CKD result!

[Usernumber36373647323]

forgive me if my terminology is not correct,

dp 46 male, has had a ckd result of 88 on the nhs app, he has not had a follow up app yet but hasn’t sent off a online request as he needs a follow up appointment anyway.

back story, he started on ramipril a few weeks ago due to high diastolic blood pressure and was told he needed his blood tested, they’ve checked a few other things which appears all to be in usual range. They have not done a urine sample (yet). Unfortunately he hadn’t had his CKD level checked before taking the meds so nothing to compare to.

88 isn’t too bad right? He’s usually a pretty chill guy but the way it’s worded on the nhs app makes it sound like it’s bad. He has no other symptoms or chronic kidney disease,

atm they want to up his ramipril to 5mg and check his bloods again in 2 weeks time

generally he’s pretty healthy, slim, fit, non smoker, non drinker etc. could probably eat a bit healthier and drink more water.

I think you have your terminology incorrect. CKD stands for chronic kidney disease which is not a specific blood test. Are you meaning his eGFR? In which case 88 would be fine.

Yes that’s the one, apologies

This is the result

Not a clinician:

See:

https://www.nhs.uk/conditions/kidney-disease/diagnosis/

Blood test

The main test for kidney disease is a blood test. The test measures the levels of a waste product called creatinine in your blood.

A doctor uses your blood test results, plus your age, size, and gender to calculate how many millilitres of waste your kidneys should be able to filter in a minute.

This calculation is known as your estimated glomerular filtration rate (eGFR).

Scroll down to:

Test results and stages of CKD

Your test results can be used to determine how damaged your kidneys are, known as the stage of CKD.

This can help your doctor decide the best treatment for you and how often you should have tests to monitor your condition.

Your eGFR results is given as a stage from 1 of 5:

• stage 1 (G1) – a normal eGFR above 90ml/min, but other tests have detected signs of kidney damage
• stage 2 (G2) – a slightly reduced eGFR of 60 to 89ml/min, with other signs of kidney damage
• stage 3a (G3a) – an eGFR of 45 to 59ml/min
• stage 3b (G3b) – an eGFR of 30 to 44ml/min
• stage 4 (G4) – an eGFR of 15 to 29ml/min
• stage 5 (G5) – an eGFR below 15ml/min, meaning the kidneys have lost almost all of their function

I am in my 70s. My eGFR has always been above 90 (result given as ">90").

Last time I was tested it was 89. My GP did not discuss why it might have been a little lower on that occasion but my creatinine was different to the previous test and this will have given me a lower figure.

An algorithm is used to work out the figure. This is based on age and sex. It can be affected by weight and muscle mass. So someone who is very muscular may not get an accurate figure, likewise someone who has little muscle mass. I think it can also be affected by how much meat you may have eaten the day before the blood test. So a test done a few days later might be back up to 90 or above.

My husband is late 70s and his is lower than mine. Many older people will be Stage 2 with or with out with other signs of kidney damage.

If he having a follow up blood test, it may be back up to >90 next time. I would try not to worry.

My son has only one functioning kidney and his eGFR is still >90 but he has it checked annually.

More info on eGFR here:

www.ukkidney.org/health-professionals/information-resources/uk-eckd-guide/measurement-kidney-function

Well my Dad egfr is 20 and hes still with us!

Hes had CKD in stage 3 and a catheter for many, many, years after kidney cancer and a nephrectomy.

This year he suffered from sepsis from a UTI and his egfr dropped to 10 and he was written off.....but he bounced back. Hes now, I think, CKD 4 with an egfr of 20- 30 but it does seem to go up and down a bit. I dont have such close knowledge now as he is in a care home with dementia.

But from the kidney angle a score of 88 along with a package of medical advice and watchful waiting sounds fine to me!

At that level I wouldn’t worry. Ramipril can lower eGFR rate so they may keep an eye on it. Like you said if they didn’t have a baseline reading it is hard to know if it has affected his kidneys or not. Hopefully they will keep on eye on his bloods, BP and any side effects he may have. Ramipril for some patients causes a terrible cough.

In Lothian they don't report levels above 60 so you don't know if you're stage 1 or 2. So 88 wouldn't bother me

My eGFR dropped from 85 to 67 last year (female under 40). Had another blood test earlier this year where it was 70 but as my urine test was clear of protein the GP has told me they have no concerns.

That is absolutely fine and nothing at all to worry about.

Mine is much lower but my GP is pretty unconcerned about it. Yours is really only a tiny variant from the normal range so personally I wouldn’t lose any sleep about it at all.

Mine is 54 and Dr is not concerned.

Easier said than done but try not to lose any sleep over it. Mine is 15/16 and I’m still living a pretty normal life.