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Do My Lab Test Reports Point To Chronic Kidney Disease?

Posted on Wed, 26 Aug 2015

Question: Greetings, why would a primary physician not alert a male patient to an 89 year old patient with a GFR of 40 and creatinine of 132 after a GFR of 55 last year with a creatinine of 105? Doesn't all this portend kidney problems at this age? Thank you.

Answered by Dr. Dr. Muhammad Sareer Khalil (10 minutes later)

Brief Answer:
It points to chronic kidney disease

Detailed Answer:
Hello and Welcome

I appreciate your concern

At age 89 with a GFR of less than 60 ml per minute , it points towards chronic kidney disease previously known as chronic renal failure. In the setting of diabetes and/or hypertension , it is quiet common. Albuminuria should be screened for and risk factors should be identified. Vitamin D and calcium supplementation should also be considered. Not much can be done to reverse the damage except to avoid nephrotoxic drugs and keep the risk factors at bay in such a condition. If the patient is otherwise , clinically stable, he does not need admission.

Wishing you best of health

Thanks

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (16 minutes later)

Thank you. Although he does not have hypertension or diabetes, he has been taking allopurinol 100 mg once daily for gout for at least 25 years. Could that be the cause? And is he in better condition because he doesn't have hypertension or diabetes?

Answered by Dr. Dr. Muhammad Sareer Khalil (1 minute later)

Brief Answer:
Explained

Detailed Answer:
Hello again.

Allopurinol is protective against renal damage so it should be continued in cases of gout. The fact that there is no hypertension or diabetes is a positive sign that could prevent rapid progression.

Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (12 minutes later)

If allopurinol is protective and he has no hypertension or diabetes, then what could cause the changes in numbers? Lack of drinking or intake of meat? Would that make that kind of difference even at his age?
Thanks again.

Answered by Dr. Dr. Muhammad Sareer Khalil (20 minutes later)

Brief Answer:
Explained

Detailed Answer:
Hello

Glomerulonephritis , Polycystic kidney disease, enlarged prostate, kidney stones ,
post renal failure , recurrent infections can cause the kidney to fail. Dehydration can lead to acute or acute on chronic renal failure. Every risk factor lowered can make a difference.

Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (7 minutes later)

Gosh, that's interesting because he has no symptoms of these either. Except the possibility of dehydration. Thank you!

Answered by Dr. Dr. Muhammad Sareer Khalil (20 minutes later)

Brief Answer:
Upload labs

Detailed Answer:
Could you upload the lab reports, if any to have a better idea of the metabolic state at present.

Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (5 minutes later)

I don't have them, but I will arrange to have them uploaded if possible in a while. I'll ask they be directed to you. Thanks.

Answered by Dr. Dr. Muhammad Sareer Khalil (2 minutes later)

Brief Answer:
Sure. will be waiting

Detailed Answer:
Sure. I will be waiting.

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http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar