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Q. Should I visit a doctor for my slightly low eGFR?

Answered by
Dr. Krishna Somani
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 31, 2016 and last reviewed on: Apr 03, 2020

Hi doctor,

I do not have any real complaints. I just got my laboratory test results. They show BUN 29.1, creatinine 1.01, BUN/creatinine ratio 29 and eGFR 64. I do not have any bad symptoms other than some retention of fluid. I urinate a lot but I am on Triamterene 75/50 twice a day. I do drink lots of water and tea without sugar. I have heart disease and had bypass before 10 years. My general physician said that everything is fine because creatinine was fine. I am still concerned after things I have read. Should I seek a visit with specialist?

#

Hi,

Welcome to icliniq.com.

  • I would like to know your age and how your heart functions. Do you have any recent 2D echo done?
  • Regarding serum creatinine and BUN (blood urea nitrogen), they are normal. But, eGFR - estimated glomerular filtration rate is slightly low. That really need not worry.
  • After the age of 40 years, eGFR starts dropping every year and it is normal. Aging process is similar to graying of hair.
  • Just do a 24 hour urine protein estimation and a 2D echo if not done recently. Let me know your age and reports as advised. Thank you.

Revert back with the reports to a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist

Thank you doctor,

I am 53 years old now. My heart functions are normal. No 2D echo recently. My stress test and nuclear test were done before six years. All were good. I will do a urine test as per your advice. Thank you.

#

Hi,

Welcome back to icliniq.com.

  • Your eGFR is low only because of your age. It is not due to any pathological process.
  • Keep checking your creatinine yearly. Keep in mind the rate of decline of eGFR, which is more important than actual eGFR in your case. Take care.

For further information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist

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