When to refer

• Haematuria is an indication of active disease and such patients should be referred immediately for investigation. Oliguria makes this even more urgent.

• Any patient with impaired renal function should be investigated and a management plan formulated.

• Patients with creatinine clearance of less than 20 mL/min (plasma creatinine > 0.05 mmol/L) are best followed in a renal clinic. Diabetic patients warrant specialist referral when the plasma creatinine is at 0.2 mmol/L. 3

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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