2012年10月28日星期日

How to Treat Chronic Kidney Disease with Creatinine of 900


Question: my aunt has chronic kidney disease and her creatinine was 900 and kidney function is 15%. She has started dialysis for about 2 month. Is there any hope that her kidney functions been improved. And can you tell me some diet suggestions for we really do not know what safe foods for her are because everything is restricted.
Answer: You said that your aunt just started the dialysis for about 2 months, and the creatinine level is still high, about 900, for she has not been on dialysis for that a long time, so it is hopful for her to get rid of the dialysis. Her current GFR is about 15 now, which means she is still in the boardline between stage 4 and 5, where there is still room for the kidney function to get raised,
To keep the kidney function, the most important is to keep a balanced diet; here i will give you a detailed diet list for the diabetes and renal failure patient.
The following menu will maintain not only low caloric intake, but low glucose levels to help manage diabetic neuropathy.
BREAKFAST: 2 slices whole wheat toast, 4 tsp. natural peanut butter, 1 banana and 8 oz. of 1 percent milk.
LUNCH: a small salad consisting of lettuce, radish, cucumber, 1/2 cup carrots, 1/2 cup green pepper (diced) with 3/4 cup tuna fish packed in water and 1 tbsp. low-fat ranch salad dressing. Top it off with 10 small green olives. 12 soda crackers (unsalted tops), 1 peach and water or sugar-free beverage.
DINNER: 6 oz. sirloin steak (with the fat trimmed), 1/2 cup cooked onions and 1/2 cup cooked mushrooms, 1 tsp. canola oil to saute the onions and mushrooms for topping steak, 1/2 cup cooked spinach, 1 large baked sweet potato (approximately 9 oz.), 2 tbsp. sour cream (optional) and water or sugar-free beverage.
SNACK: 1/2 cup strawberries.

2012年10月26日星期五

Proper Diets for End Stage Renal Disease


Question: can you give me some suggestions on proper daily diets for end stage renal disease patients, thanks!
Answer: And according to the information you told me, I would like to give you some suggestions, mainly for the diet. The dietary principle for patients at the final stage of kidney disease includes low salt (salt intake for one day should be around 3-6g), low fat (no fat meat of the animals), high quality protein (such as egg white, white lean meat, and some tofu if his uric acid level is not high), low phosphrus (no animal organs, sea food or dry fruit, nut), low potassium (do not eat food rich in potassium, such as banana, organge, potato, cauliflower, etc.) As far as he can follow this principle, your condition will be better.
And the most important is the treatment, first of all, he needs to control your blood pressure under 140/90mmHg. Second, we suggest that he improve his anemia, his hemoglobin level should be around 110g/L, and also no electrolyte disturbance is better. Because you did not mention about his electrolyte condition, so I can not tell you more detailed information about his medication. Well, the most important is to protect his residual kidney function through treatment. I hope that he can receive such kind of treatment as soon as possible so as to protect his residual kidney function.

Creatinine 7, Blood Urea 110, Treatments


Question: My wife is now 45 years old and her current creatinine is 7 and blood urea is 110. The doctor has suggested her to take dialysis and kidney transplant. Kindly suggest me which treatment beneficial to whole life. Thanking you.
Answer: Your wife's creatinine level is really high she need take the dialysis timely , you know that dialysis can help her to discharge out the toxins timely and maintain her life , this is very important .
I really understand your feeling, most of the patients will not choose dialysis as we know that dialysis is only a tool which can help us to discharge the toxins timely but it can't help us to repair the damaged kidneys and recover our renal function.
About your wife's kidney disease, the most important for her is to survive, so she need take the dialysis now. Then we can find a good treatment to help her to repair the damaged kidneys and help her renal function then she can get rid of dialysis later.

