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What Are The Best Ways To Check Renal Functionality?

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Posted on Sat, 28 Mar 2015
Question: i am worried .I have a lot of health problems and was but on 2 new meds Furosemide 20 mg& Spironolact 100 mg everyday been on them 3 weeks and microzide for a year my family doctor took blood to check on kidneys and it came back that it had gone from 11 to 28.9 and from .09 to 1.09 are my kidneys in danger?? too keep taking till i talk to my doctor on monday?? the doctor i got said he cant change another doctor meds
doctor
Answered by Dr. Panagiotis Zografakis (54 minutes later)
Brief Answer:
Probably not

Detailed Answer:
Hello,

mentioning your weight would allow for the estimated glomerular filtration rate (eGFR) to be calculated. The eGFR is a very useful marker of renal functionality. Assuming you're about 70Kg your eGFR with a creatinine value of 0.9 mg/dL was about 86 mL/min and with a creatinine value of 1.09 mg/dL it's about 68 mL/min. Both values are below normal but the latter is a little worse. Not too much though and you should also take into account that the urea to creatinine ratio is 26 which may mean that you were a little dehydrated when the blood was drawn.

Anyway, this is a slight worsening, so you should consider whether you've changed anything in your regimen or not. If you have changed drugs or dosages then perhaps a reassessment of your situation would be needed to decide whether these changes are so vital or can be abandoned. I would not recommend any immediate change though. This is not an urgent situation.

Try to drink enough water (as to avoid feeling thirsty).

If you'd like any further information please contact me again using your follow-up questions.

Kind Regards!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (4 minutes later)
thank you i can rest better know
doctor
Answered by Dr. Panagiotis Zografakis (5 minutes later)
Brief Answer:
You're welcome

Detailed Answer:
I'm glad if I've helped you regain peace of mind! Just remember that assessment IS needed, so you'd better not postpone your doctor's appointment.

Kind Regards!
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

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

Internal Medicine Specialist

Practicing since :1999

Answered : 3809 Questions

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What Are The Best Ways To Check Renal Functionality?

Brief Answer: Probably not Detailed Answer: Hello, mentioning your weight would allow for the estimated glomerular filtration rate (eGFR) to be calculated. The eGFR is a very useful marker of renal functionality. Assuming you're about 70Kg your eGFR with a creatinine value of 0.9 mg/dL was about 86 mL/min and with a creatinine value of 1.09 mg/dL it's about 68 mL/min. Both values are below normal but the latter is a little worse. Not too much though and you should also take into account that the urea to creatinine ratio is 26 which may mean that you were a little dehydrated when the blood was drawn. Anyway, this is a slight worsening, so you should consider whether you've changed anything in your regimen or not. If you have changed drugs or dosages then perhaps a reassessment of your situation would be needed to decide whether these changes are so vital or can be abandoned. I would not recommend any immediate change though. This is not an urgent situation. Try to drink enough water (as to avoid feeling thirsty). If you'd like any further information please contact me again using your follow-up questions. Kind Regards!