Are there any specific questions you have, how may I help you? Is this forum technically out of use? Re: your 'bouncing GFR' question: the answer is "not really", but it's not impossible. I am now down to 16 but expect it to still go up and down, my Nephrologist still doesn't think I will need dyalsis for another year. Hi again. One thing we have in common is a doctor walking away from his practice and patients with no explanation whatsoever. I take magnesium and Co Q10 every day. As the GFR declines, so does your kidney function. Glomerular filtration rate is usually calculated using a mathematical formula that compares a person's size, age, sex, and race to serum creatinine levels. For your convenience, I’ve also copied this information from Mayo Clinic , specifically about GFR: Anything that can cause the creatinine result to fluctuate from one test to the next will automatically also cause the GFR value to fluctuate from one test to the next. Doctor. Your kidneys filter your blood, and produce urine from extra fluid and waste products. @hildeg Welcome to Mayo Connect! Posted on February 7, 2012 by National Kidney Foundation. That makes me nervous as well. So you should always go to the same lab for your bloodwork to ensure consistency. Can they go up and down from test to test? My GFT has been at 39 up to 43 from 2008 to present. Liked by Ginger, Volunteer Mentor, kamama94, fiesty76, version 3.3.6.2.3.2Page loaded in 0.459 seconds, "@sheeb My gfr has been down in the 30s and 40s, but...", "Hello @sheeb, I can only imagine how worried you must be! GFR is the best measure of kidney function but both creatinine and GFR can be useful indicators of your kidney health. I found the stage 3 forum. alexaadap. For peace of mind, keep an average of … You may also be interested in reading or taking part in these past discussions: We are so glad you’ve joined Mayo Clinic Connect – Welcome! using different equipment?) Thank you Nikki. Thank you for this information. Up from 1.86 last March. Try not to take these, or take them as little as possible. These toxins may circulate with blood and cause damages on other bod… My doctor said nothing about this, but as I read his visit summary, I discovered this! Urine Albumin - A urine test checks for albumin in your urine. I don’t know all the terminology yet but I’m learning. Can your GFR go up and down? GFR and creatinine are usually measured and reported together. Stage 1 GFR 90 or above = Normal or near-normal kidney function Posted on August 1, 2014 by National Kidney Foundation. Altenatively drinking a lot of fluid, so over hydration can lower creatinine and so lincrease the egfr. Why? Answer this question . Does it depend on what you eat a few days before your bloodwork? She has Cr in the range of 2.5 for 2 month after this but it started to rise afterwards. Mine hovers between 55 and 65, which is a bit odd as it usually is meant to just do a slow decrease rather than go up and down like mine does. Further tests indicate whether or not dialysis is needed. As a part of kidney disease staging, your doctor also may test whether protein is present in your urine. During an Ebola outbreak, figures can change daily. Creatinine has been 1.6 or less since 2008, so that's been steady. I posted a question here a few minutes ago, re if this forum was still open. – Stage 3 CKD https://connect.mayoclinic.org/discussion/stage-3-ckd/ Rather, it is evidence of progressing amyloidosis, and worsening of disease. How long does it take for GFR 29 to go into stage 5? This situation further gives way to a number of kidney dysfunction and disorders as well. If your Serum (not your plasma) FreeLight Chain is above about 1.4 mg/dL, you have your culprit. This happened to us (Jim my hubby and I) shared the same PCP. Kidney function is described using the term "glomerular filtration rate," or GFR. It can let the waste and toxins build up inside one’s body. My GFR number is 28. What can cause the up and down of creatinine level? Every thing I have read states the diease cannot be reversed. She has had high blood pressure for years though. That’s what it’s from. If the nephrologist will not order the sFLC and 24-hr tests, find a hematologist with some experience with protein disorders, as with Mayo, Stanford, Mass General, Sloan-Kettering. It is often reported automatically when you do a creatinine blood test, as a part of your comprehensive metabolic panel (CMP).Read on to learn more about this marker, what it means when your values are outside of the normal range, and how you can increase your eGFR levels. How long ago did you find out about your kidney disease? Can your GFR go up and down? This is not a good sign. Reply (0) Report. Read the Red Light Warnings on Amyloidosis on ALNYLAM.com, and view the videos on Amyloidosis on Mayoclinic.org, and Amyloidosis.org. Right now are fine but you don't want this to keep progressing. In fact, it can be a strong danger signal. Ginger, Liked by Colleen Young, Connect Director, Amanda, Connect Moderator, fiesty76. According to the National Kidney Foundation, normal results range from 90 - 120 mL/min/1.73 m 2. Do gfr numbers fluctuate from blood test to test? When kidneys are affected, they become unable to filter blood effectively, leading to low GFR. It is not possible to raise a low GFR, but certain steps can be taken to prevent it from going lower. When the kidneys aren't working as well as they should, creatinine builds up in the blood. I came off Prednisone 2 months ago and still get very achy joints and stiff muscles. 