Stage 3 Kidney Disease, Serum Creatinine 2.4

Illness description: My serum creatinine is high and it increases to 2.4mg/dl from 1.8 within one month. My kidney problem was detected last year, but i did not feel obvious discomforts until last month.
Illness analysis:Here are several tips that may help with your daily life and anything else I can help, also feel free to ask.
Firstly, low potassium. High potassium content of foods should be forbidden: all kinds of edible fungi, potato, Chinese yam, cabbage, date, bananas, oranges, white fungus, peach, apricot, spinach, rape, etc.
Secondly, low salt high. Salt content of foods: MSG, soda, cracker, fine dried noodles, soy sauce, etc. Patients whose blood pressure is not stable or has severe edema, should avoid salt. In general, every patient takes salt less than 3 g every day.
Thirdly, low phosphorus. High phosphorus content of foods: marine food product and marine plant such as seaweed, laver, animal's bowels, sesame, tea, honey, yolk, etc.
Fourthly, low fat. note: It is forbidden to use animal oil while cooking. Take vegetable oil mainly, do not take in fatty food. It is better for the kidney disease patients to have corn oil contained unsaturated fatty acid.
Fifthly, high quality protein. We can take proper amount of egg white, milk and fine lean meat, the amount of intake should be less than 100g. Don't take every kind of nuts, such as peanuts, melon seeds and walnuts.
Last but not least, high vitamin. Take more vegetable and every kind of vitamin such as pear, apple, cucumber, tomato. Etc.
Anyway i need to know more about your illness conditions so that i can give you more targeted and effective suggestions such as what is the underlying cause of your kidney damages and elevated creatinine. Do you have high blood pressure or diabetes and how many years do you have these underlying cause and how are they controlled? What are your current treatments and how is the curative effects of your treatments.

Shrinking Kidney Cysts and Lowering Creatinine Level

So what we should to do is to shrink your cysts in your kidney and improve your renal function.
And the treatment for you we use Micro-Chinese Medicine. This is the natural treatment, without any side-effect for the patients.
Micro-Chinese Medicine Osmotherapy is abstracted from the Chinese herbs, without any side-effect for the human body. This treatment is not surgery, not oral taking medicine, this is the external application treatment.This treatment can supply a favorable internal environment for repairing damaged renal tissues and recovering kidney functions.
Active ingredients in the medicines have the functions of dilating blood vessels, increasing blood circulation, anti-inflammation, anti-coagulation and degradation of extracellular matrix.
And as have your kidney function recovered then your creatinine level will be decreased to normal range naturally and your hematuria will be improved.
Proper diets can also help slow down growth rate of the cysts and control high creatinine.
· Drink herbal teas such as Dandelion Leaf and Green Tea as they support the function of the kidneys filtration and are also gentle diuretics
· 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
· 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
· 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
· Reduce foods such as sugar, tea, coffee, alcohol, soft drinks and table salt (an alternative for this is Celtic Sea Salt) as these tend to hold onto fluid in the body
· 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)
· 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
· Caffeine, simple sugars and sugar alternatives (sorbitol) irritate the kidneys

