Dr. Yash Kathuria
Family Physician
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am a 41-year-old woman with no diabetes and high blood pressure. In a recent blood test, my eGFR was 63.44 mL/min/1.73mSq and my creatinine was 90 nmol/L. All other renal function tests (urea, potassium, sodium, bicarbonate, and chloride) are within normal range. In the lab results report, it says "mild decrease" of renal function as the eGFR is 63 mL/min. Is this a cause for concern?
Hello,
Welcome to icliniq.com
I read your query and understand your concern regarding your GFR (glomerular filtration rate) level. So as I can see in your reports (attachment removed to protect patient’s identity), your creatinine level is normal along with other parameters. GFR depends on many factors, like age, muscle mass, weight, and amount of protein intake. The formula used to calculate GFR is not very reliable. To confirm whether it is a natural reduction of GFR with age or is it due to kidney issues, you need to get your cystatin c level checked through blood. Moreover, get urine protein creatinine ratio to look for protein leakage in urine. An ultrasound of the kidneys to rule out structural changes in the kidneys. I hope this helps. Kindly revert back in case of any more queries.
Thank you.
Patient's Query
Hello doctor,
Thank you so much for your reply. I will have the other tests done as per your suggestion. My ESR is also a bit high (28 mm at one hour). Is this a cause for concern?
Hello,
Welcome back to icliniq.com
It is mildly raised, do not worry about it, high BMI (body mass index) leads to raised ESR (erythrocyte sedimentation rate). I would advise you to work on your diet and lifestyle to lose weight. Many things would be taken care of if you do that. I hope I cleared all your doubts.
Thank you.
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Family Physician
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