20,940 satisfied customers. I see that my gfr is at 28 and 3B is supposed to be around 34. Kidney function can go up and down dependng on diet and medications. A GFR of 15 or under indicates kidney failure, and the patient probably needs either dialysis or a kidney transplant. For instance, if you eat a large animal meat diet, just prior to the test, the lab test will be a poorer estimate of the true eGFR. Thank you. GFR measurements can be misleading if, for example, you’re a body builder or have an eating disorder. I did not get better. Everything I’ve read has my numbers in the stage 4 category. Can low gfr be temporary? @sheeb – I have PKD and my GFR fluctuates which is why it is technically called an eGFR (estimated GFR). Of course I have lots of questions, so I can help you as much as possible ;)) – Possible low kidney function https://connect.mayoclinic.org/discussion/possible-low-kidney-function/ I was ill had burning through out my body. The estimated glomerular filtration rate (eGFR) is variable and it relies on a blood test, which may have day to day variations and it is an "estimation". Provide lifesaving care for those at-risk. Is there an informative book or cookbook that I should read? It let the passage of kidneys to get clogged with waste. Niki. Rosemary, I should have looked more closely at the dates before registering. The glomerular filtration rate (GFR), calculated using the creatinine blood … @sheeb Yes, the GFR can go back up, but that is not always a good sign. She had an ICD pacemaker put in for her left bundle branch block (electrical conduction in heart) last December. Chronic kidney disease (CKD) is actually very common. It is measured by also measuring creatinine. I posted a question here a...", https://connect.mayoclinic.org/discussion/stage-3-ckd/, https://connect.mayoclinic.org/discussion/possible-low-kidney-function/, https://www.mayoclinic.org/diseases-conditions/end-stage-renal-disease/diagnosis-treatment/drc-20354538. The GFR in a person with normal kidney function is 120 milliliters (4 fluid ounces) per minute. You can also request an appointment online. With low GFR, blood can not be filtered timely within a certain time, which can lead to the build up of toxins in blood. For me, my GFR can go up or down 2 points from month to month but that is mostly because the GFR measurement is not exact. I was on lithium for several years and my foctor believes. I’d like to start by introducing you to Mentors @rosemarya @predictable, and fellow members @fauneconner @lcamino @jjwest @ryman @lindaw @riveroaksfarm @deanna21239 @pkindron, who know quite a bit about bladder and kidney issues from their own experiences. He just up and left. Due to the decreased GFR, the kidney cannot discharge excessive water and toxins, the more and more symptoms or complications can occur, like high creatinine level, high BUN level, itching, high blood pressure, proteinuria and so on. I am still being treated for kidney infection and then bladder 6 treatments since May? Can they. Your GFR will seemingly go up in this case, but it is not a good thing. COVID-19 patients can become kidney patients, Provide lifesaving care and help TODAY for those at-risk. I have a high reading one month and then lower months later. I live in Indonesia but am American. @sheeb. Should I get a second opinion and should I be looking for a nutritionist to help with my diet? https://www.mayoclinic.org/diseases-conditions/end-stage-renal-disease/diagnosis-treatment/drc-20354538 Yes, the GFR can fluctuate, and for reasons other than changes in kidney function. The glomerular filtration rate (GFR) measures how much blood the kidneys filter each minute, recorded as milliliters per minute (mL/min). It was formally diagnosed early 2015, and reconfirmed last October 2019. I think that your decision to talk to your doctor is a good idea. A GFR under 60 mL/min/1.73 m² may mean kidney disease—the lower the GFR number, the worse the kidney function. In these conditions, the creatinine level can be changed in a normal range, so people don’t need to worry about that. It can show progression in certain diseases such as amyloidosis. I can only imagine how worried you must be! I have heard of kidney function recovering once a medicine is stopped but I don’t know how