bought everything he sees and wants there wouldn't be room for us in the house lol.

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Julie, I felt that way-like I would pass out and no energy. My kidney failure was sudden and my husband took me to the emergency room. We were unprepared for this, never even expected it.
Just in case -do you have a plan if he gets worse or passes out or falls?

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Our fire department is just down the road. Neighbors have offered to help. Daughter, when she isn't teaching math, is 15 minutes away. I also (in TN) had to call 911 and they were there instantly. At that time the ER said he had vertigo - he was in bed and it was early morning. I was never sure that vertigo was correct. Health seemed to go down further from that point.

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@czsalt64

Protein leakage can cause a lot of uncomfortable symptoms like swelling and severe fatigue. And at stage 3 can be treated with an ACE or ARB. Yes, we are all going to die, but might as well enjoy life feeling best as possible.

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He had me try a dip stick test, which I did this morning. I took a picture at 60 seconds, which time was given on the instructions. Some of his results didn't seem to be even in the same color range on the bottle results. So no idea if I did it correctly - if it helps or hinders. Does look like his glucose is normal and Specific gravity is on concentrated range. He seems to be having fun having me play 'nurse'.

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@billchitwood

He had me try a dip stick test, which I did this morning. I took a picture at 60 seconds, which time was given on the instructions. Some of his results didn't seem to be even in the same color range on the bottle results. So no idea if I did it correctly - if it helps or hinders. Does look like his glucose is normal and Specific gravity is on concentrated range. He seems to be having fun having me play 'nurse'.

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Julie, this is something your husband needs to discuss with his doctor.

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He sees him Tuesday morning and I've typed up observations - that will remind Bill he needs to tell him and to give to Dr N if he wants the notes. He hasn't had him do a urine test for quite some time. A blood test was done in early October but didn't check to see if medication helping on the sudden cholesterol increase into bad zone. Since it has been over a year for that probably should ask if he doesn't bring it up. I always hate bothering doctors - figuring they know what they are doing.

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A blood test was done and his GFR dropped several points in 3 months. Most everything else, according to the doctor, was considered stable. Cholesterol still high even being on medication for over a year.

He has had chronic back pain in the upper back (top of rib cage?) but now he is getting pain in the lower back (kidney area?). Taking 2 doses of 2 tablets of acetaminophen a day (morning and night). Could the lower back pain be connected to decrease in GFR?

Also his right leg started bleeding this morning for no apparent reason (he has a valve problem). He gets scabby looking sores on both legs. He has his supply of Band-Aids. He is like a kid with them.

Surprisingly he has actually started eating a little better - normal food rather than just cereal and ice cream.

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Bad night last night. Bill was really restless. Along about morning (I thought) he started doing his exercised in bed - got up and did his push offs and then took off for family room. I figured it was time to get up, only to discover it was 3am. He was laying on his recliner, napping with the TV on. Since I had made the bed figured I'd snooze on the sofa. He kept turning the TV on and off. I retired back to the bedroom after putting on his socks.

Turns out he had felt 'dizzy' in bed. Was afraid to move his head. Did try exercises to see if that would help. He didn't remember turning the TV on and off and didn't realize I had put his socks on until later. When morning finally broke he discovered he had misplaced me and panicked, going from room to room looking for me. He had missed seeing me on our bed. When he finally discovered me it was try and pull me off the bed (I woke up suddenly from a very sound sleep!).

By that time his dizziness had ended and he was feeling okay. Years ago he had a spell and had me call 911 and they raced him off to the hospital - was diagnosed as a case of vertigo and nothing to panic over. Nothing since then.

No idea what caused it or what the best thing to do for it if it happens again. Can CKD cause spells like that?

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@billchitwood

Bad night last night. Bill was really restless. Along about morning (I thought) he started doing his exercised in bed - got up and did his push offs and then took off for family room. I figured it was time to get up, only to discover it was 3am. He was laying on his recliner, napping with the TV on. Since I had made the bed figured I'd snooze on the sofa. He kept turning the TV on and off. I retired back to the bedroom after putting on his socks.

Turns out he had felt 'dizzy' in bed. Was afraid to move his head. Did try exercises to see if that would help. He didn't remember turning the TV on and off and didn't realize I had put his socks on until later. When morning finally broke he discovered he had misplaced me and panicked, going from room to room looking for me. He had missed seeing me on our bed. When he finally discovered me it was try and pull me off the bed (I woke up suddenly from a very sound sleep!).

By that time his dizziness had ended and he was feeling okay. Years ago he had a spell and had me call 911 and they raced him off to the hospital - was diagnosed as a case of vertigo and nothing to panic over. Nothing since then.

No idea what caused it or what the best thing to do for it if it happens again. Can CKD cause spells like that?

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Wow, Julie, that is scary! As for whether CKD can cause such spells, my friend found that when her husband's blood chemistry was out of balance (high or low sodium, potassium, creatinine in many combinations) it contributed a great deal to his confusion. Similarly, dizziness can be caused by such changes. The doctor needs to know if this episode, even if Bill refuses to be seen.
I was trying to recall - can he get blood drawn at home? His CKD may be progressing in a way that requires attention.
Sue

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He can't get blood drawn at home and recently had a blood test, which was fairly stable from 3 months before although GFR dropped 2 points. He has another appt in beginning of April (3 months). I do have a urine dipstick test I can use on him. So far he has slept most of today - but 2:30am was a very early start to his day. The other night he had a bad nightmare that woke him and upset him for the rest of the day. He has also been having more problems remembering things. I keep notes for his doctor.

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@billchitwood

He can't get blood drawn at home and recently had a blood test, which was fairly stable from 3 months before although GFR dropped 2 points. He has another appt in beginning of April (3 months). I do have a urine dipstick test I can use on him. So far he has slept most of today - but 2:30am was a very early start to his day. The other night he had a bad nightmare that woke him and upset him for the rest of the day. He has also been having more problems remembering things. I keep notes for his doctor.

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Julie, why don’t you call the doctor’s office before he closes for the day? April Is a long time to wait.

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