Will preeclampsia during pregnancy lead to potential CKD?

Question

Hello doctor,

I am a 24-year-old female. I had preeclampsia with both pregnancies as well as kidney infections during pregnancy. I have a history of UTI's as well. My creatinine was up to 1.67 in all of my kidney infections. Few months back, I had a partial hysterectomy in which my left ureter was cut and not noticed and I was closed back up.

I returned to the ER six days after my hysterectomy and was taken to emergency surgery because my left kidney was enlarged and not draining. I had a stent placed which remained for six weeks. My creatinine was 1.7. I had bloodwork done after my stent was removed and my creatinine was .9. I had another kidney infection in four months. My blood pressure has been increasing since then and I had to go to the ER because my blood pressure was about 146/121 mmHg.

I am now on blood pressure medication and my blood work shows my creatinine at 1.2. I had a renal scan done that came back normal. Is it possible that I had CKD? Or are there any other explanations for my raised blood pressure, flank pain, and increased creatinine?

I am currently taking Adderall 15mg two times a day, Macrobid after sex, Lisinopril.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

In preeclampsia or eclampsia, patients may present with albuminuria. This may lead to progression to chronic kidney disease. Your urine examination report also shows plenty of RBC (red blood corpuscles).

But don not mention what RBC morphology is in microscopy? In case of renal problems, the morphology is changed. But if morphology is intact means it is a lower urinary tract infection. Also, check for UTI (urinary tract infection) for your husband. There is a chance of repeated urinary tract infection.

Please review the urine culture report if unnecessary raising of serum creatinine may a kidney biopsy. Control your blood pressure, which may lead to proteinuria and renal problems.

Thank you.