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: 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.

Ans: Please get comprehensive KFT with eGFR done.
It will be important to understand the cause of sudden rise in creatinine levels. Diabetes and other conditions also need to be ruled out.

Once these are available, consult a physician or nephrologist.

Dr Chandrakant Lahariya

Ans: These are very high values.
Please consult a nephrologist for immediate work up.

Best wishes,
Dr Chandrakant Lahariya