Do these look like CKD numbers? I'm being sent to a kidney specialist soon. My appointment was moved up over a month. Just trying to understand things a little before I go in.
Blood work numbers. : Do these look like CKD... - Kidney Disease
Blood work numbers.
Not really looking like CKD. Why are you being referred to a specialist?
Mild renal cortical atrophy is what came back from my ultrasound.
To me it sounds like the medical community is maybe taking advantage of your insurance or your pocket. That ultrasound result is probably normal for your age. Can you post your Albumin, Potassium, and Phosphorus numbers? There has been so many people that complain about their doctors not being concerned when their GFR is down in the 40s let alone in the 80s.
Kidney function decreases with age, there are other factors that play a role like your weight, biological sex, physical activity... these numbers could be fine depending on those factors. How are you feeling otherwise?
It doesn't look like CKD, but it won't hurt to see a kidney specialist. An egfr of 88 is very good ( your bio doesn't say how old you are), so it is difficult to judge.At least the specialist can tell you what is going on; you have nothing to lose by seeing him.
You Neph will probably run a Kidney Panel on your blood to see how well it is being cleaned...Some of the key ones will be Phosphorus...Potassium and Calcium..Lots of things they can be looking for and alot of different things can be low or elevated...and actually, they will want at least 3 tests...a good month apart.. before they can diagnose any kidney disfuction...in the meantime keep yourself well hydrated...avoid Colas and salt
Your numbers, at least what you published, looks great. No CKD at all. Off course 3 values cannot say all. All the best!!
I also had small kidneys. I was premature and wonder if that was why my kidneys were so small.
I ended up with Covid and it took my kidneys after getting heart failure. Maybe they are smarter now and just want to protect your working kidneys. Making you aware is a good thing. I never knew I had an issue until I was in need of diaylsis stage. Be thankful to know and keep up those excellent numbers.
I would kill for those numbers!
those numbers look good. Are you having any symptoms for doctor to refer you to kidney specialist.
Joint pain, sometimes up as many as 6 times a night to pee, and dry eyes. I was on some form of nicotine for almost 30 years. Only smoked for about 10 of that. Then it was chewing tobacco. And then I tried to be healthier with just the nicotine pouches. After about 4 years of nicotine pouches, I finally quit. I quit all nicotine in May of this year. Shortly after that I've felt joint pain and dry eyes. My hips ache. They never did when I chewed nicotine. I know that sounds funny, but they didn't. Long story short 😆, my doctor is trying to chase what caused this sudden change. All of my blood and urine look good. Bilirubin is a little high, but has always been high. I do have a slightly high rheumatoid factor. Hemoglobin hematocrit are slightly high. But white blood cells and other inflammatory markers are normal.
I made a post earlier to this showing that my kidneys have shrunk since 2017. I think this is the main reason for the kidney specialist.
Aaah...the referral might involve your autoimmune situation - sometimes the body can turn on specific organ(s) - eyes, joints, kidneys, etc. Perhaps he just wants a nephrologist in the picture in case that's needed - get baselines, etc. He might be exercising an abundance of caution. Your numbers, in my opinion, are very good right now - and that's wonderful.
I was thinking the same thing. Wouldn’t be surprised if it turned out to be some sort of autoimmune problem/long covid
Definitely wouldn't be long covid. Never had covid or the jab. Hopefully I'll find out soon. Blood tests don't show any autoimmune markers.
That’s good. I’m thinking that maybe you were a bit dehydrated when you had your blood test. Having a slightly high haemoglobin haematocrit can be a sign of that. Just more concentrated blood cells. Your eGFR is exactly that, just an estimation, which is what the e stands for. That’s why they do the blood test three times over three months. Best to be well hydrated. Sounds like you know what you’re doing and seeing all the right people. We have good healthcare here in Australia luckily. I feel bad for people who struggle to access it in their country but having been a nurse I know that those who demand more get more care.
Your numbers are great! It could be because of your diagnosis from the US that it is just a precaution and want you to know what to look for going forward. Best of luck.
I’d love to have your labs!
I'd like to add that might be good to see a rheumatologist too. Your symptoms and some of your lab data are suggestive of a flare with your dry eyes, hip pain, and more. They often occur randomly and, nope, nicotine doesn't prevent them. Sometimes an ounce of prevention is worth a pound of cure.
After the new year my doctor would like to see x-rays of my hips. The doctor says that no inflammatory blood or urine markers were out of whack, but still wants to pursue it. She wanted to eliminate Sjogren's and lupus. Rheumatoid factor was 15.6. Although contradictory, she assured me that it's not bad enough to point at an autoimmune disease.
My eye doctor said that sudden dry eyes points directly to inflammation. I find this interesting.
I will report back to this thread about my kidney specialist appointment. I feel like the focus will eventually narrow, but there's anxiety in the meantime.
My blood pressure usually runs around 120/75. I donated blood today and they took my blood pressure. It was 180/100! I've never seen anything close to that. I'm not sure if this is anxiety stemming from all of this not knowing...
You seem to have a primary doctor who is on the ball. I would simply relax and let her guide the process. It's possible that anxiety is driving your blood pressure. Maybe take it when you feeling really calm. While labs can be unclear or even wrong re autoimmune disorders, eventually the picture becomes clearer. And, yes, there are treatments for many things - whether it's that or something else. We are exceptionally blessed to be living in the 21st century. I speak as a mom with daughter who has alopecia since her 20s, a son with psoriatic arthritis since his 30s, and a diabetic hubby with a transplant. Modern medical science has come a long way - biologics, transplants, and more. Research is going on every day. So definitely plan on living a good long life. Sending peace and calm your way over the holidays. And thank you for keeping us in the loop.
Much better now.
You are right! It's very nice that these things can be sorted out. Wishing you a happy holidays! 🙂
There's fairly rare disease called Wegener's or GPA. I have that disease and it killed my kidneys 6 years ago. My Nephrologist believes it comes on slowly over a period of time and then hits hard after it's too late. There's a bllod test to check for the ANCA titer. You might see if you can get one of your doctors to order that test for you. It's really important. Read about it and see if any of the symptoms fit what you are experiencing.
I went to the specialist, and I chose a Lifestyle change instead of dialysis—no more sugar. I am also working on eating in a window to allow my body to heal. I stopped eating after 5 p.m. and didn't eat until after 11 a.m. I eat coffee and tea instead of food. Yes, I sometimes have to adjust. Eat for 6 hours only. I aim to eat once daily to heal this body and only eat when hungry. I don't eat dead animals, fish, or dairy since man is messing with everything.
Bless you, and pray for directions.