2012年10月25日星期四

Medullary Sponge Kidney: Symptoms, Complications and Treatments


Medullary sponge kidney is also known as renal medullary cystic disease and it is a rare inherited disorder where the tubes in the kidneys that collect urine are wider than normal.
Medullary sponge kidney is usually a benign condition, and patients can remain asymptomatic. In the general population, the frequency of medullary sponge kidney disease is reported to be 0.02% - 0.005%; that is, 1 in 5000 to 1 in 20,000. The frequency of medullary sponge kidney has been reported by various authors to be 12 – 21% in patients with nephrolithiasis.
What are the symptoms of medullary sponge kidneys?
Common symptoms of medullary sponge kidneys include blood in urine, urinary pain, back pain, flank pain, protein in urine, fever, increase of blood uric acid level, etc.
What are the complications of medullary sponge kidneys?
Medullary sponge kidney can cause a series of complications such as renal stones, urinary tract infections, distal renal tubular acidosis and renal insufficiency though it is very rare.
If patients have no obvious symptoms, obtaining periodic urinalysis and abdominal radiographs is recommended, although guidelines for the frequency of radiologic surveillance in asymptomatic adults are unclear.
If patients have recurrent nephrolithiasis, they are recommended to drink plenty of fluids in order to have a daily urinary output in excess of 2L. A 24-hour urine collection for potential kidney stone risk factors (eg, calcium, citrate, uric acid, magnesium, sodium, oxalate, phosphate) can be very helpful in treating the metabolic factors contributing to nephrolithiasis.
If the patients have frequent urinary tract infections, they should receive antibacterial therapy.
Proper diet is also very important for preventing the formation of kidney stones which are very common among medullary sponge kidneys.

2012年10月24日星期三

Creatinine Level and Kidney Functions


Creatinine is the breakdown product of creatine. It is released into the blood and filtered by the kidneys. When kidney function declines, the kidneys are unable to transfer the creatinine to the urine and levels in the body rise. The creatinine itself has no known negative effects on the body, but serves as a marker of kidney function.
With declining kidney function, creatinine rises, indicating the state of the kidneys, and can be used as a marker for starting dialysis, which is the artificial filtering of blood by a machine. Without therapy, the kidney becomes dysfunctional. Low vitamin D affects calcium levels in the body and the bones. Without vitamin D, the level of calcium in the body drops. This has negative effects on nerves and muscles, making them prone to contract too forcefully and frequently, and the nerves will have trouble communicating. In order to restore the calcium balance, the bones release calcium into the blood, making them brittle.
High blood pressure and diabetes pose major risk factors for a decline in kidney function. Hereditary and environmental causes and other diseases such as infections can also contribute to a decline in kidney function.
Qigong is the practice of aligning the breath, body, and mind as one. Through this, a deeper connection to yourself and life is established and greater awareness and peace is achieved. At its heart, Qigong is a philosophy. The practice of Qigong is at least two thousand years old, and it has roots in Traditional Chinese Medicine, martial arts, Taoism and Buddhism (note: in much of the same way as yoga, Qigong can be practiced by all, from all religions). The best way one can understand what Qigong is at a glance, is by drawing parallels to the practice known as Tai Chi. And thus Qigong can help improve physical, mental, and emotional health, and awaken to one’s spiritual true nature.
How will this help improve kidney function naturally? Good question. The very core of this practice is to harmonise you, your soul, on a much higher level. By doing this, your whole body will be in complete harmony. A body free from mental and emotional stress is a body that has unbounded potential.
On top of this, Qigong has a number of exercises that strengthen, nourish, and draw energy to the kidneys. One of these includes lightly striking the back with open hands 10 times at kidney level (just below where the rib cage) daily. This stimulates Chi (=life force) within the kidneys, to “awaken” them, and heal. Again, this may seem too simple, but why does improving kidney function need to be difficult?

