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What Do These Serum Creatinine Levels And Calcium Levels Indicate?
Question: I have been extremely tired over the last month - I fall asleep at all times of the day. My Mono Auto% is 4.4 and my Lymph Abs are 3.1. In addition my Vitamin D is very low at 18.9. I have a BUN/Creat Ratio of 35 with a BUn of 21 however my Creatinine is.6. I had open heart surgery with a double bypass this past July. Could any of the above readings be causing my fatigue - in spite of my fatigue I am able to walk between 2 and 5 miles.
Brief Answer:
No worries, review, cardiac ultrasound, Vitamin D,
Detailed Answer:
Hi and thanks for the query,
Of course there a few things with regards to your results that could make you tired.
It might be necessary to have a close follow up of your kidney function, though your serum creatinine levels are ok. Calcium plays an important role in muscle function and contraction. The main agent that causes Calcium reabsorption and maintainance of its levels within normal limits is Vitamin D. It is imperative for your Vitamin D levels to be corrected. You might require taking drugs/Vitamin D containing drugs.
Your blood hemoglobin level would be worth controlling. A complete blood count would give an idea, and in case its low, Iron supplementation might be required. In very severe cases, a hormone that stimulates red blood cells growth called Erythropeotiin could be given.
A past history of open heart surgery needs that a careful consideration of heart function be done. Signs of heart function impairment or failure at times could include such unexplained fatigue. A control cardiac ultrasound and clinical review by your heart specialist, or internist from the start would be most useful.
In some rare circumstances, this could be something not too serious, that with an appropriate diet could be corrected. Enough rest is helpful. Depression and some psychological issues could lead to fatigue, as well as chronic fatigue syndrome.
I suggest a proper clinical review with your family physician. Kind regards as I wish you the best of health.
Please, do feel free asking any further questions in case you need any specifics I must have missed.
Kind regards as I wish you the best of health.
Dr Bain
No worries, review, cardiac ultrasound, Vitamin D,
Detailed Answer:
Hi and thanks for the query,
Of course there a few things with regards to your results that could make you tired.
It might be necessary to have a close follow up of your kidney function, though your serum creatinine levels are ok. Calcium plays an important role in muscle function and contraction. The main agent that causes Calcium reabsorption and maintainance of its levels within normal limits is Vitamin D. It is imperative for your Vitamin D levels to be corrected. You might require taking drugs/Vitamin D containing drugs.
Your blood hemoglobin level would be worth controlling. A complete blood count would give an idea, and in case its low, Iron supplementation might be required. In very severe cases, a hormone that stimulates red blood cells growth called Erythropeotiin could be given.
A past history of open heart surgery needs that a careful consideration of heart function be done. Signs of heart function impairment or failure at times could include such unexplained fatigue. A control cardiac ultrasound and clinical review by your heart specialist, or internist from the start would be most useful.
In some rare circumstances, this could be something not too serious, that with an appropriate diet could be corrected. Enough rest is helpful. Depression and some psychological issues could lead to fatigue, as well as chronic fatigue syndrome.
I suggest a proper clinical review with your family physician. Kind regards as I wish you the best of health.
Please, do feel free asking any further questions in case you need any specifics I must have missed.
Kind regards as I wish you the best of health.
Dr Bain
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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