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What Does My Lab Test Report Indicate?
Question: Just had a life line screening. Kidney was abnormal. Creatinine 0.76-1.27 mg/dL ....0.94 Normal
eGFR >60mL/min/1.73 m2. ..... 59. Abnormal
Is this a concern for me or could this just be what my diet was the day before. I am going to see my MD
about this.
eGFR >60mL/min/1.73 m2. ..... 59. Abnormal
Is this a concern for me or could this just be what my diet was the day before. I am going to see my MD
about this.
Brief Answer:
diet may affect creatinine but not GFR
Detailed Answer:
HI, thanks for using healthcare magic
Diet may affect creatinine but should not affect GFR
The creatinine at 0.94 was within the normal range of 0.76 to 1.27 but the GFR is decreased.
It decreases with age even in persons with no illnesses even more if there are chronic illnesses but you stated that you have no known chronic conditions.
At 59 , it would be said to indicate mild to moderate loss of kidney function according to the staging of kidney disease.
With a history of no chronic illnesses, you may want to consider repeating this to make sure that it is accurate.
If it is accurate then it would be important to determine if there are any other causes other than aging.
This would require recheck of blood pressure and blood sugar. Imaging of the urinary system by ultrasound, may also be needed as well to look for any structural causes or changes.
Additional blood tests to check calcium.phosphorus and potassium levels, which can sometimes be abnormal, may also be needed along with a complete blood count.
Treatment--
Making sure your blood pressure continues to be normal along with the blood sugar and cholesterol would prevent progression.
Treating the specific cause if it is found
Avoiding medications such as ibuprofen, naproxen etc ,which can worsen kidney function
There are some medications that are thought to be kidney protective eg enalapril, ramipril, lisinopril, micardis, valsartan and other meds in this family.
They are usually used in diabetics to protect the kidneys or in high blood pressure but some studies have shown that they have benefit otherwise
I hope this helps, feel free to ask any other questions
diet may affect creatinine but not GFR
Detailed Answer:
HI, thanks for using healthcare magic
Diet may affect creatinine but should not affect GFR
The creatinine at 0.94 was within the normal range of 0.76 to 1.27 but the GFR is decreased.
It decreases with age even in persons with no illnesses even more if there are chronic illnesses but you stated that you have no known chronic conditions.
At 59 , it would be said to indicate mild to moderate loss of kidney function according to the staging of kidney disease.
With a history of no chronic illnesses, you may want to consider repeating this to make sure that it is accurate.
If it is accurate then it would be important to determine if there are any other causes other than aging.
This would require recheck of blood pressure and blood sugar. Imaging of the urinary system by ultrasound, may also be needed as well to look for any structural causes or changes.
Additional blood tests to check calcium.phosphorus and potassium levels, which can sometimes be abnormal, may also be needed along with a complete blood count.
Treatment--
Making sure your blood pressure continues to be normal along with the blood sugar and cholesterol would prevent progression.
Treating the specific cause if it is found
Avoiding medications such as ibuprofen, naproxen etc ,which can worsen kidney function
There are some medications that are thought to be kidney protective eg enalapril, ramipril, lisinopril, micardis, valsartan and other meds in this family.
They are usually used in diabetics to protect the kidneys or in high blood pressure but some studies have shown that they have benefit otherwise
I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for your advise. I will talk to my MD about this and get these
test done. I have mucle aches and tightness in bed mostly in my legs.
Maybe I need more excercise. I was diagnosed with fibromylgia 15 yrs ago. Pilates has helped me so much. I got my life back and feel so much better.
test done. I have mucle aches and tightness in bed mostly in my legs.
Maybe I need more excercise. I was diagnosed with fibromylgia 15 yrs ago. Pilates has helped me so much. I got my life back and feel so much better.
Brief Answer:
exercise should help
Detailed Answer:
HI
Exercise or directed physiotherapy should help with the muscle aches and tenderness.
Wishing you all the best, if there are any other queries , can let me know
exercise should help
Detailed Answer:
HI
Exercise or directed physiotherapy should help with the muscle aches and tenderness.
Wishing you all the best, if there are any other queries , can let me know
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you Dr. M G XXXXXXX
Brief Answer:
no problem
Detailed Answer:
no problem
no problem
Detailed Answer:
no problem
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
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