A blood test report indicating CKD stage 1 suggests that there may be some degree of kidney dysfunction. However, CKD stage 1 is characterized by a mild decrease in kidney function, and it often does not indicate significant kidney damage. It is important to consult with your healthcare provider for a comprehensive evaluation and
Hello Doctor, last month I went to a community hospital because I developed a lump on my ankle that was painful when walking.
The doctor indicated it could be a tumor or cyst and advised me to go to a larger hospital for further examination.
I subsequently visited the larger hospital and inquired about which department to see.
The nursing staff suggested I first see a general surgeon.
When I had my appointment, the surgeon examined my ankle and listened to my description, then advised me to see an orthopedic specialist.
He also mentioned that I needed to have blood drawn (I was puzzled as to why blood work was necessary for a lump on my ankle) and undergo an MRI, instructing me to return to see the orthopedic doctor for the results.
A month later, I returned to the orthopedic department to review the results.
The doctor informed me that it was a ganglion cyst and that it was not a concern.
He prescribed an anti-inflammatory ointment for me to apply.
I also inquired about the blood test results, and the doctor said everything was normal, expressing confusion as to why the previous general surgeon had ordered blood work.
At the end of the appointment, I requested a printed copy of the report.
When I got home, I looked at the report later that evening and was surprised to see that the blood test results from the general surgeon indicated: "Creatinine 0.73, eGFR 91.3, CKD stage 1, ClCr 91.37." I was astonished because the orthopedic doctor had said my blood test results were normal, yet this report indicated stage 1 chronic kidney disease (CKD) (thankfully, the report included explanations in Chinese).
After reviewing the report, I researched online and found information suggesting that my kidneys might have issues, but the doctor said everything was fine and did not recommend a follow-up appointment.
I now have many questions.
I would like to ask you, do the blood test values indicate that I have kidney problems? Should I seek further evaluation from a nephrologist or pay attention to my diet and lifestyle? I found online that if there are kidney issues, one should avoid excessive salt intake.
However, when I previously consulted a cardiologist (I have mitral valve prolapse, mitral regurgitation, tricuspid regurgitation, and arrhythmia), the doctor prescribed medication and mentioned that my blood pressure usually falls around 92/59, advising me to consume more salt.
How should I adjust my diet in this situation?
Yesterday, I researched symptoms associated with chronic kidney disease and discovered that anemia is one of them.
I recalled that during my follow-up with the cardiologist this past Lunar New Year, the doctor noted that I had not previously shown signs of anemia, but this year I suddenly did.
I wonder if this is related to my kidney condition.
Additionally, I have often felt fatigued and sleepy (on my days off, I sleep more than 12 hours and still feel tired, and I wake up with a heavy and uncomfortable lower back).
I would also like to ask if the frequent heaviness and soreness in my lower back could be related to kidney issues.
Thank you for your patience in reading this, and I would appreciate your guidance on these matters.
Thank you.
okd, 30~39 year old female. Ask Date: 2021/11/06
Dr. Li Minghui reply Urology
Hello: Your question should be directed to a nephrologist.
Wishing you good health.
Reply Date: 2021/11/06
More Info
Understanding your kidney health, especially when faced with a diagnosis of Chronic Kidney Disease (CKD) Stage 1, can be quite concerning. However, it’s essential to interpret the results and recommendations correctly to manage your health effectively.
Firstly, CKD Stage 1 indicates that your kidneys are functioning normally or near normal, with an estimated Glomerular Filtration Rate (eGFR) of 90 mL/min or higher. In your case, an eGFR of 91.3 suggests that your kidney function is still within a healthy range. The presence of CKD Stage 1 typically means that there may be some risk factors present, but it does not necessarily indicate that you have significant kidney damage or dysfunction at this stage.
The values you provided, including a creatinine level of 0.73 mg/dL, are within normal limits. Creatinine is a waste product from muscle metabolism, and its levels are used to assess kidney function. A normal creatinine level, combined with a normal eGFR, generally indicates that your kidneys are functioning well.
However, the classification of CKD Stage 1 often arises from the presence of other risk factors, such as proteinuria (excess protein in the urine) or other underlying health conditions. It’s important to monitor these factors regularly, especially if you have a history of conditions that can affect kidney health, such as hypertension or diabetes.
Regarding your concerns about dietary adjustments, it’s crucial to balance your nutritional needs with your kidney health. While it is often recommended to limit salt intake to support kidney health, your specific situation is more complex due to your heart conditions and low blood pressure. If your doctor has advised you to increase your salt intake to manage your blood pressure, it’s essential to follow that guidance. You may want to discuss with your healthcare provider or a dietitian to create a personalized dietary plan that considers both your kidney health and cardiovascular needs.
As for the symptoms you mentioned, such as fatigue, feeling tired despite long hours of sleep, and discomfort in your lower back, these can be associated with various health issues. While they may not directly indicate kidney problems, they could be linked to other underlying conditions or lifestyle factors. Fatigue can be a common symptom in many chronic conditions, including anemia, which you mentioned was noted in your recent evaluations. Anemia can indeed be related to kidney function, as the kidneys produce erythropoietin, a hormone that stimulates red blood cell production. If your kidneys are not functioning optimally, this could contribute to anemia.
The discomfort in your lower back could be due to various reasons, including muscular issues, postural problems, or even referred pain from other conditions. It’s advisable to discuss these symptoms with your healthcare provider, who may recommend further evaluation or treatment options.
In summary, while your CKD Stage 1 diagnosis does warrant attention, it does not necessarily indicate a severe problem at this time. Regular monitoring of kidney function, maintaining a balanced diet tailored to your health needs, and addressing any concerning symptoms with your healthcare provider are essential steps in managing your overall health. If you have further concerns or if your symptoms persist, consider consulting a nephrologist for specialized care regarding your kidney health.
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