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Forum Name: Miscellaneous Nephrology Topics

Question: creatinine


 Robert Franceschini - Sun Jan 09, 2005 1:22 pm

My creatinine levels are around 2.2, 2.4 what can I do to improve these figures. Foods to avoid, drink more water, etc. thank you[quote][/quote]
 Dr. Anthony Solomon - Sun Jan 09, 2005 6:42 pm

Creatinine is a product of muscle metabolism produced at a relatively constant rate and excreted through the kidneys. With stable renal function, creatinine production and excretion are equal, therefore serum concentration remains within a normal range. This is usually 0.4 – 1.2 mg/dl. Serum creatinine value is only a rough guide of renal function because fifty per cent loss of renal function is needed before the serum creatinine level rises above the normal range. Creatinine clearance is a more accurate assessment of renal function, and it is advisable to undergo this test.

A person’s meat intake and muscle mass affect creatinine levels. Certain drugs also increase creatinine levels. These are known as nephrotoxic medications and your physician will ensure that they are not prescribed for you.

Poor cardiac function, vascular disease of the kidneys, hypertension and diabetes are very important aetiological factors in kidney disease. Your profile suggests that you suffer from these conditions.

In order to prevent further deterioration in kidney function, diabetes and hypertension must be well controlled. I note that your prescriptions also include "Lipitor" and "Plavix". Lipitor is indicated for prevention of coronary artery disease by reducing total cholesterol level; Plavix inhibits thrombosis. Both drugs are important after your double bypass surgery. Regular daily exercise, a healthy diet (prescribed by renal and diabetic dieticians), and a body mass index within the normal range are additional measures to prevent deterioration of kidney function.

I hope this information has been helpful. Thank you for contacting this website.


Dr Anthony Solomon
MB BS DTM&H DIP.VEN FRSM
Consultant Physician, Tropical & Genitourinary Medicine

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