Shud i be concerned with brown looking urine from my 5 yr old girl, who has had recent elevated creatinine level in urine? no diagnosis yet, drs mon

Brown urine: Your child needs to be seen by a pediatric nephrologist as soon as possible. In fact, she may need to be hospitalized to establish a diagnosis through a kidney biopsy.

Brown urine: There are a number of causes of brown urine, that can reflect kidney, liver, blood or muscle disorders that need to be evaluated by medical tests (mostly blood-work, some urine tests). Preliminary tests might include urinalysis, cbc, retic count, cpk, aso titer, c3, c4, cmp, urine protein/creatinine ratio, aso titer, etc. A pediatric nephrologist (kidney specialist) may be appropriate.

Worrisome: I see that the creatinine in the urine was elevated; this is done only when there's serious concern about kidney disease. I also see that kidney imaging has been performed and one is abnormal. If her serum creatinine is high and the urine is brown, she has glomerulonephritis until proved otherwise and this is a medical emergency. You'll need to comply ; hopefully her health can be saved.