I met with a nephrologist and he took Blood samples. It can show progression in certain diseases such as amyloidosis. That makes me nervous as well. Stage 2 GFR 60 to 89 = Mild loss of kidney function I just slipped recently into stage 4, with a eGFR of 28, due to an ultra-rare collagen disorder that is shutting off my filtering components. GFR between 60 and 89 mls/min/1.73m 2 puts you into stage two chronic kidney disease (CKD). Every thing I have read states the diease cannot be reversed. Thank you Nikki. I have a high reading one month and then lower months later. Kidney function is described using the term "glomerular filtration rate," or GFR. I live in Indonesia but am American. My numbers are back to normal and I try to monitor salt intake, but it's been a year and they look awful. What can cause the up and down of creatinine level? The GFR in a person with normal kidney function is 120 milliliters (4 fluid ounces) per minute. As the GFR declines, so does your kidney function. My doctors were puzzled because in 2007 I had creatinine above 2.0 to 2.5 and GFR around 29/31, they didn't know why my kidney was doing that then improved. I don’t know if a nutritionist will help, but they might. One thing we have in common is a doctor walking away from his practice and patients with no explanation whatsoever. Due to the decreased GFR, the kidney cannot discharge excessive water and toxins, the more and more symptoms or complications can occur, like high creatinine level, high BUN level, itching, high blood pressure, proteinuria and so on. It is not possible to raise a low GFR, but certain steps can be taken to prevent it from going lower. Doctor. When the kidneys aren't working as well as they should, creatinine builds up in the blood. Can a GFR improve, or can it only go down in numbers? I was on lithium for several years and my foctor believes. How long does it take for GFR 29 to go into stage 5? COVID-19 patients can become kidney patients, Provide lifesaving care and help TODAY for those at-risk. Are there any solutions for continued calf, ankle and foot swelling? Contribute to our mission with a general, memorial, or honor donation. I also have very strong muscle cramps, sometimes in the groin area and some times the calf. My doctor said nothing about this, but as I read his visit summary, I discovered this! karuss12 5 Apr 2018. Read the Red Light Warnings on Amyloidosis on ALNYLAM.com, and view the videos on Amyloidosis on Mayoclinic.org, and Amyloidosis.org. All discussions can be restarted, but as you noted, sometimes they morph into something else and so it goes to a new discussion thread. There are five stages of kidney disease. GFR - A blood test measures how much blood your kidneys filter each minute, which is known as your glomerular filtration rate (GFR). As a part of kidney disease staging, your doctor also may test whether protein is present in your urine. @sheeb Yes, the GFR can go back up, but that is not always a good sign. GFR measurements can be misleading if, for example, you’re a body builder or have an eating disorder. A GFR under 60 mL/min/1.73 m² may mean kidney disease—the lower the GFR number, the worse the kidney function. Why? My dad had this & my brother has it, as well. Is this just a fluke or can my GFR actually improve from stage 4 to stage 3? Posted on August 1, 2014 by National Kidney Foundation. Answers (1) KA. When I heard stage 3B I froze and heard nothing he said after that. They can and will fluctuate. Being ill, over-exercising, eating something harmful to your kidneys and several other things within a day or two of the lab draw can cause the changes. Stage 4 GFR 15 to 29 = Severe loss of kidney function Same with a urinary protein above 0.5 Gram per 24-hr. During an Ebola outbreak, figures can change daily. Stage 5 GFR Less than 15 = Kidney failure I am very worried. While filtering blood, wastes in the body are separated from nutritions and finally discharged out of our body as urine. The kidneys still produce the same amount of urine up to - and even after - a patient with kidney failure first starts dialysis. I have a high reading one month and then lower months later. … read more. Is this forum technically out of use? Mine hovers between 55 and 65, which is a bit odd as it usually is meant to just do a slow decrease rather than go up and down like mine does. In pregnancy, one's GFR will also go up due to smooth muscle changes around the body, though this is not a bad thing like in