Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

198 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Alcoholic and smoker. Diabetes normal. Reason for sudden raised creatinine levels?

Answered by
Dr.
Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 9854 Questions

default
Posted on Tue, 29 Jan 2013 in Men's Health
Question: Sir,How does one deteremine if both the kidneys have got damaged. In this case in august 2011 he had his creatinine levels at 3.6 AND NOW IT 5.9 Secondly he has been a regular alcoholic drinker of 6 pegs a day and smoking plus gutka. He is a total vegetarain except at times he has eggs.
When Diabetes is normal what can be the reason of sudden rise in creatinine levels. He is 56 yrs of age and 113 kgs of weight.
doctor
Answered by Dr. P. T. Patil 2 hours later
Hello
Thanks for your query.
Hope you have posted facts of your relative or friend. His serum creatinine level has raised in 3 months time which indicates Chronic Renal Paranchymal Disease. Following test will determine the extent of kidney damage.
1) Routine urine test will reveal presence of Proteins in Urine .and pus cells ( if there is active Infection).
2) Ultrasound of the abdomen will reveal thinning of Renal Cortex and reduction in size of the kidneys.
3) DMSA Renal scan will reveal diminished function on either on one or both the sides depending on the affected side
4) Raised serum creatinine with persistent raising levels if not treated
5) Renal Biopsy to confirm the tissue diagnosis. (This is normally not advised)

Since he is chronic alcoholic and diabetes the chances of disease progressing are very high.You have to consult some Nephrologist for proper assessment and further treatment.
Please feel free if you have any more questions .I shall be happy to help you .
Thanks with Regards.
Dr.Patil

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. P. T. Patil 15 hours later
Sir

You have in your reply said 'His serum creatinine level has raised in 3 months time'. But Sir if you read by question carefully it is clear that in August 2011 it was 3.6 and now its 5.9. Basically a gap of 16 months and not 3 months.

Sir, does weight play a role in the creatinine levels. What are best ways to reduce creatinine levels

What are the test to determine the extent of damage individually to both the kidneys
doctor
Answered by Dr. P. T. Patil 3 hours later
Hello,

Thanks for pointing out my mistake. Any way his creatinine levels are suggestive of renal parenchymal disease. I have already explained in my earlier reply the tests to be carried out to determine the extent of damage to the kidney - those which will also reveal damage to individual kidney.

As regards to role of weight in relation to creatinine level, I would like to state that weight has no relation with raising creatinine levels.

Management to reduce creatinine level will be decided only after reports of these tests are in hand AND the nature of the disease and extent of the damage to the kidneys are known.

Hope this answers your query. Let me know if you need more clarifications.

Regards
Dr.Patil

Above answer was peer-reviewed by : Dr. Prasad
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Lab Tests
Medical Topics

Recent questions on  Creatinine

doctor1 MD

Hi, may I answer your health queries right now ? Please type your query here... i was looking for the guidelines for a 24 hour urine test. i was told my creatinine alone was fine. i was told that the protein alone and the two together were high. for the one a good range was below 150, and I m at 180. the other was 118, but not sure what the suggested range was. i am a diabetic, and was having this test done because i am wanting to have a baby. can you help me?

doctor1 MD

I am 20 years old, and have Addison s Disease. Recently I have had rapid heart rate, orthostatic hypertension, petachie spots, fatigue, mood swings, pain in legs, head aches...etc What is most concerning is the high heart rate, it stays in the 80 s at the least at rest. And it is very difficult to get up after sitting, my heart starts racing and pumping harder. Here are some blood test results: at 12:27 PM WBC 4.0L RBC 4.92 Hemoglobin 16.4 Hematocrit 47.5 MCV 96.6 MCH 33.4 MCHC 34.6 RDW 12.1 Platelets 178 Neutrophuls 41.9 Lymphs 43.6 Monocytes 10.3 Eos 3.5 Basos 0.7 Neutrophils (Absolute) 1.70 Lymphs (Absolute) 1.7 Monocytes (absolute) 0.40 Eos (Absolute) 0.2 Baso (Absolute) 0.00 eGFR - unable to calculate due to inappropriate age/gender/creatinine value glucose 76 BUN 14 creatinine 0.9 sodium 138 potassiu, 4.5 chloride 102 carbon dioxide 28 calcium 9.7 protein 7.1 albumin 4.1 globulin 3.0 bilirubin 3.0 alkaline phosphatase 49 AST 13 vitamin b12 487 CT scan recently done with no tumor on adrenals, adrenals actually couldn t be seen due to my lack of fat they say. I take 0.1 fludrocortisone and 30mg hydrocortisone. Any advice would be greatly appreciated, thank you.

doctor1 MD

for nephrologist respected dr ,i am renal transplant recipient 3yr ago,my Hb is 10.2 gm/dl ,creatinine 1.4 .i am on mycophenolate 360mg tds and tacrolimus 1mg/1.5mg no steroid /earlier my creatinine remained around 1/1.2 mg my tacro level came out to be 15.7 today earlier 6 month back it was 6.0 / i m gonna get it repeated kindly advise thanx

doctor1 MD

Hi, my mother had sepsis and she had ARF, had to undergo dialysis thrice . her creatinine level was brought back to normal about 1.6. She is diabetic and has high blood pressure about 170-180. She now complains that she sometimes has headache and nausea and this is accompanied by a feeling that her nerves are being internally pulled. Can you please let me know why this happens?

doctor1 MD

Im a 70 year old stage two diabetic. I woke up in the night with dry heaves...I just went to the store and fell faint and nauseated. I rested for 30 minutes and felt a lot better. I home now and concerned ! I had low blood presure. Now its 128...

doctor1 MD

I feel completely dumb I can't concentrate I can't think straight I feel like I can't function has the time even though I am I'm having memory loss I sometimes blackout for a Split Second I had an MRI month ago and it showed nothing same with the...

doctor1 MD

Sir, I am 59 years with no sugar and blood pressure problem . During routine yearly blood test , my Amylase and Lipase tests showed elevated levels. Amylase level showed MORE THAN 1000 in Thyrocare lab and 3661 IN XXXXXXX HOSPITAL LAB, BENGALURU....