### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My wife 47 year old with createnine ranging from 2-8---2.4--2.2--2---2.4 in last six months. recent check up uric acid is in border line urea getting higher at 62. take regular medicine for calcium , selcal os, renhold, febutus, high pressuremedicine tezloc 40 am. urine is foamy. last two days her ankle and knee of left leg is swealing. She had earlier slip disk problem. left knee join cant move forward and backward. What sort of test and medicine should be taken. already started taking neurobion injection. after one inj not relieved

### output:

Dear Concerned., Thanks for writing to us. Let us analyze each of the reports., (A)The uric acid is in borderline therefore the Gouty Arthritic problem is ruled out. But refrain from Alcohol and high Protein Diet (Boiled Veggies are good for her)as the uric acid may raise if they are not stopped. Colchicine and allopurinol need not be started at this juncture.(B)Serum Urea and Creatinine are definitely high indicating Target Organ Damage due to uncontrolled HT/Hypertensive Nephropathy. Foamy Urine is mentioned but no report of Luminaria? It could be due to Luminaria. The ankle and knee swelling are due to pitting type of Pedal Edema.©For PIED(Prolapsed InterVertebral Disc), Consult a Physiotherapist for SWD and Traction//Usual preventive measures like not bending, not squatting/using hard bed rest/Lumbosacral belt/not lifting weights have to be followed. Pls consult a Physician and Cardiologist/Nephrologist for assessment of Cardiac Status// Kidney Status//any change in class of medications required. Wishing you a speedy recovery., Best Regards., Chat Doctor. 