my father is 75 years old and his creatinine level is 2.8 ( previously it was 3) He also takes medicines for BP and insulin for blood glucose. His Hbac1 is around 7 and BP is usually around 150/85 levels. He is very discipline in taking medicines and regular checkups. Is there any way his creatinine levels can be lowered to normal . Also is eating mangoes bad for his kidney problems? please suggest

Ans: The cause of the raised creatinine needs to be investigated. If it is only due to long standing hypertension, you may not be able to reverse the creatinine but may be able to prevent further worsening by tightly controlling BP and blood sugar.

Ans: Hi, Your creatinine is high at a relatively young age. We need to find the cause. Probably we need to do the kidney biopsy if it is feasible. That will tell you the extent of kidney damage and if it is temporary or permanent. If it is permanent damage, usually the kidney disease progress over a period of time. You need to consult a nephrologist on regular basis and follow his advice to retard the progression of kidney disease.

Ans: Your blood creatinine levels can be maintained and even lowered by lifestyle modifications and treatment. Remain physically active and continue with the therapeutic diet advised.

Ans: Hello. It would be best to visit a nephrologist at least once a year. Once the kidney function has been affected by either long standing diabetes or a recurrent UTI or some other issue, there are other factors like Hb, potassium, protein levels that need to be managed also other than just creatinine level. Urine flow may not get affected till very late. First of all, you must rule out any structural abnormalities in the urinary tract. You should get a USG KUB and see a urologist. Then if everything is normal with your prostate and urinary tract, you should see the nephrologist. In general, to prevent further kidney damage you should keep your BP under control, avoid taking any pain killer type medicines, avoid antibiotics without proper prescriptions, avoid fad diets and excessive salt. All the best!

Ans: Repeat the tests in a standard lab after taking adequate fluids. If still elevated, needs further evaluation.