High Creatinine 442 due to Diabetes and Hypertension

Illness description: I have diabetes and high blood pressure for years and now my creatinine is higher, about 442, any advice?
The following is the report of my Renal Function Test
Sodium 127V mmoi/L
Potassiun 5.2 mmol/L
Chloride 99 mmol/L
Creatinine 433 umol/L
Urea 31.6 mmol/L
Uric Acid 676V umol/L
Illness analysis: For your condition, I don’t think it is late for you. So, please don’t worry. There are many patients in our hospital have gotten rid of dialysis, some of them had been keep dialysis for three years. So, please don’t worry.There is high possibility to get ride of dialysis for you
As you know, long term diabetes and hypertension can make kidney damaged. In your case, you have both hypertension and diabetes for a long time. That is why your kidney get damaged and creatinine increases.
For diabetes, people keep high blood glucose . Long term high blood glucose can make superabundant saccharification final products deposite in glomerular endothelial cells and mesangial cell . This process will make extracellular matrix have
pathological changes . Thus, extracellular matrix will produce excessive fiber cells and finally lead to glomerula fibrosis and necrosis. Generally, 10-15 years diabetes can lead to obvious kidney damage.
For hypertension, long term hypertension can make renal artery atherosclerosis. The artery atherosclerosis can lead renal tubular capillary hypoxic-ischemic, which will lead tubular necrosis generally. Generally 5-10 years hypertension can lead to the damage
I believe your have given you diet suggestion.So , I ‘d like to offer you some tip on daily life. Please try your best to keep your blood sugar and blood pressure well, it will reduce the burden of your kidney. And please take shower with warm water(40 degrees Celsius) . And do not have your breath and overexertwhen you are defecating.
From your last letter I can tell your helpless feelings. I am afraid that you now have already started dialysis. I remember your last time creatinine level was 433umol/L. Generally, this level does not require dialysis, but you have Diabetes. I think your doctor also take your diabetic history into consideration, so he suggested starting dialysis earlier.
By the way, dialysis is not a standard to judge renal damage level. What matters is the pathological changes within kidneys and whether certain portaion of these changes can still be reversed. Sclerotic cells are died cells, but in most cases there are still large portion of damaged but still reversible cells. This is also why some end stage patients can still stop dialysis. Hope you will also have a thorough evaluation for your condition to avoid any possible chance for improvement.

Serum Creatinine from 2-4, Flank Pain, Enlarged Kidneys

Illness description: The serum creatinine was 2 before, but now it is 4, is this due to the cysts of PKD? The right kidney measures 174mm*91mm and left kidney measures 174mm*85mm. At present,My father is having pains in lower side of waist, what could be the reason?
Illness analysis: now, the cysts should be treated first, otherwise, the cysts may cause more damage to kidney
Both kidneys have enlarged so much and his serum creatinine is also very high. It suggests he is in stage 4 kidney disease. If not treated in time, he may have to start dialysis. His waist pain can be caused by two reasons. The pull force of the enlarging cyst walls will cause waist pain. Too much protein leakage will cause lack of protein supply for the musles, so he may have dull pain. If his pain is serious, he may have infection inside the cyst or kidney stone which is often the complication of ADPKD. If he doesn't have edema, I suggest he drink more water.
This kind of disease cannot be cured fundamentally, however we can shrink the cysts, increase the blood flow in the kidneys and improve the kidney function so as to avoid kidney failure and dialysis. We have to do something, not waiting passively for kidney failure.
We are the largest kidney disease specialized hospital in China and over 6.4% of our patients are with PKD. The treatment I recommend are herbal medicines and "Duo Nang Xiao".
Herbal medicines is a conservative therapy without pumping fluid or relieving pressure. It is a kind of external application on the back. The Chinese medicine are micronized into one thousandths of its original size. With the action of the microwave, the medicine will permeate into the renal lesions directly through the skin and channels. We use Herbal medicines to expand blood vessels, speed up blood circulation on cysts walls, and improve the permeability of the cysts thus making the cysts shrink and decrease. It will restrain the proliferation of the epithelial cells, so the secretion of cyst liquid will be reduced. When the internal pressure of the cyst declined, the size of the cyst will gradually become smaller, thus relieving the compression of the tissues around, improving microcirculation, and blocking the progressing of renal fibrosis. Besides, the cysts are not easy to recur after disappearance, and the symptoms will thoroughly disappear. The kidney function will also be better.
"Duo Nang Xiao" is a kind of oral taking medicine prescribed by Chinese medicine professor. It is effective in shrinking the cysts according to the clinical observation.
If you have his test reports, I hope you can send to me. I will analyze it and give you specific advice.
According to our former conversation, you said your father's kidneys are 170mm. That's really big. Even his serum creatinine is lowered down, his kidney function is continuing declining if the cysts are not treated. The enlarging of the cysts will press the around kidney tissues and cause lack of blood and oxygen supply in the kidneys. Once the renal fibrosis starts, it is hard to stop it. Therefore, on diet he has to avoid spicy food, greasy food, sea food and strong tea or coffee. These things are stimulating, which may enlarge the cysts.

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.

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.

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.

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 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.

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.

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.