Question 1

I'm kind of worried about my recent lab results. My creatinine level is 1.5, and the 24-hour urine protein is at 416 mg. The DMSA scan also showed some renal parenchymal dysfunction with cortical scars. Should I be concerned about these numbers, and what do they actually mean for my kidney health?

Accepted Answer

Your test results indicate chronic kidney disease (CKD) with impaired renal function (elevated creatinine), significant proteinuria (416 mg24h), and evidence of renal parenchymal damage with cortical scars on DMSA scan, warranting further evaluation and management by a nephrologist to slow disease progression.

Question 2

I'm concerned about my creatinine levels. They were at 0.9 last month, but now they've increased to 1.4. Is that considered too high? I'm wondering what could be causing this increase, like could it be something in my diet? I'd love some advice on what I might need to avoid or any precautions I could take to bring it back down. What exactly is the normal range for creatinine levels?

Accepted Answer

A creatinine level of 1.4 is considered high, especially if it's increased from 0.9 in a month. Normal creatinine levels vary by age, sex, and muscle mass, but generally fall between 0.6 to 1.1 mgdL. To lower creatinine levels, consider these dietary changes and lifestyle adjustments:

Dietary Changes

1. Low Protein Diet: Reduce or avoid high-protein foods like red meat, eggs, and dairy products.
2. Fiber-Rich Foods: Increase consumption of legumes, fruits (like apples and papaya), and vegetables.
3. Hydration: Drink plenty of water to help flush out toxins [2).

Lifestyle Adjustments

1. Exercise Moderation: Avoid intense workouts and opt for light exercises like walking or yoga.
2. Salt Intake: Limit common salt consumption to maintain healthy blood pressure.
3. Avoid NSAIDs: Limit use of non-steroidal anti-inflammatory drugs (NSAIDs).
4. Supplement Awareness: Consult a doctor before taking creatine or protein supplements.
5. Quit Smoking: Smoking can damage kidneys and increase creatinine levels.

Question 3

I've just had a routine ultrasound and it turns out my left kidney is now just 7.5 cm, even though my right one seems to be normal. When I had a scan about five years ago, the left kidney was 10 cm. I also did a urine test that showed 100 mgdL of protein and my serum creatinine level is at 1.24. Should I be worried about this? Could this be Chronic Kidney Disease (CKD)?

Accepted Answer

While these findings could indicate early kidney issues, including CKD, its important to get a thorough evaluation from a nephrologist. They will be able to assess the underlying cause of the kidney size change, proteinuria, and creatinine elevation. With early intervention and appropriate treatment, kidney function can often be preserved, so dont delay in seeking specialized care.

Management of Diabetes for Preventing Kidney Failure?

Prefer foods lower in fats, sugar/salt and calories and higher in fiber. Focus on fruits, green vegetables and whole grains. Regular physical activity, take medicines and have regular doctors visits.

More Nephrology Health Queries

I'm kind of worried about my recent lab results. My creatinine level is 1.5, and the 24-hour urine protein is at 416 mg. The DMSA scan also showed some renal parenchymal dysfunction with cortical scars. Should I be concerned about these numbers, and what do they actually mean for my kidney health?

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