Urology

Have Urology Questions? Ask a Urologist Online.

Ask a Doctor,
Get an Answer ASAP!

Urology

I went to the dr because if swelling in my ankles. So after

Customer Question
all the test she says...
I went to the dr because if swelling in my ankles. So after all the test she says it is my sodium intake. And to cut back. But looking at my labs my creatine is .95 and my gfr is 78. It is not flagged for high or low it is in the normal range. But everything
I Google say ckd2. I'm 34. Should I be concerned? Or is that normal?
Submitted: 2 years ago.Category: Urology
Show More
Show Less
Ask Your Own Urology Question
Answered in 41 minutes by:
11/5/2015
Urologist: Internist, Dr replied 2 years ago
Internist
Category: Urology
Satisfied Customers: 1,066
Experience: MBBS, FCPS (Resident),MD (USA), Ecfmg Certified
Verified

hi there,

I am online and will be happy to answer your questions.

Thank you for your patience.

normal GFR is above 90.

your gfr is in low range, ( creainine however is in normal range , but it takes bmi and other things into account to measuer gfr)

I recommend checking your blood pressure, Blood sugar level, ultrasound of kidneys, and urinalysis.

this may be a lab error, ( but if not, gfr of 78 IS low)

please let me know if you have any questions.

thanks

Ask Your Own Urology Question
Urologist: Internist, Dr replied 2 years ago

I am here to help you and I wish you best health,

if done for now, please leave positive rating above the chat box.

we only get credit for helping clients after positive feedback.

If you have any more questions, please feel free to ask anytime.

Please bookmark my profile for asking further questions!

This is the link to my profile:

http://www.justanswer.com/medical/expert-drhashmimd/?rpt=3800

Ask Your Own Urology Question
Customer reply replied 2 years ago
She did everything including the cmp. No protienuria or anything like that. My bi is like 35. Do you think the swelling could have cause the 78 gfr. On the lab test it says normal is >59. So is every lab different? She said and I saw the gfr was not flagged in the test as high or low. It was normal.
Urologist: Internist, Dr replied 2 years ago

bi you mean BMI ?

normal gfr range is 90-120 ml/min/body surface area

your gfr might be given in different units. ( can you attach a picture or tell me the units of your gfr values?

thank you

Ask Your Own Urology Question
Customer reply replied 2 years ago
I meant bmi sorry. Yeah let me look it up. And I'm not anemic and my CBC and all that was normal too.78ml/min/m2
Urologist: Internist, Dr replied 2 years ago

in ml/min/m2 normal is more than 90.

you can call lab and ask why did they mention it in normal range.

calculate your gfr with yyour creatinine value given from this link . ( your creatinine is within normal limits)

https://www.kidney.org/professionals/KDOQI/gfr_calculator

Ask Your Own Urology Question
Urologist: Internist, Dr replied 2 years ago

you can calculate without serum cystatin c values.

http://www.davita.com/gfr-calculator/

Ask Your Own Urology Question
Urologist: Internist, Dr replied 2 years ago

let me know about the values. or give me information needed and ill calculate for you.

Ask Your Own Urology Question
Customer reply replied 2 years ago
I put in my creatine of .95 and it says 78. So how can my c level be normal but my gfr be 78? I just looked at the range on labcorp. At our office >60 is listed as normal per their labs. If their creatinine is in normal range.
Customer reply replied 2 years ago
Plus my weight wasn't added into my labcorp labs. I am 5'8 and weigh 278. So does that have something to do with it?
Customer reply replied 2 years ago
Also I read on davitas site that if a gfr is between 60-89 and there is no sign of kidney disease they are not considered ckd.
Urologist: Internist, Dr replied 2 years ago

some labs only measure if gfr is more than 60 or not.

normal range varies with age and body surface area and race.

Normal creatinine values may vary among different laboratories, and some patients with serum creatinine levels within the “normal” range may have substantial reduction in kidney function

Likewise, the rate of increase or trend of serum creatinine levels can also indicate CKD.

it is not considered CKD if ultrasound of kidneys, urinalysis, cmp is all within normal range. but we do need to check them before declaring it normal

Ask Your Own Urology Question
Urologist: Internist, Dr replied 2 years ago

and there can be CKD even with GFR more than 90.

so yes it takes other things into account to fully understand if it is normal or not.

