Doctor insights on:
Kidney Disease And Low Hematocrit
The kidneys are paired organs that lie on either side of the vertebral column. Part of their critical functions include the excretion of urine and removal of nitrogenous wastes products from the blood. They regulate acid-base, electrolyte, fluid balance and blood pressure. Through hormonal signals, the kidneys control the ...Read more
No: Often c3 complement levels are a nonspecific marker of other possible problems like infection or autoimmune inflammation or lupus perhaps. But if you have normal kidney function otherwise that may not be the case. You might need to have your kidney function looked at more closely to be sure of this with other tests first. ...Read more
How high?: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, it would have been helpful to know the actual creatinine and eGFR values. If these are abnormal if would be prudent to consult a nehprologist so that a treatable entity is not overlooked. ...Read more
My albumin/ creatinine ratio was 0.97 with range of 1.2-2.5. Albumin was 4.0,creatinine level was 0.60 .both low range.could this be kidney disease?
Best to say, a bit.: without an exam, I can only give general information. while low protein diet is recommended, the benefits are mild mainly because most causes of chronic kidney disease (diabetes) we cannot forestall continuing injury. Protein takes kidney effort to get rid of. less kidney effort if lower protein intake. ...Read more
Can we say that if a person has low IONIZED CALCIUM and high INTACT PTH, that person has already kidney disease?
No: Kidney disease diagnosis requires many more criteria. PTH is only one seen in advanced kidney disease. It is raised on other conditions too. ...Read more
Now that my IONIZED CALCIUM is low and my INTACT PTH is high, does it mean or does it confirm that I have kidney disease?
Not diagnostic: Hi. Low ionized calcium and high PTH (a condition called secondary hyperparathyroidism) is in no way diagnostic of kidney disease. Secondary hyperparathyroidism may be seen in kidney disease. Kidney disease is usually diagnosed by an elevated serum creatinine and sometimes by other things like protein or blood in the urine. There are common non-kidney causes of secondary hyperparathyroidism. ...Read more
What's the indicator that a person has kidney disease? Is it low calcium, abnormal Intact PTH, high Creatinine level, or what? Explain.
Several things: Hi. Depending on the type of kidney disease, Several things are possible, but the most general lab test is an increase in serum creatinine. Some kidney diseases can present with normal creatinine and an increase in urinary protein, increase in blood pressure, blood in the urine, etc. Please see a kidney doctor (nephrologist) to be evaluated. They are excellent physiologists and physicians. ...Read more
Yes: It can definitely cause anemia in what we call anemia of inflammation. It is also known as anemia of chronic disease. The kidneys secrete an important hormone called erythopoetin which helps with the production of red blood cells. For this reason, you have anemia of chronic disease. You should definitely have iron studies drawn and see if you are a candidate for medication. ...Read more
Of red blood cell number. Classically this was the "packed cell volume." blood was placed in a microtube and spun in a centrifuge. The rbcs settle to the bottom and one measures the height in the tube and reported as a percentage. Now determined by an automated machine. A typical hct is about 3 ...Read more
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