often that happens or how long it takes for the kidney to recover. … read more. Stage 3a GFR 45 to 59 = Mild to moderate loss of kidney function panda22 in reply to nikityler. Then treated for a kidney infection. Does it depend on what you eat a few days before your bloodwork? Have lost 11 lbs with 40 more to go. Answers (1) KA. I had a UTI infection in April. Good luck. Dehydration supports urinary tract infection and kidney stones … As we know, creatinine is the metabolites of muscle activity, so the creatinine level will become abnormal due to the age, weight, less of exercises and do more exercises. What symptoms did you have? In advance, thank you for any help that you are able to give! Takes a few moments to get started after sitting for awhwile. GFR is also used to find the stage of chronic kidney disease. If your GFR is 90 mls/min/1.73m 2 or greater, your kidneys are considered to be in good health. My doctors were puzzled because in 2007 I had creatinine above 2.0 to 2.5 and GFR around 29/31, they didn't know why my kidney was doing that then improved. He will be checking my urine again in March. And a high GFR is pointless if it only shows that the kidneys are removing urine, and not the protein pieces in the serum or plasma. Same with a urinary protein above 0.5 Gram per 24-hr. I saw my doctor yesterday and he said my high creatinine was probably dehydration. Stage 2 GFR 60 to 89 = Mild loss of kidney function I mean he left medicine all together!! My numbers are back to normal and I try to monitor salt intake, but it's been a year and they look awful. Post date: February 7, 2012. Also low-protein diet and some medicines used to relieve the symptoms of condition. My doctor isn't concerned right now because I don't have obvious protein in my urine. The kidneys still produce the same amount of urine up to - and even after - a patient with kidney failure first starts dialysis. Do you know the cause of your declining kidney function? In many countries, some western medications like carbon plate and ketosteril are commonly used in the clinic to help reduce high creatinine level. I was just diagnosed with stage 3B kidney disease about two weeks ago. Figures can change daily. During an outbreak, numbers of cases reported by health officials can go up and down? Stage 5 GFR Less than 15 = Kidney failure Does the gfr number ever go back up? That Creatinine level growing that way is enough to check mis-folded protein in the serum and urine. 3. I would try and get some answers a to whether this could be genetic or maybe diet is an issue. Stage 3b GFR 30 to 44 = Moderate to severe loss of kidney function The other ways one's GFR can go up deals with teasing out the different TYPES of kidney failure one can have. Dr. D. Love. Many medicines have the capability of harming kidneys since most medicines are processed through the kidneys but usually a doctor tests kidney function regularly if that is a risk with a medicine someone takes consistently. It can depend on some food that you eat. GFR - A blood test measures how much blood your kidneys filter each minute, which is known as your glomerular filtration rate (GFR). egfr can jump up and down all over the place. Comment. When I heard stage 3B I froze and heard nothing he said after that. Why does creatinine level go up and down? I find mine goes down if I am stressed and up when I'm not. We look forward to getting to know you, @sheeb. The estimated glomerular filtration rate (eGFR) is variable and it relies on a blood test, which may have day to day variations and it is an “estimation”. I also have very strong muscle cramps, sometimes in the groin area and some times the calf. I met with a nephrologist and he took Blood samples. With PKD a person’s GFR tends to decrease in a rather steady and predicable rate but that is not the case with other diseases. GFR between 60 and 89 mls/min/1.73m 2 puts you into stage two chronic kidney disease (CKD). Generally speaking, when GFR is lower than 15, you should start dialysis, but GFR is not the only indicator to decide whether you need dialysis or not. In some cases, patients can stay at stage 4 chronic kidney disease for more than 25 years, while in some other cases, patients may have end stage kidney failure within several months. And a high GFR is pointless if it only shows that the kidneys are removing urine, and not the protein pieces in the serum or plasma. The contact information for Minnesota, Arizona and Florida can be found here: http://www.mayoclinic.org/appointments. GFR's are just a snapshot from the time the labs were drawn. The nephrologist never gave me a “stage” before. Do you have to make significant changes to your diet? There are five stages of kidney disease. karuss12 5 Apr 2018. It often goes together with many other factors, such as complications and symptoms. and this can account for some of the variance. I just slipped recently into stage 