Is it dangerous to have high levels of creatinine and BUN in hypertension patient?

Question

Hello doctor,

I am a 52-year-old male. My recent labs show elevated levels of BUN and creatinine. I have hypertension, and it is controlled by medication. I am a weight trainer and boxer. I have followed a high-protein diet over the years.

My lab report shows:

eGFR - 71 mL/min/1.73 m².

BUN - 27 mg/dL.

Creatinine - 1.32 mg/dL.

My fluid intake has been down due to my irregular schedule since the pandemic. I have increased my water intake to 64 plus oz of water a day, and I have stopped taking any protein supplements.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I would like to know which medicines you take for hypertension.
I would like to know whether you have done any urine examinations.

Your recent eGFR (glomerular filtration rate) of 71 mL/min/1.73 m² is within the normal range for you, if your urine examination is normal.

I would advise you to decrease the protein intake and avoid protein supplements. You take water so that the urine passed daily is around 1.5 liters. You should avoid any nephrotoxic drugs (painkillers and herbal medicines). If a urine examination was not done previously, I would advise you to undergo a routine urine examination and an ultrasound of the kidneys.

I hope it helps.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

I would advise you to continue the same antihypertensive drugs, monitor your blood pressure, decrease your protein intake, and avoid protein supplements. Also, take as much water as possible so that the daily urine output is around 1.5 liters. You should avoid any nephrotoxic drugs (painkillers and herbal medicines). I

I would advise you to undergo a routine urine test and a kidney ultrasound.

I hope it helps.

Thank you.