eFGR dropped 33 points last year (13 points... - Kidney Disease

Kidney Disease

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eFGR dropped 33 points last year (13 points just last month), how concerning/unusual is this?

PurpleJellyfish profile image
13 Replies

My eGFR was 88 in last January and showed a steady decline to 68 at the beginning of December, then jumped to 55 at the end of December.

I read that "rapid decline" is 5 per year so my decline seems really fast.

My PCP wrote "renal insufficiency" on my chart but also told me I don't need to worry, get additional labs, or change anything about my lifestyle. An I right to be skeptical of this approach, or am I overly worrying?

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PurpleJellyfish profile image
PurpleJellyfish
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13 Replies
Bassetmommer profile image
BassetmommerNKF Ambassador

That is a pretty rapid drop. What is your age as that can be a factor. I am concerned that your PCP has dismissed you. There are somethings to look at. Do you take ibuprofen and if so, stop that completely. Do you drink at least 64 ounces of water, not coffee or tea, water a day? Are you eating lots of high fat, high sugar foods or red meat? Do you eat lots of veggies?

The only way to detect CKD is through blood work, urine tests and time. Check again next month and the next month to see if the decline continues. And if it does and your PCP dismisses it, time for a new doctor.

PurpleJellyfish profile image
PurpleJellyfish in reply toBassetmommer

I am only 37. 😬

I take Aleve occasionally and have stopped (which sucks). I don't eat a ton of meat but do eat a lot of sugar and fats. I'm consistently well hydrated.

Thanks so much for the response, that seems like a reasonable approach.

Bassetmommer profile image
BassetmommerNKF Ambassador in reply toPurpleJellyfish

oh, only 37... something is going on. Not trying to scare you but if you can find a cause, you can slow any more progression. Do you have diabetes? That will really mess with the kidneys. Cut the fats and sugar out or at least down. Did you do a urine test? Your PCP should have done that. Don't ignore this. Find out what is going on so you can stop it or slow it.

PurpleJellyfish profile image
PurpleJellyfish in reply toBassetmommer

I don't have diabetes, I'm sure because I was tested for it recently for other reasons. I haven't even done a urine test for the kidneys yet. Thanks for the encouragement to keep pushing.

Hvpinky profile image
Hvpinky

Hi please do scan on your kidneys

Tuffcookie71 profile image
Tuffcookie71

I am in stage 3a ckd. I am a 71 year old, female. Mine was caused by high blood pressure. I had labs done Dec 30th and my egfr was 50. I have labs done, monthly. It makes me more accountable to myself! I have learned the importance of water. I had foot surgery last May and when I had my labwork done, in July, my efgr had gone down to 42. That’s when I talked with my doctor and told him I wanted monthly labs done. Over the last 6 months, my egfr has improved. I believe I went into surgery, dehydrated. I take lisinopril (30mg) daily and take my blood pressure twice a day. Watch your sodium, drink LOTS of water, and keep an eye on your blood pressure.

userotc profile image
userotc

From what youve reported, Id guess that its the Aleve to blame, not diet etc. My mum's aunt had a similar effect after another NSAID and egfr recovered after stopping.

Most drugs can be damaging so retest in ~3 months, drug-free.

lowraind profile image
lowraind

First, how old are you?

Second, do you have any other health conditions that might be contributing to this decline?

Third, get, at the least a second opinion, but preferably a new Primary Care Physician.

drmind profile image
drmind

Please get a 2nd opinion. Several years ago, my primary dismissed a low.gfr and prevented me from taking steps to stop any progression. Fortunately, I found my own nephologist who taught me how to deal effectively with the condition I had. I would suggest not to wait.

Merny5 profile image
Merny5

I agree with the others. Something is going on. It could be the NSAIDs. If I were you I would find a nephrologist and get a kidney scan. You are young and need to protect those little beans. Good luck

ShyeLoverDoctor profile image
ShyeLoverDoctor

This is a dramatic drop. See a nephrologist immediately. The cause must be investigated.

KeturahAudrea profile image
KeturahAudrea

yeah get a nephrologist and get your bloodwork done again and show the results to nephrologist and tell about the rapid decline please don’t ignore this woman have to advocate for themselves no one told me I had kidney disease until my egfr was in the 20s and I had a nephrologist as my primary care physician

KajNybom profile image
KajNybom

I would at least check with a nephrologist or another doctor. I love when they tell you "Don't worry". Easy for them to say. It is probably all you can think about. Wish you the best!

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