A member asked:

High bun 63/cr 2.2 with chf patient. can urinary retention cause it? burning in urination and abdominal pain feels better with food. discontinued ssri, can gabapentin cause it? how to detect bladder issues, and is it safe to take uristat in chf/ckd?

13 doctors weighed in across 2 answers
Dr. Julio Bordas answered

Specializes in Family Medicine

Renal Disease: BUN (Blood Urea Nitrogen) and Cr (Creatinine) are blood markers used to measure kidney function. The values presented are indicative of poor kidney function and need further evaluation. Urinary retention is an abnormal finding that can lead to kidney disease. Further workup is needed to determine the cause of retention. You must exert caution with all medications. Do consult with your MD.

Answered 1/19/2017

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Dr. Devon Webster answered

Specializes in Medical Oncology

Worsening CHF.: The labs mean the kidneys aren't seeing enough blood flow. There are two possible causes. 1. Dehydration, or 2. Decreased pumping from the heart. In someone with CHF, the most likely causes are either too much diuresis (peeing from water pills), or not enough diuresis. It can be hard to sort out. Time to see the cardiologist. A urinalysis can help detect bladder issues. I hope that helps!

Answered 6/11/2017

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