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Should we treat high creatinine and low GFR as medical emergency?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My father has a creatinine level of 286 umol/l and a GFR of 19. Should this be treated as a medical emergency? His symptoms are tiredness, loss of appetite, shaky inside (similar to the feeling of anxiety). He has a history of cancer and radiotherapy. GFR has continued to decline from past five months.

Thank you.

Answered by Dr. Anshul Varshney

Education:

MBBS

Professional Bio:

Dr. Anshul Varshney is a highly skilled Critical Care Physician specializing in nephrology, pulmonology, and rheumatology. He is committed to providing advanced, life-saving care to critically ill patients while addressing complex medical conditions affecting the kidneys, lungs, and immune system. His holistic and multidisciplinary approach ensures comprehensive treatment tailored to individual patient needs.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

Yes, this should be treated as a medical emergency and he should be given admission as per my belief. How are his urine output and blood pressure? Any hiccups or vomitings?

Regards.

Patient's Query

Thank you doctor,

His BP is currently normal and the urine output is normal too. However, he does have a water infection but no hiccups or vomiting.

Answered by Dr. Anshul Varshney

Education:

MBBS

Professional Bio:

Dr. Anshul Varshney is a highly skilled Critical Care Physician specializing in nephrology, pulmonology, and rheumatology. He is committed to providing advanced, life-saving care to critically ill patients while addressing complex medical conditions affecting the kidneys, lungs, and immune system. His holistic and multidisciplinary approach ensures comprehensive treatment tailored to individual patient needs.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

All right. In that case, you may go to your nephrologist and discuss about renal replacement therapy as he may require it soon. Emergency admission and dialysis would be required in case a person develops reduce urine output, vomitings, hiccups, altered behavior, seizure and respiratory difficulty.

Thank you.

Medically reviewed by iCliniq medical review team
Published At February 23, 2018
Reviewed At July 17, 2023

Education:

MBBS

Professional Bio:

Dr. Anshul Varshney is a highly skilled Critical Care Physician specializing in nephrology, pulmonology, and rheumatology. He is committed to providing advanced, life-saving care to critically ill patients while addressing complex medical conditions affecting the kidneys, lungs, and immune system. His holistic and multidisciplinary approach ensures comprehensive treatment tailored to individual patient needs.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Anshul Varshney is a highly skilled Critical Care Physician specializing in nephrology, pulmonology, and rheumatology. He is committed to providing advanced, life-saving care to critically ill patients while addressing complex medical conditions affecting the kidneys, lungs, and immune system. His holistic and multidisciplinary approach ensures comprehensive treatment tailored to individual patient needs.

This doctor is not available for online consultations on the platform anymore.

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