Ask Your Own Urology Question
Urologist: Internist, Dr replied 2 years ago

one reason for that with creatinine we get only an estimate of GFR and not an actual GFR

Ask Your Own Urology Question
Customer reply replied 2 years ago
I had a mri of pelvis on September 1st bc I had surgery on 9/10 for a urethral diverticulum and I had a urinalysis on 9/1 along with the mri. The urologist said my urine actually looked good for someone that had a diverticulum. So what do you think? He didn't mention if anything was out of whack......and I'm sure being a urologist he would have.
Urologist: Internist, Dr replied 2 years ago

did you get a urinalysis ? and it showed normal everything?

any comment on kidneys on ultrasound

Ask Your Own Urology Question
Urologist: Internist, Dr replied 2 years ago

yes , you can trust a urologist, if he said your kidneys are fine, he must have said by looking at all things.

I cannot comment at this stage without looking on ultrasound and urinalysis report. ( recent )

Ask Your Own Urology Question
Customer reply replied 2 years ago
No he just said my urinalysis looked good for someone with a urethral diverticulum. He didn't mention anything about my mri but that everything looked ok. I go back for post op next tuesday. Should I take my labs and ask him--the actual urologist?
Urologist: Internist, Dr replied 2 years ago

yes you should.

please mention swelling of your ankles and your gfr values.

since it was mri of pelvis, it may not have commented on kidneys.

Ask Your Own Urology Question
Customer reply replied 2 years ago
One last question. Could I ask my md to run another cmp when I go back in 2 weeks and see if it goes up? I know I asked the lab and they don't put in height or weight in lab orders so it wasn't even considered. And you said it is just a rough estimate, so that gfr could be not really my actual gfr right?
Urologist: Internist, Dr replied 2 years ago

yes it is not be actual gfr and is only an estimate.

cmp, and urinalysis, and ultrasound of kidneys to see the whole picture.

Ask Your Own Urology Question
Customer reply replied 2 years ago
My swelling goes away when I put my feet up also. I sit all day long and I think my being overweight has a bit to do with it. I haven't swollen in 3 days. Plus sometime my bp is sometimes borderline. If I lose weight and start walking and exercising could I fix my gfr and get it to normal range?
Urologist: Internist, Dr replied 2 years ago

first we do not know if kidneys are the cause of low gfr or if this is normal.

secondly, you should definitely do exercise and lose weight . 35 bmi means you are obese class 2. it will definitely help control your blood pressure and improve your overall health status including kidneys.

Ask Your Own Urology Question
Customer reply replied 2 years ago
if it is truly 78 and ckd2 I could correct it by losing weight and getting bp under control since I am only 34? And move out of ckd2 of that is truly correct?
Urologist: Internist, Dr replied 2 years ago

yes, you can improve and control deterioration further.

some causes of ckd are reversible and some are not.

but in all the cases these measures would help controlling and preventing further decline ( may also improve and get out of ckd )

Ask Your Own Urology Question
Urologist: Internist, Dr replied 2 years ago

http://www.uptodate.com/contents/chronic-kidney-disease-beyond-the-basics

you may find this link helpful.

I am here to help you and I wish you best health,

if done for now, please leave positive rating above the chat box.

we only get credit for helping clients after positive feedback.

If you have any more questions, please feel free to ask anytime.

Please bookmark my profile for asking further questions!

This is the link to my profile:

http://www.justanswer.com/medical/expert-drhashmimd/?rpt=3800

Ask Your Own Urology Question
Customer reply replied 2 years ago
I checked some labs from 4/2014 my gfr was 74 and my creatine was 99.7ml/min. Also my BUN was 13. But also the BUN/creatinine ratio was 13 (with a red range of 15-24) it says it was low. But on my labs from Monday all that was normal. Does that mean somethings wrong with my liver?
Customer reply replied 2 years ago
Here are the labs from 4/2014
Customer reply replied 2 years ago
here are the labs from Monday 11/2015
Urologist: Internist, Dr replied 2 years ago

all labs on april 2014 are within normal limits.

for nov. 2015 all labs are normal range except for estimated GFR and I would not worry about that ,

liver function test alt , ast are in normal limits.

however to clarify more, i would like to see urinalysis and ultrasound of kidneys.