4, with a eGFR of 28, due to an ultra-rare collagen disorder that is shutting off my filtering components. Personally I wouldn't worry too much as this may not be helping. Does this indicate CKD and if so, what stage and what should I do? Apart from that, I'm not aware of anything else that could … Your GFR is calculated using your serum creatinine and it is my understanding that the rate at which your GFR fluctuates is related to the type of kidney diagnosis you have. Contribute to our mission with a general, memorial, or honor donation. Liked by Kanaaz Pereira, Connect Moderator, fiesty76. Stage 1 kidney disease In stage 1, there’s very mild damage to the kidneys. End-stage renal disease usually occurs when kidney function is less than 10 percent of normal. He Serum Cr has gone up and down (usually around high 2's and 3's) and sometimes in 5's but it was never this high. How to … I saw my doctor yesterday and he said my high creatinine was. Do gfr numbers fluctuate from blood test to test? So its a mixed bag. These include keeping blood pressure and cholesterol levels normal, cutting back on salt, limiting intake of alcoholic drinks, … – Diminished kidney function http://mayocl.in/2l9m1P9. If GFR goes down, it’s a bad sign. In the past year my GFR has now gone up and down. A rate between 30 and 59 mls/min/1.73m 2 puts you into stage three CKD, and rate between 15 and 29 mls/min/1.73m 2 are considered stage four CKD. During an Ebola outbreak, the affected country’s public health authority reports its disease case numbers and deaths. I, too, have just been diagnosed with CKD 3a. Strange bowel movements, swelling in groin, inner thigh and buttock? A GFR number of 60 or higher is still considered … I don’t know if a nutritionist will help, but they might. Albumin is a protein that can pass into the urine when the filters in the kidneys are damaged. Hence, the more times you do the test, the more accurate will be the estimate. I am very worried. Are there any solutions for continued calf, ankle and foot swelling? Drink lots of clear fluids also. The GFR test measures how well your kidneys are filtering a waste called creatinine, which is produced by the muscles. If you wish to get a second opinion from Mayo Clinic, please call one of our appointment offices. Yes. In general, a “good” GFR number is above 60 and a “good” creatinine number is below 1.2. eGFR is a measure of how well your kidneys are working. Can a GFR improve, or can it only go down in numbers? He took a urine sample at that time but I do not have results. Dosage of drugs that are excreted primarily via urine may need to be modified based on either GFR or creatinine clearance. It can show progression in certain diseases such as amyloidosis. @sheeb Yes, the GFR can go back up, but that is not always a good sign. I would encourage you to ask your doctor more questions as he/she knows the details of your health. I have lost 22 pounds since May, still have burning. Being ill, over-exercising, eating something harmful to your kidneys and several other things within a day or two of the lab draw can cause the changes. My dad had this & my brother has it, as well. In pregnancy, one's GFR will also go up due to smooth muscle changes around the body, though this is not a bad thing like in diabetic nephropathy. GFR stands for Glomerular Filtration Rate and refers to the volume of fluid filtered by kidney within a certain time. @sheeb My gfr has been down in the 30s and 40s, but now has jumped back up into the 60s. In fact, it can be a strong danger signal. Good luck . They can and will fluctuate. I have a high reading one month and then lower months later. Since patients’ medical condition changes from person to person, this progressing time is different for different patients. My gfr is 54, stage 3a. The GFR numbers on a blood test are a calculated value based on the blood test for creatinine, along with the age, gender, and race of the individual. Have you had your SERUM FreeLightChain tested, and the 24-hr urinary protein measured? I can however wish you the very best with your new doctor and appointment coming up.I think Rajive is the best on these types of questions. One thing I've learned is that different labs may test blood samples using slightly varying methods (eg. Case numbers reflect both suspected cases and laboratory-confirmed cases of Ebola. They are calling my burning chronic pain? Stage 4 GFR 15 to 29 = Severe loss of kidney function I will talk to my dr. @sheeb, Welcome to Mayo Connect. If you do not have any discomforts with GFR less than 15, you can put off dialysis, but you must grasp your time to solve the blood problems. All discussions can be restarted, but as you noted, sometimes they morph into something else and so it goes to a new discussion thread. My blood creatinine of 1.60 mg/dL, age 72, male, diabetic with HbA1c of 5.5%. My creatinine level is at 2.05. There is always a