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Is It Safe To Have Cocktails While Suffering From Stage 3 Chronic Kidney Disease?

Posted on Tue, 14 Apr 2015

Question: Does a person with Stage 3 KD, GFR 44 Creatinine 1.22, BUN 28 have to watch what they eat and drink? I have read some Doctors don't seem to think it matters and others do. What is your opinion? Are cocktails several times a week and or a little chocolate every day harmful? Is there something more specific I should or should not do?

Answered by Dr. Rakesh Madhyastha (6 hours later)

Brief Answer:
Normal creatinine

Detailed Answer:
Hello

Thanks for the query

The serum creatinine is within normal limits so I am thinking how can it be graded as stage 3 chronic kidney disease.
I would like to know a few more details in order to answer this

1. is this a single reading nod creat or were there other reading as well?
2. has any urine routine been done? could you please furnish the report ?
3.is there any swelling of the legs ?
4. please mention height and weight of the patient

please get back to me , I am awaiting your reply

regards

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Rakesh Madhyastha (1 hour later)

that was my last test - it has been as low as 1.04 to 1.73 one time. But since I have tried to be careful of what I was eating, it was 1.22. No urine test done. never have any swelling of legs. I am 5.4 and weight 152. I thought a GFR 0f 30 to 59 meant that I am in Stage 3. Last urine test of last October was normal.
My kidneys are also normal size.

Answered by Dr. Rakesh Madhyastha (22 hours later)

Brief Answer:
Follow up

Detailed Answer:
Hello

Thanks for getting back, I am sorry for the short delay in my reply. There was a family emergency.
Here are my suggestions

1.Serum creat of 0.8 to 1.2 is normal. Serum creat can go up in times of dehydration or exertional activities.
2. Chronic state is labelled when serum creat is persistently high for more than 3 months in a row or else it is called acute kidney injury. It is just an estimated GFR, to know a more accurate reading of GFR I recommend you to undergo a DTPA scan,

Here is how you should go about it

1. First and foremost step is to see for anatomy of the kidney. Get a ultrasound done to know the size and texture of the kidney
2. Get a urine routine and a 24 hour urine protein and creat done. At the same time get a serum creatinine done
3. Check for secondary evidence for chronic kidney disease like anemia status, high uric acid, high phosphorus, low calcium
4. If the serum creat is high, please approach a nephrologist for a kidney biopsy.

I hope i was of help, if you have any further query please get back to me. I am sure you will have doubts and I will be happy to clear them
I am once again sorry for the delay
Regards

Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar