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EGGR AND CREATININE

Posted , 4 users are following.

ann89493
ann89493

SECOND try to write my post! Saw nephrologist in London. Told me that cutting out meat is unnecessary except for 24 hours before a renal blood test and that one glass of white wine with dinner would do no harm. This after I gave up meat and alcohol. My latest test figures show eGFR 44. Creatinine 130. Sodium and potassium well within normal range. I am in The Caribbean at present and they gave a reading for BUN of 29H which is outside the normal range of 7-23 and a BUN/Creatinine Ratio of 22.3 which is within the normal range of 8-36

Chloride is 98 ( normal 94-112)

CO2 is 26.0 (normal is 21-35)

Anion Gap is 9.0 (normal is 4-17)

i have never ever heard of BUN OR ANION GAP?  Maybe it is an American term? And the only Chloride I know is Sodium? Could this be Phosphorus?

i am very surprised that my Creatinine is so high given I am so ancient and I am not muscular and the only exercise I do is walking? I have not eaten any meat for nearly 3 months. I should have asked why my Creatinine is so high as it brings my Efgr down! I am hoping one of the more experienced members here can answer my question. The cardiologist has added Eperenome 25mg to Losartan 100mg and Bisoprolol 5mg to try to get my BP down and this is on top of Furusemide and Warfarin ( metal valve)

i would welcome any explanation and ideas about the Nephrologists opinion. He is a leading light in London Nephrology. He thinks if Eplerenome does not significantly reduce my BP I should stop it even though the effect on my efgr is reversible.

0 likes, 8 replies

8 Replies

  • ann89493
    ann89493

    Posted

    Sincere apologies I meant Efgr ofcourse. Typographical error!
  • marj01201
    marj01201 ann89493

    Posted

    Ann,

    My nephrologist tells me that the BUN data tends to bounce around some. The BUN is a measure of how well your kidneys are working, how well they are removing urea from your blood. It can be elevated by a decrease in your overall renal function, i.e., the advancement of chronic kidney disease, a high protein diet, dehydration, and heart failure. As my kidney function has declined my BUN has elevated. My nephrologist runs labs to determine how dehydrated I am and do forth. In my case it's clear the the elevated BUN is due solely to the ongoing deterioration in my renal function.

    Marj

  • Guest
    Guest ann89493

    Posted

    Hi Anne

    How old are you? You mentioned being ancient just a thought that if you are very old then an egfr of 44 is not so bad x

    • ann89493
      ann89493 Guest

      Posted

      Jane I am 84 but keen to keep my efgr OK as i may end my days on a Caribbean island where my son works and expert kidney treatment is not available. I just am anxious to bring the creatinine down. What do you think of the nepgrologist saying that I should eat meat and drink wine except for 24 hours before my renal blood test? If creatinine id badgorkidneys i would have thought i should give up meat? 
    • Guest
      Guest ann89493

      Posted

      Anne, enjoy life! Your EGFR is not so bad for your age.

      I would be so happy if my egfr was 44 at your age.

      Your nephrologist sounds like he knows what he is talking about, trust him.

      Hopefully once your BP settles so will your kidney function.

      Your medication may also have an effect but you need your meds so its a balance as long as everything stays stable like now then you should be ok.

      Take care x

    • marj01201
      marj01201 ann89493

      Posted

      Ann,

      For what it's worth, it sounds as though your kidneys are in decent shape.

      We each loose renal function due to natural aging. My nephrologist says this begins when we're about 40 years of age. With that being the case, it would seem that you've got very good renal function.

      I'd definitely trust your nephrologist. And keep doing what you're doing! Enjoy life!!!

      Marj

  • MrsO-UK_Surrey
    MrsO-UK_Surrey ann89493

    Posted

    Ann

    "i am very surprised that my Creatinine is so high..."

    Losartan Potassium is known to increase creatinine levels and I have personal experience of this.  Of course as the eGFR is worked out from the creatinine reading, this will have a knock-on effect on the former.  I'm sorry I can't speak for the other medications, apart from Bisoprolol which was stopped because it was taking my salt levels to rock bottom and leaving me totally exhausted.

    As far as meat is concerned, it is generally considered that it is healthier to eat chicken and turkey rather than red meat.  I have reduced my red meat intake and eat more chicken and turkey but not in large quantities as reduced functioning kidneys are not able to cope with too much protein.

    As the others have said, an eGFR of 44 at the age of 84, if stable at that level, is no mean feat and many would envy you that reading.  Life on a Caribbean island also sounds heavenly!  Stay well and enjoy every day.   

    • ann89493
      ann89493 MrsO-UK_Surrey

      Posted

      Thank you MrsO for your reply. I guess I always want to learn more and improve my health where I can. My Creatinine levels seem to be the main factor affecting my eGFR and I am always willing to work at getting it down but it stays stubbornly high. I will eat some white meat and have an occasional glass of wine. I know my levels are not too bad given my advanced years but I am just trying to get my body to behave! I am lucky to be able to spend time here in the sun. I am able to stay months at a time and go back to London when I want, but the main draw is three little Jack Russeellz who are the centre of my world! I adore them!

      Thanks to everyone for the great replies. This is always my go place for learning and advice.

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