Doctor insights on:
Pneumonia And Elevated Bun And Creatinine Levels
Renal insufficiency: The BUN and creatinine should not be elevated due to the pneumonia unless the pneumonia is non-bacterial (autoimmune), or due to group a strep pyogenes strains that induce glomerulnephritis. Generally the BUN and cr will be elevated in febrile patients with infection when they are dehydrated and corrects rapidly with fluid replacement. Also in septic shock there may be acute tubular necrosis. ...Read more
BUN and creatinine: If you have high BUN and creatinine levels, you may be dehydrated or you may have chronic kidney disease. Ask the physician who ordered the blood test for an opinion as to the cause of the high levels in the blood. The physician knows the patient best and can give a more meaningful answer to your question. Good luck. ...Read more
Can high bun/creatinine ratio (53, 2.0) in absence of GI bleeding mean dehydration if sodium and chloride is slightly lower than normal range and potassium is slightly elevated? Patient has diabetes, anemia, chf and on fluid restriction.
33 year old husband has 7.9 uric acid levels in blood. Bun levels and creatinine are normal. Is this uric acid level a concern? What can cause this?
Bun/creatine ratio is 24.was fasting and hydrated. creatine alone is 0.73 just slightly low. have liver disease. why ratio high?
BUN Cr. Ratio: is useful in the differential diagnosis of acute or chronic renal disease. Reduced renal perfusion, e.g., congestive heart failure, or recent onset of urinary tract obstruction will result in an increase in BUN/Creatinine ratio. Increased urea formation also results in an increase in the ratio, e.g., gastrointestinal bleeding, trauma, etc. When there decreased urea in liver disease, ratio is low. ...Read more
2 y.o female has normal bun(8mg/dl)&creatinine(0.23mg/dl) but BUN/creatinine ratio is abnormal at 35. Why is this? Fasting blood glucose is also 134.
Bun and creatinine: Do not worry about ratio of bun/cr. Bun is affected by many factors, hydration status, protein intake, muscle mass, whether on any hormone supplement. In this case, the creatine is quite low which is not necessarily a problem. Glucose can normally be higher in young children, so not a problem. A pediatrician or endocrinologist can tell you more if fasting glucose of 134 in a 2 yr old is a problem? ...Read more
Strong kidneys!: It sounds like your kidneys are working normally. That's what they're supposed to do -- clear metabolic products like creatinine from the blood, dumping it into the urine. The urine level might be especially high if you haven't been drinking lots of fluids lately, i.e. if the urine is relatively concentrated. In any case, this is a good sign, nothing to worry about. ...Read more
Slightly elevated AST and ALT enzymes in blood work. It was ordered for fatigue/muscle weakness. What does this mean?
Maybe "hepatitis": Hepatitis is defined as inflammation of liver cells, as is indicated by elevation in serum transaminases (ast and/or alt). Hepatitis can be caused by a variety of issues (infectious, ischemic, metabolic, toxic, infiltrative, alcohol-related, drugs, etc.). It is impossible to say why your liver tests are elevated without more information. However, your values may rise due to muscle problems too. ...Read more
Isn't it impossible for someone to have end stage renal failure with consistently normal bun and creatine blood levels and only protien in urine?
Most likely yes: The diagnosis depends on multiple factors including the likelihood of improvement with treatment. If there can be no improvement and there is severe protienuria due to glomerular malfunction, it is possible to be labeled end-stage before a significant change in creatinine or BUN has occurred. ...Read more
My 14y/o daughter is type1dm. Her microalbumin w/create ratio is high 36.her creatinine and micro albumin are normal levels.is this something to worry?
Unclear question: I understand that your daughter has type I diabetes and she has protein in her urine. If that is correct, it not an urgent matter, but protein in urine portends kidney disease. It can be moderated by better glucose control and medication. It would be prudent to discuss it with your doctor. ...Read moreSee 1 more doctor answer
Low RBC: If the RBC has only recently come down below prior levels or below the lower limit of normal for the lab, when in combination with elevated biilrubin (especially the 'indirect form' of bilirubin) it can mean the RBC (red blood corpuscles) are being damaged and then they release their bilirubin into the bloodstream. Have this checked soon ...Read more
My micro albumin/ Creatinine urine ratio is high at 40.4. But my micro albumin is 12.0 and my creatinine is 29.7, both low. So is it really "high"?
24hr urine (5000mL) creatinine, protein, and albumin results are high - about double the max normal, but blood is normal. What would cause this?
Proteinuria: With certain kidney pathology there can be heavy amounts of protein lost in the urine due to glomerular pathology but the rest of the kidney function can be good enough so that blood tests for kidney function are still normal. A nephrologist can better explain your status after evaluating you and all your pertinent test results. ...Read more
My daughter has hydronephrosis. High platelet levels, high creatinine and bun levels, white blood cells in her urine. No reflux.Possible kidney disease?
Azotemia: Your daughter needs to be evaluated by both pediatric urologist & pediatric nephrologist. Repeat my previous advice that you need to take her a center which can provide these services and believe that would by ucla or la children's hospital or uc irvine medical center. They should be able to make a diagnosis and optimally advise regarding treatment. My sympathies this is a serious problem. ...Read moreSee 1 more doctor answer
Sick patient: When a patient has ards, thje patient is very sick. Thus other organs can get damaged including the kidney. BUN and creatinine are makers of kidney injury and your doctors are going to monitor its function routinely. The electrolytes are also changing and need to be corrected routinely. ...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
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