A member asked:

Diabetic, cabg 2 yrs ago. current creatinine 4.7 - 5.6. haemoglobin 8.4. how to reduce creatinine? normal urine output. how much water intake is fine?

5 doctors weighed in across 3 answers
Dr. Rebecca Gliksman answered

Specializes in Internal Medicine

Elevated creatinine: Creatinine is high stage 3 or 4 kidney failure .Even with kidney failure can produce urine , just not cleaning toxins out of the body. Diabetes and HTN cause renal failure, keep sugar under control and blood pressure. Avoid salt ,medications like motrin, aleve (naproxen) iburprofen are toxic to the kidney ,metals like in welding are toxic. F/U w/ doc get referral to kidney doc check for stenosis

Answered 6/10/2015

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Dr. David Lipkin answered

Specializes in Internal Medicine

Go vegan: For a patient with CKD and coronary disease on dialysis the most effective thing you can do for your health is to eat a vegan diet(no animal products). This is the only diet that has been shown to slow the progression of CKD, and stop or even reverse, coronary heart disease. See: http://bit.ly/1GJez1r

Answered 6/10/2015

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Difficult : You have a very elevated creatinine with normal around 1. General rule of thumb is that if the creatinine doubles your kidney function drops in half therefore you are at 10 - 15% functioning level. Hopefully you are seeing a nephrologist and if you are not then you must. Your decreased function is mainly due to diabetes and vascular disease. Some medications can make creatinine worse. NSAIDS & ACE

Answered 7/6/2015

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