15 yrs ago i?

Question

had a severe infection in my kidneys.my doctor has kept me stable for 15yrs.ive been in perfect helth since she has been treating me and controlling my bloodpressure.never felt better.my creatine is at a stedy 2.5 to 2.7 for 15 yrs.my blood comes back fine and i check out good on all my examinations.want to no if the battery of bvloodpressure pills she gives me,and there are four different ones in combination,can cause my creatine to fluctuate.names are to large to list.just want to know if a daily regiment of so many pills can cause this fluctuation a comment will suffice.also is there a way to lower my creatine lveles via diet or safe supplement,being that my damaged kidneys seem to be filtering my blood well except for creatine.i also notice that when my bloodpressure goes high my creatine rises` .when back under control it drops a bit.can controlling bloodpressure contrbute to a better creatin reading

Answer 1

It sounds as if the severe kidney infection you had as left your kidneys chronically impaired - termed "chronic renal insufficiency". In this case, no, there is no good way, through diet or medications, to lower your creatinine after this damage has been done. There are only preventative measures - like controlling blood pressures.

Since the kidneys are largely involved with controlling blood pressure, and people with chronic renal insufficiency often suffer from hypertension, it is very important to control blood pressure to prevent further damage to already damaged kidneys. I am not surprised to hear that you are on four agents to control your blood pressure.

As far as the creatinine fluctuations you refer to, I don't think the blood pressure medications would cause this, and a range of 2.5-2.7 is not too fluctuating. Now one particular class of blood pressure pills, ACE inhibitors (lisinopril, ramipril, other pills that end in "pril"), have been shown to prevent further rises of creatinine in chronic renal insufficiency, and the rest of hypertensive pills themselves will likely not cause worsening renal problems. (There are a few exceptions.)

You state in your question that your kidneys seem to be filtering your blood well except for creatinine. Creatinine is used as a direct measure of how your kidneys are filtering, and a level in the 2.5 range indicates that there is impairment of kidney function, just not enough to cause life-threatening problems - hence why you're not on dialysis.

Answer 2

Blood pressure is harder to control in some people than others. I was sent to a cardiologist for BP because nothing I took made any difference. He has me on four medications, and I asked if he could put me on fewer pills. He said no, because this combination of medications doesn't come in a pill, and that the amount of each medication is small.
Do you drink cranberry juice? I've had a lot of kidney infections, but don't go to a doctor any more, just drink another jug of the nasty stuff. It's easier to get down if you sip it over ice, or cran-raspberry is not bad and seems just as effective.
I think, from Wickipedia, that creatinine levels are used to determine kidney function (blood levels, or serum levels). The blood pressure medicines probably are not affecting kidney function. But I wonder if drinking cranberry juice would give better kidney function, (since is stops urinary tract/kidney infection), so that creatinine levels might fluctuate less?

"Measuring serum creatinine is a simple test and it is the most commonly used indicator of renal function. ....A baseline serum creatinine of 2.0 mg/dL (150 μmol/l) may indicate normal kidney function in a male body builder, a serum creatinine of 0.7 mg/dL (60 μmol/l) can indicate significant renal disease in a frail old woman. More important than absolute creatinine level is the trend of serum creatinine levels over time."

Retrieved from "http://en.wikipedia.org/wiki/Creatinine"

Answer 3

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