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What Causes Deranged Creatinine Levels?

Posted on Sat, 9 May 2015

Question: I would like you to go though the attached report & advice . I want to know what makes cretanine high or low ? What is the normal range ? If it is at the border line , what could be the reason? What futher tests adviced ? My mom urinates frequently at night , what could be the reason ?

Answered by Dr. Rakesh Madhyastha (48 minutes later)

Brief Answer:
Normal renal function

Detailed Answer:
Hello

Thanks for the query

I have gone through the attached report and these are my interpretation

1. Your kidney function is normal and s creatinine is normal. O.8 to 1.3 is considered as normal
2. Frequent urination is usually because of diabetes and if sugars are within normal limits then I recommend you to reduce the fluid intake in the evenings to prevent urination at night
3. no further tests are required to know the kidney function. The tests you have done is sufficient

I hope I was of help , if you have any further queries please get back to me

Regards

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

Follow up: Dr. Rakesh Madhyastha (32 minutes later)

You did not ansewr that what makes cretanine high or low ? if i want to lower it , what shud b done?

Answered by Dr. Rakesh Madhyastha (16 hours later)

Brief Answer:
Follow up

Detailed Answer:
Hello

I am sorry for the short delay in my reply, I just got back from the hospital.

Serum creatinine is nothing but muscle protein which gets excreted through the kidney.
Creat can go high in several situation like
1. Urinary tract infection
2. Long term damage with diabetes or hypertension
3. Dehydration
4. Sepsis ( generalised blood infection)
5. Auto immune diseases like Lupus nephritis, etc

When we treat the basic pathology then creat also comes down along with it.

If you want to lower your creat these are the steps you should take

1. Hydrate yourself adequately with atleast 6-8 glasses of water
2. Avoid pain killers
3. Make sure your blood pressure and sugars are under good control. Test for hypertension and diabetes atleast once a year.
4. Lose weigh if you are over weight

I hope I was of help, I am once again sorry for the delay

Regards

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

Follow up: Dr. Rakesh Madhyastha (3 hours later)

Many thanks ...When can v say that person is having High B.P issue . She checks her B.P thrice a month .So , at times it is normal at times it is 140/90 . Usually at border line . Any medication required if B.P is at border line . When actually person should start B.P medicne ? Under what circumstances ?? Also , please tell me if basic sugar tests are normal so is there ny chances that person might hav sugar ? Id detailed sugar test is done ? Under what circumstances , detailed sugar tests are required ??

Answered by Dr. Rakesh Madhyastha (20 hours later)

Brief Answer:
Follow up

Detailed Answer:
Hello

I shall answer your questione one by one so that I do not miss any

1. As per new blood pressure guidelines 140/90 is normal and requires no treatment. Only lifestyle modification like weight loss and low salt diet is suggested

2. No medication is required for 140/90

3. Person should start blood pressure medication when three serial readings of blood pressure is more than 140/90 on three seperate days

4. What do mean by 'under what circumstance'?

5. Basic sugar test can sometimes be normal especially in a pre diabetic. I recommend Hba1c test to be done to know average sugar values in last three months

6. Yes detailed sugar test can be done

7. Detailed sugar test is usually done in patients who are donating a kidney or in pregnant women with borferline fasting and post prandial sugars

Regards

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

Follow up: Dr. Rakesh Madhyastha (6 hours later)

many Thanks ! So if the three readings are high then which medicne should be taken? Repace H ? Also , then shud it b for lifetime ??

Answered by Dr. Rakesh Madhyastha (18 hours later)

Brief Answer:
Follow up

Detailed Answer:
Hello

If three readings are high I usually start plain repace and not repace h. Please meet your doctor before starting any medication. Do not self medicate

Regards

Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

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