Can You Please Help Me Read The Report And Advise On Medication?
Thu, 2 Jul 2020
Answered on
Fri, 12 Sep 2025
Last reviewed on
Kidney, liver disease
Detailed Answer:
Hello, I'm Dr. Branch, thanks for using 'Ask a Doctor'. Your test results show a slightly high creatinine, which probably indicates a chronic kidney disease. Sometimes just dehydration can cause an elevated creatinine like this, but since your BUN is normal, that would seem less likely. Chronic kidney disease can be caused by many things, high blood pressure and diabetes are some of the most common causes.
Your sodium is a little high, which could be due to dehydration.
You also have mildly elevated liver enzymes. This could have many causes, including viral infections, medications (including some antibiotics), fatty liver disease, alcohol, viral hepatitis, and others. If the cause is not obvious (such as recent alcohol use), it would be safe to recheck in a few months to see if they go back to normal. If they remain elevated, an ultrasound and blood tests for viral hepatitis should be checked.
I hope that helps, please let me know if you have any other questions about that, and I would be glad to discuss it with you further.
Usually no treatment
Detailed Answer:
Depending on the cause, there usually is not a way to reverse the damage that has already been done with chronic kidney disease. The main treatment is to prevent further damage, which is usually focused on controlling the blood pressure, and controlling blood sugar if you have diabetes. If you have any protein in your urine (seen on a urine dipstick), you would ideally be giving an ACE inhibitor (such as lisinopril), especially if you have high blood pressure.
Fortunately, your kidney function is still fairly good, and this looks to be just the beginning of chronic kidney disease, so it would be important to follow up with your doctor and make sure everything is done to stop the progression of the kidney disease.
Please let me know if you have any other questions, I'd be glad to help any way I can.
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