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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Why was my Lithium dose reduced due to creatinine levels?
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 m... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query. 1. 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 specia... Read Full »
Please check my reports and tell me what to do.
Query: Hello doctor, Please access my report to provide me a proper diagnosis. I have similar laboratory 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 »
Answer: Hello, Welcome to icliniq.com. I went through your post and investigations (attachments 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... Read Full »
Kindly go through my medical reports and advice.
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 »
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 »
I am taking medication for a fever. Can I do kidney tests?
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 »
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 creatinine level is 537 mg/dL, with symptoms. What it means?
Query: Hello doctor, I am 24 years old. I have fatigue, nausea, back pain, pallor, weakness, and dark urine. My creatinine urine is 537 mg/dL. What does this mean? eGFR has dropped from 120 to 86 mL/minute. Kindly help. Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query. I understand your concern and reviewed your reports (attachment removed to protect the patient's identity). Your serum creatinine is normal, which gives an eGFR of 86. eGFR should be more than 60, which is in your case. You were concerned abou... Read Full »
My creatine levels are high, and my GFR levels show variations. What should I do?
Query: Hi doctor,I have no family history of diabetes or high blood pressure. I went for my routine medical check-up and found out my reports were not normal. My GFR is 48, creatinine 1.2, and BUN 20. White blood cells and hemoglobin levels were normal. Last year the GFR level was 77, the creatinine level ... Read Full »
Answer: Welcome to icliniq.com. I understand your concern. The increase in creatinine from 0.8 to 1.2 is a significant change. The cause of this is unclear from the tests you have done. In the intervening period, have you taken any new medicines? Have you taken any painkillers or alternative medicine rece... 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 »
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 »
If GFR is 89 and the dipstick test shows protein in the urine, is there a kidney problem?
Query: Hi doctor, Last week's blood test showed a GFR of 89 and one that was taken two years ago showed 90. Dipstick showed protein in the urine, lastweek. Does this mean my kidneys are not working as well as they should? If so, is there anything I should or should not do? Kindly give your opinion. Read Full »
Answer: Hello, Welcome to icliniq.com. Normal range of GFR (Glomerular filtration rate) is 90-120 mL/min/1.73 m2. Your value is 89, which is just below the lower limit, and it has to be rechecked in few weeks. Also, there is normal excretion of less than 150 mg/d of total protein and less than 30 mg/d of ... Read Full »
Do my reports indicate kidney damage?
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 »
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 »
I need help evaluating my kidney function, urine, and blood panel. Please help.
Query: Hello doctor,I need help evaluating my kidney function, urine, and blood panel. I have the data from several exams.Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. I went through your reports (the attachments removed to protect the patient's identity). Creatinine level and eGFR (estimated glomerular filtration rate) are not the correct representation of kidney functions for all cases. Someone with good... Read Full »
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