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?
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.
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.
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.
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.
Hi please do scan on your kidneys
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.
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.
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.
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.
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
This is a dramatic drop. See a nephrologist immediately. The cause must be investigated.
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
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!
Do you take a statin drug (for cholesterol)? If yes, you may want to check out this study which followed a large group of statin & non-statin users over 8.4 years. It found 30% increased risk of AKI & about 35% increased risk of CKD after 8.4 years of statin use.
Can VLPD help improve GFR for person with Type 2 Diabetes?
Egfr 71, slightly raised creatinine, stage 2 ckd or not?
Decreasing GFR but stable Creatinine
CKD Stage 4 now Stage 5
