Rapid Heartbeat and Kidney Health: Do You Need Dialysis?

Sought medical attention due to rapid heartbeat?

Due to experiencing a rapid heartbeat and occasional lower back pain, a series of tests were conducted.
Initially, it was thought to be a heart issue, but later it was found that the blood CR(B) level is 1.04, uric acid is 7.8, cholesterol is 218, and the urine test shows a creatinine level of 0.50 with a reference value of (-).
Should I be concerned about needing dialysis? In November 2020, my cholesterol was still at 179.
I have had elevated monocytes for three consecutive years, but I am unsure where the inflammation is coming from.
Is it too late to save my kidneys?

Damus, 30~39 year old female. Ask Date: 2021/09/19

Dr. Wu Jiyu reply Internal Medicine

Based on the data you provided, a serum creatinine level of 1.04 corresponds to an estimated glomerular filtration rate (eGFR) greater than 60, which falls within the normal range, and there is no need to worry about dialysis.
As for your elevated uric acid and cholesterol levels, it is recommended to manage them through diet and exercise; otherwise, over time, they could indeed harm your kidneys.
Thank you for your inquiry.
The Nephrology Department at Changhua Hospital is concerned about your health.

Reply Date: 2021/09/19

More Info

When it comes to understanding the relationship between rapid heartbeat and kidney health, it's essential to consider several factors, including the results of your recent tests and your overall health history. Based on the information provided, you have experienced a rapid heartbeat and occasional back pain, which led to a series of medical evaluations. Your blood tests show a creatinine level of 1.04 mg/dL, which is within the normal range for most laboratories, and a uric acid level of 7.8 mg/dL, which is slightly elevated. Your cholesterol level is also elevated at 218 mg/dL.

First, let's address the concern about needing dialysis. Dialysis is typically indicated when kidney function is severely impaired, usually when the glomerular filtration rate (GFR) falls below 15 mL/min, or when there are significant symptoms of kidney failure. Since your creatinine level is not alarmingly high and does not indicate acute kidney injury or chronic kidney disease at a severe stage, it is unlikely that you would require dialysis at this time. However, it is crucial to monitor your kidney function regularly, especially given your elevated uric acid levels and cholesterol.

The elevated uric acid can lead to gout or kidney stones, and it may indicate that your kidneys are not effectively filtering waste products. It is essential to manage this through dietary changes, hydration, and possibly medication if your doctor deems it necessary. Your cholesterol levels also warrant attention, as high cholesterol can lead to cardiovascular issues, which may compound any existing heart concerns you have.

Regarding your rapid heartbeat, it is essential to consider the context in which it occurs. Factors such as anxiety, stress, caffeine intake, and physical exertion can all contribute to an increased heart rate. If your heart rate consistently exceeds 100 beats per minute at rest or during minimal activity, it may be worth discussing further with your healthcare provider. They may recommend additional tests, such as a Holter monitor or an exercise stress test, to assess your heart's response to activity and to rule out any underlying arrhythmias or other cardiac conditions.

You mentioned having a history of elevated monocytes, which could indicate chronic inflammation or infection. It would be beneficial to investigate the underlying cause of this elevation, as it may provide insights into your overall health status. Chronic inflammation can affect multiple systems in the body, including the cardiovascular and renal systems.

In summary, while your current kidney function appears stable, it is crucial to maintain regular follow-ups with your healthcare provider to monitor your kidney health, manage your cholesterol and uric acid levels, and address any ongoing symptoms related to your heart. Lifestyle modifications, such as a heart-healthy diet, regular exercise, and stress management techniques, can significantly impact your overall health and help mitigate the risks associated with both cardiovascular and renal issues. If you continue to experience symptoms or have concerns about your health, do not hesitate to seek further evaluation from your healthcare provider.

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