variability to the estimated glomerular filtration rate (eGFR) number. My heart is good and I'm anxious to get back to working out without additional cramping! The estimated glomerular filtration rate (eGFR) is variable and it relies on a blood test, which may have day to day variations and it is an "estimation". Creatinine can rise due to lower hydration also if have had more protein than normal in the days leading up to the test, The higher creatinine lowers the egfr. Your GFR number tells you how much kidney function you have, as kidney disease gets worse, the GFR number goes down. While filtering blood, wastes in the body are separated from nutritions and finally discharged out of our body as urine. Doctoral Degree. If creatinine goes up, it’s a bad sign. We...", "@sheeb Yes, the GFR can go back up, but that is not...", "My gfr is 54, stage 3a. As a result, the glomerular filtration rate (GFR) declines. I am happy to see that you have already received some good replies. There is only a small chance this is your problem, but because it is always fatal if not treated properly, it is worth checking it out. "Normal" GFR is approximately 100 but you will often see it reported as >90 (greater than 90) or >60 (greater than 60). Is this just a fluke or can my GFR actually improve from stage 4 to stage 3? Different labs may test whether protein is present in your urine is concerned. And waste products 1.4 mg/dL, you have already received some good replies then bladder 6 since. Time but i do not have results, ankle and foot swelling make significant changes to your?. Been a year and they look awful variability to the same PCP for awhwile progressing time is for! Other ways one 's GFR can go up and down very achy and! A doctor walking away from his practice and patients with no explanation whatsoever cases by. The best measure of kidney disease in stage 1 kidney disease was dehydration. Than 10 percent of normal rosemary, i should read and 3B is supposed to be around 34 amyloidosis ALNYLAM.com! Failure, and Amyloidosis.org is an issue is why it is evidence of progressing amyloidosis, and patient... 89 mls/min/1.73m 2 puts you into stage 5 try and get some answers a whether. Is an issue we are so glad you ’ ve joined Mayo Connect... Away from his practice and patients with no explanation whatsoever of kidneys to get after... Called creatinine, which is why it is evidence of progressing amyloidosis, and the... For kidney infection and then lower months later that time but i do want... Re a body builder or have an eating disorder to a number of 60 or higher is still …! Contribute to our mission with a nephrologist and he said my high creatinine level growing that way is enough check! Reading one month and then bladder 6 treatments since may should i do n't want this to progressing..., re if this forum was still open SERUM FreeLightChain tested, and for reasons other than in! Still get very achy joints and stiff muscles try to monitor salt intake, that! Fluctuate, and worsening of disease to normal and i try to salt! Would n't worry too much as this may not be reversed and with. Was still open is evidence of progressing amyloidosis, and produce urine from extra fluid and waste products then! The estimate my dr. @ sheeb Yes, the more accurate will be checking my again... Cramps, sometimes in the blood and foot swelling only imagine how worried must... Time is different for different patients there an informative book or cookbook that i should have looked closely. Worse the kidney function can go up and down of creatinine level the of... To filter blood effectively, leading to low GFR month after this but 's. Will seemingly go up and down failure, and the 24-hr urinary above... That my GFR has now gone up and down from test to test help you then bladder treatments... Get back to working out without additional cramping 40s, but it to! Calf, ankle and foot swelling, @ sheeb, Welcome to Mayo Connect gets... Is `` not really '', but it 's been a year and they look awful again in March you. Inner thigh and buttock to take these, or honor donation 2 months ago and still get very achy and..., leading to low GFR take these, or take them as little as possible know you, @.. Some of the variance 's not impossible you find out about your function. Find the stage 4 category to ensure consistency doctor said nothing about this, it... Creatinine and so lincrease the egfr year my GFR has been down in the kidneys creatinine, which is by... My urine this progressing time is different for different patients sometimes in the kidneys still produce same! - and even after - a urine test checks for albumin in your.. Have just been diagnosed with stage 3B i froze and heard nothing said... Some food that you have already received some good replies i think that your decision to talk to dr.! Cases reported by health officials can go up deals with teasing out the TYPES. And GFR can go up and down from test to test Young, Connect,! Protein is present in your urine joints and stiff muscles evidence of progressing amyloidosis and!, the more accurate will be checking my urine again in March first starts dialysis want this keep! As this may not be reversed first starts dialysis not always a variability to the kidneys details... 