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A. Schuyler, NP
A. Schuyler, NP, Nurse Practitioner
Category: Health
Satisfied Customers: 14904
Experience:  Board Certified NP, MS, RN. Private practice & hospitalist
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I have a GFR of 53, is that a cause of concern

Customer Question

I have a GFR of 53, is that a cause of concern ?
Submitted: 5 years ago.
Category: Health
Expert:  A. Schuyler, NP replied 5 years ago.

Hello,

 

Welcome to Just Answer and thanks for your question. An estimated GFR of 53 is stage 3 chronic kidney disease with moderately reduced kidney function. Treatment is controlling hypertension and whatever else is contributing to the reduced function. There is an excellent link below that discusses chronic kidney disease including the different causes.

 

Stage

GFR

 

Treatment

1

90+

Normal GFR.

Observe. Control blood pressure

2

60-89

Mildly reduced kidney function.

Control blood pressure. Monitor kidneys closely.

3

30-59

Moderately reduced function,

Continue above. If not already diagnosed, determine why kidneys are failing.

4

15-19

Severely reduced kidney function.

Plan for end stage kidney disease.

5

Below 15

End stage kidney failure

Dialysis

 

http://www.emedicinehealth.com/chronic_kidney_disease/article_em.htm

 

Customer: replied 5 years ago.
I do not have hypertension though. And do you think my doctor should say something/do something about this ?
Expert:  A. Schuyler, NP replied 5 years ago.

GFR is a calculated number based on creatinine, age, sex, and race that is then compared to statistics. A far more accurate method of measuring your kidney function is 24 hour urine collection. No one would diagnose kidney failure based on GFR alone. It is most useful in tracking kidney disease in someone who has been properly diagnosed with kidney failure.

 

Among the many things besides hypertension that can lead to chronic kidney disease is diabetes, a kidney infection called glomerulonephritis. polycystic kidney disease, reflux nephropathy, kidney stones, and some medications. A creatinine level of 1.1 is quite acceptable and nothing to be concerned about if you aren't having any other problems. Below is an automatic calculator for GFR.

 

 

http://www.nkdep.nih.gov/professionals/gfr_calculators/orig_con.htm

 

 

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