2012年10月23日星期二

What does High Level of Creatinine and Urea Nitrogen Mean


BUN (blood urea nitrogen) is an indication of renal health. Normal ranges 2.5-6.5mmol/L. If Glomerular Filtration Rate (GFR) and blood volume decrease (hypovolemia) then BUN will increase.
A high BUN value can mean kidney injury or disease is present. Kidney damage can be caused by diabetes or high blood pressure that directly affects the kidneys. High BUN levels can also be caused by blockage of the urinary tract (by a kidney stone or tumor) or low blood flow to the kidneys caused by dehydrationor heart failure.
Many medicines may cause a high BUN. Be sure to tell your doctor about all the nonprescription and prescription medicines you take.
A high BUN value may be caused by a high-protein diet, Addison's disease, tissue damage (such as from severe burns), or from bleeding in the gastrointestinal tract.
High BUN-to-creatinine ratios occur with sudden (acute) kidney failure, which may be caused by shock or severe dehydration. A blockage in the urinary tract (such as a kidney stone) can cause a high BUN-to-creatinine ratio. A very high BUN-to-creatinine ratio may be caused by bleeding in the digestive tract or respiratory tract.
Creatinine is a break-down product of creatine phosphate in muscle, and is usually produced at a fairly constant rate by the body (depending on muscle mass).
Because creatinine is excreted by the kidneys, its level in the blood is considered an indicator of kidney health. When the kidneys are functioning normally, the blood creatinine level is relatively constant day to day, though minor increases can occur after a high-protein meal
Any disease that affects the filtration process of the kidneys will tend to raise serum creatinine levels over time. Doubling of serum creatinine levels is indicative of a 50 percent reduction in the filtration rate of the kidneys. Diseases linked to increased creatinine levels include glomerulonephritis, pyelonephritis, diabetic nephropathy and conditions such as shock and congestive heart failure that reduce blood flow through the kidneys.

2012年10月21日星期日

Elevated Serum Creatinine Level and Dialysis


Serum creatinine is a blood test that is commonly performed as part of a physical examination if have blood work done. Blood is drawn and sent to a lab to be analyzed to find out how much creatinine is in the bloodstream. Serum creatinine helps evaluate kidney function.
Generally creatinine levels in the blood remain unchanged from day to day because muscle mass usually stays the same. Taking certain medicines, eating a lot of meat or building muscles through weight training or other exercise may show higher amounts of creatinine, even in those who do not have chronic kidney disease. Creatinine levels can be lower than normal for people who are elderly, malnourished or are vegetarians.
Women usually have lower creatinine levels compared to men, because women have less muscle tissue. Among adults without kidney disease, men have approximately 0.6 to 1.2 milligrams/deciliters (mg/dL) of creatinine, whereas women have between 0.5 to 1.1 mg/dL of creatinine.
Any disease that affects the filtration process of the kidneys will tend to raise serum creatinine levels over time. Doubling of serum creatinine levels is indicative of a 50 percent reduction in the filtration rate of the kidneys. Diseases linked to increased creatinine levels include glomerulonephritis, pyelonephritis, diabetic nephropathy and conditions such as shock and congestive heart failure that reduce blood flow through the kidneys.
If the creatinine levels cannot be controlled through diet or medication, doctors may conclude that the kidneys are failing, and the patient should begin dialysis.
Kidney dialysis is a necessary treatment for people with end-stage kidney disease or permanent kidney failure. You need dialysis if you've lost about 85% to 90% of your kidney function. Temporary dialysis may be needed in some cases.
Hemodialysis is most commonly used to treat people with end-stage kidney disease. However, children who need dialysis usually receive peritoneal dialysis.
The kidney dialysis treatment itself usually does not cause any pain or discomfort. However, some patients may develop low blood pressure, which can lead toheadache, cramping, nausea, and vomiting. This usually goes away after a few treatments.
You will have blood tests done, about once a month, to determine if kidney dialysis is removing enough wastes from your body. Your health care provider will specifically look at the level of blood urea nitrogen (BUN), which provides an overall measurement for the amount of waste products in your body. Electrolytes such as sodium, potassium, calcium, and bicarbonate will also be monitored.