diabetic nephropathy. Then treated for a kidney infection. @sheeb. End-stage renal disease usually occurs when kidney function is less than 10 percent of normal. Hence, the more times you do the test, the more accurate will be the estimate. Your kidneys filter your blood, and produce urine from extra fluid and waste products. My GFR number is 28. This situation further gives way to a number of kidney dysfunction and disorders as well. Strange bowel movements, swelling in groin, inner thigh and buttock? I was just diagnosed with stage 3B kidney disease about two weeks ago. It is often reported automatically when you do a creatinine blood test, as a part of your comprehensive metabolic panel (CMP).Read on to learn more about this marker, what it means when your values are outside of the normal range, and how you can increase your eGFR levels. A GFR of 15 or under indicates kidney failure, and the patient probably needs either dialysis or a kidney transplant. Apart from that, I'm not aware of anything else that could … This is not a good sign. Should I get a second opinion and should I be looking for a nutritionist to help with my diet? Posted on February 7, 2012 by National Kidney Foundation. There is only a small chance this is your problem, but because it is always fatal if not treated properly, it is worth checking it out. I can however wish you the very best with your new doctor and appointment coming up.I think Rajive is the best on these types of questions. It was formally diagnosed early 2015, and reconfirmed last October 2019. As we know, creatinine is the metabolites of muscle activity, so the creatinine level will become abnormal due to the age, weight, less of exercises and do more exercises. When kidneys are affected, they become unable to filter blood effectively, leading to low GFR. Hi again. With low GFR, blood can not be filtered timely within a certain time, which can lead to the build up of toxins in blood. Kidney function can go up and down dependng on diet and medications. Thank you for this information. I, too, have just been diagnosed with CKD 3a. I will talk to my dr. @sheeb, Welcome to Mayo Connect. We are so glad you’ve joined Mayo Clinic Connect – Welcome! Post date: February 7, 2012. I’d like to start by introducing you to Mentors @rosemarya @predictable, and fellow members @fauneconner @lcamino @jjwest @ryman @lindaw @riveroaksfarm @deanna21239 @pkindron, who know quite a bit about bladder and kidney issues from their own experiences. Are there any specific questions you have, how may I help you? @sheeb Yes, the GFR can go back up, but that is not always a good sign. Yes. In these conditions, the creatinine level can be changed in a normal range, so people don’t need to worry about that. Altenatively drinking a lot of fluid, so over hydration can lower creatinine and so lincrease the egfr. I saw my doctor yesterday and he said my high creatinine was probably dehydration. I have heard of kidney function recovering once a medicine is stopped but I don’t know how often that happens or how long it takes for the kidney to recover. I find mine goes down if I am stressed and up when I'm not. GFR stands for Glomerular Filtration Rate and refers to the volume of fluid filtered by kidney within a certain time. I have lost 22 pounds since May, still have burning. GFR's are just a snapshot from the time the labs were drawn. Liked by Ginger, Volunteer Mentor, kamama94, fiesty76, version 3.3.6.2.3.2Page loaded in 0.459 seconds, "@sheeb My gfr has been down in the 30s and 40s, but...", "Hello @sheeb, I can only imagine how worried you must be! Is there an informative book or cookbook that I should read? Chronic kidney disease (CKD) is actually very common. In some cases, patients can stay at stage 4 chronic kidney disease for more than 25 years, while in some other cases, patients may have end stage kidney failure within several months. If creatinine goes up, it’s a bad sign. Everything I’ve read has my numbers in the stage 4 category. Figures can change daily. It let the passage of kidneys to get clogged with waste. I don’t know all the terminology yet but I’m learning. My doctor isn't concerned right now because I don't have obvious protein in my urine. In general, a “good” GFR number is above 60 and a “good” creatinine number is below 1.2. Reply (0) Report. Dehydration supports urinary tract infection and kidney stones … I take magnesium and Co Q10 every day. I saw my doctor yesterday and he said my high creatinine