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

He has started talking in his sleep, which he never did before. He also called me outside because people were saying 'your sister is sick'. This happened several days last week. I heard a couple of birds chirping.

We accepted an offer on our home. Moving is so stressful!

Ah Julie, another hurdle to overcome! Have you decided where you will move?
Is it time for more help with Bill? The hallucinations sound like a worsening symptom - my dear friend with CKD used to get those as his very first indication of a urinary tract infection - have you had him checked?
I know you must be so very busy, but how are you doing these days?
You are often in my thoughts these days.
Sue

We are moving in with our daughter - who lives 6 miles away. She knows what she is getting into as she went through it with her husband. Yesterday he wanted to go live with his son - without me - as I wasn't paying enough attention to him. I was trying to organize things for moving lol.

I am so happy for you! But still you face the daunting task of downsizing, packing, and parting with your private space and probably many possessions. Any chance you can physically move yourselves before closing on the house? Then you can go back and finish the job without stressing him out.
Good luck with the transition!
Sue

I did and it can also be related to low Thyroid. Some years ago he was put on med for low thyroid - just in the past year his blood test showed low TSH at .31 - so apparently the med isn't helping as much. When they did a knee reflex test on him he had no reaction in either knee. A few years ago was diagosed with a valve problem in his right leg. Treated for years for high BP, which was kept in a very good range, until recently when it has dropped, especially the diastolic. Also treated for gout, which he has suffered from since he was in his 30s, but now kept under control with med (actually no attacks after right hip replaced in 1999). Has always had sleep problems and taken sleeping pills. On anti-stress meds as well. Some confusion and often doesn't make it to the bathroom in time! Complete fatigue. Trip to and from the bathroom completely wipes him out and a shower is even worse. Seems like every day something new - now it is an itchy back. Has also had chronic back pain in the kidney area for some time. In the past two months has chronic diarrhea. Last blood test in Nov of last year showed him at GFR 55 while the one in July of 2020 showed GFR of 42.7 (likes to jump back and forth). Thank you for your help and just letting me ramble. Julie

Bill has started seeing doctors - first 2 visits showed BP at 92/58. An EKG has his heart beat at 58 BPM.
Blood tests show his GFR at 47; calcium low; B12 (first time checked) very high at 1400; also showed vitamin D high at 53 ng/ml; low hemoglobin; low Erythrocytes; high RBC Distrib Width; and high MCV. I'm guessing these are all connected to his CKD? He is also suffering from dementia and CVI. We still have to set the appointment for the CKD and Urologist but they aren't doing appointment settings until after the July 4th weekend.

He has also had about 5 falls in the past 1 1/2 months, last two requiring 911 in order to get him up.

We moved in with our daughter as I couldn't take care of him by myself. Good days and bad. When he was told he could no longer drive by the doctor he insisted the doctor told him he was good to drive. No way! Yesterday his driver's license was switched out for an ID card when we got a handicap parking tag for him. I also sold the car as I shouldn't be driving either as reflexes just aren't that good. So far he hasn't noticed.

Thanks for the update. Are you finding life a bit easier these days with a little more help?
I know you are still Bill's main caregiver, but at least you have some support, and I hope someone to talk to.
Sue

It is much easier. And Robin is a good cook. Bill is even eating as he doesn't want to disappoint her. Me he could say no to lol.
She has also introduced me to Pilates and I'm really enjoying them. We go early and generally are home before Bill wakes up. He is getting more settled - a lot of anger when we first moved. When he would fall he would start swearing at us. Robin took it better than I did. Since his last appointment he is doing better. Even going along with changing his Depends (for a while it was a battle getting him out of the wet ones). Will enjoy while it lasts. We created a TV den for him, with another lift chair. He is enjoying watching movies. Forgets he just saw the same movie so gets to enjoy it again the next day. The cats all love to get in his lap and he gives them treats and sings to them. The stack of stuff behind him came from Robin's office (now the Bill cave) and we still have to find a place to put it.

It is much easier. And Robin is a good cook. Bill is even eating as he doesn't want to disappoint her. Me he could say no to lol.
She has also introduced me to Pilates and I'm really enjoying them. We go early and generally are home before Bill wakes up. He is getting more settled - a lot of anger when we first moved. When he would fall he would start swearing at us. Robin took it better than I did. Since his last appointment he is doing better. Even going along with changing his Depends (for a while it was a battle getting him out of the wet ones). Will enjoy while it lasts. We created a TV den for him, with another lift chair. He is enjoying watching movies. Forgets he just saw the same movie so gets to enjoy it again the next day. The cats all love to get in his lap and he gives them treats and sings to them. The stack of stuff behind him came from Robin's office (now the Bill cave) and we still have to find a place to put it.