What is Normal Serum Creatinine Level


What is the normal serum creatinine level? It may vary from person to person due to age, gender, physique and different hospitals may have different criteria.
Normal levels of creatinine vary by age and gender. Normal creatinine levels in males at age 4-20 years are 0.2-1.2 mg/dL, at age 20-69 are 0.7-1.5 mg/dL and above 70 years are 0.7-1.7 mg/dL. The normal level of creatinine in females at age 4-20 years are 0.2-1.2 mg/dL, at age 20-69 years 0.6-1.4 mg/dL and above 70 years are 0.6-1.5 mg/dL.
Creatinine is chiefly filtered out of the blood by the kidneys (glomerular filtration and proximal tubular secretion). There is little or no tubular reabsorption of creatinine. If the filtering of the kidney is deficient, creatinine blood levels rise. Therefore, creatinine levels in blood and urine may be used to calculate the creatinine clearance (CrCl), which reflects the glomerular filtration rate (GFR).
The creatinine levels are determined by muscle mass. Men will have higher levels of creatinine than women. This is due to the fact that men typically have more muscle mass than women. There are other factors that determine the levels of creatinine. These factors include age and weight. Elderly individuals will have lower levels of creatinine than what is considered normal due to the decrease in muscle mass with age. Infant levels are much lower strictly due to size.
There are several reasons why your levels of creatinine may be higher than normal. These reasons include diabetes, high blood pressure, certain medications and kidney disease. When your kidneys are failing, they do not have the capability of removing creatinine. This condition leads to the need for dialysis and possible kidney transplant. High blood pressure and diabetes are a major cause of kidney disease. It is important to keep these conditions under control.
In a recent Japanese study a lower serum creatinine level was found to be associated with an increased risk for the development of type 2 diabetes in Japanese men.

2012年10月18日星期四

What are the Proper diets for Renal Parapelvic Cysts Patients


An alkaline diet rather than an acidic diet cleanses and tones the kidneys. An alkaline diet involves eating foods such fresh vegetables and fruits, lemon juice, water, brown rice, miso soup and vegetable juices. An acidic diet is foods like sugar, wheat, dairy, red meat, oranges, alcohol, preserved and processed foods.
Drink herbal teas such as Dandelion Leaf and Green Tea as they support the function of the kidneys filtration and are also gentle diuretics
Have a vegetable juice each day to encourage liver detoxification and kidney filtration. Some ideas are fresh juiced beetroot, carrot, celery and ginger or watermelon or pineapple, green apple and mint.
Vegetable broths are very nutrient rich for the health of the kidneys as well as alkalising excess acidity levels to help take the burden off the kidneys filtration system. You can make a broth by boiling kidney beans and a mix of vegetables such as onions, celery, carrot, beetroot, spinach, sea salt, wakame (sea vegetables/ seaweed) and drinking a cup of the broth daily. This recipe is also very rich in minerals which again will help to fortify and nourish the kidneys.
The best advice to support the role of the kidneys is to ensure adequate fluid intake, at least 2 litres of water/ day. There is a saying which goes “the solution to pollution is dilution” which explains the role the kidneys place in removal of wastes from the body
Reduce diuretics in the diet such as sugar, tea, alcohol, coffee and carbonated drinks. These place an extra burden on the kidneys filtration and can cause the body to lose more water and disrupt the sodium and potassium balance. Reduce alcohol intake as alcohol can dramatically reduce kidney function by causing a diuretic action which leads to dehydration and places a burden on the kidneys to remove the waste aldehyde from the system
Decrease sodium (table salt) consumption in your diet and replace with sea salt or vegetable salt. Sodium is important for the health of the kidneys but not in excessive amounts. Sea salt is rich in many minerals without being refined and does not contain aluminium (used in table salt to keep the salt dry)