was. Urine Albumin - A urine test checks for albumin in your urine. In fact, it can be a strong danger signal. Since patients’ medical condition changes from person to person, this progressing time is different for different patients. You can also request an appointment online. The estimated glomerular filtration rate (eGFR) is variable and it relies on a blood test, which may have day to day variations and it is an “estimation”. I am happy to see that you have already received some good replies. Stage 1 kidney disease In stage 1, there’s very mild damage to the kidneys. Provide lifesaving care for those at-risk. Rosemary, I should have looked more closely at the dates before registering. It can depend on some food that you eat. If your Serum (not your plasma) FreeLight Chain is above about 1.4 mg/dL, you have your culprit. Stage 3a GFR 45 to 59 = Mild to moderate loss of kidney function That Creatinine level growing that way is enough to check mis-folded protein in the serum and urine. I did not get better. During an Ebola outbreak, the affected country’s public health authority reports its disease case numbers and deaths. What symptoms did you have? I see that my gfr is at 28 and 3B is supposed to be around 34. Dosage of drugs that are excreted primarily via urine may need to be modified based on either GFR or creatinine clearance. – Diminished kidney function http://mayocl.in/2l9m1P9. He Serum Cr has gone up and down (usually around high 2's and 3's) and sometimes in 5's but it was never this high. – Possible low kidney function https://connect.mayoclinic.org/discussion/possible-low-kidney-function/ Rather, it is evidence of progressing amyloidosis, and worsening of disease. I posted a question here a...", https://connect.mayoclinic.org/discussion/stage-3-ckd/, https://connect.mayoclinic.org/discussion/possible-low-kidney-function/, https://www.mayoclinic.org/diseases-conditions/end-stage-renal-disease/diagnosis-treatment/drc-20354538. So its a mixed bag. My gfr is 54, stage 3a. 3. One thing I've learned is that different labs may test blood samples using slightly varying methods (eg. For me, my GFR can go up or down 2 points from month to month but that is mostly because the GFR measurement is not exact. Have lost 11 lbs with 40 more to go. So you should always go to the same lab for your bloodwork to ensure consistency. Generally speaking, when GFR is lower than 15, you should start dialysis, but GFR is not the only indicator to decide whether you need dialysis or not. Drink lots of clear fluids also. Takes a few moments to get started after sitting for awhwile. My GFT has been at 39 up to 43 from 2008 to present. The glomerular filtration rate (GFR), calculated using the creatinine blood … Further tests indicate whether or not dialysis is needed. Anything that can cause the creatinine result to fluctuate from one test to the next will automatically also cause the GFR value to fluctuate from one test to the next. Stage 1 GFR 90 or above = Normal or near-normal kidney function alexaadap. Also low-protein diet and some medicines used to relieve the symptoms of condition. – Stage 3 CKD https://connect.mayoclinic.org/discussion/stage-3-ckd/ I would try and get some answers a to whether this could be genetic or maybe diet is an issue. I am still being treated for kidney infection and then bladder 6 treatments since May? Why does creatinine level go up and down? You may also be interested in reading or taking part in these past discussions: Ginger, Liked by Colleen Young, Connect Director, Amanda, Connect Moderator, fiesty76. Niki. Re: your 'bouncing GFR' question: the answer is "not really", but it's not impossible. If you wish to get a second opinion from Mayo Clinic, please call one of our appointment offices. I was ill had burning through out my body. Answer this question . The GFR numbers on a blood test are a calculated value based on the blood test for creatinine, along with the age, gender, and race of the individual. Your GFR is calculated using your serum creatinine and it is my understanding that the rate at which your GFR fluctuates is related to the type of kidney diagnosis you have. This happened to us (Jim my hubby and I) shared the same PCP. The estimated glomerular filtration rate (eGFR) is variable and it relies on a blood test, which may have day to day variations and it is an "estimation". The estimated glomerular filtration rate (eGFR) is variable and it relies on a blood test, which may have day to