HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Fluctuating Serum Levels. Is It Due To Eating Outside Food?

A relative on mine is CKD Stage 5. He is 70 year old male and is going for dialysis thrice a week for 4 hours. His serum levels keep fluctuating now and then. Is it due to eating food in restaurants cause of high serum levels. Below are the test results -
Biochemistry
Blood Urea, Serum - 106
Creatinine, Serum - 11
phosphorus, serum 7.5

Enzymes
SGOT (AST), serum - 45
SGPT (ALT), serum - 12

Haemoglobin - 11.8

How serious levels are these. Is it a cause of concern? What is a life expectancy for this age.

Please Advise,

Rakesh
Mon, 6 May 2013
Report Abuse
Internal Medicine Specialist 's  Response
Dear friend, welcome to Healthcaremagic!
I am Dr. Prasad Akole (Critical Care Expert- http://bit.ly/Dr-Prasad-Akole) and am glad to address to your query here.

The urea and creatinine levels of your relative are very high.
It may be because of outside food which is not advocated for CKD as they need renal diet.

Also any intercurrent complication like infection or comorbidities like heart disease etc may cause fluctuating high levels. The dialysis frequency here is obviously inadequate.

He needs re-evaluation by his nephrologist and more stringent control on dialysis and diet.

As life expectancy also depends on many other factors and other diseases he may have, it cannot be commented upon here. In general, for a 70 year old with stage5 CKD, life is short.

I hope to have answered your query satisfactorily. I would be glad to answer any further queries. Take care and please keep me informed of your progress at http://bit.ly/Dr-Prasad-Akole
Good Luck!

As it helps us to improve continuously, may I request you to write a rating review before you ‘accept’ and ‘close’ the query.
Thank you!!
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Recent questions on Chronic kidney disease


Loading Online Doctors....
Fluctuating Serum Levels. Is It Due To Eating Outside Food?

Dear friend, welcome to Healthcaremagic! I am Dr. Prasad Akole (Critical Care Expert- http://bit.ly/Dr-Prasad-Akole) and am glad to address to your query here. The urea and creatinine levels of your relative are very high. It may be because of outside food which is not advocated for CKD as they need renal diet. Also any intercurrent complication like infection or comorbidities like heart disease etc may cause fluctuating high levels. The dialysis frequency here is obviously inadequate. He needs re-evaluation by his nephrologist and more stringent control on dialysis and diet. As life expectancy also depends on many other factors and other diseases he may have, it cannot be commented upon here. In general, for a 70 year old with stage5 CKD, life is short. I hope to have answered your query satisfactorily. I would be glad to answer any further queries. Take care and please keep me informed of your progress at http://bit.ly/Dr-Prasad-Akole Good Luck! As it helps us to improve continuously, may I request you to write a rating review before you ‘accept’ and ‘close’ the query. Thank you!!