Please click on accept/ positively rate my service to you so i can get credit of my work.

feel free to ask any follow-up questions you have,

thank you

Ask Your Own Urology Question
Customer reply replied 2 years ago
The bin/creatinine is off because my creatine serum is so high on the 4/2014 labs. So that would be kidney not liver since my BUN was I'm normal limits correct?
Urologist: Internist, Dr replied 2 years ago

your creatinine was not so high. (1.0) on april 2014.

your creatinine clearance was 99 which is perfectly normal. ( creatinine clearance is another way of saying GFR)

Ask Your Own Urology Question
Urologist: Internist, Dr replied 2 years ago

I am here to help you and I wish you best health,

if done for now, please leave positive rating above the chat box.

we only get credit for helping clients after positive feedback.

If you have any more questions, please feel free to ask anytime.

Please bookmark my profile for asking further questions!

This is the link to my profile:

http://www.justanswer.com/medical/expert-drhashmimd/?rpt=3800

Thanks for using justanswer.com

Ask Your Own Urology Question
Customer reply replied 2 years ago
But what I am talking about is the bun/creatinine ratio was low. But my bun was normal. If my creatinine would have been a little lower then the ratio would not have been off. I saw where that ratio can be low because of liver failure, malnutrition, and some other things.
Urologist: Internist, Dr replied 2 years ago

ratio can be low due to simply low protein intake, liver failure, etc.

but your liver function tests are normal and you do not need to worry about that

Ask Your Own Urology Question
Urologist: Internist, Dr replied 2 years ago

dear ja customer, you have not accepted my answer yet.

do you have any questions?

Ask Your Own Urology Question
Urologist: Internist, Dr replied 2 years ago

do you have any questions.?

Ask Your Own Urology Question
Ask Internist Your Own Question
Internist
Internist
Internist, Dr
Category: Urology
Satisfied Customers: 1,066
1,066 Satisfied Customers
Experience: MBBS, FCPS (Resident),MD (USA), Ecfmg Certified

Internist is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Dr. Y.

Dr. Y.

Urologist

20,150 satisfied customers

I am fellowship trained specializing in general urology and reconstructive urology.

Dr. Tharun

Dr. Tharun

Urology Resident

1,424 satisfied customers

MBBS, DNB surgery and presently working as Urology resident towards the degree of Urologist.

urologyguru

urologyguru

Urologist MD

1,088 satisfied customers

I am fellowship-trained MD Urologist in active practice. I treat all types of cases from genital, cancer, urinary, stone and incontinence.

Dr Josh

Dr Josh

Physician

255 satisfied customers

General Physician, PGCSD

Ross

Ross

Urologist

62 satisfied customers

urologist

Dr. B

Dr. B

Urologist

62 satisfied customers

Trained in Adult and Pediatric Urology, Fellowship trained in Urologic Oncology.

