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Kidney transplantation done. Taking omnacortil. Found rise in serum creatinine level. Worried

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Answered by

Practicing since : 1996
Answered : 258 Questions
Age : 35
Sex : Male
Transplanted Kidney on April 2009.


Cellcept : 500 mg 1-1-1
Pangraf 2 1-0-0
Pangraf 1 0-0-1
Uritas 100 mg
omnacortil 5mg
Prazopress xl.5
clopilet 10 mg
Nicardia Retard

Todays Lab Report

Creatinine : 1.9
urea - 15

Total Protien - 5.0 gm/dl
albumin : 3.1
globulin : 1.9
ag ratio : 1.63:1
Microalbumin : 75

BP - 160/90
Posted Wed, 27 Mar 2013 in Kidney Conditions
Answered by Dr. Ravi Bansal 2 hours later

Seen your case summary. Post transplant 4 years with s creat of 1.9

Medications are ok

But what is your question.

Can you please elaborate?

In case you are worried about rise in serum creatinine then I also need to know trend of serum creatinine values over last 3 months. Urine routine reports.

Your blood pressure is high target should be 130/80

Please respond.
Above answer was peer-reviewed by
Follow-up: Kidney transplantation done. Taking omnacortil. Found rise in serum creatinine level. Worried 2 hours later
Dear Sir,

Thank you so much for your quick response.

My concerns:

1. Creatine level was 1.5 for last 4 years. It has been raised to 1.7 two months back. Today the report shows 1.9.

2. For last 1 week my legs and feet are swollen and I can feel the breathing problem while sleeping. Just like i felt when i was in dailysis.

3. Albumin and Microalbumin level is high.

4. RBC is 10-12, that mean i have a slight blood output through urine.

Am I in kidney rejection stage?
Answered by Dr. Ravi Bansal 4 hours later

Thanks for writing back.

Based on the information provided, I could think of the following possibilities:
1. Recurrence of glomerulonephritis
2. Rejection
3. Infections.

You need evaluation by your Nephrologist.

You will be needing hospitalization, Ultrasound Doppler of kidney, 24 hrs urine protein and creatinine analysis and kidney biopsy if indicated by initial assessment. Do not worry the things can be managed well if investigated and cause found at the earliest. Do visit as soon as possible the nephrologist who is following you regularly.

Hope I answered your query.

Wishing you good health.

Above answer was peer-reviewed by
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