Suffering from frequent urges to urine, back pain, increased creatinine. Could it be kidney infection?
Patient: i have just had a blood test and urine analysis which has shown my blood creatinine level to be 73 with estimated GFR of 75 previous reading have shown between 73-85 - however my urine analysis showed up an albumin/creatinine ratio to be 6.26 with urine creatinine of 1756 -a week ago it showed up at 4. About 30 years ago i got nephrotic syndrome from strep infection i have never had a recurrence but my filtration was slightly damaged but the kidney function has been performing ok to now . over the last week i have recently been suffering from frequent urges to go pass urine, pain in my lower back, fatigue and generally feeling unwell i have noticed slight frothy consistency to my urine - i did think that i may have UTI but the dip stick showed up negative on all counts of protein, blood and white cells - the culture is awaited. i am very concerned that i may have a recurrence of nyphretis as i was fluey recently but i had a throat swab which was negative for strep . Up to now recently i have been symptom free from kidney problems i am monitored by a nephrologistDo you think that i could have a kidney infection /uti which is driving increase in creatinine and albumin ? many thanks for your advice Doctor: I must appreciate that you under the supervision of your Nephrologist are taking care of your kidneys.The symptoms you have described suggest an 'Over Active Bladder' which can be taken care of by Tab Oxybutynin 2.5mg OD.You may also start Tab Sodabicarb(500mg) 1 tab ODYou GFR is slightly reduced but can be maintained by taking care & avoiding NSAIDS & other nephrotoxic drugs & diet items.All the best