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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Increase In Creatinine Levels While On Dialysis?

Hi.. one of my friends is in the ICU, the doctors have not been able to diagnose the cause and they have put him on dialysis. His blood tests are normal parameters for all the checks, but his creatinine has been increasing, it was around 8 to start with and he has been under treatment in numerous hospitals for over the past one month, but it started to increase to 14 around 3 days back and today it is around 18. Could anyone pls let us know what could be the diagnosis....
Thu, 16 Oct 2014
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Internal Medicine Specialist,  's  Response
Hello,welcome to HCM.
I have read your question and understand your concerns.
Rising in s.creat titer has only one diagnosis-KIDNEY FAILURE(might be temporary or permanent).
My advice to you is-

1.If s.creat is still increasing then it means that dialysis frequency should be increased.we cant allow creatinine to be raised like that.patient may go into coma.so,ask your doctor about that on urgent basis.

2.You have not mentioned about any past history of patient or any clinical history.So,its very difficult to tell whether its a temporary or permanent kidney failure.Hope it will be temporary failure and kidney recover gradually.Otherwise if kidney failure is permanent then he has to undergo life long dialysis or renal transplantation.

3.Repeat kidney profile and electrolytes daily and strongly avoid fruit juices and coconut water.
Thank You.
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What Causes Increase In Creatinine Levels While On Dialysis?

Hello,welcome to HCM. I have read your question and understand your concerns. Rising in s.creat titer has only one diagnosis-KIDNEY FAILURE(might be temporary or permanent). My advice to you is- 1.If s.creat is still increasing then it means that dialysis frequency should be increased.we cant allow creatinine to be raised like that.patient may go into coma.so,ask your doctor about that on urgent basis. 2.You have not mentioned about any past history of patient or any clinical history.So,its very difficult to tell whether its a temporary or permanent kidney failure.Hope it will be temporary failure and kidney recover gradually.Otherwise if kidney failure is permanent then he has to undergo life long dialysis or renal transplantation. 3.Repeat kidney profile and electrolytes daily and strongly avoid fruit juices and coconut water. Thank You.