
CKD Patient. Getting Fluctuate Creatinine Level. What Should Be Done?

Your father is suffering from advanced renal failure and dialysis is indicated. Now there are two things to understand.
1. Why did the creatinine rise suddenly?
When the creatinine is around 4.0, the kidney works only around 15% of its normal capacity. Any small insult in the form of - infection (chest or urine), use of pain killer medicines, high blood pressure or high blood sugar, diarrhoea or vomiting, unknown desi medicines - can result in sudden jump of creatinine level.
To diagnose all these we need complete patient history and run battery of tests - especially urine routine, urine culture, blood culture, and ultrasound abdomen, chest x-ray.
All these are missing from the reports supplied. The Total leucocyte count is borderline high 0000 and patient has fever - this shows patient definitely has an infection now. ESR has not much relevance; it can be high even with anemia.
We might be able to predict the cause of this spike in creatinine level if all the aforementioned data is available.
2. Whether the kidney will improve or not?
This is hard to predict. 70 to 80% patient’s serum creatinine will fall back to pre-illness level, while other will remain on dialysis. His treating nephrologist would know about it - may be not now but few days during his treatment.
Hope I have addressed your concern. Feel free to ask any other question

Answered by

Get personalised answers from verified doctor in minutes across 80+ specialties
