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What Does My Blood Test Report Indicate?
Question: I just got my blood test results serum creatine is 88umol/L or 1mg/dl, uric acid is 381, egfr is 78 and ALT is slightly elevated at 44, I had an upper abdominal scan a couple of weeks ago and was informed that liver, kidney and spleen looked normal, it showed gall stones though ( which is another issue). What I amconcerned about now is CKD. my doctor thinks kidney function is impaired, I've checked online and found that any egfr less than 90 could be CKD
Brief Answer:
repeating the measurement is recommended
Detailed Answer:
Hello,
although the eGFR is low for your age, it's not necessarily due to chronic kidney disease (CKD). Sometimes lack of water in the body (dehydration) may result in transient increases in urea and creatinine. The risk for CKD is higher for patients with prior kidney problems or patients who use NSAID and other nephrotoxic drugs, etc. Creatinine levels are also higher in patients with high muscle mass.
In patients like you I usually recommend repeating the test after proper hydration. If you get similar results then further investigation would be appropriate starting with a urinalysis and ultrasound scan of the urinary tract.
Kind Regards!
repeating the measurement is recommended
Detailed Answer:
Hello,
although the eGFR is low for your age, it's not necessarily due to chronic kidney disease (CKD). Sometimes lack of water in the body (dehydration) may result in transient increases in urea and creatinine. The risk for CKD is higher for patients with prior kidney problems or patients who use NSAID and other nephrotoxic drugs, etc. Creatinine levels are also higher in patients with high muscle mass.
In patients like you I usually recommend repeating the test after proper hydration. If you get similar results then further investigation would be appropriate starting with a urinalysis and ultrasound scan of the urinary tract.
Kind Regards!
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
hello,
its been this level for about two years, i have no protein in my urine and every other blood test(urea etc) is fine. i am on amlodipline 5mg and indapamide 2.5mg for my blood pressure but it is usually controlled (because of this, I'm reluctant to accept that high bp could have caused any damage) Im not muscular but obese. I did a scan on upper abdomen and was told that the kidneys and other organs look fine. My doctor is unconcerned though and has refused to refer for any investigation relating to ckd.
thanks
its been this level for about two years, i have no protein in my urine and every other blood test(urea etc) is fine. i am on amlodipline 5mg and indapamide 2.5mg for my blood pressure but it is usually controlled (because of this, I'm reluctant to accept that high bp could have caused any damage) Im not muscular but obese. I did a scan on upper abdomen and was told that the kidneys and other organs look fine. My doctor is unconcerned though and has refused to refer for any investigation relating to ckd.
thanks
Brief Answer:
some basic investigation is required...
Detailed Answer:
If your creatinine has been consistently below 90mL/min then there are some basic tests to do. A 24 hour measurement of albumin (unless it has already been done) and perhaps also a 24 hour urine collection for a more accurate estimation of GFR. Most clinicians calculate eGFR using creatinine values and the patient's age, body weight and sex. This calculation is not always accurate. In cases where a low GFR occurs without any evidence of renal disease (proteinuria, blood in urine, etc), perhaps a better approach is measurement of GFR using a 24 hour urine collection (comparing urine creatinine with blood creatinine levels). Monitoring creatinine levels is recommended in any case.
Kind Regards!
some basic investigation is required...
Detailed Answer:
If your creatinine has been consistently below 90mL/min then there are some basic tests to do. A 24 hour measurement of albumin (unless it has already been done) and perhaps also a 24 hour urine collection for a more accurate estimation of GFR. Most clinicians calculate eGFR using creatinine values and the patient's age, body weight and sex. This calculation is not always accurate. In cases where a low GFR occurs without any evidence of renal disease (proteinuria, blood in urine, etc), perhaps a better approach is measurement of GFR using a 24 hour urine collection (comparing urine creatinine with blood creatinine levels). Monitoring creatinine levels is recommended in any case.
Kind Regards!
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
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