Kidney function of 9% down from 50% on 12th

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My 77 year old husband had a blood test yesterday and GP phoned in the afternoon. His kidney function has fallen - if I understand correctly, this is end stage renal disease/renal failure. She persauded him to go to A and E to have more tests - dialysis is not an option until the find out what caused the sudden fall......he was taken off the Fumaderm pills for the Psoriasis but it has fallen dramatically since so it can't be those pills. He was very insistent that he would discharge himself but has not come home. Anyone had expereince of a sudden fall in kidney function? I am terrified he will discharge himself and go into renal failure at home.  

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  • Posted

    Hi Krug22,

    My situation can't compare to your husband's as I am in my 40's and my loss of kidney function was gradual over many years.  However, dropping from 50% to 9% over 14 days is, for all intents and purposes, kidney failure.  Obviously your husband's doctors are trying to determine the cause since it is rare to have such a dramatic and sudden drop in function.  It's possible they may be able to reverse it.

    However, simple math would indicate that discharging himself would likely be a bad idea.  I cannot dispense medical advice, but the facts are that he dropped 41% function over 2 weeks.  That's an average of ~3% a day!  Technically, he qualifies for dialysis already.  Should his kidney function continue to plummet (and that's a big "if"), I would imagine the symptoms which arise from end stage renal failure would overtake him very rapidly.  It sounds like he would likely be best to remain in the hospital.  

    I sincerely hope they find the cause of this.  Having your kidneys rebound after a sudden drop is not unheard of.  I wish you and your husband all the best.

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  • Posted

    Krug, I can imagine how worried you are but please don't despair as I know someone who was admitted to hospital with kidney failure a couple of years ago and after being put on a drip and medicated, he recovered and was discharged and leads a normal life.  It all depends on the cause of the cause of the sudden drop, but your husband is in the best place.  Lots of good luck wishes and do come back and let us know how he gets on.  
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    • Posted

      Thank you to both of you. Problem is the co -morbidities - aneamia, lupus and psoriasis plus he weighs less than 8st. Consultant thought Fumaderm was causing the kidney problem but he has been taken off that a few weeks ago, and it has fallen 41% in 2 weeks! He also had his ECG sent to the Specialist who asked GP for a second one so there may well be something going on there. He has had blood and protein in his urine. I guess we need to find the cause of the sudden drop since it is apparently not what the nephrologist originally thought!
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  • Posted

    My sister was on Bactrim [antibiotic], when she had her kidney bloodwork.  Her numbers were also terrible.  Kidney Dr. told her since she was off the bactrim for 6 weeks, to have the bloodwork redone.  It improved dramatically.  Some drugs cause this.  Hope this was of some help.
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  • Posted

    Hi, my Mum has been in a similar situation. Her kidney function dropped suddeenly from the end of 2015 to now to 11%. They suggested a renal biopsy so they could test why it may have dropped suddenly but then explained the risks involved with it. My mum chose not to go through with it, as they said it could find that it is diabetes related which we already knew. Although, if there was something found they could treat it, but this could also cause complicaitons with all her other health problems. Have they offered a biopsy for your husband?
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  • Posted

    Well a biopsy was mentioned but the doctor said it would be the decision of someone more senior and it was still being discussed. But the last test indicated function had gone back up to 63%. I think he will be tested again later this month and in early July when he sees the consultant. Problem is dealing with 2 different specialists - both experts in THEIR own subject. It seems the bottom line is what is strong enought to  control the psoriasis/lupus badly affects the kidney and previously liver function. Not sure what the way forward is but he is seeing the Dermo on Tuesday! He is very aneamic too but they seem to feel that iron infusion injections may be an option.I hope your mother is ok now? It worries me how quickly function can fall......  
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  • Posted

    My brother had the same thing. Suddenly without any signs or symptoms he was having Kidney failure.They can not figure out why proteins are clogging his kidneys. They keep doing test after test. He is now down to 9%. He doesn't want Dialysis. 

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