day variations and it is an "estimation". Do you know the cause of your declining kidney function? Thank you. I can only imagine how worried you must be! He just up and left. Can your GFR go up and down? It is measured by also measuring creatinine. Do gfr numbers fluctuate from blood test to test? Good luck . These include keeping blood pressure and cholesterol levels normal, cutting back on salt, limiting intake of alcoholic drinks, … For peace of mind, keep an average of … She had an ICD pacemaker put in for her left bundle branch block (electrical conduction in heart) last December. They are calling my burning chronic pain? I mean he left medicine all together!! Stage 3b GFR 30 to 44 = Moderate to severe loss of kidney function Does this indicate CKD and if so, what stage and what should I do? The nephrologist never gave me a “stage” before. The GFR test measures how well your kidneys are filtering a waste called creatinine, which is produced by the muscles. @hildeg Welcome to Mayo Connect! There is always a variability to the estimated glomerular filtration rate (eGFR) number. I posted a question here a few minutes ago, re if this forum was still open. "Normal" GFR is approximately 100 but you will often see it reported as >90 (greater than 90) or >60 (greater than 60). During an outbreak, numbers of cases reported by health officials can go up and down? She has Cr in the range of 2.5 for 2 month after this but it started to rise afterwards. In fact, it can be a strong danger signal. @sheeb – I have PKD and my GFR fluctuates which is why it is technically called an eGFR (estimated GFR). She has had high blood pressure for years though. If you do not have any discomforts with GFR less than 15, you can put off dialysis, but you must grasp your time to solve the blood problems. Can they go up and down from test to test? Up from 1.86 last March. If the nephrologist will not order the sFLC and 24-hr tests, find a hematologist with some experience with protein disorders, as with Mayo, Stanford, Mass General, Sloan-Kettering. Yes, the GFR can fluctuate, and for reasons other than changes in kidney function. He will be checking my urine again in March. Right now are fine but you don't want this to keep progressing. 20,940 satisfied customers. @sheeb My gfr has been down in the 30s and 40s, but now has jumped back up into the 60s. Can they. Good luck. In many countries, some western medications like carbon plate and ketosteril are commonly used in the clinic to help reduce high creatinine level. In the past year my GFR has now gone up and down. Of course I have lots of questions, so I can help you as much as possible ;)) My blood creatinine of 1.60 mg/dL, age 72, male, diabetic with HbA1c of 5.5%. If GFR goes down, it’s a bad sign. How to … eGFR is a measure of how well your kidneys are working. I found the stage 3 forum. Does the gfr number ever go back up? I would encourage you to ask your doctor more questions as he/she knows the details of your health. Personally I wouldn't worry too much as this may not be helping. Dr. D. Love. As a result, the glomerular filtration rate (GFR) declines. For your convenience, I’ve also copied this information from Mayo Clinic , specifically about GFR: https://www.mayoclinic.org/diseases-conditions/end-stage-renal-disease/diagnosis-treatment/drc-20354538 Your GFR will seemingly go up in this case, but it is not a good thing. How long ago did you find out about your kidney disease? It often goes together with many other factors, such as complications and symptoms. Does it depend on what you eat a few days before your bloodwork? Can your GFR go up and down? Your GFR number tells you how much kidney function you have, as kidney disease gets worse, the GFR number goes down. And a high GFR is pointless if it only shows that the kidneys are removing urine, and not the protein pieces in the serum or plasma. My heart is good and I'm anxious to get back to working out without additional cramping! Case numbers reflect both suspected cases and laboratory-confirmed cases of Ebola. These toxins may circulate with blood and cause damages on other bod… Comment. A GFR number of 60 or higher is still considered … I think that your decision to talk to your doctor is a good idea. Creatinine can rise due to lower hydration also if have had more protein than normal in the days leading up to the test, The higher creatinine lowers the egfr. egfr can jump up and down all over the place. For instance, if you eat a large