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

150 Doctors Online
Doctor Image
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.

Diagnosed with stage 3 chronic kidney disease and had a kidney function test. Should I be worried about the findings?

Answered by
Dr. Ravi Bansal


Practicing since :1996

Answered : 348 Questions

Posted on Mon, 25 Nov 2013 in Kidney Conditions
Question: I was diagnosed with Stage 3 CKD just three weeks. At that time the specialist told me that my kidney function was at GFR 41(one month prior to this Dr. apt) or 41% functioning he said and that their is no way to repair the kidneys with this disease. So the doctor ordered lots of lab tests that same day which resulted in a score of GFR 32. High anxiety at seeing such a rapid drop in numbers led me to talk with my doctor about taking another blood test in two weeks. That score was GFR 45. So what does that mean when the number goes up after being low and kidney repair is not supposed to happen? Does it mean that your CKD is as bad as the lowest score? This news came out of the blue for me and my head is still spinning. Please clarify this mystery for me regarding kidney function test scores vs. actual kidney damage. Thanks (BTW, am I going to be charged for your response to me?)
Answered by Dr. Ravi Bansal 26 hours later
Brief Answer: GFR testing can be variable Detailed Answer: hi, As I can understand you are suffering from chronic kidney disease. It is an irreversible condition and the pathology in kidney is fibrosis in the tissues of kidney. The function testing of kidney can be done by serum creatinine assay or by GFR testing. GFR testing can be done by calculation from body wt age and serum creatinine levels. it an also be tested by isotope DTPA Scan which is more accurate. your doctor has told you correctly. only thing is that there are inherent inaccuracies in the measurement of these tests and thus repeated testing will show variation. so do not worry. what is more important is to see the trend of this test over next one year by 3 monthly testing. if the value is progressively falling then it shows poor prognosis. but if it is fluctuating in certain range then it is of not much significance. in any case just getting worried over some lab value will not help you in treating of facing that problem.I do agree that lithium can be difficult to manage in your case and it is better to withdraw it but in strict guidance of your doctor. hope this helps. in case any other query please ask.
Above answer was peer-reviewed by : Dr. Vaishalee Punj

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Medical Topics ,  

Recent questions on  Fibrosis

doctor1 MD

What are the latest Tx options for Polymiositis(Dx via muscle biopsy 3yrs)? How to counter complication of pulmonary fibrosis? 58yo male w/o prev fam hist. Mother and matrnl Grandmoth w/ age related osteoarthritis. Just switched to Mycophenolate from methrotrexate. CAD present x10yrs.

doctor1 MD

my 18 month old son got suddenly severly ill he s had 2 bone marrow asperations one found fibrosis of the bone marrow and 15% blastomas that show traits of lukemia but not high enough percent to be classified as lukemia I didn t know there were different types of blastomas and that blastomas in themselves mean cancer what all exactly could I be looking at besides lukemia and other cancers please list everything from genetic disorders and diseases fungal bacterial viral nutritional diseases and disorders I wouldn t ask except to me so many things have the same symptoms as he s shown which are lethargy reduced apetite weight loss low platetlets low white and red blood cell counts petichia and at the start had a hive like rash if someone could narrow down the possibilities without the run around and give me a list of everything and the symtoms of what it could be it d be appreciated thanks

doctor1 MD

6/12: diagnoses - hospitalized with chronic severe gastroenteritis, asymptomatic for bilateral pleural effusions. Rt lung drained approx 425cc; transudate. 7/12: diagnoses - gall bladder attack; multiple DVTs & simultaneously multiple bilateral pleural emboli. Tested positive for primary onset of APS: antiphospholipid syndrome. Began anticoagulant therapy. 8/12: diagnosis - removal of gall bladder 11/12: diagnosis - non alcoholic fatty liver disease, liver infection & extremely high liver enzymes. NOS all B vitamin anemia & NOS iron anemia. 3/13: diagnosis - shortness of breath, rt pleural effusion, approx 400cc drained; transudate. 9/13: diagnosis - difficulty breathing, rt pleural effusion, approx 450cc drained; transudate. 12/13: diagnosis - shortness of breath, rt pleural effusion; wait to see. 1/14: diagnosis - symptomatic chest pain, diff breathing, rt pleural effusion; VATS thoracentisis & pleural biopsies. Pathology final diagnosis: chronic pleuritis with fibrosis. NO MALIGNANCY. O2 since 12/10. 12/13 Renexa 500 mgs/2x day & breathing treatments PRN. 11/12 Famotidine for acid reduction. Immunosuppressants do not work. Any suggestions?

doctor1 MD

I underwent surgery of Retroperitoneal fibrosis in 2006. Recently CT scan of whole abdomen carried out. Impression says that recurrence of fibrosis encasing renal artery & partially abdomina aorta.local doctor suggested me for medicine Azoran 50mg to reduce fibrosis growth.My age47,Male,ht-166cm,wt-65kg.

doctor1 MD

I was diagnosed with intermittent testicular torsion 3 years ago and had orchiopexy performed with non absorbable sutures. Before the surgery my testicle would be backwards (180 degrees) 90% of the time or more and I had pain every day from it....

doctor1 MD

Was recently diagnosed with copd . Never smoked but grew up heavy secondhand smoke from parents. Waiting for results from ct to rule out a tumor or pulm fibrosis acc to pulmonologist. This morning i walked into a restaurant stood in line...

doctor1 MD

I have had a hemorrhoid for at least 10 years. It does not itch nor does it hurt. I have trouble getting everything out because it snakes out. When it is lower down it keeps my anus open and I don't feel it when I use the bathroom. What can I do?