Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum.  ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Urology  (Expert Forum)
 | 
chronic kidney disfunction / high creatinine
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

chronic kidney disfunction / high creatinine

by Kathi Kimmerle, Jun 26, 2003 12:00AM
I am a 39-year-old female of average height and weight (5' 6"; 133 Lbs). My doctor has sent me to a urologist because my serum creatinine level was at .9 mg in February, and measured 1.4 mg last week. He said my GFR (???) was at 45 mL/min. (He said he used my serum creatinine to estimate my GFR.) I have a history of NSAID usage (800 mg X 3 daily) for cervical spine disc & bone spur issues. I am also hypothyroid. Other than these, I have no other significant health issues - other than annoying back & pelvic pain. I have done a little research on the internet regarding elevated serum creatinine levels, but every site seems to have a different opinion. What's the REAL scoop on this test? Should I be concerned? Thanks!

by Kevin Pho, MD, Jun 26, 2003 12:00AM
Hello - thanks for asking your question.



GFR - or glomerular filtration rate - is a measure of kidney function.  The normal level for females is 88-128.  Your elevated creatinine along with the reduced GFR is indicative of some degree of kidney failure.  



There are many causes for kidney failure and this should be evaluated by your physician.  The first thing would be chronic NSAID use.   Chronic use of NSAIDs is associated with kidney failure.  I would discuss an alternative form of treatment for your spine and bone spur issues.



I would also obtain further urine tests including a urinalysis, urine volume and urine sodium excretion.  Imaging tests such as an ultrasound or CT scan should also be considered.



Followup with your personal physician is essential.



This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.



Thanks,

Kevin, M.D.

Member Comments

by nurse12hr, Jun 30, 2003 12:00AM
To: Kidney
0

by Kathi Kimmerle, Jul 05, 2003 12:00AM
To: Kidney
0

by JayeEllen, Oct 20, 2003 12:00AM
To: Kidney
0
Continue discussion
Expert Activity
Fluoroquinolones increase risk of t...
Jul 08 by Enoch Choi, MD
The role of coronary angioplasty an... 
Jul 06 by Lee Kirksey, MD
Heart Scan-Painless but not Harmles...
Jul 04 by Lee Kirksey, MD
Related Expert Forums