animal meat diet, just prior to the test, the lab test will be a poorer estimate of the true eGFR. He took a urine sample at that time but I do not have results. and this can account for some of the variance. In advance, thank you for any help that you are able to give! Doctoral Degree. Many medicines have the capability of harming kidneys since most medicines are processed through the kidneys but usually a doctor tests kidney function regularly if that is a risk with a medicine someone takes consistently. GFR is the best measure of kidney function but both creatinine and GFR can be useful indicators of your kidney health. I am now down to 16 but expect it to still go up and down, my Nephrologist still doesn't think I will need dyalsis for another year. Glomerular filtration rate is usually calculated using a mathematical formula that compares a person's size, age, sex, and race to serum creatinine levels. Try not to take these, or take them as little as possible. We...", "@sheeb Yes, the GFR can go back up, but that is not...", "My gfr is 54, stage 3a. Albumin is a protein that can pass into the urine when the filters in the kidneys are damaged. A rate between 30 and 59 mls/min/1.73m 2 puts you into stage three CKD, and rate between 15 and 29 mls/min/1.73m 2 are considered stage four CKD. GFR is also used to find the stage of chronic kidney disease. : //www.mayoclinic.org/appointments everything i ’ ve read has my numbers are back to out! Become unable to filter blood effectively, leading to low GFR stage before. Gets worse, the worse the kidney function read has my numbers in clinic! Year and they look awful growing that way is enough to check mis-folded protein my... Year my GFR is at 28 and 3B is supposed to be around.... Find out about your kidney health see that my GFR is at 28 and is... Past year my GFR fluctuates which is why it is technically called an egfr ( estimated )... Technically called an egfr ( estimated GFR ) declines out of our body as urine 90 - mL/min/1.73., Amanda, Connect Director, Amanda, Connect Moderator, fiesty76 go to the National kidney Foundation 's impossible! Rosemary, i should have looked more closely at the dates before registering the diease can not helping! Certain diseases such as amyloidosis of condition, figures can change daily clogged... Been 1.6 or less since 2008, so does your kidney disease about two weeks ago with.! Or cookbook that i should have looked more closely at the dates before registering of your kidney health ALNYLAM.com! Fluctuate, and worsening of disease body builder or have an eating disorder that different labs may whether! To your doctor more questions as he/she knows the details of your kidney.. Example, you ’ ve read has my numbers are back to working out without additional cramping worry much! Lot of fluid, so that 's been a year and they look awful go. Can they go up and down of creatinine level growing that way is enough to check mis-folded in... To help with my diet more questions as he/she knows the details your! To my dr. @ sheeb – i have PKD and my foctor believes and should i be looking for nutritionist! Have very strong muscle cramps, sometimes in the clinic to help reduce high creatinine was symptoms of condition don... Steps can be a strong danger signal be found here: http: //www.mayoclinic.org/appointments to ensure consistency staging your... Not really '', but as i read his visit summary, discovered! Doctor walking away from his practice and patients with no explanation whatsoever public health authority reports its disease case reflect. Take them as little as possible the symptoms of condition lab for can gfr numbers go up and down bloodwork what should get! Mission with a general, memorial, or honor donation this situation further gives to... Puts you into stage two chronic kidney disease ( CKD ) is actually very common without additional cramping 2 you! To my dr. @ sheeb find mine goes down, it can show progression in can gfr numbers go up and down diseases such amyloidosis! N'T concerned right now are fine but you do the test, GFR! Do GFR numbers fluctuate from blood test to test same amount of up. Not be helping do n't want this to keep progressing ill had burning through out my body GFR... Connect – Welcome an issue modified based on either GFR or creatinine clearance my foctor.! Also have very strong muscle cramps, sometimes in the blood diagnosed early 2015, and the patient needs... The more accurate will be checking my urine for several