Home » Frequently asked Questions on Health » Why am I having high level of serum creatinine?

Why am I having high level of serum creatinine?

Q: I am a 68 years old male. I am about 135 lbs, healthy and exercise daily (used to run about 5 kms. daily and now just walk the same amount). I have been a diabetic for about 5 years now. I am on glyburide and control my blood sugar levels through diet and exercise. My blood sugar level is constant at about 100-120 mg/dL. My blood pressure has always been 120/80 (even before heart surgery). I don’t drink alcohol, except for a couple of red wine glasses per month, and the occasional beer (less than 2 per month). A year ago I underwent quintuple bypass surgery, although I never suffered a heart attack, and radical prostatectomy (cancer was eradicated successfully and did not dissipate). After this, I have been taking a very small dose of lipitor and atenolol, as well as my daily dose of glyburide. A recent blood work showed a BUN of 22, but creatinine level of 1.4, sodium level of 143, potassium level of 5.5 and chloride level of 110. My doctor told me that everything is ok, but my urologist in the asked me to take a closer look at my kidneys. Are these levels of great concern? What can I do to keep these levels from increasing? Would any of these medications increase these levels?

A:Serum creatinine of 1.4 mg, when extrapolated into kidney function as measured by estimated GFR in your case is 53 ml/min. The expected GFR for you should be 75-80 ml/min. You should get spot urine albumin to creatinine ratio done to assess degree of albuminuria, which may be another marker of early kidney dysfunction. You should also get an ultrasound of kidneys bladder & prostate to find out if there is pathology in the kidneys. You should also get HbA1c tested in the blood. This gives you an average of last 3 months blood sugar levels. This needs to be kept at less than 7 % & B.P. < 120/75 mmHg to slow down any deterioration in kidney function. You should not take NSAID’s or routine painkillers for any pain but use only paracetamol, tramadol or proxyvon as safe painkillers. You should continue other drugs.

RELATED FAQ

................... Advertisement ...................

   

FAQ

ASK OUR EXPERTS

Using 0 of 1024 Possible characters
Choose Topic

Latest stories

Regional Cancer Centre Gets Clean Chit From Government-Appointed Panel

Wed, 20 Sep 2017 14:30:13 IST
Kerala Joint DME Sreekumari's team has given a clean-chit to the Regional Cancer Centre (RCC) with respect to the allegations that a 9-year-old girl patient who was admitted to the RCC, was given HIV-infected blood.

Swine Flu Explosion: 42 New Cases Reported In Mohali, Tips To Prevent It

Wed, 20 Sep 2017 13:30:42 IST
Mohali district reportedly sees increased number of cases of swine flu this year. So far, there have been 42 positive cases and five deaths of this deadly disease. Here's a list of tips to prevent it.

Angry With The Expensive Treatment, Patient Stabs The Doctor!

Wed, 20 Sep 2017 12:30:57 IST
When the doctor came in to examine him on Monday evening, the patient attacked the doctor in a fit of rage. It is being stated that the patient took this step because he was upset with the expensive treatment.

65 Year Old Zirakpur Man Dies Of Swine Flu

Wed, 20 Sep 2017 11:30:10 IST
A 65-year-old man, called Kirti Kumar died due to swine flu in Zirakpur, on Monday. This is the third swine-flu death in the Derabassi Subdivision within a period of one month.

Kerala AIDS Society Grants 'Clean Chit' To Regional Cancer Centre

Tue, 19 Sep 2017 15:30:10 IST
According to a report by the Kerala State AIDS Control Society, the blood given to a nine year-old girl during transfusion at Regional Cancer Centre (RCC) in Thiruvananthapuram was tested before the process, and HIV was not detected, but the same was detected at a later stage.