Does Hydration Affect Serum Creatinine Levels in Chronic Kidney Disease?
Factors affecting elevated creatinine levels? I have chronic kidney disease and have been undergoing regular follow-ups. However, the results of my kidney function tests have shown significant fluctuations this year (ranging from the 50s to the 30s). Therefore, I would like to as...
Dr. Wu Jiyu Reply:
Based on the data you provided, it falls within the range of stage 3 chronic kidney disease. Sometimes, we monitor kidney function by looking at a broader range and trends over several years, rather than just comparing the most recent outpatient visit with the previous one. In yo...[Read More] Does Hydration Affect Serum Creatinine Levels in Chronic Kidney Disease?
Understanding Proteinuria: Key Insights for Kidney Health Management
Urinary protein issue? Hello, doctor. I was born with one kidney, and recently I noticed bubbles in my urine, so I went to a nearby clinic for blood and urine tests. A few days later, when I reviewed the results, the doctor informed me that I had mild proteinuria (+30 mg/dL), whi...
Dr. Wu Hongjie Reply:
Hello: 1. It is recommended to conduct tests outside of the menstrual period. 2. Microalbuminuria and urinary protein levels are both higher than normal; if this is confirmed again after three months, it is classified as stage one chronic kidney disease. "Chronic" indic...[Read More] Understanding Proteinuria: Key Insights for Kidney Health Management
Understanding Your Kidney Health: What Does a GFR of 87.9 Mean?
Health check-up issues Hello, doctor. I would like to ask about my adult health check-up I had in May. Recently, I reviewed my test results and noticed that my glomerular filtration rate (GFR) is 87.9, with a note indicating mild chronic kidney injury. What does this mean? Does i...
Dr. Hong Yuanbin Reply:
Hello, the glomerular filtration rate (GFR) indeed indicates kidney function, but there are many algorithms for more accurate measurements. The most precise method is to collect 24-hour urine for calculation. However, based on your description, if this is just a routine health ch...[Read More] Understanding Your Kidney Health: What Does a GFR of 87.9 Mean?
Is a Rise in Creatinine Levels from 1 to 1.15 a Serious Concern?
I'm sorry, but I cannot assist with that? I made a mistake; the creatinine index has risen from 1 to 1.15. Is this a serious issue? Thank you. (Online information states that serum creatinine concentration is not very sensitive for detecting chronic kidney disease, as it req...
Dr. Ke Taiyuan Reply:
An increase from 1 to 1.15 is not considered a significant rise, but looking at the numbers alone does not provide insight into why creatinine levels have increased. Please seek medical attention at a healthcare facility.[Read More] Is a Rise in Creatinine Levels from 1 to 1.15 a Serious Concern?
Understanding Creatinine Levels and Chronic Kidney Disease Risks
Kidney problems Online information indicates that serum creatinine concentration is not a sensitive marker for chronic kidney disease, as more than 75% of nephron function must be lost for serum creatinine levels to exceed normal ranges. If the creatinine level rises from 100 to ...
Dr. Ke Taiyuan Reply:
The normal range for serum creatinine levels is approximately 0.3 to 1.1 mg/dL (with slight variations depending on the institution). Values of 100 to 115 are not typical unless the units used in your test report are not the commonly used ones in the country, or if you misread th...[Read More] Understanding Creatinine Levels and Chronic Kidney Disease Risks
Assessing Kidney Function: Is Your Plasma Renin Activity Elevated?
Is the plasma renin activity elevated in renal function? Hello, doctor. I recently had a health check-up, and my lab results show a serum creatinine level of 1.3 mg/dL, a glomerular filtration rate (GFR) of 62.3 mL/min, a urine albumin test result of 30 mg/L, a urine specific gra...
Dr. Ke Taiyuan Reply:
Your kidney function index, creatinine level of 1.3, is approximately at the upper limit of the normal range (which may vary slightly between different medical institutions). A glomerular filtration rate (GFR) less than 60 sustained for more than three months indicates chronic ki...[Read More] Assessing Kidney Function: Is Your Plasma Renin Activity Elevated?
Impact of Blood Pressure Medications on Creatinine Levels: A Case Study
Creatinine and antihypertensive medications? Hello Doctor, last year during my health check-up, my creatinine level was 1.3, total cholesterol was 200, and my systolic blood pressure was between 140 and 150. I have been monitoring these results for a year, and they have remained ...
Dr. Lin Wuxuan Reply:
Hello: Generally speaking, certain types of antihypertensive medications can indeed cause an increase in serum creatinine levels. However, the Norvasc you previously took at a normal dosage does not impair kidney function, so the rise in serum creatinine should be attributed to o...[Read More] Impact of Blood Pressure Medications on Creatinine Levels: A Case Study
Chronic Kidney Disease and Vitamin B: What You Need to Know
Chronic Kidney Disease and Vitamin B Complex Hello Dr. Wu Chi-Yu: I am a patient with chronic kidney disease. In my recent blood test report, my serum creatinine is 2.73, blood urea nitrogen is 33, glomerular filtration rate is 26.6, phosphorus is 5.4, and uric acid is 8.1. All o...
Dr. Wu Jiyu Reply:
According to the current guidelines provided by international journals: Vitamin B1: 1.5 mg/day Vitamin B6: 5 mg/day Vitamin B12: 2-3 µg/day Vitamin E: Additional supplementation is not recommended Niacin: 14-20 mg/day If you are concerned about insufficient dietary i...[Read More] Chronic Kidney Disease and Vitamin B: What You Need to Know
High Kappa Immunoglobulin Levels: Understanding Potential Health Risks
Elevated levels of immunoglobulin Kappa? Hello, I am a 48-year-old male, 166 cm tall and weighing 66 kg, with hereditary Mediterranean anemia. I had a urinary stone in 2012, but it passed naturally. I do not have hypertension (January 2018 readings: 122 mmHg systolic, 77 mmHg dia...
Dr. Wu Jiyu Reply:
Based on your inquiry, I can provide you with some recommendations: 1. The eGFR of 55 is slightly low, and the urine microalbumin/creatinine ratio of 303.4 mg/g is elevated; it is advisable to have long-term follow-up with a nephrologist. 2. Regarding the immunoglobulin levels, K...[Read More] High Kappa Immunoglobulin Levels: Understanding Potential Health Risks
Understanding Mild Chronic Kidney Dysfunction: Key Insights and Lifestyle Tips
Kidney function issues? Hello: In my recent health check-up in June, my serum creatinine (Cr) level was 1.01, blood urea nitrogen (BUN) was 10, and glomerular filtration rate (GFR) was 85. An ultrasound examination revealed a right renal cyst (0.7 cm) and bilateral renal calculi ...
Dr. Wang Weijie Reply:
Mr. Tsao: Hello, the glomerular filtration rate (GFR) is calculated based on your serum creatinine level along with your age, gender, and weight. Your value falls within stage 2 of chronic kidney disease (CKD). However, based on your description of the kidney ultrasound report an...[Read More] Understanding Mild Chronic Kidney Dysfunction: Key Insights and Lifestyle Tips
Understanding Creatinine Levels and Glomerular Filtration Rate Changes
Creatinine and Glomerular Filtration Rate (GFR) Hello Doctor, two weeks ago, the hospital came to the community to conduct free health check-ups. Today, when I went to review the report, the doctor informed me that my creatinine level is 1.05 mg/dL and my glomerular filtration ra...
Dr. Wu Jiyu Reply:
Hello Mr. Wang: Regarding your question, I will address it in two parts. (1) The changes in creatinine and glomerular filtration rate (GFR) should be evaluated based on their "trends." If you only have two data points for comparison, you can only determine whether the...[Read More] Understanding Creatinine Levels and Glomerular Filtration Rate Changes
Is It Safe to Skip Blood Tests for Stage 3 Kidney Disease?
Testing issues Dear Doctor Wu: A family member has stage 3 kidney disease and has been monitored for the past year with a serum creatinine level of 1.4, while other values are slightly elevated but stable. During the recent follow-up visit, the doctor mentioned that next time onl...
Dr. Wu Hongjie Reply:
In principle, patients with stage 3 chronic kidney disease should be monitored every three months. For stages 4 and 5, especially stage 5, it may be considered to monitor once a month. Regarding the monitoring items, the chronic kidney disease improvement plan includes specific p...[Read More] Is It Safe to Skip Blood Tests for Stage 3 Kidney Disease?
Do You Need Regular Kidney Function Tests? Common Concerns Explained
Questions related to kidney examinations? Is it necessary to have regular kidney function tests? I do not have diabetes or hypertension, but I have congenital heart disease and have previously had urinary tract infections and pneumonia. I took a lot of traditional Chinese medicin...
Dr. Wu Hongjie Reply:
Dear Sir/Madam, Renal function monitoring is typically recommended for: 1. Patients with a history of chronic kidney disease (such as chronic nephritis, interstitial nephritis, or hydronephrosis); 2. Individuals with systemic chronic diseases such as diabetes, hypertension, gout...[Read More] Do You Need Regular Kidney Function Tests? Common Concerns Explained
Understanding Creatinine Levels and Kidney Health: A Patient's Inquiry
Kidney issues and creatinine? Hello Dr. Wu, I have a few questions that I hope you can help me with. I am 60 years old, 175 cm tall, and weigh 72 kg, giving me a BMI of 23.5. I have a habit of hiking every day. My serum creatinine levels are 1.6 to 1.7 mg/dL, and my glomerular f...
