Low Egfr

eGFR measures the kidney's ability to filter toxins or wastes from the blood. When eGFR is low, it indicates that the kidneys are not functioning efficiently. Estimated glomerular filtration rate (eGFR) helps determine any kidney disease, its stages, and severity. A normal eGFR is 60 and above, but when eGFR is less than 60, then it may be a sign that the kidneys are not functioning well.

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My serum bicarbonate level is low. Is it due to respiratory alkalosis?

Query: Hello doctor, I have been really sick from last two weeks. Two weeks ago, I had flu symptoms, like headaches, body aches, low fever, chest tightness, and shortness of breath. The chest symptoms were there straight away, and my asthma medicines (Symbicort and Ventolin) were not working from the start...  Read Full »

Dr. Nookala Sunil Kumar

Answer: Hello, Welcome to icliniq.com. I am sorry for your trouble. From the symptoms that you have explained, and the reports that you have uploaded (attachment removed to protect patient identity), it appears that you are an asthmatic patient and it is not under control. And you are also anxious. Let ...  Read Full »

I had done blood work recently, and my eGFR is down. What could be the reason?

Query: Hi doctor, Recently I had done with my blood work and some of the numbers were off. My eGFR is down to 63, and my liver function tests were elevated. The whole situation is giving me crippling anxiety and I am not sure what to do about it. I have not had blood work done before this test for a long, ...  Read Full »

Dr. Murugan Sivalingam

Answer: Hi, Welcome to icliniq.com. The reports are not alarming. Your blood creatinine level is slightly high as it reflects your higher muscle mass as you are fairly heavy, with a body weight of about 144 kilograms. Creatinine level in the blood reflects muscle mass, so people who are overweight tend to...  Read Full »

Is slightly low eGFR a reason to worry?

Query: 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...  Read Full »

Dr. Krishna Somani

Answer: 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 wo...  Read Full »

Does an increase in uric acid and creatinine levels indicate a damaged kidney?

Query: Hi doctor, I am a 42 year old male. From the past three months, I was suffering from typhoid. Now, I have pain in knees, sole, back, and wrist joints. The test reports show high sensitivity c-reactive protein (hs-CRP) 7.67, eGFR 68, folate 2, uric acid 7.7, creatinine 1.02, total cholesterol 211, tr...  Read Full »

Dr. Ashaq Hussain Parrey

Answer: Hello, Welcome to icliniq.com. You mentioned that you had typhoid three months back, and now have features of large joint arthritis. With this profile, it seems to be reactive arthritis. If you have heel pain, which is more in the morning once you get up from the bed and put your feet on the ground,...  Read Full »

Did I develop kidney disease because of prolonged use of Pantoprazole?

Query: Hello doctor, I am a 35-year-old male. I am 70 inches tall and weigh around 195 pounds. I go to the gym and frequently exercise, mostly weightlifting. I take 5 g of creatine monohydrate daily. I also take 40 mg of Pantoprazole daily and 40 mg of Famotidine daily for acid reflux. I have been on this ...  Read Full »

Dr. Manzoor Ahmad Parry

Answer: Hello, Welcome to icliniq.com. People who take creatine supplements are expected to have higher creatinine levels that do not necessarily mean low eGFR (estimated glomerular filtration rate). However, you have slightly hazy protein in urine examination. All other investigations look normal to me. ...  Read Full »

Can AL amyloidosis result in a swollen tongue, mouth sores, and decline eGFR?

Query: Hi doctor, I have a swollen tongue with teeth marks, tiny blood blisters on my inner cheeks with canker sores, and lumps on my uvula for a month. My blood reports are normal. No one in my home is sick. I do not have any cold symptoms or sore throat. I have pain only from the lesions. I have some bl...  Read Full »

Dr. Sandeep Shrestha

Answer: Hi, Welcome to icliniq.com. As per the concern, you have tiny papillomatous lesions over the uvula. You do not need to worry as your reports are normal. One of the common reasons for having multiple lesions on the oral cavity is nutrition deficiency. I advise you take tablet Vitamin complex one ta...  Read Full »

If I had stage 3 CKD, would the urine levels be indicative of disease?

Query: Hello doctor, I am a 62-year-old very fit male. I lift weights three times a week and use the stair master for 30 minutes five times a week vigorously. I have had this same routine for the past 20 years. I am 5'7" and weigh 160 pounds. My serum creatinine was 1.33 16 years back, and for the past 16...  Read Full »

Dr. Pankaj Jawandhiya

Answer: Hello, Welcome to icliniq.com. I went through your reports (attachment removed to protect patient identity), see basically beyond 40 years of age, there is 1ml/min/1.73 m2 decline in eGFR per year, and that is a normal physiological response because of an increase in age, same as skin wrinkles, si...  Read Full »

Please comment on the abnormal values in my blood test report.

Query: Hello doctor,I am a 56 year old male. I got my blood tests done recently. Kindly advice on what is required like medicines or tonics. I am an engineering manager in a corporate field. I am not taking any medicines as of now. I am generally healthy and follow a normal office routine of 10 AM to 7 PM...  Read Full »

Dr. Janrao Smit Uttam

Answer: Hello, Welcome to icliniq.com. I saw your reports (attachment removed to protect patient identity). Many of the values are abnormal. You have a vitamin B12 deficiency. That is the reason the MCV (mean corpuscular volume) value is increased in the complete hemogram. Amylase level is also increased in...  Read Full »

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