Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Does This Serum Creatinine Value Of 2.2 Indicate?
Question: Good afternoon. My Mother aged 57 years has been diagnosed with kidney infection and her Serum Creatinine was 2.2. We had all the tests done and nothing major was found. She was treated in the hospital a month ago for one week, later the value came down to 1.1. She is back home and we had the test done again. The value is now 2.3 and her Urea Serum is 85. Kindly advise on the below.
1. Is this value significant to cause any threat to her?
2. What could be the possible reasons for the value to go up again?
3. What medication, or further investigation is required to get this rectified?
Thank you for the help.
1. Is this value significant to cause any threat to her?
2. What could be the possible reasons for the value to go up again?
3. What medication, or further investigation is required to get this rectified?
Thank you for the help.
Brief Answer:
Acute Renal Failure, possibly due to infection, testing & treatment req
Detailed Answer:
Hello XXXXXXX Thanks for coming back to HealthCareMagic. I noticed that you had been waiting a long time for this answer so I though I would attempt to help you out with some information.
Before I go Any further, let me make sure I have the pertinent facts about your mother situation correct.
She is a 57 year old woman who was treated for Acute Renal Failure secondary to an infection 1 month ago. At that time she was hospitalized for 1 week. After a full course.. Her Creatinine level went to normal (1.1).
Recently her creatinine was tested to be back at 2.3 with a Blood Urea Nitrogen of 85.
I will try and answer your queries one by 1:
1) This value is significantly bad, her creatinine is at a level where we would consider a diagnosis of renal failure yet again. Her Urea levels show that her kidneys are not getting rid of the waste ammonia in her blood like they normally do.
2) She needs to be admitted immediately and fluids need to be given. Further evaluation will be needed to see why this is happening. It could be another infection, but it could be due to many things including dehydration and medication reactions.
3) She will need IV fluids and a urine culture to start with. An Ultrasound of her kidneys and bladder will be a very good next step to see if they is anything blocking her kidney. If her urine output is lower than normal.. then medications like Frusemide will be needed to encourage proper urine flow through the kidney. Very, VERY unlikely scenario is that she may need temporary dialysis to allow her kidneys to rest and bring down her Urea levels. We are nor where near that coming to pass just yet though.
To summarize, you will need to take her back to the hospital right away for urine testing and rehydration (IV fluids). A good nephrologist will be able to help her out. If she were my family member, I would be prepared to admit her.
I hope this answers your query. I will always be happy to answer any follow-up. I look forward to your thoughts.
Vinay
Acute Renal Failure, possibly due to infection, testing & treatment req
Detailed Answer:
Hello XXXXXXX Thanks for coming back to HealthCareMagic. I noticed that you had been waiting a long time for this answer so I though I would attempt to help you out with some information.
Before I go Any further, let me make sure I have the pertinent facts about your mother situation correct.
She is a 57 year old woman who was treated for Acute Renal Failure secondary to an infection 1 month ago. At that time she was hospitalized for 1 week. After a full course.. Her Creatinine level went to normal (1.1).
Recently her creatinine was tested to be back at 2.3 with a Blood Urea Nitrogen of 85.
I will try and answer your queries one by 1:
1) This value is significantly bad, her creatinine is at a level where we would consider a diagnosis of renal failure yet again. Her Urea levels show that her kidneys are not getting rid of the waste ammonia in her blood like they normally do.
2) She needs to be admitted immediately and fluids need to be given. Further evaluation will be needed to see why this is happening. It could be another infection, but it could be due to many things including dehydration and medication reactions.
3) She will need IV fluids and a urine culture to start with. An Ultrasound of her kidneys and bladder will be a very good next step to see if they is anything blocking her kidney. If her urine output is lower than normal.. then medications like Frusemide will be needed to encourage proper urine flow through the kidney. Very, VERY unlikely scenario is that she may need temporary dialysis to allow her kidneys to rest and bring down her Urea levels. We are nor where near that coming to pass just yet though.
To summarize, you will need to take her back to the hospital right away for urine testing and rehydration (IV fluids). A good nephrologist will be able to help her out. If she were my family member, I would be prepared to admit her.
I hope this answers your query. I will always be happy to answer any follow-up. I look forward to your thoughts.
Vinay
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Thank you for the information. Just to add ultra sound scan has been performed previously and bilateral swelling was observed. We also had the scanning done which showed that some urine was getting held in the bladder. They determined that there were no blocks causing this. They informed this could be due to some infection. We also had the minor surgery done where a tube was inserted to allow the renal to expand. As stated she was back to normal in 10 days.
Currently she is not on any medication and the value has gone up again.
What else we need to further investigate and also kindly suggest a doctor or hospital who can deal this effectively.
Thank you.
Currently she is not on any medication and the value has gone up again.
What else we need to further investigate and also kindly suggest a doctor or hospital who can deal this effectively.
Thank you.
Brief Answer:
What hospitals are avaliable to you now? What is updated creatinine?
Detailed Answer:
Hi, I'm not sure where you reside, could you tell me which hospitals are available to you? You need a Nephrologist and quite possibly she may need dialysis of her creatinine has worsened.
You said the value has gone up again.. I believe that she may have either had a relapse of her infection, or she may have become dehydrated. Both can occur when the patient is stressed from a previous infection.
Get her to a good specialty hospital close to you, for further examination.
I look forward to your response.
Vinay
What hospitals are avaliable to you now? What is updated creatinine?
Detailed Answer:
Hi, I'm not sure where you reside, could you tell me which hospitals are available to you? You need a Nephrologist and quite possibly she may need dialysis of her creatinine has worsened.
You said the value has gone up again.. I believe that she may have either had a relapse of her infection, or she may have become dehydrated. Both can occur when the patient is stressed from a previous infection.
Get her to a good specialty hospital close to you, for further examination.
I look forward to your response.
Vinay
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
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
