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What Do The Following Blood Test Reports Indicate?

Posted on Wed, 2 Aug 2017

Question: Hi. I am 59 years old and have been taking Celebrex 200 mg qd for the past 6 years. Prior to that from age 18 to 25, took Indocin, Tolectin, etc. My most recent bloodwork showed a BUN of 23 and a Ceeatine of 0.81. My EGFR is > 60 and am Caucasian. Previous test showed BUN of 21 and Cewatine of 0.87

is there reason for concern

Answered by Dr. Geeta Sundar (24 minutes later)

Brief Answer:
why do you need pain killers on a regular basis

Detailed Answer:
Hi welcome to health care magic,
First of all I do not know why you need pain killers on a regular basis. Do you have a Rheumatoid problem? Even if you take them, give a gap of a couple of days if possible between doses, to protect your kidneys which you are obviously worried about.
Your BUN and creatinine are well within normal range both times. A slight variation is normal and does not matter.
Your e GFR is also fine, although >90 will be better.
Please revert back so I can advise you better.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Geeta Sundar (32 minutes later)

I have severe DJD in bilateral knees and shoulders plus DJD in Lumbar spine/facet joints, bilateral Sacro-Iliac Joints, Lumbar Stenois with H/O Righ HNP at L5-S1. Also have DJD in bilateral feet, ankles, and hips. Celebrex seems to work to keep things at bay. Tried Tramadol in conjunction with Celebrex.

Answered by Dr. Geeta Sundar (10 hours later)

Brief Answer:
as far as possible take local treatment

Detailed Answer:
Hi as far as possible take local treatment--and regular Physiotherapy/exercises.
You can also get a TENS machine and apply locally. Use Celebrex to a minimum and continue to monitor kidney functions.
Consult your doctor on use of plain muscle relaxants at night.
Gabapentine may also help.
Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Geeta Sundar (9 hours later)

Hi:
Thanks for the answers. To follow up:
1. Exercising
- have a set of stretches that I do 2x a day
- go to PT every 2 weeks for traction and manual manipulation
- walk 4x a day at 15 minute intervals for a total of 60 minutes
2. Neuropathy
- Neuropathy is good when SI joints not inflamed
3. Sleep
- sleep average about 8 hrs a night. No pain while slleeping but back very stiff when arising every am
- would Flexeril of 5-10 mg at night help?????
4. Future plan
- plan to possibly get RFA on Si Joints by Pain Management
- would be able to get of Celebrex and just use ES Tylenol
- am seeing my PCP on Wednesday

Thanks,

XXXX

Answered by Dr. Geeta Sundar (1 hour later)

Brief Answer:
Yes Flexeril at night will help.

Detailed Answer:
Hi XXXX, good routine!
Yes Flexeril at night will help.
Gabapentin at night is good for neuropathy.
Hope you are on B-12 supplement.
Discuss with your PCP.
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. Vaishalee Punj