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Female | 64

Why Is My Creatinine Rising in Stage 4 IGA Nephropathy?

Dr, I was diagnosed with IGA nephropathy 32 years ago. I am 64 years of age and my creatinine is 2.31 and has been hovering around that number. I have lost 124 lbs over the past year with the assistance of Zepbound. My kidneys have not improved and appear to be getting slightly worse. I run 3 miles a day and eat around 1200 calories a day never exceeding my sodium or potassium requirements. I do not have protein or blood in my urine. Please help. What is causing my creatinine to continue to rise? I am currently In Stage 4 kidney disease. Should I get an updated biopsy since my only biopsy was done in 1992. What can I do? Could the Zepbound be causing my kidneys to worsen? I drink 100 ounces of water daily.

1 Answer

Answered on 8th July '24

It is concerning that your creatinine levels are rising despite your efforts. IGA nephropathy can progress slowly over time, and factors like age, diet, and medications may influence kidney function. Zepbound's impact on your kidneys should be evaluated by a specialist. I strongly advise you to consult a nephrologist for a thorough assessment and consider getting an updated biopsy to understand the current state of your kidney disease.

78 people found this helpful

Questions & Answers on "Nephrologyy" (101)

Contrast Enhanced Computed Tomography of the whole abdomen showing moderate hypatomegaly with coarse attentuation, edematous GB mild dilated portal vein,splenomegaly,diverticulituis in sigmoid colon. Crystitis. My brother suresh kumar's report has been admitted in Maharaja Agrasain Hospital, Punjabi Bagh and the doctor has recommended us for a second opinion. Kindly advise / suggest next course of action if possible.

Male | 44

WhatsApp the report to me

Answered on 8th Aug '24

Dr. Pallab Haldar

Dr. Pallab Haldar

creatine 4.7 is normal gfr 8.5

Female | 75

A creatinine level of 4.7 and GFR of 8.5 indicate significant kidney function impairment. It's crucial to consult a nephrologist immediately for further evaluation and management. They can provide personalized advice and treatments to help preserve kidney function and maintain overall health.

Answered on 2nd July '24

Dr. Babita Goel

Dr. Babita Goel

Hello Doctor, My grandmother age is 72. She has Diabetes, BP, urinary tract infection. Recently, a mild cyst found in her kidney through CT Scan. 15 days ago, her condition went serious and we joined her In hospital. Her sugar levels were 600mg/dl. Doctors treated her and dropped her sugar levels to normal. Now, she is mentally not stable and taking full bed rest. She is unable to stand or sit on her own. She is able to recognise all of us and can eat or drink on her own. But she is very week and mentally disturbed so much. She talks unrelated. Please suggest what treatment we should take for her. Thank you doctor.

Female | 72

Your grandmother faced challe­nging times. Her health conditions re­cently caused worries. Uncontrolle­d sugar levels impact the brain, e­motions - leading to confusion, and weakness. A kidne­y cyst may add stress too. Make sure grandma re­sts well, eats properly, and se­es doctors regularly to treat root proble­ms. 

Answered on 16th Aug '24

Dr. Babita Goel

Dr. Babita Goel

I describe below our patient problem: 1. Suggestive of left renal mass with thrombus in left vein. 2. left paraaortic lymphadenopathy. 3. Visible part of chest shows multiple soft tissue nodules in basal segments of both lung, largest one - 3.2X 2.8 cm - suggest metastasis.

Female | 36

send reports initially

Answered on 10th July '24

Dr. N S S Gauri

Dr. N S S Gauri

I've test kidney function test all the parameters are in normal range except uric acid that is 7.9 mg/dl, and I want to take creatine supplement should i take it. (And before KFT test I had have ate fish and high purine food).

Male | 20

Your UA climb was up to 7.9mg/dl and you are considering using creatine. With higher UA comes greater chances for gout, a condition marked by pain and swelling in the joints. You should not take any creatine supplement right now while still eating fish and other high-purine foods since this would elevate your UA even further. To help decrease its level, stick with those things lower in purines.

Answered on 27th May '24

Dr. Babita Goel

Dr. Babita Goel

30 year old, creatine and urea level high, diarrheas, from past 4 days. Back ache.

Male | 30

 you need to visit emergency department if your bp is more than 180/100 and having symptoms like headache for properly evaluation and management of your condition. This could be hypertensive emergency and needs immediate ecg and bp lowering medication to avoid possible complications.

Answered on 23rd May '24

Dr. Ramit Sambyal

Dr. Ramit Sambyal

Şu anda 20 yaşındayım yeni biyopsi oldum sonucuma bakarmısınızIKLAMA: 7yaşında nefrotik sendrom tanısı alan ve tedavi gören olgu, albumin düşüklüğü sebebi ile biyopsi alınma kliniği bildirilen olguya ait HE detayda, 20 adet glomerül izlenmiş olup, 2 glomerülde global skleroz izlenmiştir. Diğer glomerüller irili ufaklı çaplarda olup, Bowman aralıkları açık olarak gözlendi. Glomerüler bazal membranlarda hafif kalınlaşma bazı glomerüllerde mevcuttu. Ancak tüm glomerüllerde mezengial hücre artışı-matriks artışı gibi bulgular izlenmedi. Glomerüler alanda izlenen bulgular spesifik olarak izlenmezken,interstisyel damarlardan (orta çaplı damarlarda) bir tanesinde duvar kalınlaşması, lümen daralması gibi vasküler basınç değişiklikleri lehine yorumlanabilecek bulgular izlenmiştir. Detayda ilave olarak interstisyel fibrozis (%20-25) iken; interstisyel alanda köpüksü histiositler ve lenfoplazmositlerin de eşlik ettiği ksantogranülomatöz pyelonefrit morfolojisi izlendi.Tubuler alanda patoloji izlenmedi. Sayfa 1\ 2

Dişi | 20

Answered on 12th Aug '24

Dr. Babita Goel

Dr. Babita Goel

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