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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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84 Year Old Having Kidney Problem. On Celebrex, Bystolic, Citalopram. Had Stroke. Prognosis?

I just received a phone call stating my mothers kidney levels were very high and need attention, she is 84. Her level is 1.74. She s on several medicines ( Celebrex , simvastatin, bystolic , citlopram, prilosec , synthyroid & 81mg bayer) & had two strokes one last April & the other in August. She is doing really well overall since having them but now this. What could be causing this and what is usually done under these circumstances? Prognosis? Thank you in advance for your help! Kim
Mon, 8 Jul 2013
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Nephrologist,  's  Response
Hi
Thanks for the query.
I assume that her serum creatinine is elevated (1.74); this indiactes dysfunction of the kidneys.
The causes can be many but use of celebrex for long time is known to cause kidney problems.
However we need to find out if there is any other cause by doing a urine analysis; ultrasound of the kidneys and a few other blood tests.
So I suggest that the celebrex should be stopped immediately and that she see a nephrologist who can perform the tests which I mentioned.
Based on the results he/she can suggest further treatment.
After seeing all the results we can give a better idea of the prognosis although prima facie it does not seem too bad.
Hope this helps.
Good luck.
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84 Year Old Having Kidney Problem. On Celebrex, Bystolic, Citalopram. Had Stroke. Prognosis?

Hi Thanks for the query. I assume that her serum creatinine is elevated (1.74); this indiactes dysfunction of the kidneys. The causes can be many but use of celebrex for long time is known to cause kidney problems. However we need to find out if there is any other cause by doing a urine analysis; ultrasound of the kidneys and a few other blood tests. So I suggest that the celebrex should be stopped immediately and that she see a nephrologist who can perform the tests which I mentioned. Based on the results he/she can suggest further treatment. After seeing all the results we can give a better idea of the prognosis although prima facie it does not seem too bad. Hope this helps. Good luck.