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Is My Creatinine And BUN Levels In Blood Normal?
Question: I am a healthy 51 year old woman who intentionally has lost about 45 pounds over the last 6 months. My BUN is 23 and my creatinine is 1.1 my GFR is 52 and my creatinine clearance is 56. i am not a diabetic my fasting FBS was 94. i have no protein in my urine, I go to the gym about 5-6 times perweek and eat a healthy diet. What is going on? this just a function of age? email YYYY@YYYY
Brief Answer:
The weight loss is significant
Detailed Answer:
Hello and Welcome
I appreciate your concern
The BUN, creatinine,creatinine clearance and FBS are normal. The weight loss is significant. Greater than 10 % of normal body weight if lost, is considered as protein energy malnutrition. Complete blood counts, Chest x ray, ESR/CRP, sputum for AFB , hepatitis profile and Liver function tests should also be done to look for malignancies, tuberculosis and liver pathology. If you had a higher BMI and lost weight accordingly then these investigations may not be required especially if you are asymptomatic and having no features like fever, night sweats, lymphadenopathy. As you mentioned the weight loss was intentional then there doesn't seem to be a function of age related to this weight loss. One should not loose 45 pounds over 6 months normally at any age without an underlying cause unless a strict diet and exercise plan was followed.
Let me know if you have any query
Wishing you best of health
Thanks
Please consult your doctor before deciding on any further course of action.
For future follow up / correspondence you may ask me directly at the link given below
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107
Dr. M.S. Khalil
The weight loss is significant
Detailed Answer:
Hello and Welcome
I appreciate your concern
The BUN, creatinine,creatinine clearance and FBS are normal. The weight loss is significant. Greater than 10 % of normal body weight if lost, is considered as protein energy malnutrition. Complete blood counts, Chest x ray, ESR/CRP, sputum for AFB , hepatitis profile and Liver function tests should also be done to look for malignancies, tuberculosis and liver pathology. If you had a higher BMI and lost weight accordingly then these investigations may not be required especially if you are asymptomatic and having no features like fever, night sweats, lymphadenopathy. As you mentioned the weight loss was intentional then there doesn't seem to be a function of age related to this weight loss. One should not loose 45 pounds over 6 months normally at any age without an underlying cause unless a strict diet and exercise plan was followed.
Let me know if you have any query
Wishing you best of health
Thanks
Please consult your doctor before deciding on any further course of action.
For future follow up / correspondence you may ask me directly at the link given below
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107
Dr. M.S. Khalil
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
you obviously did not read my question. i purposely lost the weight this was INTENTIONAL weight loss. now read my question again and provide me with and informed answer otherwise give my question to another MD. Please at least read the question correctly before answering. otherwise you look like an idiot.
Brief Answer:
Explained
Detailed Answer:
Hello again.
Respected Madam.
I answered the question, keeping in mind that you intended to loose weight. You may ask another MD the same question but the workup will remain the same for such weight loss. I commented on the investigation findings and the due workup required for such a case.
The RFTs are normal.
You did not mention your BMI and current weight. You may also mention whether or not you have had any thyroid abnormalities in the past
You did not mention your active complaint as you stated that you were going to gym 5-6 times per week.
Kindly explain this sentence as its not quite clear what specifically its inquiring about.
"What is going on? this just a function of age? "
I am sorry if my answer was not satisfactory. You may ask for another doctor from the HCM team.
Have a great day and wishing you all the best.
Dr. M.S. Khalil
Explained
Detailed Answer:
Hello again.
Respected Madam.
I answered the question, keeping in mind that you intended to loose weight. You may ask another MD the same question but the workup will remain the same for such weight loss. I commented on the investigation findings and the due workup required for such a case.
The RFTs are normal.
You did not mention your BMI and current weight. You may also mention whether or not you have had any thyroid abnormalities in the past
You did not mention your active complaint as you stated that you were going to gym 5-6 times per week.
Kindly explain this sentence as its not quite clear what specifically its inquiring about.
"What is going on? this just a function of age? "
I am sorry if my answer was not satisfactory. You may ask for another doctor from the HCM team.
Have a great day and wishing you all the best.
Dr. M.S. Khalil
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
i was just asking re my renla functionn tests. that was all that i was intersted in . i am 5 ft 3 inches and weigh 186 pounds. i woirk out 5-6 times per week adn have a healthy diet.
Brief Answer:
Explained
Detailed Answer:
Hello again.
No worries madam. Maybe I could not properly grasp what you were trying to convey. I hope you would accept my apology for that as I care deeply for my patients and consider them my ultimate family.
Both the creatinine and BUN are normal.
The normal range of creatinine for women is 0.6 to 1.1 mg/dL . Creatinine is the main measure of renal function.
The BUN can become elevated in all forms of renal failure and corresponds mainly to the severity or degree of renal failure. It can also be come elevated when renal function is normal e.g in response to a high protein diet or upper GI bleed.
If you are concerned , you can repeat the RFTs to see for a rise as 0.5 to 1 point rise is also significant for renal dysfunction.
If possible , kindly upload the images or a copy of the investigations that you sent
to assess them more accurately.
Let me know if you have any query
Wishing you best of health
Thanks
Explained
Detailed Answer:
Hello again.
No worries madam. Maybe I could not properly grasp what you were trying to convey. I hope you would accept my apology for that as I care deeply for my patients and consider them my ultimate family.
Both the creatinine and BUN are normal.
The normal range of creatinine for women is 0.6 to 1.1 mg/dL . Creatinine is the main measure of renal function.
The BUN can become elevated in all forms of renal failure and corresponds mainly to the severity or degree of renal failure. It can also be come elevated when renal function is normal e.g in response to a high protein diet or upper GI bleed.
If you are concerned , you can repeat the RFTs to see for a rise as 0.5 to 1 point rise is also significant for renal dysfunction.
If possible , kindly upload the images or a copy of the investigations that you sent
to assess them more accurately.
Let me know if you have any query
Wishing you best of health
Thanks
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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