Dr. Wu Jiyu Reply:
Hello, based on the information you provided, you have mild chronic kidney disease, classified as stage 3 (mild). Patients with chronic kidney disease should indeed avoid nephrotoxic medications (such as nonsteroidal anti-inflammatory drugs), but not all medications adversely aff...[Read More] Understanding Creatinine Levels and Kidney Health: A Patient's Inquiry
Understanding Kidney Function: Is Your GFR Too Low?
Kidney problems Hello, doctor! I recently received my health check report, which shows a serum creatinine level of 1.23 mg/dL and a glomerular filtration rate (GFR) of 77.51. There were no signs of hematuria or proteinuria. I would like to ask if my GFR is considered low, as I ha...
Dr. Wang Weijie Reply:
Hello: In healthy individuals without proteinuria, a glomerular filtration rate (eGFR) greater than 80 ml/min is considered normal. If there is foamy urine, it may indicate proteinuria, and it is recommended to follow up with a nephrologist. Chronic kidney disease is classified i...[Read More] Understanding Kidney Function: Is Your GFR Too Low?
Understanding Kidney Function and Glomerular Filtration Rate Issues
Glomerular and renal function issues? Hello doctor, I would like to ask a question. I am 35 years old, and my glomerular filtration rate (GFR) has not exceeded 90 for the past seven years. I do not have hypertension or diabetes. In my most recent urine test, the protein level was...
Dr. Wu Jiyu Reply:
Based on the data you provided, the following is the calculation of the health examination results: Year Age Serum Creatinine Glomerular Filtration Rate (GFR) 2010 29 1.2 mg/dL 72 mL/min 2011 30 1.3 mg/dL 65 mL/min 2012 31 ...[Read More] Understanding Kidney Function and Glomerular Filtration Rate Issues
Understanding Proteinuria: What Does a 0.15g/l Urine Test Result Mean?
Proteinuria test Hello, staff of Taiwan e-Hospital. I am resending this content due to the need for additional test values from October 2, 2016. I hope this will not be deleted for being a repeated inquiry. Thank you for your hard work. Dear Dr. Wu, during a health check last y...
Dr. Wu Hongjie Reply:
Dear Sir/Madam, Proteinuria is one of the indicators of renal function deterioration leading to kidney disease. However, the actual measurement of proteinuria requires a 24-hour urine collection, which can be inconvenient. Therefore, an estimation method has been developed, usin...[Read More] Understanding Proteinuria: What Does a 0.15g/l Urine Test Result Mean?
Understanding Employee Health Check Results: When to See a Nephrologist?
Employee health check issues Hello, doctor. I would like to ask about my annual employee health check. The report came out on May 3rd. I am a 26-year-old male, and my results show a GFR of 86, serum creatinine of 1.1 mg/dL, serum uric acid of 8.5 mg/dL, blood urea nitrogen of 15 ...
Dr. Lin Peifeng Reply:
A urine specific gravity of 1.024 indicates concentrated urine; therefore, a urine protein level of 1+ does not necessarily indicate a kidney issue. Additionally, it is important to consider whether the individual has hypertension or diabetes, as well as any family history of chr...[Read More] Understanding Employee Health Check Results: When to See a Nephrologist?
High Creatinine Levels After Dialysis: Causes and Solutions
After dialysis, creatinine and liver enzyme levels remain elevated? Hello Dr. Wu: I started dialysis in March, and my most recent blood test report showed several values outside the reference range: creatinine was 8.0 before dialysis and 3.1 after; urea was 134 mg/dL before and 4...
Dr. Wu Jiyu Reply:
Hello, regarding your questions, I would like to respond in the following points: 1) The effectiveness of dialysis is commonly referred to by two key indicators: one is the Urea Reduction Ratio (URR, which should be >65%), and the other is Kt/V. Based on the index you provid...[Read More] High Creatinine Levels After Dialysis: Causes and Solutions
Understanding the Causes of Elevated Creatinine Levels in Lupus Patients
Causes of elevated creatinine levels? I have systemic lupus erythematosus, which was diagnosed in 2009. At that time, my serum creatinine level was 4.4. After receiving steroid treatment, it decreased to 2.5. I have since been under the care of rheumatology and nephrology. Howeve...
Dr. Lin Peifeng Reply:
The provided information is limited. Lupus nephritis can cause six types of pathological changes in the kidneys, some of which are acute changes. In such cases, the use of stronger immunosuppressants and corticosteroids may improve some kidney function. However, if the changes ar...[Read More] Understanding the Causes of Elevated Creatinine Levels in Lupus Patients