Patient's Query
Hello doctor,
I just had my routine blood test with Rh factor to rule out rheumatoid arthritis. I am taking Diclofenac for the last two months due to uric acid and gout pain. My Rh factor is okay, but my urea is 43, and my BUN is 20. Are the levels high? I am concerned if I am suffering from a kidney problem.
Kindly help.
Hello,
Welcome to icliniq.com.
I read your query and understand your concern. Levels of urea and BUN on their own (if elevated) do not have too much significance. From the reports (attachments removed to protect the patient's identity) creatinine levels are 0.91 which is within normal limits. Levels of GFR (glomerular filtration rate) are also within normal. Based on the values, there is nothing to be concerned about with your kidneys. But, excessive Diclofenac, in the long run, will not be good for your kidney. I suggest you get an ultrasound of the kidney, ureter, and bladder to be on the safer side.
I hope this has helped you.
Thank you.
Patient's Query
Hello doctor,
Thank you for the reply,
I want to know if high urea levels can be caused due to dehydration.
Kindly suggest.
Hello,
Glad to have you back!
I am here to help you get the best medical advice. Yes, dehydration can cause both urea and creatinine to rise. Please be assured, I do not think anything is wrong with the kidneys in the functional aspect by looking at the reports. If there are stones, cysts, etc., in the kidney, they cannot be detected by the blood test, and hence follow my previous advice and get an ultrasound done.
Thank you.
Patient's Query
Hello doctor,
Thank you for the response,
I understand and want to know if high urea and BUN can be caused due to stones or cysts.
Hello,
Welcome back to icliniq.com.
Based on the blood test (attachments removed to protect the patient's identity) - your kidneys appear to be functionally okay. An ultrasound scan can rule out the presence of stones, cysts, etc., in the kidney. Stones can have an impact on urea levels if they obstruct the urine flow. However in your case, the creatinine is normal, so blockage cannot be expected. Getting an ultrasound is to make sure the kidneys are fine.
I hope this has helped.
Thank you.
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Answered byDr. Madhav Tiwari
Medically reviewed byiCliniq medical review team
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