2012年10月17日星期三

Diagnosis for Parapelvic Kidney Cysts


Parapelvic cysts of the kidneys are one common type of simple cysts, which are adjacent to the renal pelvis or the renal sinus.
B ultrasound should be sufficient for the diagnosis; in doubtful situations an intravenous pyelography, CT scan or renal scintigraphy can rule out urinary obstruction. And in case of parapelvic kidney cysts, it should be distinguished with hydronephrosis (upper urinary tract obstruction).
A parapelvic renal cyst is usually identified during excretory urography as a mass causing extrinsic compression on the renal pelvis. This appearance is nonspecific, however, and the etilology of such a mass must be further investigated. Recently computed tomography (CT) and sonography have replaced angiography as the preferred methods of evaluating masses in this region. The CT appearance of tumors involving the renal pelvis has recently been reported, but the spectrum of findings with parapelvic cysts has not been described. Their recognition is important in order to avoid invasive diagnostic evaluation. The appearance of parapelvic cysts on both CT and sonography may mimic hydronephrosis and unnecessarily lead to further studies. Parapelvic kidney cysts need to be distinguished with renal hilar masses and hydronephrosis.
We found that on CT, a parapelvic cyst has smooth or lobulated margins. The lobulated appearance often suggested that either multiple small adjacent cysts were present or a single large cyst had multiple lobulations. Differentiation of these two possibilities is not possible unless surgery or cyst puncture with injection of contrast material is performed. Although surgical proof was not obtained in most of our cases, the CT criteria we used were identical to those shown to be virtually pathognomonic for cysts of the renal parenchyma.
On sonography, a parapelvic cyst appears as an anechoic mass with a well demarcated wall. The part of the wall projecting into the renal sinus is thick and echogenic because it is surrounded by the prominent pelvocalyceal echo complex which is composed of fibrous tissues, sinus fat, vessels, and collecting systems. The echos arising from the cyst wall cannot be distinguished from those arising from the adjacent renal sinus tissue. This thickened appearance of the cyst wall is also noted on CT. The part of the wall projecting into the renal parenchyma or perinephric tissue has the same wall characteristics of simple parenchymal cysts.

2012年10月16日星期二

What are the Symptoms and Complications of High Creatinine


Creatinine is a waste product in the blood that results from energy metabolism of muscle, which is transported in the bloodstream to the kidneys where it is then filtered and excreted from the body in urine. This chemical by-product of muscle metabolism is produced by creatine, and author and doctor of internal medicine Siamak Nabili states that around 2 percent of creatine in the body is transformed into creatinine on a daily basis. Creatinine is important because it is an indicator of kidney function; thus, decreased renal filtering and disposal (urine) may be reflected if the level of this waste product is high.
What are the general symptoms of high creatinine
With increasing creatinine levels, some possible signs may include a low-grade fever, fatigue, lethargy or a generalized sense of malaise. Loss of appetite and changes in weight may be identified. Dehydration may be present as well as headache complaints, and shortness of breath or problems with breathing. Also, a change in mental state may be noticed, for example, the individual may appear confused or disoriented.
What are the specific symptoms of high creatinine
An individual may present with decreased output of urine (oliguria) and urine may appear dark in color. Edema or puffiness such as in the face and around the eyes or other areas may be found upon examination. Additionally, the individual may report pain occurring in the lower back or lumbar region.
What are the complications of high creatinine level
Long time persistent high level of creatinine will cause a series of complications such as hyperkalaemia, hyperuricemia, hyperlipidemia, hypoalbuminemia, metabolic acidosis and disorders and imbalances in many other systems.

