Conversation: The conversation between human and AI assistant.
[|Human|] My mother is suffering from hypertension and her TSH levels are also high. Last week after performing some tests it was found that her creatinine level is 2.1 and mild proteinurea(+). On USG left kidney size 9.64 cm  and right kidney is 8.65 cm and there is partial loss of cortico-medullary echoes. Can we plz tell the problem and treatment plan??
[|AI|]  The creatinine is higher, most probably it is due to hypertension related kidney injury (USG and s crest suggest early stages of chronic kidney disease), likewise kidney problems itself will result in higher blood pressure, triggering a vicious cycle.  Because the medication he is on is not available, I suggest you to consult a nephrologist or your doctor and review your meds as decreasing proteinuria should be a priority. Also, TSH on higher side suggest s hypothyroidism, which would require supplementation of thyroxine