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Urological Disorders
Question #47675
24 days ago
328

Concerns About Rising Creatinine Levels and Medication Safety - #47675

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Some days before my crwatinine was on 6 then i use to take pakhra also known as gokhshuru now my creatinine is on 7.8 why is so is it not safe while i m already on some other medications?i quit to take this should i continue with other mwdicines?

How long have you been taking the current medications?:

- Less than 1 week

Have you noticed any other symptoms since your creatinine levels increased?:

- No, no other symptoms

What other medications are you currently taking?:

- Blood pressure medications
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Doctors' responses

Dr. Manjula
I am a dedicated Ayurveda practitioner with a deep-rooted passion for restoring health through traditional Ayurvedic principles. My clinical approach revolves around understanding the unique constitution (Prakruti) and current imbalance (Vikruti) of each individual. I conduct comprehensive consultations that include Prakruti-Vikruti Pareeksha, tongue examination, and other Ayurvedic diagnostic tools to identify the underlying causes of disease, rather than just addressing symptoms. My primary focus is on balancing the doshas—Vata, Pitta, and Kapha—through individualized treatment plans that include herbal medicines, therapeutic diets, and lifestyle modifications. I believe that healing begins with alignment, and I work closely with my patients to bring the body, mind, and spirit into harmony using personalized, constitution-based interventions. Whether managing chronic conditions or guiding preventive health, I aim to empower patients through Ayurvedic wisdom, offering not just relief but a sustainable path to well-being. My practice is rooted in authenticity, guided by classical Ayurvedic texts and a strong commitment to ethical, patient-centered care. I take pride in helping people achieve long-term health outcomes by integrating ancient knowledge with a modern, practical approach. Through continuous learning and close attention to every detail in diagnosis and treatment, I strive to deliver meaningful, natural, and effective results for all my patients.
24 days ago
5

Hello, What are the some other medications? As there is no scientific-research backed evidence to say, Gokshura causing the increase the creatinine level. So the cause must be something else. Take care, Kind regards.

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Dr. Sara Garg
I am someone who believes Ayurveda isn’t just some old system — it’s alive, and actually still works when you use it the way it's meant to be used. My practice mostly revolves around proper Ayurvedic diagnosis (rogi & roga pariksha types), Panchakarma therapies, and ya also a lot of work with herbal medicine — not just prescribing but sometimes preparing stuff myself when needed. I really like that hands-on part actually, like knowing where the herbs came from and how they're processed... changes everything. One of the things I pay a lot of attention to is how a person's lifestyle is playing into their condition. Food, sleep, bowel habits, even small emotional patterns that people don't even realize are affecting their digestion or immunity — I look at all of it before jumping to treatment. Dietary therapy isn’t just telling people to eat less fried food lol. It’s more about timing, combinations, seasonal influence, and what suits their prakriti. That kind of detail takes time, and sometimes patients don’t get why it matters at first.. but slowly it clicks. Panchakarma — I do it when I feel it's needed. Doesn’t suit everyone all the time, but in the right case, it really clears the stuck layers. But again, it's not magic — people need to prep properly and follow instructions. That's where strong communication matters. I make it a point to explain everything without dumping too much Sanskrit unless they’re curious. I also try to keep things simple, like I don’t want patients feeling intimidated or overwhelmed with 10 things at once. We go step by step — sometimes slow, sometimes quick depending on the case. There’s no “one protocol fits all” in Ayurveda and frankly I get bored doing same thing again and again. Whether it’s a fever that won’t go or long-term fatigue or gut mess — I usually go deep into what's behind it. Surface-level fixes don’t last. I rather take the time than rush into wrong herbs. It’s more work, ya, but makes a diff in long run.
24 days ago
5

