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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For High BP And Creatinine Levels

I m 46 years old with high blood pressure (today was 163/93 and 97 heart rate). I m on meds now and the doctor said something about my last kidney count was rather high. I m going back in for a follow up in a couple weeks. What is the possible issue with the kidney count? I d like to understand enough to know what the doctor is talking about and what to ask her. Mahalo!
Wed, 22 Mar 2017
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Internal Medicine Specialist 's  Response
Hello,
High blood pressure for a long time affect end organ damage like kidney disease, heart disease and brain disease.
Your last blood pressure monitoring is high with drug. You should change or upgrade the medicine to control blood pressure.
Meanwhile your creatinine level is a little bit high but you didn't mention the level. Generally serum creatinine level less or equal to 1.4 is considered normal. If creatinine is higher than 1.4 then you have to investigate properly to find out wather it's temporary or permanent. Temporarily due to so many causes, serum creatinine level varies so don't be panic and find out the cause and treat according to that. But if it's permanent then better you go for USG abdomen for kidney size along with urine albumin test. If both comes positive then it means there is kidney disease and you have to careful for your diet, habit, addiction and regular drug intake. but most important is control of blood pressure less than 140/90.
So first of all control your BP less than 140/90 along with diet and exercise modifications then investigate properly to rule out any kidney damage and regular watch for your serum creatinine level.

Thank you
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Suggest Treatment For High BP And Creatinine Levels

Hello, High blood pressure for a long time affect end organ damage like kidney disease, heart disease and brain disease. Your last blood pressure monitoring is high with drug. You should change or upgrade the medicine to control blood pressure. Meanwhile your creatinine level is a little bit high but you didn t mention the level. Generally serum creatinine level less or equal to 1.4 is considered normal. If creatinine is higher than 1.4 then you have to investigate properly to find out wather it s temporary or permanent. Temporarily due to so many causes, serum creatinine level varies so don t be panic and find out the cause and treat according to that. But if it s permanent then better you go for USG abdomen for kidney size along with urine albumin test. If both comes positive then it means there is kidney disease and you have to careful for your diet, habit, addiction and regular drug intake. but most important is control of blood pressure less than 140/90. So first of all control your BP less than 140/90 along with diet and exercise modifications then investigate properly to rule out any kidney damage and regular watch for your serum creatinine level. Thank you