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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Hypokalemia?

I did a 24 hour urine w/o creatinine and the results came back as follows Creatinine 1.24 H eGFR non African American 52 L and creatinine clearance 71 L. Can you tell me what this means? The reason for the test is because I have a history of hypokalemia and we are trying to find out why. I am on Klor-con 8 er three times a day and my levels stay from 3.1 to 3.2
Wed, 27 May 2015
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Pathologist and Microbiologist,  's  Response
Hi I did review your concern
Hypokalemia can be due to multiple reasons ranging from kidney problems to gi problems. Most important is to rule out whether you have concomittant hypertension with it or not to rule out any adrenal problem.your creatinine is slightly high and creatinine clearance and eGFR are low indicating that your kidney is not excreting metabolites properly.
I believe what now needs to be done is and arterial blood gas analysis and detailed study of your urine in terms of 24 hr potassium in urine analysis and blood urea nitrogen.

I hope this helps
Let me know if you have any more questions or concerns.
wish you all the best.
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What Causes Hypokalemia?

Hi I did review your concern Hypokalemia can be due to multiple reasons ranging from kidney problems to gi problems. Most important is to rule out whether you have concomittant hypertension with it or not to rule out any adrenal problem.your creatinine is slightly high and creatinine clearance and eGFR are low indicating that your kidney is not excreting metabolites properly. I believe what now needs to be done is and arterial blood gas analysis and detailed study of your urine in terms of 24 hr potassium in urine analysis and blood urea nitrogen. I hope this helps Let me know if you have any more questions or concerns. wish you all the best.