2012年10月14日星期日

Why Kidney Cyst is Easy to Relapse


I had a renal cyst on my left kidney aspirated it was 6.9cm and then it came back to a 5cmm and again aspirated with alcohol and now it came back to be 2cmm and can you tell me the reason why is will relapse so easily?
There are two types of kidney cysts. More common type of kidney cysts is simple cysts. These are small and thin walled sac filled with fluid. Simple kidney cysts are usually not cancerous. Simple cysts don't harm and need no treatments if there is no obvious symptom. But larger size cysts can cause pain on back, belly or sides, fever, blood in urine and increased urination. These can be treated by urologist easily.
The other type of kidney cyst is called complex cysts. These are said complex cyst because of their irregular and complex structures. These can be non cancerous and may develop to cancer. Only those complex cysts which have many thick walls with septations can develop in to cancer.
Sometimes, kidney cysts are inherited and can cause problems like blood in urine, increased urination, pain on back, belly or sides, repeated kidney infections and high blood pressure. Inherited kidney cysts are called polycystic kidney disease. These cysts can cause problems in other parts like brain, liver, intestines, pancreas, ovaries and spleen.
What are the traditional therapies for kidney cysts?
The use of antibiotics
If the patient complains of fever, pain in the back, abdominal pain or blood in the urine, the doctor may recommend antibiotics to treat the infected cyst. Antibiotic medications work by killing bacteria, which allows the body to heal and overcome the infection. As with most antibiotic medicines, the patient must complete the full treatment cycle to overcome the infection.
Surgical removal of the cysts
One option for removing a symptomatic cyst consists of puncturing the cyst and instilling alcohol inside the cyst to shrink it. This procedure is performed with local anesthesia and involves inserting a needle through the skin and into the wall of the kidney to the cyst site. The physician withdraws the fluid in the cyst and fills the empty cyst with alcohol. However the recurrent rate is quite high.
If the cyst appears difficult to remove, another option for treatment utilizes surgery for removal of the kidney cyst. The physician uses a laparoscopic procedure that requires several small incisions through which a video monitor and tools are placed in the area of the cyst. He then uses the tools to drain the fluid from the cyst. Next, the physician cuts out or burns away the walls of the cyst. It has the advantages of few injuries, quick recover and short hospitalization.
Traditional treatments for kidney cysts are mainly surgery which can help drain the cysts or remove the cysts in a short time. However these therapies only aim at removing the necrotic parts without solving the root problem---the continuous secretion of cystic fluid by the cystic epithelial cells and that is why the cysts are so easy to relapse. When the large cysts are removed by surgery, it will provide more space for the small ones to grow large.

2012年10月11日星期四

What are the Treatments for Parapelvic Kidney Cysts


Parapelvic cysts are also called renal sinus cyst, pelvic cyst, peripelvic cyst or parapelvic lymphangiectasia. Parapelvic cysts are a rare form of simple renal cysts, and they are much more commonly associated with the symptoms of obstruction, pain, infection and stone formation. Surgical management is usually done for big cysts, lumbar pain, hematuria, hypertension and other complications. Otherwise there is nothing to be worried about.
Symptoms of large parapelvic kidney cysts
Fever
Frequent urination
High blood pressure
Pain in the abdomen
Pain in the back
Pain in the side
Blood in urine
Treatment options for parapelvic kidney cysts
1. Pain Management
People with kidney cysts can experience mild to severe pains in the back and side area. Mainstream treatments include taking acetaminophen or prescription pain medications; however, some natural treatments may also help.
Touch therapies such as acupressure and massage may relieve tension and pain in the affected area. During acupressure, the therapist works to restore energy flow in the body through specific pressure points. Massage focuses on working out points of tension and promoting relaxation.
2. High Blood Pressure Management
If you have high blood pressure, talk with your doctor about switching to a low-sodium and reduced-fat diet. Calorie consumption should also be limited for weight management, which can help lower blood pressure. Also, smokers should consider giving up the habit, which can aggravate this condition.
3. Needle Puncture
One option for removing a parapelvic cyst consists of puncturing the cyst and inserting alcohol inside the cyst to shrink it, according to MayoClinic.com. This procedure is usually performed under local anesthesia. The physician inserts a needle through the skin until it punctures the cyst site on the kidney. Fluid is withdrawn from the cyst and re-filled with alcohol to decrease the chances of infection.
4. Laparoscopic Decortication
If the position of the cyst makes it difficult to remove, the physician may recommend a laparoscopic procedure. While using a video monitor to guide progress, the physician makes several incisions through the skin with tools that are placed near the cyst, explains the American Academy of Family Physicians. The tools are used to drain fluid from the cyst. Subsequently, the physician burns or cuts away the walls of the cyst. This procedure usually requires an overnight stay in the hospital.
5. Herbal medicines. Some herbs can help slow down the growth rate of the parapelvic cyst or even shrink the cyst so as to improve the ischemia and hypoxia in the kidneys and provide favorable internal environment for repairing renal damages and recovering kidney functions.

