A member asked:

I'm 51 and take hydrochlorothiazide. my creatinine level is 1.4 and my bun is 20. my bun/creat ratio is 14. should i be concerned about kidney disease?

2 doctors weighed in across 2 answers
Dr. Jerome Zacks answered

Specializes in Cardiology

Pre-renal.: A minimal elevation of ones BUN and/or creatinine often is noted in one taking a diuretic such as hctz (hydrochlorothiazide). It is termed a "pre-renal" abnormality as opposed to renal...Meaning it is due to the medication, not a problem with the kidney. There are other tests of kidney function that need to be checked to determine ones kidney status, such as a urinalysis and other tests when an abnormality is found.

Answered 6/10/2014

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Dr. Irving Harper answered

Specializes in Internal Medicine

Observation: Your bun/creatinine ratio is minimally elevated. The hydrochlorothiazide itself makes you urinate more, this can lead to slight dehydration and the results in the ratio above, make sure you are adequately hydrated and the ratio doesn't increase by rechecking every 3-6 months until it is normal.

Answered 6/25/2016

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