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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It To Be Concerned About Elevated Blood Creatine?

Hi Doctor,

My mother (69 year) has blood creatinine record at 200 in last test. Blood pressure is around 120/80+. The blood creatinine reading in sept and jun 2011 were 167 and 220. Doctor said she probably has 30% kidney function left. She is asked to do 24hr urine test and kidney outrasound in next visit (Mar 2012). She has history of hypertension for more than 15 years and protein urine for more than 5 years. She has been prescribed with Adalat Retard Nifedipine 2x20mg, Totamol 1x25mg, Valsartan Dioran 1x80mg, Aspirin Tablet 1x80mg, Pantoloc 1x40mg. The protein urine has seems been improved from 3+ to trace now. Only creatinine keeps fluctuating from 160-220. She hasnt on strict diet but keep eating carefully. Try less sodium, less potassium.......

My questions are:
1. Is her situation worse? Need to do dialysis soon???
2. She is actually eating one egg white (boiled) everyday as suggested by a clinic doctor (for about 6 months). Does this practice helpful or just worsen the kidney function?
3. What can she do to lower the blood creatinine?

Wed, 13 Aug 2014
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Geriatrics Specialist 's  Response
Hi,
Thanks for asking.
Based on your clinical history and query, my opinion is as follows:
1. Yes, her situation is worse. She will definitely require dialysis.
2. She would require proteins, so she can take egg. It would be helpful.
3. Dialysis is the choice to reduce blood creatinine.
Hope it helps.
Any further queries, happy to help again.
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Is It To Be Concerned About Elevated Blood Creatine?

Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows: 1. Yes, her situation is worse. She will definitely require dialysis. 2. She would require proteins, so she can take egg. It would be helpful. 3. Dialysis is the choice to reduce blood creatinine. Hope it helps. Any further queries, happy to help again.