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What Do My Lab Test Reports Indicate?

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Posted on Thu, 7 Jan 2016
Question: Myself XXXXXXX XXXXXXX 45years male is hypertensive and tachycardic.I am suffering from hypertension and tachycardia for last 9 years and under treatment of an cardiologist.At present I am taking Sartel 40( half tab) and concorcor 2.5(half tab) every day.A slight prostate enlargement was detected in the year 2014 and since then I am taking Flotral 10 daily as per advice of an urosurgeon.This urosurgeon has adviced me to perform certain test every year e.g. serum creatinine,serum PSA etc.I have performed all these tests for consequtive two years i.e. in 2014 and 2015.these reports are being attached herewith for your consideration.
Now my questions are:
1.my creatinine level was 0.9 in one lab and 1.1 in another lab in 2014.in 2015 the last lab has reported this level as 1.Is it normal in my age? My height is 5'9" and weight is 79kg.
2.My Albumine Creatinie ratio was 4.67 in 2014 but it has been reported as 14.8 in the year 2015.why such enhancement occurs?
3.does it Indicate a initiation of Kidney Disease? my blood pressure always remains 140/80.
4.What precautions are to be taken for preventing such enhancement?
I consulted my urologist but he didn't pay any importance to it.
doctor
Answered by Dr. Ravi Bansal (22 hours later)
Brief Answer:
dont worry your kidneys are normally working

Detailed Answer:
Hi,

1. for your age and status any creatinine below 1.2mg/dl is normal. there will always be some variation in the reports as you have seen. If creatinine progressively rises then it is a concern.

2. albumin/ creatinine ration - both readings are normal. see carefully the units are microgram/mg. in this unit normal range will be till 20 to 30. but a rising trend should be monitored. better BP control closer to 130/80 and decrease salt and non veg in diet will help.

3. at present no signs of kidney disease. but high BP patients can develop kidney disease in 10% patients after 10 years of high BP. so we need to monitor maybe 3 monthly.

4. already explained

these problems are best tackled by a nephrologist or an internal medicine doctor.

overall, i will agree with your urologist, not to worry.

best wishes
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Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Ravi Bansal

Nephrologist

Practicing since :1996

Answered : 359 Questions

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What Do My Lab Test Reports Indicate?

Brief Answer: dont worry your kidneys are normally working Detailed Answer: Hi, 1. for your age and status any creatinine below 1.2mg/dl is normal. there will always be some variation in the reports as you have seen. If creatinine progressively rises then it is a concern. 2. albumin/ creatinine ration - both readings are normal. see carefully the units are microgram/mg. in this unit normal range will be till 20 to 30. but a rising trend should be monitored. better BP control closer to 130/80 and decrease salt and non veg in diet will help. 3. at present no signs of kidney disease. but high BP patients can develop kidney disease in 10% patients after 10 years of high BP. so we need to monitor maybe 3 monthly. 4. already explained these problems are best tackled by a nephrologist or an internal medicine doctor. overall, i will agree with your urologist, not to worry. best wishes