What is the appropriate management for very mild kidney dysfunction detected on an MRI scan of the kidneys?

Question

Hello doctor,

I discussed the blood test and kidney MRI results with my doctor. According to him, I have a very mild dysfunction and he suggested monitoring the situation. Now, I want a second opinion regarding the kidney test I had around two weeks ago. Along with this, I am currently taking medication for blood pressure and diabetes. Kindly provide your insight.

Answer 1

Hello,

Welcome back to icliniq.com.

I read your query and understood your concern. I have carefully reviewed the reports you provided (attachments removed to protect the patient's identity). In cases of diabetes, kidney dysfunction can occur when diabetes and blood pressure are not well controlled. I noticed that your glomerular filtration rate (GFR) was around 90 in five years ago, and it has declined to 42 over the past seven years. Given your metabolic issues, there is a higher likelihood of diabetic nephropathy. However, I suggest you to get the other potential causes of kidney dysfunction ruled out. Could you please share the names of the medications you are currently taking? Additionally, I would like to know your urine protein creatinine ratio, as well as your average blood pressure, which could potentially be high most of the time. Are you using any alternative medications? I would also like to know your cholesterol level, history of recurrent urine infections, and whether you have undergone an ultrasound of the kidneys. These factors can also contribute to kidney dysfunction. Regarding your current creatinine level, it falls under mild kidney dysfunction. However, I suggest you undergo investigation for the cause of the sudden rise in creatinine within a few months. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.