Gfr

GFR, otherwise known as glomerular filtration rate, is the rate at which blood flows through the glomeruli (tiny blood vessels present inside the kidneys that filter waste from the blood) every minute. GFR varies according to age and is calculated based on the creatinine levels. GRF is an index used to measure kidney function.

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Will fluctuations in GFR cause chronic kidney disease?

Query: I'm 53 years old and 5 feet 7 and 177 pounds. I have been athletic most of my life but did gain some weight over the past years. Over the past several years I have had several general labs. My GFR was 73 at age 45. The first time I had general labs for anything. At 51 it was 63. And now at 52 it ...  Read Full »


Dr. Nasir

Pain Medicine Physician, Internal Medicine Physician, General Medicine Physician

Answer: Hello sir I understand you question sir. but the presence or absence of kidney disease especially chronic kidney disease is not paste only on gfr but is also dependent on presence and absence of protein in the urine. if you get a urine routine and microscopy done which basically shows if there are ...  Read Full »

Kindly explain my blood test results done for autoimmune disease.

Query: Hello doctor, I received CBC and CMP blood test results. Info points to kidney issues but dismissed as nothing by my doctor. I would like your opinion. Key points outside normal range: WBC 12.66, hematocrit 45, eosinophils .5, absolute neutrophils 8.76, absolute monocytes .91, BUN 26, creatinine 1....  Read Full »


Dr. Tarek Algamal

Nephrologist

Answer: Hello, Welcome to icliniq.com. Attached investigations do not show evidence of autoimmune condition (attachment removed to protect patient identity). But it shows some impairment in kidney functions as GFR is lower than normal and creatinine is 1.4. This could be an effect of longstanding hyperten...  Read Full »

I am a kidney stone former for the last 10 years. Based on my test results, do you think my kidneys are damaged?

Query: Hello doctor, I am a 43-year-old male. And I work out six days a week. I am in excellent shape. I consistently get my blood work done every four months. I am a kidney stone former and had kidney stones on and off for the last 10 years. I have a few kidney stones on my right side. I had blood drawn ...  Read Full »


Dr. Pankaj Jawandhiya

Nephrologist

Answer: Hello, Welcome to icliniq.com. Seeing your current report (attachment removed to protect patient identity) there is mild damage to your kidney, and creatinine before four months was also elevated, then it is a slight degree of permanent damage. So the cause of the damage is long-standing bilateral...  Read Full »

Will Removal Of Kidney Stone Improve Gfr?

Query: Hi doctor, I am a 26 year old female. I have had a kidney stone in my right kidney for around eight months and now it is relatively large 22 mm. I have attached my report for your reference. I am suffering from recurrent kidney infections in the past couple years and had a stone in my left kidney wh...  Read Full »


Dr. Krishna Somani

Nephrologist

Answer: Hi, Welcome to icliniq.com. I saw all your reports and your clinical details (attachment removed to protect patient identity). Your tendency for recurrent stone formation which needs to be evaluated. You need not to worry about eGFR (estimated glomerular filtration rate) currently as creatinin...  Read Full »

Why are my uric acid levels always high?

Query: Hi doctor, I have a bad throat, cold and mild fever. I am taking antibiotic Amoxycillin and Ibugesic plus. Can I get liver function test and kidney function test at this time or should I wait?  Read Full »


Dr. Smit Uttam Janrao

General Medicine Physician, Internal Medicine Physician, General Practitioner

Answer: Hi, Welcome to icliniq.com. It is advisable to get the liver and kidney function tests done after a week, as these drugs alter the test results. For further queries consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician  Read Full »

My doctor reduced my Lithium dosage due to the creatinine levels. Why?

Query: Hello doctor, I have been taking Lithium XR 400 mg twice a day and Valprol CR 300 mg twice a day for the last 19 years. I am also taking Geminor M1 once a day since the last two years. My local doctor checks regularly for my creatinine level and lithium level. My last report of creatinine was 1.36...  Read Full »


Dr. Ashaq Hussain Parrey

General Medicine Physician, Internal Medicine Physician, Rheumatologist

Answer: Hello, Welcome to icliniq.com. I went through your post. The normal range of lithium 12 hours after the last dose is 0.6 to 1.2. Your level is 0.48, which is already low. So, instead of decreasing the dose, you may need to increase it to maintain it at a therapeutic level. Consult your specialist ...  Read Full »

I have excessive thirst and frequent urination. Are these due to my medications?

Query: Hello doctor,I have been on Lithium for bipolar disorder for over 20 years. From a blood test two years ago, I noticed that my GFR was below 40. So, I gradually started switching from Lithium to Epilim to avoid further damage to my kidneys. But now, I experience excessive thirst and I wake up at nig...  Read Full »


Dr. Pankaj Jawandhiya

Nephrologist

Answer: Hello, Welcome to icliniq.com. I have seen your detailed reports (attachment removed to protect patient identity). Lithium commonly causes two types of renal disease, namely nephrogenic diabetes insipidus and chronic tubulointerstitial nephritis. Diabetes insipidus is causing the...  Read Full »

Kindly have a look at my medical reports and advise.

Query: Hello doctor,I just did some medical test for no reason just as part of the routine check. Can anyone confirm if all reports are fine or if needed immediate medical attention? Currently, I am taking Telday 40 blood pressure medicine everyday.  Read Full »


Dr. Mahmoud Ahmed Abelrahman Abouibrahim

Internal Medicine Physician, Family Physician, General Practitioner, General Medicine Physician

Answer: Hi, Welcome to icliniq.com. I have checked the attached reports thoroughly (attachment removed to protect patient identity) and I can affirm that all laboratory values are within normal and there is no need to worry. No medical attention is required based on these laboratory results. Please tell m...  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

Criticalcare Physician, Diabetologist, General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist, Nephrologist, Pulmonologist, Rheumatologist

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? For more information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-...  Read Full »

Please access my reports and provide me a proper diagnosis.

Query: Hello doctor, Please access my report to provide me a proper diagnosis. I have similar lab values from the past two years, but no stomach complaints or any discomfort. I am not taking any medication. I just want to bring down my cholesterol, creatinine and amylase levels.  Read Full »


Dr. Ashaq Hussain Parrey

General Medicine Physician, Internal Medicine Physician, Rheumatologist

Answer: Hello, Welcome to icliniq.com. I went through your post and investigations (attachment removed to protect patient identity). I would try to address each significant point separately. Your serum amylase is 140 and lipase is normal. It is of no significance in your case as you do not have pain in the...  Read Full »

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