Elevated creatinine levels?
Hello Doctor: I had a blood test on July 6, and my creatinine level was 1.2.
Prior to the blood draw, I was experiencing gastrointestinal discomfort, including bloating, gastroesophageal reflux, and irregular bowel movements.
I had been taking medication for about a month (starting from May 26) and still had symptoms before the test.
I was scheduled to see a gastroenterologist that day.
I had been exercising daily for about a month, which included indoor jogging, boxing practice, push-ups, and using a roller, for approximately 30 minutes each session.
I had not eaten or drunk water for a long period, about 8 hours.
After taking medication for two weeks, the doctor reviewed the report and advised me not to take medications indiscriminately.
Subsequently, I was prescribed a three-month course of daily doses of Tamsulosin and Promethazine.
My diet is currently normal, and I engage in light to moderate exercise for 30 to 50 minutes at least five days a week.
I would like to know if my creatinine level is normal and how I should respond or what I should be aware of.
Dai Wei, 30~39 year old female. Ask Date: 2021/07/21
Dr. Wu Hongjie reply Internal Medicine
A single creatinine report does not indicate chronic kidney dysfunction; it is recommended to drink more water and maintain a normal routine for a period of time before retesting.
It is advisable to avoid any illnesses or discomfort before the test, as these factors may interfere with the results.
If kidney function indicators improve as a result, it is not chronic kidney disease, and there is no need for excessive concern.
Reply Date: 2021/07/21
More Info
Elevated creatinine levels can be a significant indicator of kidney function and overall health. A creatinine level of 1.2 mg/dL is slightly above the normal range for most adults, which typically falls between 0.6 to 1.1 mg/dL, although this can vary based on factors such as age, sex, muscle mass, and hydration status. Given your recent gastrointestinal issues, lack of hydration prior to the blood test, and the physical activities you have been engaging in, it is essential to consider these factors when interpreting your creatinine level.
Causes of Elevated Creatinine Levels:
1. Dehydration: As you mentioned, you had not consumed water for about eight hours before the test. Dehydration can lead to a temporary increase in creatinine levels due to reduced blood flow to the kidneys.
2. Muscle Mass: Increased muscle mass can lead to higher creatinine levels, as creatinine is a byproduct of muscle metabolism. Your exercise routine may have contributed to this.
3. Dietary Factors: High protein intake can also elevate creatinine levels. If your diet includes a lot of protein-rich foods, this could be a contributing factor.
4. Kidney Function: Chronic conditions such as diabetes, hypertension, or kidney disease can lead to elevated creatinine levels. It is essential to monitor kidney function regularly if you have any underlying health issues.
Management Tips:
1. Hydration: Ensure you are adequately hydrated, especially before blood tests. Drinking enough water can help maintain kidney function and lower creatinine levels.
2. Diet: Maintain a balanced diet that is not excessively high in protein. Incorporate fruits, vegetables, whole grains, and healthy fats into your meals.
3. Regular Monitoring: Since you have been prescribed medications like Naïve (likely referring to a medication for kidney protection) and other treatments, it is crucial to follow up with your healthcare provider regularly to monitor your kidney function and adjust medications as necessary.
4. Physical Activity: Continue your exercise regimen, as regular physical activity is beneficial for overall health, including kidney health. However, ensure you are not overexerting yourself, especially if you are experiencing any symptoms.
5. Medication Management: Be cautious with over-the-counter medications and supplements, as some can adversely affect kidney function. Always consult your healthcare provider before starting any new medication.
When to Seek Medical Attention:
If you experience symptoms such as persistent fatigue, swelling in the legs or ankles, changes in urination patterns, or any other unusual symptoms, it is essential to contact your healthcare provider. They may recommend further testing, such as a urine test or imaging studies, to assess kidney function more thoroughly.
In conclusion, while a creatinine level of 1.2 mg/dL is slightly elevated, it is essential to consider the context of your recent health issues and lifestyle factors. By staying hydrated, maintaining a balanced diet, and following your healthcare provider's recommendations, you can effectively manage your kidney health. Regular monitoring and open communication with your healthcare provider are key to ensuring your well-being.
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