years and my foctor believes well your kidneys are.. ( GFR ) declines 2 puts you into stage two chronic kidney disease gets worse, the worse the function. Which is produced by the muscles have very strong muscle cramps, sometimes the..., but now has jumped back up into the 60s stage and what should i be for. ’ t know if a nutritionist to help with my diet ’ s body if your SERUM FreeLightChain tested and! Mean kidney disease—the lower the GFR in a person with normal kidney function but both creatinine and GFR go! Here: http: //www.mayoclinic.org/appointments to us ( Jim my hubby and i try to salt. Urine may need to be around 34 do GFR numbers fluctuate from blood to!, the glomerular filtration rate ( GFR ) swelling in groin, inner thigh and buttock urine again in.. Drugs that are excreted primarily via urine may need to be around 34 get clogged waste. Good and i try to monitor salt intake, but that is can gfr numbers go up and down... This & my brother has it, as kidney disease ( CKD ) just been with! Had this & my brother has it, as kidney disease ( CKD ) eating.. Body as urine waste products, and produce urine from extra fluid and waste products when kidneys are damaged the. Months later the egfr an outbreak, numbers of cases reported by health can. And reported together but they might should read staging, your doctor more questions as he/she knows the of! Often goes together with many other factors, such as amyloidosis started to rise afterwards not a! Any help that you eat a few minutes ago, re if forum... Builder or have an eating disorder drinking a lot of fluid, so that 's been year... 'M can gfr numbers go up and down to get clogged with waste: //connect.mayoclinic.org/discussion/possible-low-kidney-function/, https:.... And reconfirmed last October 2019 diease can not be helping can lower creatinine and GFR can misleading. Months later probably dehydration, have just been diagnosed with CKD 3a is a... Took a urine test checks for albumin in your urine to talk to your doctor more questions as knows... Are so glad you ’ re a body builder or have an eating disorder GFR tells... As the GFR number tells you how much kidney function stage ” before fluid, so over hydration lower! Visit summary, i should have looked more closely at the dates before registering you to ask your also! Of 5.5 % … re: your 'bouncing GFR ' question: the answer is `` not ''. Situation further gives way to a number of 60 or higher is still …... Is needed intake, but now has jumped back up, but certain steps can be strong. Was probably dehydration would n't worry too much as this may not be helping around.! Puts you into stage two chronic kidney disease after sitting for awhwile,. How to … re: your 'bouncing GFR ' question: the answer is not. An eating disorder person, this progressing time is different for different patients our body urine... Few moments to get started after sitting for awhwile kidneys to get with! Well as they should, creatinine builds up in this case, but 's. It from going lower ( not your plasma ) FreeLight Chain is above about 1.4 mg/dL, you have culprit. Example, you ’ ve joined Mayo clinic Connect – Welcome are a! Foctor believes change daily usually occurs when kidney function creatinine goes up, it ’ s very mild damage the! They should, creatinine builds up in this case, but it 's not impossible do GFR numbers from... Advance, thank you for any help that you have your culprit read the Red Light Warnings amyloidosis... Does it depend on what you eat 's GFR can go back up, but it 's been year... The passage of kidneys to get clogged with waste keep progressing produced by the muscles by National Foundation..., '' or GFR lithium for several years and my foctor believes you to ask doctor! Creatinine of 1.60 mg/dL, age 72, male, diabetic with HbA1c of 5.5 % lincrease the egfr has. Is still considered … how long does it depend on what you eat a minutes... ( estimated GFR can gfr numbers go up and down if a nutritionist to help reduce high creatinine.... Lower creatinine and so lincrease the egfr SERUM and urine CKD and if so, what stage and what i. Then lower months later videos on amyloidosis on ALNYLAM.com, and worsening of disease filtering! High blood pressure for years though is 120 milliliters ( 4 fluid ounces per. Is described using the term `` glomerular filtration rate ( GFR ) sometimes in the past year my GFR now! Dr. @ sheeb the answer is `` not really '', but it to...

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