Hlo,

Thank you for sharing the details. I understand this is concerning for you. Let’s go through this carefully. - Your creatinine rising from 6 to 7.8 indicates worsening kidney function. That’s significant and needs urgent medical attention, especially since you are already on medications for blood pressure. A few key points regarding your situation: - Gokhshuru / Pakhra (Tribulus terrestris) – This is an herbal supplement sometimes used for kidney stones, sexual health, or other traditional uses. However: - In patients with already reduced kidney function, it can be harmful. Herbal remedies are not always safe because they may contain compounds that stress the kidneys or interact with other medications. - Stopping it was the right decision given your rising creatinine. - Blood pressure medications – Some medications for blood pressure (like ACE inhibitors or ARBs) can also increase creatinine temporarily, but usually not as dramatically as from 6 → 7.8 in a short time. - Next steps – Because your kidney function is worsening: - You need urgent evaluation by a nephrologist (kidney specialist). This is not something to wait on.

Your doctor may adjust your current medications or investigate other causes (like dehydration, infections, or obstruction in kidneys).

Don’t start or stop any other medications, including herbal supplements, without your doctor’s guidance.

Monitoring and safety – Until you see a doctor: - Avoid NSAIDs (like ibuprofen or diclofenac). - Stay hydrated if allowed by your doctor. - Bring a full list of all medications and supplements to your appointment.

- The safest course of action: Urgent nephrologist visit – - You need evaluation now. At creatinine 7.8, your kidneys are severely impaired and may require hospitalization or temporary dialysis. - Stop all non-essential supplements (like herbal remedies) until cleared by your doctor. - Supportive measures that are safe: - Avoid NSAIDs and any nephrotoxic drugs. - Moderate protein intake (your doctor will guide exact grams). Maintain hydration if your doctor allows.

Tq

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Gokahura is actually can be taken in case of kidney disease but that alone will not be sufficient,from 6 to 7.8 within a week shouldn’t be neglected

Take immediate nephrologist opinion n if possible have a direct consultation or video consultation with ayurvedic doctor so you can get further proper guidance and avoid further detonation of kidney function

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Avoid oily, spicy and processed foods. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Sy.Neeri KFT 10ML twice Tab.Punarnava 2-0-2 Follow up after 4weeks.

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Dr. Ravi Chandra Rushi
I am currently serving as a Consultant Ayurvedic Ano-Rectal Surgeon at Bhrigu Maharishi Ayurvedic Hospital, Nalgonda, where I specialize in the diagnosis, treatment, and long-term management of various ano-rectal disorders. My clinical focus lies in treating conditions such as piles (Arsha), fistula-in-ano (Bhagandara), fissure-in-ano (Parikartika), rectal polyps, and pilonidal sinus using time-tested Ayurvedic approaches like Ksharasutra, Agnikarma, and other para-surgical procedures outlined in classical texts. With a deep commitment to patient care, I emphasize a holistic treatment protocol that combines precise surgical techniques with Ayurvedic formulations, dietary guidance, and lifestyle modifications to reduce recurrence and promote natural healing. I strongly believe in integrating traditional Ayurvedic wisdom with patient-centric care, which allows for better outcomes and long-lasting relief. Working at Bhrigu Maharishi Ayurvedic Hospital has provided me with the opportunity to handle a wide range of surgical and post-operative cases. My approach is rooted in classical Shalya Tantra, enhanced by modern diagnostic insights. I stay updated with advancements in Ayurvedic surgery while adhering to evidence-based practices to ensure safety and efficacy. Beyond clinical practice, I am also committed to raising awareness about Ayurvedic proctology and promoting non-invasive treatments for conditions often mismanaged or overtreated by modern surgical approaches. I strive to make Ayurvedic surgical care accessible, effective, and aligned with the needs of today’s patients, while preserving the essence of our traditional healing system. Through continuous learning and compassionate practice, I aim to offer every patient a respectful, informed, and outcome-driven experience rooted in Ayurveda.
24 days ago
5

Don’t worry Chandra Prabha vati 1tab bd Sarvathobhadravati 1tab bd Vastayamatakaghritam 1tab bd U ll get resultz

Dr RC BAMS MS

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Normally gokshura would not show this effect. Anyways you can discontinue and follow some simple lifestyle changes and dietary changes and you will see results for your problem.

