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Hi, I Just Received My Annual Health Checkup Report. There

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Posted on Sun, 29 Dec 2019
Question: Hi, I just received my annual health checkup report. There were a few alerts in them.



My question is specifically on alert raised on eGFR. In 2018 it was 88 and this year 78. Any recommendation to improve it.



Online it does mention GFR is based on multiple factors but the report basis it only on creatinine (1.03 mg/dl) and age. I am 6'2" and 85 kgs. Race: XXXXXXX



Anything I need to do?



Thanks!
Follow up

1. 2018 - Creatinine - 1.03
2. 2019 - Creatinine - 1.09
doctor
Answered by Dr. Vaishalee Punj (24 hours later)
Brief Answer:
This GFR is not worrisome

Detailed Answer:
Hello and welcome to Ask A Doctor service.

I have reviewed your query and here is my advice.

In the presence of normal creatinine, some deviation of eGFR is normal. You can avoid intake of any medicines especially those that affect kidney. Also you need to lower the dose of medicines that are excreted by kidney. How is your urinalysis? Is there protein or blood in urine? If the urinalysis is normal, then we can ignore this finding. If protein is found in urine exam then monthly GFR test needs to be repeated.

Also it need to be corelated with ultrasound KUB for any kidney issues like kidney stones.
In most cases drinking cleaner water helps flush out any stones etc. Keep a regualr check on fasting blood sugar and BP.

Hope this helps. Let me know if I can assist you further.
Dr Vaishalee
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Vaishalee Punj (1 hour later)
Hello Dr Vaishalee,

My BP levels are normal and I dont take any medication. The only reason I was concerned was that numbers dropped for last year to this year and I dont understand the significance of it.

I have uploaded the report. Please take a look. If there is nothing to worry I am good.

Thanks, Vijay
doctor
Answered by Dr. Vaishalee Punj (18 hours later)
Brief Answer:
Still waiting for your report

Detailed Answer:
Hi again

The report is not attached.

However if the above mentioned parameters are normal, then I would not worry about eGFR reduction.

Dr Vaishalee
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vaishalee Punj (4 hours later)
Hi, I have provided some attachments. Please review them.
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Follow up: Dr. Vaishalee Punj (0 minute later)
Hi, I have provided some attachments. Please review them.
doctor
Answered by Dr. Vaishalee Punj (43 minutes later)
Brief Answer:
Its a normal report

Detailed Answer:
Hi

Its a normal report and doesnot show any evidence of any kidney problem. Although I wouldnot ignore low eGFR completely.

You may take your precautions.
I will also recommend to do this test (e-GFR is a calculation) from another laboratory just to cross-check.
I am also assuming that you donot have any symptoms of possible kidney problems like fluid retention, low urine output, kidney or back pain, etc.

Dr Vaishalee
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vaishalee Punj (15 minutes later)
No symptoms that i know off. Was a XXXXXXX In fact I was only concerned when I saw it was lower than last and had dropped a little bit. I will get the test done again in a few months.
doctor
Answered by Dr. Vaishalee Punj (57 minutes later)
Brief Answer:
Yes it can be done in few months

Detailed Answer:
Yes it can be done in few months

Wish you good health

Dr Vaishalee
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
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Dr. Vaishalee Punj

General & Family Physician

Practicing since :2003

Answered : 3255 Questions

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Hi, I Just Received My Annual Health Checkup Report. There

Brief Answer: This GFR is not worrisome Detailed Answer: Hello and welcome to Ask A Doctor service. I have reviewed your query and here is my advice. In the presence of normal creatinine, some deviation of eGFR is normal. You can avoid intake of any medicines especially those that affect kidney. Also you need to lower the dose of medicines that are excreted by kidney. How is your urinalysis? Is there protein or blood in urine? If the urinalysis is normal, then we can ignore this finding. If protein is found in urine exam then monthly GFR test needs to be repeated. Also it need to be corelated with ultrasound KUB for any kidney issues like kidney stones. In most cases drinking cleaner water helps flush out any stones etc. Keep a regualr check on fasting blood sugar and BP. Hope this helps. Let me know if I can assist you further. Dr Vaishalee