Hello,
Thanks for the query to H.C.M. Forum.
I would try to explain you in your own and simple language .
Increased renal cortical echogenicity means renal tissues are mildly destroyed ( borderline case or near to
chronic renal failure ,if not treated).
Blood urea is 38 ( as you mentioned that normal range is 1-20 , while in standard books the normal range of urea is 20-40 ) .
Serum CREATININE is 1.35 ( normal up to 1 , but in few books it is 1.35 ).
Uric acid level is 9.56 ( normal 2.4 -5.7 ).
Uric acid if high in level it may damage
kidney and that may be the reason of renal cortical damage ( echogenicity ) .
Serum creatinine level is very very important if it elevated chances of renal failure increased.
In my opinion plenty of fluid with diuretics will help .
In such type of cases I have treated my patients with diuretics and plenty of fluid orally or intravenous .
Consult a nephrologist and get his opinion.
Gout also develops due to high level of uric acid so take treatment for this also.
Good luck for your mother. Dr. HET