[Gurcharan Singh]

Have read your blog about reducing creating. My medical history is as follows:
I am 63 year old male, weight around 92.6 kg, height 6ft inch, blood pressure aound 133/83,creatinine level on average 230, medium drinker. I had aortic valve replaced 3 years ago, NOT a diabetic , increasing breathlessness, QRS duration on ECG is approx 118 cm. US kidneys are normal appearance in terms of size, shape and corticomedullary differentiation. The single cyst bilaterally in the lower poles (the larger cyst on the left).There is no hydronephrosis. The bladder is collapsed but there is no evidence of echogenic debris.
No allergies.
I am on Atrovastatin 40 mg at night, bisoprolol 5mg,Furosemide 20mg, Prednisoline 10 mg all once a day, Hydralazine 25 mg three times a day and Isosorbide Dinitrate 20 four times a day. Symbicort 200/f turbohaler twice a day and Tiotropium 18 once day.
I shall be grateful if you please. Advise me.
Regards.GS