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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does "bun-23.8,creat-1.5,Co2-29.6 And Cal-10.8" In A Lab Test Mean?

what dose the combination of these lab results mean or the most important ones inicate:
Bun-23.8 Crea-1.5 Co2-29.6 Cal-10.8 Glu-1.4

The Creat has shown a slight increase from 1.2 over last 2-mos. Patient has been on on lithium for 30 yrs
Thu, 19 Jan 2017
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General & Family Physician 's  Response
Hi,

The given results of the lab tests are suggestive of chronic kidney disease due to Lithium. Lithium is a medication used in the treatment of bipolar disorder.Its long-term use of lithium may be harmful to organs, such as the kidneys.Kidney damage may include acute (sudden) or chronic (long-term) kidney disease and kidney cysts.

The amount of kidney damage depends on how long you have been taking lithium. It is possible to reverse kidney damage caused by Lithium early in treatment, but the damage may become permanent over time. So, Lithium should be discontinued and an alternate effective but a safer medication like atypical antipsychotic should be replaced to treat bipolar disorder.

Hope the suggestion given above would be useful. A feedback is appreciated.

Regards,
Dr. Mohammed Taher Ali
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What Does "bun-23.8,creat-1.5,Co2-29.6 And Cal-10.8" In A Lab Test Mean?

Hi, The given results of the lab tests are suggestive of chronic kidney disease due to Lithium. Lithium is a medication used in the treatment of bipolar disorder.Its long-term use of lithium may be harmful to organs, such as the kidneys.Kidney damage may include acute (sudden) or chronic (long-term) kidney disease and kidney cysts. The amount of kidney damage depends on how long you have been taking lithium. It is possible to reverse kidney damage caused by Lithium early in treatment, but the damage may become permanent over time. So, Lithium should be discontinued and an alternate effective but a safer medication like atypical antipsychotic should be replaced to treat bipolar disorder. Hope the suggestion given above would be useful. A feedback is appreciated. Regards, Dr. Mohammed Taher Ali