2012年10月10日星期三

Female of 55 Years Old with Creatinine 5.1


Generally speaking, women have relatively lower serum creatinine than men because it is the metabolic product of muscle and the male usually have more muscle mass than the female. The same reason, under normal circumstance, the elderly tends to have lower creatinine level than the young people.
The general value of normal creatinine range from 0.5-1.0mg/dl for women and for 55 year old female the creatinine should be lower than this value.
How to lower the creatinine of 5.1?
Work with your doctor to develop a personalized diet that is low in protein. High creatinine levels in diabetic people are generally a sign of poor kidney function. This is definitely cause for concern. The amount of protein you eat on this diet depends on how much you weigh, so do not attempt this diet on your own. You will also need to test frequently to be sure that the creatinine levels in your urine are increasing and the levels in your blood are decreasing. This indicates that the creatinine is being excreted properly. Doctors will prescribe Lasix, a strong diuretic, to promote urination. This is another reason a person with high creatinine levels must drink plenty of water.
Avoid foods that are rich in protein such as dairy products, meat and fish. If you cannot avoid eating these, considering constructing a protein tracker or planning your meals to regulate your intake of protein. You need to keep your protein levels in check in order to keep your kidneys healthy from the inside. It can also be a good idea to regularly check your serum creatinine levels to see if there is any improvement. If there is not, then you should consider a visit to your doctor just to check that there is nothing wrong.
Aim to drink lots of water throughout the day, at least six glasses a day, as this helps to clear out your system. Avoid coffee, tea or any caffeine which can clog it up.

2012年10月7日星期日

What are the Causes of Low Creatinine Level


Creatinine is the metabolic product of creatine in the muscle and its concentration can reflect renal functions. Persistent high level of creatinine indicates renal damages and then what are the causes of low creatinine
Low Creatinine level in blood can be caused decreased muscle mass, muscular dystrophy and also myasthenia gravis etc. The patients normally suffers from muscle wasting, weakness, and other muscle, blood related abnormalities.
Elderly people may also suffer from Low Creatinine levels since the muscle mass tends to reduce with the age. A growing child will be having a normal Creatinine level in the blood than an adult.
As the muscle mass decreases, Creatinine level falls down naturally and the same thing happens in a debilitated patient especially. It is witnessed in the individuals who will be at bed for a longer time or those who are hospitalized for a longer period of time.
And that is why the female has relatively low creatinine level than male and body builders has relatively higher creatinine than normal person.