✔️Do’s✔️

Drink buttermilk daily. Eat freshly cooked food. Drink warm water. Lunch and dinner on fixed timings. 100 steps after every meal. If possible dinner as early as 7-8 pm.

🧘‍♀️ Yogasan : 🧘‍♀️ 1. Pawanmuktasana 2. Bhujangasana 3. Dhanurasana 4. Paschimottanasana 5. Ardha Matsyendrasana 6. Vajrasana 7. Supta Matsyendrasana

❌Don’ts:❌

Packed and processed food. Ready to eat items. Oily and spicy food. Sour and fermented products. Dals (only moong dal can be eaten) Besan Raw vegetables and sprouts Curd

💊 Medication 💊

Syp. Stonvil 3 tsp twice a day before food Tab. Chandraprabha Vati 2 tabs twice a day before food Tab. Medopachak Vati 2 tabs twice a day before food

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Hello I get why you’re worried. Seeing your creatinine jump from 6 to 7.8 is super stressful, especially when you’re already on blood pressure meds. I totally understand your concern, but dont worry we are here to help you out 😊

YOUR CONCERN

* Very high creatinine (it went from 6 to 7.8) * You recently started Pakhra / Gokhshuru * You’re already taking blood pressure meds * No new symptoms right now

–Creatinine levels of 6–7.8 mean your kidneys are in bad shape (Stage 4–5 CKD). At this point:

❌ Don’t try to treat yourself with any herbs. It’s not safe. ❌ Even herbs that are usually good for kidneys can make things worse if: * The dose is off. * You don’t know the quality. * They mix badly with your blood pressure meds. * Your kidneys are already seriously messed up.

About Pakhra / Gokhshuru:

In traditional medicine, Gokhshuru is only helpful for early kidney or urinary problems.

When your kidney disease is advanced:

* It can put more strain on your kidneys. * It might mess with your body’s electrolyte balance. * It could interfere with your blood pressure medicines.

👉 So, stopping it was absolutely the right call!

Why did your creatinine go up?

It could be a few things:

* Your kidney disease might just be getting worse naturally. * The medicine or herb you just started could be a factor. * Dehydration. * Blood pressure bouncing around. * Electrolyte imbalance.

⚠️ This doesn’t mean gokhshuru is bad—it just means it’s not suitable for you right now, given your kidney condition.

Should you keep taking your other medicines?

YES—but only the ones your kidney doctor or regular doctor told you to take, especially:

* Blood pressure medicines * Any kidney-protective drugs

❌ Do not stop or change them on your own. Keeping your blood pressure in check is vital to stop more kidney damage.

STRICTLY AVOID:

❌ Any new traditional or herbal medicines ❌ Over-the-counter supplements ❌ Protein powders ❌ Painkillers (NSAIDs) ❌ Kidney cleansing stuff from the internet

DIET AND LIFESTYLE

* Stick to a renal diet strictly. * Use salt only as your doctor advises. * Drink fluids only as prescribed. * No fasting. * No dehydration.

You did good by stopping gokhshuru. Don’t try anything else. With creatinine this high, you absolutely need medical oversight. Traditional medicine can help with comfort and digestion, but it can’t reverse kidney damage at this stage.

Warm Regards Dr. Snehal Vidhate

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WHEN CREATININE IS ALREADY VERY HIGH LIKE SIX IT MEANS KIDNEY FUNCTION IS SEVERELY REDUCED AT THIS STAGE EVEN HERBAL MEDICINES CAN INCREASE LOAD ON THE KIDNEYS

GOKSHURU OR PAKHRA IS GENERALLY SAFE IN EARLY OR MILD URINARY PROBLEMS BUT IN ADVANCED KIDNEY DAMAGE IT CAN SOMETIMES INCREASE CREATININE INSTEAD OF REDUCING IT BECAUSE THE KIDNEYS ARE NOT ABLE TO HANDLE EVEN NATURAL DRUG METABOLISM

