Creatinine

Creatinine is produced as the end waste product from muscle metabolism and by eating meat. Usually, this creatinine is filtered by the kidneys out of the body through the urine. An increased level of creatinine in the blood indicates a kidney problem.

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Is there a permanent cure for my prolonged macrocytosis?

Query: Hello doctor, I have had macrocytosis for a long time. My last B12 and folate levels were high. I have symptoms of nervousness, snarkiness, light headedness, palpitations, and sometimes tingling in the hands and feet. It is making me crazy. My MCV is 104.9, MCH 35.6 and last TSH 2.18. I have consult...  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to icliniq.com. Macrocytosis can be present because of hypothyroidism, alcohol, liver disease, etc. Your TSH value is within the limit. So, I do not think a thyroid problem can be the cause.You can get the following tests to rule out liver and kidney problem:SGOT (serum glutamic oxalo...  Read Full »

Does diverticulitis increase the risk of colon cancer?

Query: Hello doctor, I have been having lower left pelvic pain, so I got a CT scan of the abdomen done. I was diagnosed with mild diverticulitis and diverticulosis. The doctor gave me Flagyl and Cipro. Is it serious? Can this lead to colon cancer? I am very scared. How can you tell that it is diverticuliti...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Do not worry, diverticulum is a common condition, and most patients remain asymptomatic or have mild symptoms. The risk associated with this condition are diverticulitis, which is an infection of the diverticulum pouch, and risk of bleeding. Approximately 75 to 80 per...  Read Full »

Should we treat high creatinine and low GFR as medical emergency?

Query: Hello doctor, My father has a creatinine level of 286 umol/l and a GFR of 19. Should this be treated as a medical emergency? His symptoms are tiredness, loss of appetite, shaky inside (similar to the feeling of anxiety). He has a history of cancer and radiotherapy. GFR has continued to decline from ...  Read Full »


Dr. Anshul Varshney

Answer: Hi, Welcome to icliniq.com. Yes, this should be treated as a medical emergency and he should be given admission as per my belief. How are his urine output and blood pressure? Any hiccups or vomitings? Regards.   Read Full »

My mother had a nosebleed two days ago. What can be the reason?

Query: Hello doctor,My 54-year-old mom had a nosebleed two days ago that lasted five to seven minutes. Her BP usually never crosses 106/66, but after the nosebleed, her BP is 148/99. Since the day of her nosebleed, she has been feeling pressure in her nose and eyes. I wonder if it was sudden high blood pre...  Read Full »


Dr. Chandwadkar Ashish

Answer: Hello, Welcome to icliniq.com. A nosebleed can be due to many causes, and the most common is a local injury. But, in your case, it seems like the high blood pressure (BP) itself is causing the nosebleed. I suggest you check her BP at different times of the day and get an average. If it is still hig...  Read Full »

Can Hb level of 7.8 and blood urea 116 be treated with medicines?

Query: Hello doctor, I had a renal transplant two months back. My father is 50 years old. The creatinine level is 1.5 but blood urea is 116. Is this treatable by medicine or not? Hemoglobin is 7.8. Please reply me. I am worried about it. Currently, I am taking Tacrograf 3 and 2.5, Renodept 720 and 360, Om...  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. This is just mild renal function impairment. The situation is not critical, but most concerning is anemia. I would just recommend taking plenty of fluids and reduce protein intake. Creatinine clearance and a kidney ultrasound are necessary every six months. Regarding...  Read Full »

My serum creatinine levels are high and I am diabetic for the past 28 years. Kindly advise.

Query: Hi doctor, I am 62 years old, and I have been diabetic for the past 28 years. After having a fever for three days, I took a blood test, and my creatinine level is 1.58 mg/dL. My creatinine level was 1.21 mg/dL three months back. All the other readings are normal. Kindly suggest your opinion. Than...  Read Full »


Dr. Arpit Varshney

Answer: Hello, Welcome to icliniq.com. I have read your concern in detail and will surely help you out. We need to evaluate whether serum creatinine rises due to diabetes or some infection. I suggest you take the following tests. 1) KFT (kidney function test). 2) CRP(Q) (c-reactive protein) t...  Read Full »

What is the treatment for hydronephrotic kidney with PUJ obstruction?

Query: Hello doctor,My mother has a hydronephrotic kidney with PUJ obstruction. She also has a history of recurrent and severe UTI. I need an expert advice and treatment plan.  Read Full »


Dr. Shahil Khant

Answer: Hello, Welcome to icliniq.com. If possible, send all the reports with images. I need to know the¬†severity of hydronephrosis. What is the present creatinine level? What is her age? Only after seeing the above reports, I can suggest a treatment plan. She may require surgery. For more information cons...  Read Full »

My serum uric acid levels are high. Can I take Neurobion Forte? Will it increase my serum uric acid levels?

Query: Hi doctor, I have been experiencing the following symptoms for the past 15 days. Feet pain, occasional finger bone pain, radiating bone pain, occasional cold feet, occasional abdominal cramping, or a feeling of pressure in the abdomen. I had ureteroscopy for my right proximal ureter stone removal ...  Read Full »


Dr. Arpit Varshney

Answer: Hello, Welcome to icliniq.com. I have read your concern in detail and will surely help you out. I have seen all the reports you have attached (attachments removed to protect the patient's identity). I will answer your queries step by step. 1. Can I take Neurobion Forte (daily one at n...  Read Full »

What is the reason for the exaggerated protein in my routine urine test?

Query: Hi doctor, I am a 66 year male, who is diabetic and hypertensive from the last 15 years. I am on Tazloc H, Cresar AM, Metformin, and Amaryl. Routine urine exam showed proteins 30 mg/L, micro albumin 94.97 mg/L, and pus cells 4 to 5 cells. What is the inference and advise?  Read Full »


Dr. Pankaj Jawandhiya

Answer: Hi,Welcome to icliniq.com.I will advise you to check UPCR (urine protein to creatinine ratio) and evaluate fundus for diabetic retinopathy or hypertension retinopathy. Thanks.For more information consult a nephrologist online --> https://icliniq.com./ask-a-doctor-online/nephrologist  Read Full »

What is the cause for having blood and RBC cells in the urine?

Query: Hi doctor, In my routine urine test, blood in urine is 1+ and RBC 6-8. What does it mean? I have attached my routine urine test report for your reference. Please help.  Read Full »


Dr. Naresh Kumar Monigari

Answer: Hello, Welcome to icliniq.com. I had gone through your report (attachment removed to protect patient identity). Your report is suggestive of microscopic hematuria. Microscopic hematuria may be because of calculus in urinary tract. Calculus in urinary tract causes pain on the side of its presence and...  Read Full »

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