2012年10月5日星期五

How to Control My High Creatinine Level


Creatinine can be tested for via a blood sample or via a urine sample. On its own a blood sample is more accurate than a urine sample, though combining them together to form what is called a creatinine clearance test (both blood and urine) is the most accurate test.
The reference of normal creatinine level:
Male adults: Between 0.6 mg / dl to 1.2 mg / dl
Female adults: Between 0.5 mg / dl to 1. mg / dl
Infants: Around 0.2 mg / dl or more
Older children: Between 0.3 mg / dl to 0.7 mg / dl
Teenagers: Between 0.5 mg / dl to 1.0 mg / dl
High creatinine levels occur due to any number of diseases that cause the kidneys to shut down, including dehydration, shock, congestive heart failure, and bladder outlet obstruction.
In case of persistent high creatinine, consult with your doctor to develop a personalized diet that is low in protein. High creatinine levels in diabetic people are generally a sign of poor kidney function. The amount of protein you eat on this diet depends on how much you weigh, so do not attempt this diet on your own. You will also need to test frequently to be sure that the creatinine levels in your urine are increasing and the levels in your blood are decreasing. This indicates that the creatinine is being excreted properly. Doctors will prescribe Lasix, a strong diuretic, to promote urination. This is another reason a person with high creatinine levels must drink plenty of water which can help reduce its concentration and help discharge it with urination.

ACEI and ARB can Cause Increase of Creatinine


Creatinine is produced through muscle metabolism and is discharged out of the body through the filtration of the kidneys; therefore it is a reliable indicator of kidney functions and other health issues.
The measuring unit of creatinine in the United States is in mg/dl, whereas, in Canada, Australia and a few European countries, μmol/litre may be used. 1 mg/dl of creatinine is 88.4 μmol/l.
The typical human reference ranges for serum creatinine are 0.5 to 1.0 mg/dl (about 45-90 μmol/l) for women and 0.7 to 1.2 mg/dl (60-110 μmol/L) for men. While a baseline serum creatinine of 2.0 mg/dl (150 μmol/l) may indicate normal kidney function in a male body builder, a serum creatinine of 1.2 mg/dl (110 μmol/l) can indicate significant renal disease in an elderly female.
I suppose that the most common reasons for developing raised creatinine levels will be when the filtration mechanism becomes gradually damaged by long-term raised blood pressure or blood sugar.
Creatinine levels can be increased when ACE inhibitors (ACEI) or angiotensin II receptor antagonists (or angiotensin receptor blockers, ARBs) are taken. Using both ACEI and ARB concomitantly will increase creatinine levels to a greater degree than either of the two drugs would individually. An increase of <30% will be expected with ACEI or ARB use. Therefore it is important and necessary to have regular tests to have close monitoring of the creatinine level and kidney functions.

2012年10月4日星期四

Low Protein Diet can Help Lower Creatinine


The diet has a certain influence on the serum creatinine level, therefore kidney patients that have high creatinine level should pay more attention to the daily diets to avoid further increase of creatinine and reduce extra burdens to the kidneys. Low-protein diets can help lower serum creatinine.
All vegetables are relatively low-protein foods, soy foods relatively rich in protein and rich, sweet potato leaves (the longevity grass) protein. So we say that most of the vegetables in the protein is relatively small. Low protein with intravenous albumin milk, fish food, and restricted protein diet is the treatment of chronic kidney disease (CKD), chronic renal failure is an important part. Its main function: to reduce azotemia, to improving metabolic acidosis; increase insulin sensitivity; improved protein, the metabolic serum albumin levels; reduce proteinuria excretion, and slow the progression of CKD.
Low-protein diet can lower creatinine it? In addition, the stage has entered the early uremia high creatinine in patients dietary requirements:
1. Edible salt control: should see whether patients with high blood pressure and edema, should control the intake of salt, were given a low-salt or salt-free diet.
Protein intake: In order to control the continued deterioration of renal function in patients, the patient should be controlled protein intake, the choice of high-quality, high-quality protein diet. Daily protein intake should be controlled at 0.8-1.0 g / kg body weight.
3. Chosen rich in vitamin A, vitamin B2, vitamin C foods.
Nameless significant oliguria, edema patients can not help but salt and water, maintain a low-salt diet.
Any serious edema, hypertension and even heart failure situation should be strictly controlled salt.
In addition to the above, high serum creatinine in patients should completely refrain from smoking, maintain stable and positive emotions, prevent colds, fever and infection, have moderate and regular physical activity required by the doctor, do not overdo.

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