THE RISE OF CREATININE AFTER TAKING IT SUGGESTS THAT YOUR BODY DID NOT TOLERATE IT AT THIS STAGE SO STOPPING IT WAS THE RIGHT DECISION

THIS DOES NOT MEAN THE HERB IS BAD IT ONLY MEANS IT IS NOT SUITABLE FOR YOUR CURRENT CONDITION

DO NOT STOP YOUR BLOOD PRESSURE MEDICINES THEY ARE VERY IMPORTANT TO PROTECT THE REMAINING KIDNEY FUNCTION

AT THIS LEVEL ANY AYURVEDIC MEDICINE SHOULD BE VERY LIMITED LOW DOSE AND ONLY UNDER DIRECT SUPERVISION OTHERWISE IT CAN CAUSE MORE HARM

RIGHT NOW THE AIM IS TO STABILIZE CREATININE AND PREVENT FURTHER DAMAGE NOT TO EXPERIMENT WITH STRONG HERBS

PLEASE CONSULT A NEPHROLOGIST AND A SENIOR AYURVEDIC PHYSICIAN TOGETHER BEFORE CONTINUING OR ADDING ANY MEDICINE

AVOID SELF MEDICATION IN ADVANCED KIDNEY DISEASE YOUR SAFETY IS MOST IMPORTANT

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Dr. Akshay Negi
I am currently pursuing my MD in Panchakarma, and by now I carry 3 yrs of steady clinical experience. Panchakarma for me is not just detox or some fancy retreat thing — it’s the core of how Ayurveda actually works to reset the system. During my journey I’ve handled patients with arthritis flares, chronic back pain, migraine, digestive troubles, hormonal imbalance, even skin and stress-related disorders... and in almost every case Panchakarma gave space for deeper healing than medicines alone. Working hands-on with procedures like Vamana, Virechana, Basti, Nasya, and Raktamokshana gave me a lot of practical insight. It's not just about performing the therapy, but understanding timing, patient strength, diet before and after, and how their mind-body reacts to cleansing. Some respond quick, others struggle with initial discomfort, and that’s where real patient support matters. I learnt to watch closely, adjust small details, and guide them through the whole process safely. My approach is always patient-centric. I don’t believe in pushing the same package to everyone. I first assess prakriti, agni, mental state, lifestyle, then decide what works best. Sometimes full Panchakarma isn’t even needed — simple modifications, herbs, or limited therapy sessions can bring results. And when full shodhana is required, I plan it in detail with proper purvakarma & aftercare, cause that’s what makes outcomes sustainable. The last few years made me more confident not just in procedures but in the philosophy behind them. Panchakarma isn’t a quick fix — it demands patience, discipline, trust. But when done right, it gives relief that lasts, and that’s why I keep refining how I practice it.
24 days ago
5

Don’t take gokshura blindly sir . Take these medicines 1. Tab vireval 1BD AF 2. Neeri kft syp 10 ml BD A F 3. Kanchnar guggul 2BD A F Repeat creat. After 15 days.

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A creatinine level rising from 6 to 7.8 is significant and points to serious kidney dysfunction. This is not something that can be managed safely with self‑medication.

⚠️ Critical points to keep in mind: - Gokshura (Tribulus terrestris) is traditionally used in Ayurveda for urinary and kidney health, but in advanced kidney disease it may not be safe, especially when combined with modern blood pressure medicines. - Rising creatinine despite taking it suggests that your kidneys are not tolerating it well, or that the underlying disease is progressing. - Continuing or stopping medicines should only be decided by your treating

Rx 1.Punarnava mandur 2 tab twice daily with water after meals 2.Guduchighan vati 2 tab twice daily with water after meals 3.Varunadi kwath 20 ml with 20 ml water twice daily after meals 4.Syp.Ural 2 tsp twice daily

🌱 Diet Tips : - Stay Hydrated: Drink adequate water to support kidney filtration, unless your doctor advises fluid restriction.

