Hello & welcome to Just Answer! If you have any questions after reading my answer, be sure to let me know.
I assume that you are referring to the blood urea levels when you are talking about the figure of 45
Normal levels of creatinine in the blood are approximately 0.6 to 1.2 milligrams (mg) per deciliter (dL)
Are you there ?
i need to know his level normal or no
I believe that the level that you have stated is not of creatinine but of Blood urea
Do you have the blood creatinine levels value too ?
Gp told me the creatinine level is 45 and the normal should be 35,also tolad the urea in blood is ok
I believe that this is an error, since the blood urea levels are generally within 15-35 or up to 40
what do mean by OK please?
and the serum creatinine is 0.6 to 1.2 approximately
The blood levels are certainly higher than normal for his age
and indicate possibly some degree of kidney dysfunction
So yes your GP is correct in being concerned about the levels,
these need to be followed up and if they are not rising, then this is not something that needs to be actively intervened
I hope that helps?
What else do you want to know?
so what that mean ?i cant understand is the level normal or abnormal and also whats a bout his kidnes the right and left
The level is abnormal
it indicates kidney damage
The damage has occurred in the left kidney, which is causing the blood levels to rise
which kidney is damage
This will not lead to any problems, unless the child suffers further repeated infections
Is there anything else that you would like to know ?
Are you still there?
but ha had no boken new infection ,only he had one 2.5 years a go after fellowing up every thing showing ok,but i did test last week to do double check and Gp told me the level slightly up,i need to knoe is his kidnes function will go worst ?
it will not go worse if there are no further infections,
but given that the levels are abnormally high, he will need to follow up every 3-6 monthly and repeat tests would be needed
to confirm the same
Is there anything else I can assist you with ?
please i am very worry .but why the creatinine level showing slightly up,is because his left kidny function was showing 27% and the right one was showing 73%,but that 2.5 years.and the specialist was checking him every 6months and he told me he is ok.but the test last week was showing slightly high tlevel creatinine
I understand your concern, being a parent myself, and having seen many similar children and counseled their parents
As far as the child is concerned, there will be no long term ill-effects if he does not have recurrent UTI
the damage has already been done during the earlier episode(s) of UTI
what do you mean if the test is showing the same in next 3 months?
what I mean is that the tests need to be repeated after 3-6 months, and it is very likely that the results will be similar to what they are now.
and if this is the case, there is no reason to be worried
as the child grows, if there are no further infections,
many of these kids will get back to normal test results, and there will be no impact on their long term health
but usauly if the blood showing slight high ,means there will be infctions,but there was no infection
please can i get ur phon number i need to call u now
please doctor i need to call u now instead writing
Unfortunately, the website JustAnswer prohibits us from sharing personal information
I understand your concern though ...
The elevate blood levels do not indicate an infection
at the present point of time
they indicate that at some point in the past, there was an infection (s) that lead to kidney damage (left side)
which is causing the elevated blood leves
Once the child grows, the kidneys may 'heal'
and the levels will go down
This does NOT mean any acute infection or medical issues at the present point of time
Is that clear?
ok ,i need to know ,what will be happen to his both kidneys when he grow up,is the right one with 73% will stay same function and the left one with 27% will stay the same function?pleases ,i need to know
Let me explain that in slightly more detail
the test that you have done - the scan ....
has a total of 100 %
which means that if left kidney is at 27 % then the rt kidney would automatically become 73 %
So the total has to be 100 %
correct the GFR was 100 in nuclear scan
As your son grows
:) you seem to be settling a bit now
As your son grows,
his left kidney will 'heal' and the blood levels are likely to go down to normal
and your son will not likely suffer any problems related to the same
assuming that he does not get further 'insults' to the kidney
specifically repeated UTIs
Is the clear?
is this clear?
but i am concern now ,if the right kidney decreasing in function now or in the future,because the blood showing slightly up,may be the right giong unwell
There appears to be no problem with the right kideny
the normal report is actually 50 % function for EACH kidney
So if say you got tested,
your result would be 50 % function left kidney, and 50 % function rt kidney
which would be normal
oh yeas this clear to me now?do i need to repeat the nuclear test to check his kidneys function?
but that would be decided with the consulting doctor's advice
generally the protocol is to do the scan 6 monthly to 1 yearly
Even if there is no change, this is a good thing....
Is there anything else ?
sorry i need to aske a nother Qs,my son is not eating well and not drinking water,only like to drink so dring a lot and eat chips alote and some time has bad constipation.is this relate to his kinyes
he needs to drink a lot of water to avoid constipation
BUT this is NOT related to the kidneys
There will be NO symptoms related to the kidney disease at the present point of time
ok.last qs.in a future if there is no broken new infection,his both kidnys will stay like this and my son be a well,also the left will came back to normal function?
The kidney function may remain exactly the same or may get better over a period of time
one cannot be sure since it varies
in each individual
but this will NOT impact his health in any discernible way
ah ,thanx,but why t he creatinine showing a bit high?is because when he done the test ,my son nearly fasting ,he didnt drink and he didnt eat .
Yes, that can certainly impact the blood test result
it needs to be repeated, but i believe there is no medical urgency to repeat it soon, it can be done after 3-6 months ...
If YOU are unable to sleep because of this :) then you may want to get it repeated earlier
but I would advise waiting at the present point of time ....
I am sorry but I need to go now, I would encourage you to leave a positive feedback if you are satisfied, and leave any message/ questions which I can answer later once I log back in ......
A tip would be great too :)
today he had blood test a gain,and also he had only half bottle of chock let drink before the test.the test was done in 3pm
That sounds good
keep him hydrated before the test, and see how it goes ....
give him some water, juice electrolyte containing drinks , any fluid that he likes
before the next test
Got to go now,
thank you very much for you help.i need to be in touch with you in future ,how can i do that?
You can continue on this thread
or ask a new question specifically asking for Dr Gupta- Pediatrician
or write to the moderators at this website and they would forward your request
Do leave a feedback,
please i need ur private number ,and i will pay u each consultation,i just need u for fellow up with my son
i just i need to know that creatinine level in blood is high,is because the left kidney 's damage with 27% in the past affect that level ,and even the rt kidney is working over load and 73% with the ratio 100%.still a abnormal level of creatinine in the blood will show.
please if cant get back to me for the answers,please send me an email with answers on this email XXX@XXXXXX.XXX
please i waiting ur reply
Blood level is result of both kidneys working together, and there can not be reflection of one kidney under performing on the blood levels.
If the total function falls below 40 %, there would be rise in creatinine. You must be aware that persons can donate one full kidney to those having total bilateral kidney failure and function fully well without suffering and when one kidney totally stops functioning or has cancer, the patient can survive on one healthy kidney when that diseased kidney is removed.
He can be considered to have problem, if his Cr level rises much above 45 for prolonged time and other tests (like KFI) are also abnormal.