Hi all,I'm a newby here. I've been reading for a couple of weeks but have a questio since my last round of labs. I have not be formally dxed with CKD but it looks like it may be a problem from the numbers. I had blood work 3 times each 6 weeks apart. GFR 43-39-51. BUN 32-32-24. Creatinine 1,28-1.37-1.10. K+5.0-4.4-4.8. Also have had microscopic hematuria with almost every urine dip and urine protien of 30 twice. My GP says I'm anemic and seems more concerned with that. Had a CT of my kidneys and it showed a"soft tissue density" in my left kidney which lead to a retrograde pylogram and cytology washing which was negative. My Dr's last statement about my latest GFR was "well it's a little better." Would you see a nephrologist? I recently read that they would rather see you with a GFR of 60 than wait for it to hit 35. Thanks Debi
Should I see a nephrologist?: Hi all,I'm a... - Early CKD Support
hi, I would make an apt., but until then look up Danita and the kidney diet, watch sodium, potassium, some say magnesium too. Pain killers, steroids, stomach meds, high blood pressure can be rough on kidneys. Drink plenty of water and avoid drinking soda if you can. There is also a test called a renal scan that can show exactly how kidneys are working.
Well I guess I am going to be the odd guy here and say don't bother. Here is why. I developed kidney cancer in one kidney (found by a CT scan for a different medical problem). I was sent to a urologist. The kidney removed. Before removal all my "numbers" were well within normal ranges. Immediately after removal my egfr was 35 (not 40 or 410. I was ckd stage 3b. I continued to see my gp, and my urologist, an oncologist, and was even referred to a cardiologist (since most people with CKD actually develop and die from cardio problems, not the kidney). But not a kidney doctor. I asked why. They all said the same thing. It would just be a waste of time since my gp and urologist were doing all the appropriate blood and urine tests and dietary advice. And my oncologist was testing chest and liver routinely to see if any cancer is spreading. Finally after my repeatedly asking, I went to a kidney doctor. They were right. It was useless. What did she offer? Another blood and urine test every 4 months. Watch your salt, control your blood pressure, blah, blah, blah. All the things I could have told her anyway. If it gives you peace of mind, then go to one. It is harmless to try. But if you have a good gp in place and are being tested regularly, be confident.
Yes. This is one of the problems with the egfr. It does not take into consideration circumstances of the patient. It just says "this is normal" based upon our studies. But the results are for a person of a certain age, race, sex and with two kidneys. It does not take into consideration what is "normal" for a person with one kidney. As you say, if you have a solitary kidney it is not unusual to have a higher creatinine level, which will yield a lower egfr. The lower egfr will be classified for example as say stage 3. When in fact your existing kidney is not diseased, is not even failing, but simply can not do the work of two. Yes people with a solitary kidney can have "normal" numbers too. It all depends on the person. for some, especially younger, the remaining kidney internally "grows" and handles most of the workload. In those over 60 or 65 this is not likely. This is why my doctors all say ignore egfr. The best way to judge your "health" is to monitor creatinine and bun/creatinine ratio. If your ratio remains good, then most generally you remaining kidney is functioning find. For creatinine it is not unusual for the level to be 1.7 or 1.8. If it remains fairly constant over time, then your remaining kidney is doing its job.
Your BUN numbers show you are a little dehydrated and so that affects your creatinine. Your creatinine is the high side of normal which could be the result of dehydration. Your eGFR can be affected by that also
If you have a good primary doctor who continues to do urine and blood tests you do not need to see a nephrologist. He would do the same thing. Usually, in my case anyway, I did not start seeing a nephrologist till my creatinine was a steady 1.5.
I am now 19 years post transplant and am doing great!