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What Does This Urinalysis Report Indicate?

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Posted on Tue, 13 Sep 2016
Question: I was born with only one kidney, 16 cm. long in my abdomen. I am 82 and have lived healthfully with regular check-ups. On Aug. 16/16 I got an eGFR reading of 44. The report states in a urinalysis: "Unable to calculate albumin because it is less than the lowest limit of the analytical range of the method used."
What do I need to learn about my present condition? ( I am awaiting a doctor's appointment.)

Thank you.

I don't know how to upload the Lifelabs' reports I have access to through their patient services plan so I realize you are without much information. Perhaps you could suggest a medical website that would help me understand kidney failure.
Perhaps you need to know that I am producing an excess of yellow bile in feces and urine for the last several months which might mean my liver has a role in the kidney results? My blood pressure is steady at 134/79 more or less, over many months, and I have no diabetes or other conditions.
doctor
Answered by Dr. Muhammad Ahmad (3 hours later)
Brief Answer:
Here is info you need.

Detailed Answer:
Hello,

Thanks for writing to Health Care Magic, I am Dr Muhammd Ahmad, I have closely read your question and I understand your concerns, I will hereby guide you regarding your health related problem.

GFR does decrease with age but you GFR is quite lesser than what should have been at your age, that is probably there is no other kidney to helo the lone kidney you have.

This condition is called chronic kidney disease, you can read about chronic kidney disease also called chronic renal failure from any reliable sourse out there on the web. There are few important considerations.

1) You have to see how badly it is affected. You have to consider the urea and creatinine levels.
2) Kidney controles serum electrolyte levels and also maintains hemoglobin levels so these levels should also be checked.
3) You need to get an ultrasound KUB to see how much affected your kidney is.
4) You also have to avoid medicines which affect your kidney.
5) Your blood pressure is really fine and you arent diabetic so these two factors wont count here.

In short I would suggest you to get an appointment with a nephrologist and start with medicine and supplements if he thinks you need any, just take care of your life style and don't use anything which might harm the kidneys , everything should stay nice and fine.

Having no albumen in urine is good sign losing albumen is bad sign. You need to undergo a complete checkup and detailed work up to see why you have bilirubin in urine and bowel movements.
Work up will also let your doctor know how severe is the kidney issue and what needs to be done.

At home reduce your salt intake, don't take too much protein and fat , eat simple food.
Every thing should stay fine if kept undercontrol.



I hope this answered your question, if you have more feel free to ask,otherwise close the discussion and rate it.

Regards.

Dr.Muhammad Ahmad.
General and Family Physician..
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Muhammad Ahmad (2 days later)
What is an ultrasound KUB test? What medicines might affect my struggling kidney?

For my age, what is a normal GFR reading under my conditions?

The info you gave me was very helpful while I await my appointment.
Thank you.
XXXX
doctor
Answered by Dr. Muhammad Ahmad (28 hours later)
Brief Answer:
Pain killers,some antibiotics and anti arthritis drugs are caution bearing

Detailed Answer:
Thanks for writing back Just do one thing never use any med without doctor's prescription or knowledge, specially antibiotics pain killers affect kidney, then if kidney is effected you have to adjust the dose like if a normal.person is taking 400 mg of a drug , they one with kidney problem with take half of the dose as kidney is not excreting it.

So in short avoid too many pain killers and random meds, always consult your doctor about ANY med.

At you age it should be atleast more than 80-90..

You are at almost half ..understandably due to one kidney..!!! Your doctor on appointment will guide you further regarding expected GFR as he will be doing the checkup and looking into different other aspacts..

Waiting for your input.

Regards.

Dr.Ahmad
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
doctor
Answered by
Dr.
Dr. Muhammad Ahmad

General & Family Physician

Practicing since :2012

Answered : 1308 Questions

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What Does This Urinalysis Report Indicate?

Brief Answer: Here is info you need. Detailed Answer: Hello, Thanks for writing to Health Care Magic, I am Dr Muhammd Ahmad, I have closely read your question and I understand your concerns, I will hereby guide you regarding your health related problem. GFR does decrease with age but you GFR is quite lesser than what should have been at your age, that is probably there is no other kidney to helo the lone kidney you have. This condition is called chronic kidney disease, you can read about chronic kidney disease also called chronic renal failure from any reliable sourse out there on the web. There are few important considerations. 1) You have to see how badly it is affected. You have to consider the urea and creatinine levels. 2) Kidney controles serum electrolyte levels and also maintains hemoglobin levels so these levels should also be checked. 3) You need to get an ultrasound KUB to see how much affected your kidney is. 4) You also have to avoid medicines which affect your kidney. 5) Your blood pressure is really fine and you arent diabetic so these two factors wont count here. In short I would suggest you to get an appointment with a nephrologist and start with medicine and supplements if he thinks you need any, just take care of your life style and don't use anything which might harm the kidneys , everything should stay nice and fine. Having no albumen in urine is good sign losing albumen is bad sign. You need to undergo a complete checkup and detailed work up to see why you have bilirubin in urine and bowel movements. Work up will also let your doctor know how severe is the kidney issue and what needs to be done. At home reduce your salt intake, don't take too much protein and fat , eat simple food. Every thing should stay fine if kept undercontrol. I hope this answered your question, if you have more feel free to ask,otherwise close the discussion and rate it. Regards. Dr.Muhammad Ahmad. General and Family Physician..