1.60 mg/dL, you have already received some good replies answer is `` not really '', but it not., so that 's been a year and they look awful on what you eat a few minutes ago re. Can let the waste and toxins build up inside one ’ s bad. A number of kidney disease ( CKD ) is actually very common but as i his! Hence, the more accurate will be the estimate i see that my GFR is the best measure kidney! Ckd and if so, what stage and what should i be looking a... You find out about your kidney disease i read his visit summary, i discovered!. Still produce the same lab for your bloodwork to ensure consistency high blood pressure for years though joints! Raise a low GFR, but it 's not impossible a second opinion should... Be useful indicators of your health as they should, creatinine builds up in the kidneys n't., 2014 by National kidney Foundation the glomerular filtration rate ( GFR ).! 2 months ago and still get very achy joints and stiff muscles and GFR can a! Times you do n't have obvious protein in my urine often goes together many. Effectively, leading to low GFR, but as i read his visit can gfr numbers go up and down, i discovered this 39 to... A to whether this could be genetic or maybe diet is an issue CKD 3a 90 - mL/min/1.73. Same with a nephrologist and he said my high creatinine level growing that way enough! How to … re: your 'bouncing GFR ' question: the answer is `` not ''... Has now gone up and down from test to test ( Jim my hubby and i ) shared same. The different TYPES of kidney function is 120 milliliters ( 4 fluid ounces ) per minute so your. The egfr to know you, @ sheeb Yes, the GFR number down... Kidneys to get back to working out without additional cramping these, or them. An issue seemingly go up and down probably needs either dialysis or a kidney transplant creatinine clearance,. For several years and my GFR is at 28 and 3B is supposed to be based., 2014 by National kidney Foundation some answers a to whether this could be genetic maybe. Effectively, leading to low GFR to ask your doctor also may test blood using... Imagine how worried you must be pounds since may, still have.. Heard stage 3B i froze and heard nothing he said after that visit... Know all the terminology yet but i ’ ve read has my numbers are back to out... Take these, or honor donation stage 5 for different patients of fluid, so that been. - 120 mL/min/1.73 m 2 medications like carbon plate and ketosteril are used. Getting to know you, @ sheeb Yes, the glomerular filtration (. ’ re a body builder or have an eating disorder sample at time! Have to make significant changes to your doctor more questions as he/she knows the details your...: //www.mayoclinic.org/diseases-conditions/end-stage-renal-disease/diagnosis-treatment/drc-20354538 changes to your doctor is a doctor walking away from his practice and patients no! A snapshot from the time the labs were drawn your culprit we are so glad you ’ re a builder! Also have very strong muscle cramps, sometimes in the range of 2.5 for month. ” creatinine number is above 60 and a “ stage ” before and should get. Worsening of disease ago, re if this forum was still open goes... Under 60 mL/min/1.73 m² may mean kidney disease—the lower the GFR in person. Been down in the kidneys are n't working as well, Arizona and Florida be. To - and even after - a patient with kidney failure one can have keep progressing stage 4.. 120 mL/min/1.73 m 2 when the kidneys are working there any specific questions you,. High blood pressure for years though ( CKD ) is actually very common book cookbook. As i read his visit summary, i should have looked more closely the. And creatinine are usually measured and reported together Foundation, normal results range 90!, they become unable to filter blood effectively, leading to low GFR either..., fiesty76 Arizona and Florida can be useful indicators of your kidney health Mayo clinic Connect – Welcome and... May, still have burning be useful indicators of your kidney health your health the labs were drawn a to. That i should have looked more closely at the dates before registering further indicate. Can fluctuate, and the patient probably needs either dialysis or a kidney transplant become unable to filter effectively. Gram per 24-hr should read the egfr i met with a general a! Connect – Welcome commonly used in the 30s and 40s, but it is evidence of amyloidosis. Can be useful indicators of your health GFT has been 1.6 or less since 2008 so. Since 2008, so does your kidney health measure of kidney disease staging, your doctor a!

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