Category Archives: Blood/Urine Testing For Kidney Disease

Hi, I have had some blood tests and urine tests done to check as I have been a steroid user in the past but not done anything for 18 months. I am currently in Thailand and paid to have the tests done here however with the language barrier, its hard to understand what they mean. I have had my results back and it states my GFR is 77 and my creatinine blood 1.22, creatinine urine 433 mg/dl, microalbumin (urine) is 7.9. There are some other results but they seem to be in normal range. These are the ones that they flagged up. I am a 33 year old male and don’t smoke or drink and keep in shape but I am worried now that the steroid use could have caused damage. Can you help with these results?

A normal estimated glomerular filtration rate (eGFR) is greater than 60 milliliters per minute per 1.73 meters squared. The value that you quote is in the range of normal. Your urine is rather concentrated with a urine creatinine of 433 … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, GFR, Kidney-Related Health Questions

I am 47. My GFR rate is 70 with 83 being the African male number. What number do I go by? I am white but muscular and my blood creatinine level is at the top end of 1.13. No protein showed in my urine but my doctor found blood. I am scheduled for another test in 2 weeks. My question is about the GFR. Can it be 70 at my age and be healthy? According to charts/formula I have seen my GFR should be around 93. I am a nervous wreck. Thank you.

You should use the chart created for non-African American males. A normal estimated glomerular filtration rate (eGFR) is greater than 60 milliliters per minute per 1.73 meters squared. Your eGFR is within the normal range. Unfortunately, our estimating equations for … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, GFR, Kidney-Related Health Questions

Over the last three months I have seen my creatinine levels increase and Gfr decrease. I raised my concern to my urologist. He said I should not be concerned but ordered a renal ultrasound. He added that if something was found he would refer me to a kidney expert. The ultrasound results indicated normal, no abnormalities. I discussed results with my urologist and he said there was no need for concern and he would see me in six months. I have no symptoms (ankle swelling etc.) However, I have read that in most cases of kidney problems there are no symptoms. One symptom is bubbly urine. I do not want to wait until it’s too late. Current creatinine level is 1.44 and Gfr is 52. I am 83 years old.

I recommend that you have urine testing for blood, protein and infection. If these results are abnormal, then consulting with your primary care physician (PCP) or a nephrologist may be indicated. The estimated glomerular filtration rate (eGFR) that you quote … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Diabetes, GFR, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Nephrologist

64 y/o male with GFR fluctuating from 55-72; no other symptoms except HBP which was recently diagnosed and put on meds approximately 3 weeks ago. BP been good since. No other symptoms except possibly slight foamy urine on occasion. Is this a reason for concern for kidney problems?

High blood pressure is one of the leading causes of chronic kidney disease (CKD). Hence, there is a concern for CKD in all patients with high blood pressure. Your blood pressure should be controlled to less than 130/80 and you … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Hypertension/High Blood Pressure, Kidney-Related Health Questions

I’m male, 48 y/o, weight 139 kg, height 195cm. Creatinine 1.1, eGFR 53.3 Cystatin C test 139, blood pressure 149/100 (pulse 100), sugar blood 182, cholesterol 203, triglyceride 375, uric acid 6.1. I am taking medicine: Twynsta 80/10 (each a day) Gemfibrozyl (each a day) Glucosamine 1500mg/day, fish oil 1 capsule/day. Question: How do I take care of my kidneys? Is it really serious? I have a serious pain in my waist, and always feel too tired. I’m an alcoholic, but after doctors told me I have serious kidney problem, now I only consume 200cc whiskey/day. Thank you.

You have chronic kidney disease and need to follow your doctor’s recommendations. You should stop drinking alcohol, lose some weight, and eat a healthy diet that is low is salt. I recommend the DASH diet. You can review the DASH … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diabetes, Diet/Nutrition, Hypertension/High Blood Pressure, Kidney-Related Health Questions

I have been having a lower GFR since April 2014. It was 67 at that time. Starting January 2015, it was 51. It’s been in the 50’s ever since and on 4/27/2018 dropped to 47. None of my Doctors ever told me I had kidney disease until I went to see an endocrinologist about a thyroid tumor on 4/25/2018. He looked at my lab work and said that I have kidney disease and did a comprehensive metabolic panel to check it again. I do not drink a lot of water. Should I start or will it not help at this stage?

Staying well hydrated will always help kidney function. If you are dehydrated for some reason, your estimated glomerular filtration rate (eGFR) will be lower than if you stay well hydrated. I suggest that you start drinking extra water and see … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney-Related Health Questions

My husband is 60, very healthy overall. He works out 5 days a week, doing crossfire like exercises. He’s had ACL and meniscus tears to both knees, and a biceps tear but because his muscles are strong. MD wasn’t worried and he went back to work and the gym very quickly. He has low T and takes testosterone. He takes Azor for mild HTN. He’s c/o being very tired for the last few weeks, with more pain after exercising. He went to MD, had labs done and his CK was 1078 and GFR 51. No one called to tell us as we saw it in the patient portal. I’m a nurse and I wasn’t happy. He went back to MD, who said she would order more tests, but thought his high CK might have been due to his high intensity workout that morning. She didn’t seem too concerned about his GFR. I reviewed his labs and see that his GFR was 56 a year ago. No one said anything a year ago. Do I just accept that his low GFR is nothing to worry about, even though I know that puts him at Stage III renal disease? Thank you.

I am not able to make a specific diagnosis based on the information that you present. Your husband’s estimated glomerular filtration rate (eGFR) is low. The elevated muscle enzyme tests (CPK) could be a factor in the increase of his … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, GFR, Kidney-Related Health Questions, Serum Creatinine

What is the chance of developing CKD when your albumin creatinine is 30ug/mg? And diagnosed microhematuria?

The urine protein that you quote is just barely normal. The normal urine albumin to creatinine ratio in the urine is less than 30 micrograms per milligram of creatinine (mcg/mg). If you have blood in the urine (microhematuria) then you … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, GFR, Kidney-Related Health Questions, Serum Creatinine

I am a 50 yr white male. Over the last 3 years (testing once a year), I have seen a steady decline in my GFR and increase in my creatinine levels. I am now at a 53 GFR and 1.42 Creatinine level. I am very careful about what I eat, exercise regularly and do not take any analgesics or other drugs that are known to impact kidney function. I have chronic back pain due to degenerative disc disease and have taken oxycodone (with no tylenol) up to 20 mg per day for the last couple of years, but intermittently. I also take Trazodone and Clonazepam for insomnia nightly. My A1C is at 6.0% and my blood pressure is good and stable, averaging about 115/76. Cholesterol ratio is 4.3. Since everything else is good but kidney function is declining. I’m not sure what to do.

It sounds like you are taking very good care of yourself. I do not have any other suggestions. I recommend that you continue to consult with your physician. I also recommend that you have annual urine testing for blood, protein … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney-Related Health Questions

My creatinine is 2.1 and blood urea 62. l am having sleepless nights since the last week. I have no sugar, feeling restless and fatigue. Rest everything is OK. I have taken sedatives but not working. Please advise. Taking Benetec 40, Cilacar 20, Diator 10. My BP is 130/80.

I am not able to provide a specific diagnosis based on the information that you present. It appears that you have kidney disease, but I cannot provide a specific diagnosis or treatment without performing a complete history and physical examination. … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney-Related Health Questions