- Limit Protein Intake: Excess protein (especially red meat) increases creatinine production. Opt for plant-based proteins like lentils or beans in moderation.

- Reduce Salt & Processed Foods: High sodium worsens kidney strain and blood pressure. Choose fresh, home-cooked meals.

- Avoid Creatine Supplements: These directly raise creatinine levels.

- Balance Potassium & Phosphorus: Depending on kidney function, foods high in potassium (bananas, potatoes) or phosphorus (dairy, nuts) may need moderation.

- Favor Anti-inflammatory Foods: Fresh fruits (berries, apples), vegetables, and whole grains can support kidney health

🏃 Lifestyle Adjustments:

- Moderate Exercise: Intense workouts increase muscle breakdown and creatinine. Choose gentle activities like walking, yoga, or light cycling.

- Manage Blood Pressure & Blood Sugar: Hypertension and diabetes accelerate kidney damage. Regular monitoring is crucial.

- Quit Smoking & Limit Alcohol: Both impair kidney function and overall health.

- Rest & Stress Management: Adequate sleep and relaxation techniques (meditation, pranayama) reduce systemic strain.

- Regular Medical Checkups: Work closely with a nephrologist for personalized monitoring and treatment.

Warm Regards Dr. Anjali Sehrawat

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I am working right now as a Consultant Ayurvedic Ano-Rectal Surgeon at Bhrigu Maharishi Ayurvedic Hospital in Nalgonda—and yeah, that name’s quite something, but what really keeps me here is the kind of cases we get. My main focus is managing ano-rectal disorders like piles (Arsha), fistula-in-ano (Bhagandara), fissure-in-ano (Parikartika), pilonidal sinus, and rectal polyps. These are often more complex than they look at first, and they get misdiagnosed or overtreated in a lotta places. That’s where our classical tools come in—Ksharasutra therapy, Agnikarma, and a few other para-surgical techniques we follow from the Samhitas...they’ve been lifesavers honestly. My work here pushes me to keep refining surgical precision while also sticking to the Ayurvedic core. I do rely on modern diagnostics when needed, but I won’t replace the value of a well-done Nadi Pariksha or assessing dosha-vikruti in depth. Most of my patients come with pain, fear, and usually after a couple of rounds of either incomplete surgeries or just being fed painkillers n antibiotics. And I totally get that frustration. That’s why I combine surgery with a whole support plan—Ayurvedic meds, diet changes, lifestyle tweaks that actually match their prakriti. Not generic stuff off a handout. Over time, I’ve seen that when people follow the whole protocol, not just the procedure part, the recurrence drops a lot. I’m quite particular about follow-up and wound care too, ‘cause we’re dealing with delicate areas here and ignoring post-op can ruin outcomes. Oh and yeah—I care a lot about educating folks too. I talk to patients in OPD, sometimes give community talks, just to tell people they do have safer options than cutting everything out under GA! I still study Shalya Tantra like it’s a living document. I try to stay updated with whatever credible advancements are happening in Ayurvedic surgery, but I filter what’s fluff and what’s actually useful. At the end of the day, my aim is to offer respectful, outcome-based care that lets patients walk out without shame or fear. That’s really what keeps me grounded in this field.
5
1522 reviews
Dr. Prasad Pentakota
I am Dr. P. Prasad, and I’ve been in this field for 20+ years now, working kinda across the board—General Medicine, Neurology, Dermatology, Cardiology—you name it. Didn’t start out thinking I’d end up spanning that wide, but over time, each area sort of pulled me in deeper. And honestly, I like that mix. It lets me look at a patient not just through one lens but a whole system-wide view... makes more sense when treating something that won’t fit neatly in one category. I’ve handled everything from day-to-day stuff like hypertension, diabetes, or skin infections to more serious neuro and cardiac problems. Some cases are quick—diagnose, treat, done. Others take time, repeated check-ins, figuring out what’s really going on beneath those usual symptoms. And that’s where the detail matters. I’m pretty big on thorough diagnosis and patient education—because half the problem is ppl just not knowing what’s happening inside their own body. What’s changed for me over years isn’t just knowledge, it’s how much I lean on listening. If you miss what someone didn’t say, you might also miss their actual illness. And idk, after seeing it play out so many times, I do believe combining updated medical practice with basic empathy really shifts outcomes. Doesn’t have to be complicated... it just has to be consistent. I keep up with research too—new drugs, diagnostics, cross-specialty updates etc., not because it’s trendy, but cuz it’s necessary. Patients come in better read now than ever. You can’t afford to fall behind. The end goal’s the same tho—help them heal right, not just fast. Ethical practice, evidence-based, and sometimes just being there to explain what’s going on. That’s what I stick to.
