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Suggest medical tests to rule out cardiac issues

Answered by
Dr. Matthew J. Mangat


Practicing since :1981

Answered : 1896 Questions

Posted on Wed, 24 Aug 2016 in Urinary and Bladder Problems
Question: My father had heart attack 4 months back and we have done medical tests in these 4 months but his creatinine levels are changing from month to month.In order to confirm there is no kidney damage what all tests do he need to undergo.Please list all the possible tests.What is the test to check if prostrate gland is working fine.Does the medicines listed effect his kidneys or creatine levels
Answered by Dr. Matthew J. Mangat 3 hours later
Brief Answer:
Renal function and prostate gland tests.

Detailed Answer:
Hello XXXXXXX and welcome to HCM.
As an Urologist,i can understand your concern.

You've asked multiple questions in one.
1. creatinine level is done to assess kidney function.
There can be some changes in it's level,in a narrow band.
As you've not written the levels,i can't comment further.
2. The other test is to check the urine for ACR.
It's gives us an idea of early changes in kidney function deterioration.
It's suggestive of protein leak in urine,if the kidney is affected.
3. The medicines listed,don't affect the kidney function.
4. Prostate gland is assessed in people who've symptoms due to it.
Tests to do in such a case are :
.urine routine and culture.
.blood routine,creatinine,RBS,LFT,PSA,and platelets.
.Ultrasound -KUB,with residual urine and a TRUS.

Hope your doubts are cleared.
You can send the reports here for an expert opinion.
If you're closing this query,you may rate the answer on the site.

Wishing your father good health.

Dr.Matthew J. Mangat.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Matthew J. Mangat 2 hours later
Does the below tests sufficient to know KFT
•     Kidney Panel (includes 5 tests)
o     BUN/Creatinine Ratio
o     Creatinine
o     Uric Acid
o     Calcium
o     Blood Urea Nitrogen

or any other tests needs to be done.What should be the comfort value of serum creatine upto what XXXXXXX value should be fine.
Answered by Dr. Matthew J. Mangat 2 hours later
Brief Answer:
A routine RFT consists of serum creatinine and urea(BUN).

Detailed Answer:

The RFT or renal function tests are mainly :
1. S.creatinine.
2. urea.- (blood urea nitrogen).
3. creatinine clearance test.
4. eGFR.(estimated glomerular function test).

However,for a quick estimation, a creatinine and urea levels alone, are tested.
The rest are done,if there's impairment in these levels.

A creatinine level of upto 1.2 is normal.
But,even up to 1.4,is acceptable,if person is in good health.

Hope your doubts are cleared.
Wishing your father well.

Dr.Matthew J. Mangat.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Matthew J. Mangat 11 minutes later
Can i know if you have seen my father reports and the creatine values
Answered by Dr. Matthew J. Mangat 29 minutes later
Brief Answer:
A creatinine of 1.3 is just above normal.

Detailed Answer:

Yes,i've gone through his reports.
A creatinine of 1.3,is borderline elevated.
He should repeat it in about 3 days.
It's best that it come to normal range of 1.2.

A prostate evaluation and it's tests,as written in my earlier reply should be done.
That could be a cause for it's elevation,at his age.
You can send the reports here for my expert opinion.

Wishing him good health.

Dr.Matthew J. Mangat.

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

The User accepted the expert's answer

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