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

< Previous | Next >

Related Urology Questions
Is it my kidneys? I am urinating often (several times in an
Is it my kidneys? I am urinating often (several times in an hour); my lower back hurts, I have a strange sensation in my arms (hot, burning) when I urinate - I'm on a lot of heart meds and blood thinn… read more
Dr Josh
Dr Josh
Physician
B.A.M.S.
255 satisfied customers
I see foamy urine when I urinate. My urinanalysis test came
Hi I see foamy urine when I urinate. My urinanalysis test came negative. 2 months back RFT was also normal. I have fatty liver Grade 1. Can you please suggest something.… read more
Ross
Ross
Urologist
62 satisfied customers
The patient had a gastric sleeve procedure. The kidneys were
The patient had a gastric sleeve procedure. The kidneys were perfectly fine up until December 13, 2017. 3 days prior to the surgery, the surgeon gave her diuretics to lower her blood pressure. After t… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,305 satisfied customers
I had a routine urinalysis w microscopy. All appear ok but
I had a routine urinalysis w microscopy. All appear ok but the Hb-ur was 2+ and the RBC-ur was 0.2/HRF. What does this mean? … read more
Dr. Chip
Dr. Chip
M.D.
12,985 satisfied customers
Would a routine urinalysis show something strange if you
Would a routine urinalysis show something strange if you have Gonorrhea? … read more
Dr. Chip
Dr. Chip
M.D.
12,985 satisfied customers
My urinalysis showed: Urine Red Blood Cells 25-50 /(hpf).
My urinalysis showed: Urine Red Blood Cells 25-50 /(hpf). … read more
Dr. Chip
Dr. Chip
M.D.
12,985 satisfied customers
I have had blood in the urine twice, Friday a urine test was
i have had blood in the urine twice, Friday a urine test was neg for blood but + for protein and leukocytes but no nitrates, i have a referral for urology on Wednesday -- but i am just retying to figu… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,678 satisfied customers
I have kidney stones, two larger ones in my right kidney.
I have kidney stones, two larger ones in my right kidney. Just have pain once in awhile when they move. A week ago had noticeable blood in my urine, but no pain. Urine is clear now, but in the urine t… read more
Dr. K.
Dr. K.
Staff physician
539 satisfied customers
What causes sporadic blood in the urine of men. Excellent
No I I'm 78, I can still put in fourteen hours a day on construction sites, I'm also a political writer and artist and have been for over fifty year...… read more
Dr. Chip
Dr. Chip
M.D.
12,985 satisfied customers
Urinalysis result: blood small what does it mean. I have
I have Scleroderma crest I am on prednisone and methotrexate I go for blood test every 3 month … read more
Dr. Chip
Dr. Chip
M.D.
12,985 satisfied customers
Urinalysis show urine blood 2+(moderate), urine leukocyte
Urinalysis show urine blood 2+(moderate), urine leukocyte esterase (trace), urine RBC 3-9, urine epithelial cells 1+ (1-3/hpf) - what does this mean?… read more
Dr. Thomas, MD
Dr. Thomas, MD
2,227 satisfied customers
Is the number 30 - 50 red blood cells in the urinalysis test
Is the number 30 - 50 red blood cells in the urinalysis test a high count or in the average range… read more
Dr.Saleem
Dr.Saleem
Consultant Cardiologist
Doctoral Degree
764 satisfied customers
I have had three urinalysis tests that have all come back
I have had three urinalysis tests that have all come back with +1 or +2 WBC count and one culture that came back neg for anything. I have had frequent urination problems and some pelvic discomfort but… read more
Dr. Chip
Dr. Chip
M.D.
12,985 satisfied customers
I have a bladder or kidney infection, I tested my urine this
I have a bladder or kidney infection, I tested my urine this am . I have been very sick and dreadful pain … read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,678 satisfied customers
Had a urinalysis test return with <10,000 colony forming
Had a urinalysis test return with <10,000 colony forming units of bacteria per mm of urine. … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,951 satisfied customers
My urinalysis showed protein 2+, epithelial cells non renal
My urinalysis showed protein 2+, epithelial cells non renal >10, abnormal, mucus threads present. in addition to alkaline phosphatase 217... What does this mean … read more
Dr. Thomas, MD
Dr. Thomas, MD
2,227 satisfied customers
Just had US of kidneys bc of blood in urine. Right one shows
Just had US of kidneys bc of blood in urine. Right one shows a color cluster of red and blue dots. And also shows a circle measuring 1 cm on a different image. Can this be a kidney stone? Or something… read more
DR. EHTISHAM
DR. EHTISHAM
Consultant Physician& Rheumatologist
Doctoral Degree
1,403 satisfied customers
Went to the hospital for suspected kidney stones. Urinalysis
Went to the hospital for suspected kidney stones. Urinalysis came back normal except for a below low normal BUN count. Was sent for a CT without contrast and no stones were found yet still urinating b… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,095 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x