5
1109 reviews
Dr. Jatin Kumar Sharma
I am a BAMS graduate and currently running my own clinic, where I see patients on a regular basis and try to give them honest, practical care. My daily work involves understanding different health concerns, listening properly to what the patient is going through, and then planning treatment in a way that actually fits their routine. I believe treatment should not feel confusing or rushed, and sometimes even small changes make a big difference. Running my own clinic has taught me a lot about responsibility and consistency. Some days are busy, some are slow, but every patient brings a different challenge and learning. I focus mainly on Ayurvedic treatment methods, lifestyle correction and long-term health balance, rather than quick fixes. There are times when progress takes longer, but I stay patient and keep working with the person step by step. I try to keep my approach simple, practical and honest. For me, real success is when a patient feels better in daily life, sleeps better, eats better and slowly regains balance. That is what keeps me going and improving every day.
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Dr. Vishwajeet Khaiwal
3 year
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Dr. Sanjay Verma
I am a General Physician who worked at Shri Vishvaamrut Ayurvedic Super Specialty Clinic in Nagpur for 6 months, and that time shaped how I look at everyday patient care in a pretty grounded way. My role involved handling common medical conditions, routine consultations, and ongoing follow ups, often in a setting where modern medicine and ayurvedic practice exists side by side, which was intresting and sometimes challanging. I am focused on primary care, early diagnosis, and practical treatment planning. Working in a super specialty clinic meant I had to be attentive, flexible, and clear while communicating with patients from different backgrounds, some came with long standing issues, others just needed basic medical guidance. I try to listen first, then decide, though at times the pace was fast and decisions had to be made quick. I am careful about patient safety, continuity of care, and explaining things in a way that does not confuse people more than needed. Being a general physician there helped me build confidence in day to day clinical judgement, even when resources or time felt limited. I am still learning, still adjusting, and sometimes I double check myself, but that habit keeps care honest and patient centered!! I am someone who values consistency over shortcuts, and clear medical thinking over noise, even if the process feel a bit messy at times.
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Latest reviews

Hunter
33 minutes ago
Really helpful and clear! Appreciate the detailed steps and suggestions. Made things less worrying for sure. Thanks a bunch!
Really helpful and clear! Appreciate the detailed steps and suggestions. Made things less worrying for sure. Thanks a bunch!
Rowan
5 hours ago
Thanks for breaking it down so well! Your advice is clear and super helpful. Super grateful for the reassurance and plans I can actually follow!
Thanks for breaking it down so well! Your advice is clear and super helpful. Super grateful for the reassurance and plans I can actually follow!
Anna
5 hours ago
Thanks a lot, that was so clear! Exactly what I needed to know. The tips on balancing with diet and exercise make a lot of sense, really appreciate it!
Thanks a lot, that was so clear! Exactly what I needed to know. The tips on balancing with diet and exercise make a lot of sense, really appreciate it!
Shelby
8 hours ago
Thanks doc, super helpful response! Appreciate the guidance on trying these out safely. Your advice gave me that extra peace of mind. 😊
Thanks doc, super helpful response! Appreciate the guidance on trying these out safely. Your advice gave me that extra peace of mind. 😊