The hemoglobin levels of my 62-year-old father are deteriorating, and his blood pressure and serum creatinine are high. Why?

Q. Can a chronic kidney disease increase the blood pressure, and cause swelling in the legs?

Answered by
Dr. Yash Kathuria
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Feb 20, 2023 and last reviewed on: Jul 18, 2023

Hi doctor,

My father is 62 years old, and his hemoglobin levels have deteriorated for the last two years. His ultrasound report shows that the kidneys are smaller than their natural size. His legs are swollen at times. His blood pressure is high. The serum creatinine level is between 2 to 3 mg/dL. He is on medications for blood pressure, diabetes, and thyroid problems. I am attaching his reports for your reference. Kindly suggest.



Welcome to

I understand your concern. According to the reports provided (attachment removed to protect the patient's identity), the kidneys are shrunken and damaged. It is known as chronic kidney disease. The swelling in the legs and high blood pressure are due to chronic kidney disease. Chronic kidney disease can be due to various reasons. His low hemoglobin is also due to kidney damage because kidneys are not able to make erythropoietin which helps in hemoglobin formation. Your father requires supportive care for his kidney problem, which may include dialysis support shortly. I suggest you consult a nephrologist to start an appropriate supportive treatment. I hope this helps you.

Thank you.

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