Hello doctor,I am a 70 year old male. I am a long-term diabetic patient. My weight is 69 kg. I am suffering from CKD for the past one year. About one year back, my creatinine was 3. Now it has gradually increased to 5.18. It is my doubt. Once increased, will the creatinine level decrease? 10 days back, it was 4.70 now 5.18. I am taking a diet without salt. There are no any symptom that is, leg swelling, breathing problem, etc. I am taking the following medicines: Evion LC 1-0-0, Ketoadd 2-0-2, Nodosis 1-0-1, Nefrosave Forte 1-0-0, Urimax D 0-0-1, Dytor 10 1-1-0 Inj. I want to avoid dialysis. Are the medicines fine? Please advise me.
Hello. Since your creatinine has gradually increased over a period of a year, it will not decrease. In acute settings, like some infection or diarrhea, creatinine will temporarily rise and then comes down. But, in your case, it is a progression of the disease itself. So, it is unlikely to come down significantly. Next thing, a slight increase in creatinine also occurs on initiation of diuretics (Dytor) medicine which will increase your urine output. If your Dytor is initiated recently then it might have caused a slight recent elevation in creatinine. This elevation does not occur due to damage to the kidney but has a different mechanism and there is no need to stop Dytor for it solely. Probably you are not having any symptoms since you are taking Dytor which will prevent edema or fluid accumulation in lungs. So, no shortness of breath. Your medicines are fine. Keep a check on the BP and it should be strictly under control (less than 130/85). Also, avoid unnecessary medicines like pain-killers, Ayurvedic medicines, etc. And, obviously, sugars should be under control. Hope this helps you and get back if you have any doubts. For more information consult an internal medicine physician online -->