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73-Year-Old Man Asks: What's My Risk of Kidney Damage with High Creatinine?

Dr Chandrakant Lahariya |169 Answers |Ask -Follow

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Nov 10, 2024

Dr Chandrakant Lahariya is a diabetologist, an infectious diseases and public health specialist and a vaccine expert.
The Delhi-based senior physician also has over 20 years of experience in hypertension, thyroid disorders and respiratory illnesses.
An expert on common health issues and the preventive aspects of medicine, he has co-authored the book, Till We Win: India's Fight Against The Covid-19 Pandemic.
Dr Chandrakant completed his MBBS from the Maulana Azad Medical College, New Delhi, and his MD from the Lady Hardinge Medical College, New Delhi.
He has a DNB (National Board of Examination, 2009) certification and a diploma in vaccinology from Institut Pasteur, Paris.... more

Question by Hasan on Oct 25, 2024Hindi

Health

I am a male, 73 yrs, retired, having hypertension under control, no other significant symptoms. I developed hypertension by age 40 years. Am on tab Losartan 50 mg bid+tab Aten 25 mg of+ Esam 5 mg at night. My creatinine is around 1.4-1.5 past 15 years. What is my risk of kidney damage?

Ans: Long standing- specially uncontrolled hypertension- has risk of development of kidney disease. Considering you have hypertension for last 40 years, it is not surprising that early sign of kidney disease have started appearing.
Normally, creatinine is in in range of 0.7 to 1.4 in healthy individuals with some increase over period of time/age. Your creatinine parameters are going beyound that range and your EGFR is around 49. That essentially mean your kidney functions are compromised and this would be classified as Chronic Kidney Disease stage 3a.
It would be useful if you get Urine Albumin Creatinine Ratio (UACR) done and which will provide additional information about albuminuria etc.

Effective control of blood pressure would ensure that you can halt deterioration in kidney function. One consultation with Nephrologist will be useful.

Best,

Dr Chandrakant Lahariya
Centre for Health: The Specialty practice,
Safdarjung Enclave, New Delhi

DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.

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I am used to take medicines for depression / pain in brain from a qualified doctor. I am now 77plus aged with moderate health take medicines for Thyroid pressure , in addition . Recently I was asked to take blood test for Creatinine and urine . It was creatinine value 2 and urine within range . I was asked to avoid fish , egg & chicken daily rather at alternate days . After 3 months creatinine value came down t0 1.2 . I do regular free hand exercise and medicines . Should I continue the same medicines for next 6 months or change it ? I am following diet as said . Is there any chance of kidney infection in near future ? With all medicines I take I am quite fit but feel disturbed to take so many tablets since long time . Dr your advice is necessary .

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DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Investment in securities market are subject to market risks. Read all the related document carefully before investing. The securities quoted are for illustration only and are not recommendatory. Users are advised to pursue the information provided by the rediffGURU only as a source of information and as a point of reference and to rely on their own judgement when making a decision. RediffGURUS is an intermediary as per India's Information Technology Act.

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