Patient's Query
Hello doctor,
My mother, age 63, had a routine ultrasound and blood check-up recently. Her LFT showed creatinine 1.22, eGFR 50, elevated urea, potassium, and phosphorus levels. Other reports are normal.
Ultrasound showed a cyst on the right kidney of size 23 mm. She generally has gastric issues, so she takes Pantocid DSR for a week to 10 days, then gradually decreases it. Can you suggest the findings?
Please help.
Thank you.
Hello,
Welcome to icliniq.com.
I can understand your concern.
Based on the details you have shared, here is a summary and interpretation:
1. Kidney function-
Creatinine 1.22 mg/dL and eGFR (estimated glomerular filtration rate) 50 mL/min/1.73 m² suggest stage 3a chronic kidney disease (CKD). This is a mild-to-moderate decrease in kidney function.
Elevated urea, potassium, and phosphorus further support reduced kidney clearance.
The 23 mm simple cyst in the right kidney is likely benign and common with age, but it is not typically the main cause of kidney function decline.
Her BP (blood pressure) reading (140/83 mm Hg) is slightly high, which can contribute to kidney strain.
2. Medications-
Benitowa (Cilnidipine) for blood pressure control and Rozavel F (Rosuvastatin Fenofibrate) for cholesterol are fine but require periodic kidney function checks.
Pantocid DSR (Pantoprazole Domperidone) for gastric symptoms is okay short-term, but prolonged use can cause magnesium deficiency and alter gut health; it is not a direct cause of CKD, but long-term use should be minimized.
3. Gastric symptoms-
Ongoing gastric issues for months suggest the need to rule out acid reflux, H. pylori infection, or functional dyspepsia.
Since she uses acid-suppressing drugs frequently, B12 and magnesium levels should be checked.
4. Recommendations-
Kidney:
Monitor creatinine, eGFR, potassium, and phosphorus every three to six months.
Control BP to <130/80 to slow CKD progression.
Moderate protein intake (avoid excessive red meat, high-protein powders).
Limit high-potassium and high-phosphorus foods if levels remain high (bananas, dry fruits, cola, processed cheese).
Gastric:
If symptoms persist, consider endoscopy and H. pylori testing.
Use Pantoprazole for short courses under a doctor’s guidance.
Eat smaller, more frequent meals; avoid late-night eating, excess tea, coffee, and oily or spicy foods.
Lifestyle:
Maintain a healthy weight, avoid painkillers like Ibuprofen unless prescribed, keep hydrated, but avoid excess fluids if swelling develops.
5. Follow-up:
See a nephrologist to assess kidney status and the cause of eGFR decline.
See a gastroenterologist if gastric issues persist beyond two to three weeks.
I hope this information will help you.
Kindly follow up if you have more concerns.
Thank you.
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Answered byDr. Prakashkumar P Bhatt
Medically reviewed byiCliniq medical review team
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