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Have Chronic UTI's, Blood In Every UA Creatinine Level 2.4. What Does This Mean?

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Posted on Wed, 28 Nov 2012
Question: I have chronic UTI's, blood in every UA, Creatinine level is 2.4. What does this mean?
doctor
Answered by Dr. G.Srinivasan (40 minutes later)
Hi

Welcome to XXXXXXX and thanks or your query.

Blood in the urine could be one of the several reasons.
1.     UTI - infection in the urinary tract.
2.     Stones in the urinary tract.
3.     Tumor in the urinary tract.
4.     Other rare CAUSES.

Serum creatinine of 2.4 is really high.
This could either mean
1.     Medical renal disease - due to long standing DIABETES, HYPERTENSION or other rare causes.
2.     Urological causes like stones in both kidneys/ ureters, stone in a single kidney/ ureter or other rare causes.

You need detailed evaluation of the cause and that would be done by UROLOGIST/ NEPHROLOGIST.
Kindly do not delay and pls. see one of them a.s.a.p.

Regards
DR GS

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. G.Srinivasan (3 hours later)
I had a CT scan today along with an ultrasound. That's when I also found out about the creatinine level. At that level they would not use contrast for the CT.

I've also noticed the last several months that at times my urine is "foamy". I'm not sure what relation that has in all this.

Also, since February of this year I have been having a lot of edema in my lower extremities. I am being treated by my cardiologist with Lasix. I take 80mg - 2 times a day as needed (weight checked daily).

I have a CD with both tests done today that is available for viewing.

I'd like to know what's going on.

Thank you.
doctor
Answered by Dr. G.Srinivasan (5 hours later)
Hi,

Welcome Back.

Foamy urine could mean UTI.

Pls let your cardiologist know the values of serum creatinine, as LASIX in a dose of what you get may itself be damaging to the kidneys. I understand that it was started before the levels of creatinine were known. The dose of Lasix may have to be modified.
For all you know, the edema could be due to poor function of the kidneys and hence excess water accumulation.
There may NOT be significant cardiac problem that would require Lasix otherwise ( with all respects and regards to your treating cardiologist).

THE NEXT STEP IS TO DO SERUM ELECTROLYTES AND TREAT HIGH POTASSIUM LEVELS, WHICH IF found to he HIGH and left UNTREATED, CAN CAUSE CARDIAC ARREST.

Kindly fix an early appointment with a NEPHROLOGIST.

Regards
DR GS
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. G.Srinivasan

Urologist

Practicing since :1991

Answered : 1412 Questions

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Have Chronic UTI's, Blood In Every UA Creatinine Level 2.4. What Does This Mean?

Hi

Welcome to XXXXXXX and thanks or your query.

Blood in the urine could be one of the several reasons.
1.     UTI - infection in the urinary tract.
2.     Stones in the urinary tract.
3.     Tumor in the urinary tract.
4.     Other rare CAUSES.

Serum creatinine of 2.4 is really high.
This could either mean
1.     Medical renal disease - due to long standing DIABETES, HYPERTENSION or other rare causes.
2.     Urological causes like stones in both kidneys/ ureters, stone in a single kidney/ ureter or other rare causes.

You need detailed evaluation of the cause and that would be done by UROLOGIST/ NEPHROLOGIST.
Kindly do not delay and pls. see one of them a.s.a.p.

Regards
DR GS