Chronic kidney Disease
A 50 year old male , a daily wage labourer by occupation, resident of Nakrekal came to casualty with the c/c of pedal edema since & sob since 2 days. Patient was previously diagnosed with CKD ,a year ago and kept on MHD . He developed bilateral grade 2 pedal edema pitting type which was insidious in onset and gradually progressing along with facial puffiness in the same time period. He also complained of SOB which was insidious in onset and gradually progressing, aggravated on doing his regular work(Granite cutting) with relieving factors after taking medication. He was a occasional alcoholic and for 30 years and stopped consuming alcohol 1 year back. No h/o blood vomiting, fever and burning micturation. No h/o TB, Asthma But Diabetes +, HTN + No significant past and family history. He was taken to a hospital in Hyderabad where he was diagnosed with chronic kidney disease and underwent his 1 st dialysis treatment and suggested to take medications after that. After 1 year