Any Docs (kidney stuff) can comment on results?
Discussion
OK I had bloods done recently at the GP and they said nothing to worry about all in range....but I also had a look at the results in detail online through the patient login..
Serum creatinine (umo/l):
2010 70
2014 83
2016 93
2021 111
Serum alkaline phosphatase (u/l):
2010 59
2016 56
2021 85
Admittedly I had a few to drink the night before the bloods were taken and I only started drinking water whilst sat in the surgery waiting room. I also cycle quite a bit getting into the max heart rate zone but I've done this for years.
I see a trend though. Should I be worried. Should I request a retest when I'm hydrated?
Serum creatinine (umo/l):
2010 70
2014 83
2016 93
2021 111
Serum alkaline phosphatase (u/l):
2010 59
2016 56
2021 85
Admittedly I had a few to drink the night before the bloods were taken and I only started drinking water whilst sat in the surgery waiting room. I also cycle quite a bit getting into the max heart rate zone but I've done this for years.
I see a trend though. Should I be worried. Should I request a retest when I'm hydrated?
A creatinine of 111 could be entirely normal or very abnormal.
We'd need you sex, age, weight and height to tell you more.
Or plug in the numbers yourself and report back your creatinine clearance https://www.mdcalc.com/creatinine-clearance-cockcr...
We'd need you sex, age, weight and height to tell you more.
Or plug in the numbers yourself and report back your creatinine clearance https://www.mdcalc.com/creatinine-clearance-cockcr...
186cm tall, 49 & 105kg.
Got this:
106 mL/min
Creatinine clearance, original Cockcroft-Gault
72 mL/min
Creatinine clearance modified for overweight patient, using adjusted body weight of 72 kg (158 lbs).
50.3–72.5 mL/min
Note: This range uses IBW and adjusted body weight. Controversy exists over which form of weight to use
I've no idea how to interpretate that
Got this:
106 mL/min
Creatinine clearance, original Cockcroft-Gault
72 mL/min
Creatinine clearance modified for overweight patient, using adjusted body weight of 72 kg (158 lbs).
50.3–72.5 mL/min
Note: This range uses IBW and adjusted body weight. Controversy exists over which form of weight to use
I've no idea how to interpretate that
Hugo Stiglitz said:
I said this to the GP and she wasn't concerned. Said its fine.
I'd like ammo to go back and ask for a retry.
If you have symptoms then the symptoms are your ammo.I'd like ammo to go back and ask for a retry.
If you haven't any symptoms, then with your readings in the normal range and the GP saying you're fine, you might have to accept that perhaps there's nothing to worry about.
I have none of the symptoms but after a long bike ride (mountain or road) I'll reward myself with a good quantity of alcohol.
Plus during lockdown I've noticed my trouser waist size had increased. In part due to breaking my arm in December and whilst sat up at home for four weeks I drank abit.
Alcohol needs a bit of a readjustment.
Plus during lockdown I've noticed my trouser waist size had increased. In part due to breaking my arm in December and whilst sat up at home for four weeks I drank abit.
Alcohol needs a bit of a readjustment.
Not to derail at all but you sound similar to me in terms of watching the results - i have blood tests every year for medication reasons, and i watch the trends, also your age, activities and weight are similar to mine.
I've had a touch high BP recently and the GP asked me to track the results over a week and average them. Average came out at 141/92 and she said that was fine, nothing to worry about. Hmm, ok, well that seems high according to the NHS site. My average pulse is 50.
So like you, its down to ourselves to assess and interpret. I don't like my BP being that high so i'm making adjustments by reducing alcohol and cutting waistline down. I already exercise a lot.
When GP's say nothing to worry about, i tend to agree but in the frame of context of - nothing to worry about _right now_ - which isn't necessarily correct if one is tracking the trajectory and keeping an eye on the future.
Just my 2p.
I've had a touch high BP recently and the GP asked me to track the results over a week and average them. Average came out at 141/92 and she said that was fine, nothing to worry about. Hmm, ok, well that seems high according to the NHS site. My average pulse is 50.
So like you, its down to ourselves to assess and interpret. I don't like my BP being that high so i'm making adjustments by reducing alcohol and cutting waistline down. I already exercise a lot.
When GP's say nothing to worry about, i tend to agree but in the frame of context of - nothing to worry about _right now_ - which isn't necessarily correct if one is tracking the trajectory and keeping an eye on the future.
Just my 2p.
Hugo Stiglitz said:
186cm tall, 49 & 105kg.
Got this:
106 mL/min
Creatinine clearance, original Cockcroft-Gault
72 mL/min
Creatinine clearance modified for overweight patient, using adjusted body weight of 72 kg (158 lbs).
50.3–72.5 mL/min
Note: This range uses IBW and adjusted body weight. Controversy exists over which form of weight to use
I've no idea how to interpretate that
That's the femal tab, Hugo.Got this:
106 mL/min
Creatinine clearance, original Cockcroft-Gault
72 mL/min
Creatinine clearance modified for overweight patient, using adjusted body weight of 72 kg (158 lbs).
50.3–72.5 mL/min
Note: This range uses IBW and adjusted body weight. Controversy exists over which form of weight to use
I've no idea how to interpretate that
As long as your creatinine clearance is >90 MLS/min, which it is, that's normal.
Your alk phos results are within the normal range
elanfan said:
All I can advise being someone on dialysis is do everything within your power to get your readings down and avoid kidney failure. Dialysis is awful!
Side effects are awful too, saw my Aunty suffer. She had polycystic kidney disease same as myself. I have numerous side effects even with a decent kidney function level, too much to go into here without diverting the topic.There are often plenty of lifestyle improvements that can be made around diet and exercise (there is loads of information available on the web)
For past few years my kidney function was around 70, 6 months ago I stopped drinking coffee (used to have a few cups of fresh coffee a day), and I had a blood test yesterday and my kidney function is up to 76, which is the highest its been since 2017.
Right then, this is something I can comment on, because my wife is a senior consultant biochemist, and deals with this rubbish every day.
Creatnine is an unreliable marker of renal function, A creatine reading of around 60 - 120 would be considered normal. eGFR is a better measure with >90 being normal, this measure corrects for height and weight.
Normal range for Alkaline Phosphatase is 30 - 90. High Alk Pho will result in bone pain and may be associated Vit D deficiency or liver problems, though you would expect other liver enzymes to be abnormal, or the patient (you) show symptoms of jaundice.
Any questions, ask away. She loves this kind of stuff, and tends to be removed from it now, so will be happy to offer a very professional opinion.
Creatnine is an unreliable marker of renal function, A creatine reading of around 60 - 120 would be considered normal. eGFR is a better measure with >90 being normal, this measure corrects for height and weight.
Normal range for Alkaline Phosphatase is 30 - 90. High Alk Pho will result in bone pain and may be associated Vit D deficiency or liver problems, though you would expect other liver enzymes to be abnormal, or the patient (you) show symptoms of jaundice.
Any questions, ask away. She loves this kind of stuff, and tends to be removed from it now, so will be happy to offer a very professional opinion.
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