Dr. Muhammad Abdur Razzak, Kidney Doctor

09/12/2025

HTN:

08/12/2025

হাইপোনাট্রেমিয়ায় ফ্রুসেমাইড অতিরিক্ত পানি বের করে ডাইলিউশনাল সোডিয়াম কমে যাওয়া সংশোধনে সহায়তা করে — Muhammad Abdur Razzak, www.drabdurrazzak.com
Reference: Ellison DH, Berl T. N Engl J Med. 2007;356:2064–2072.

Consult with a leading nephrologist and kidney transplant specialist in Dhaka. Advanced kidney disease diagnosis, dialysis support, and long-term renal care.

08/12/2025

Algorithm of tapering Steroids;

07/12/2025

“Tolvaptan হলো একটি V2-receptor antagonist, যা কিডনিতে পানি পুনঃশোষণ কমিয়ে নিরাপদে euvolemic ও hypervolemic hyponatremia সংশোধনে কার্যকর — (Ref: Verbalis et al., NEJM, 2011) — www.drabdurrazzak.com।”

Consult with a leading nephrologist and kidney transplant specialist in Dhaka. Advanced kidney disease diagnosis, dialysis support, and long-term renal care.

07/12/2025

https://academic.oup.com/ckj/article-pdf/18/12/sfaf342/65241391/sfaf342.pdf

06/12/2025

“Hyponatremia-তে ইউরিয়া একটি osmotic diuretic হিসেবে কাজ করে—মুক্ত পানি বের করে সোডিয়াম বাড়াতে সাহায্য করে (Ref: UpToDate: Treatment of hyponatremia) — Dr. Muhammad Abdur Razzak, www.drabdurrazzak.com.”

Consult with a leading nephrologist and kidney transplant specialist in Dhaka. Advanced kidney disease diagnosis, dialysis support, and long-term renal care.

06/12/2025

Vircow’s triad :
https://heart.bmj.com/content/heartjnl/111/14/662.full.pdf

05/12/2025

**Hyponatremia-তে IVF নির্বাচন সম্পূর্ণভাবে ভলিউম স্ট্যাটাসের উপর নির্ভর করে—hypovolemic হলে 0.9% normal saline উপকারী, আর euvolemic/ hypervolemic অবস্থায় সাধারণত IVF প্রয়োজন হয় না, ফ্লুইড রিস্ট্রিকশনই মূল চিকিৎসা—(Verbalis et al., NEJM 2013) —

Consult with a leading nephrologist and kidney transplant specialist in Dhaka. Advanced kidney disease diagnosis, dialysis support, and long-term renal care.

05/12/2025

Cerebral Blood Flow and Cognition in CKD
A Physiological Paradox: https://journals.lww.com/jasn/fulltext/2025/10000/cerebral_blood_flow_and_cognition_in_ckd__a.18.aspx

04/12/2025

**হাইপোনাট্রেমিয়া মূল্যায়নের মৌলিক পরীক্ষা হলো—সেরাম সোডিয়াম, সেরাম ওসমোলালিটি, ইউরিন ওসমোলালিটি ও ইউরিন সোডিয়াম পরিমাপ (Ref: UpToDate), — www.drabdurrazzak.com ।

Consult with a leading nephrologist and kidney transplant specialist in Dhaka. Advanced kidney disease diagnosis, dialysis support, and long-term renal care.

04/12/2025

Practice
Clinical Updates
Assessment and management of albuminuria in adults
BMJ 2025; 391 doi: https://doi.org/10.1136/bmj-2025-084911 (Published 25 November 2025)
Cite this as: BMJ 2025;391:e084911

What you need to know
Regular testing (at least annually) for albuminuria with urine albumin-creatine ration (UACR) is recommended for risk stratification in patients with or at risk for chronic kidney disease (CKD), including those with diabetes, hypertension, and/or cardiovascular disease
In epidemiological studies, a >30% reduction in albuminuria was associated with up to 56% lower risk of kidney failure and 28% lower risk of cardiovascular disease
Antiproteinuric therapies are recommended for treatment of CKD by clinical guidelines including KDIGO. Consider angiotensin receptor blockers, angiotensin converting enzyme inhibitors, sodium glucose co-transporter 2 inhibitors, non-steroidal mineralocorticoid receptor antagonists, or glucagon-like peptide receptor agonists, depending on the clinical situation
Consider referral to nephrology for albuminuria when there is concern for glomerulonephritis, the cause of albuminuria is unknown, risk prediction tools suggest the 5 year risk of kidney failure is >3-5%, urine albumin-to-creatinine ratio (UACR) >30 mg/mmol; UACR >3 mg/mmol with additional risk factors, or there is severe albuminuria with haematuria

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03/12/2025

Ultrasound of Ascites: