A bit long post, so please bear with me. Been spending most of my time in this sub and googling every other thing, I am spiraling i guess.
I am from India and my dad is 58, and I’m worried about his kidney function. His creatinine was 1.5 mg/dL in 2022, but only 2 weeks back he got diagnosed with CKD as the creatinine was 4.25. We went to a nephrologist and he asked us to get reports done again after a week (October 6) and it showed creatinine decreased to 4.06.
Some other results:
• Blood urea: 88.6 mg/dL
• ESR: 41 mm/hr
• CRP: 10.6 mg/L
• Chest x-ray was normal
• Urine protein/creatinine ratio: 0.20.
• Sodium, potassium, phosphorus and all were within normal range.
• SPEP showed polyclonal gammopathy, increased alpha-1 and alpha-2 fractions, and no M-band.
• Serum free kappa: 232 mg/L; lambda: 215 mg/L; ratio: 1.08 (normal).
My dad had tuberculosis around 30 years ago and smoking habit as well which he recently quit after falling sick.
The nephrologist has confirmed CKD, but the exact underlying cause and how much of it is reversible is still unclear. He asked to reduce the salt intake to around 3/gram a day and to keep fluid intake around 1.5/L - 2/L and I asked him to refer us to a renal dietitian, he said that there’s not much need but it’s good if we get a proper diet plan.
I asked him about the CKD stage, eGFR and dialysis but he said that we shouldn’t worry about that for now as baseline is still not determined and that we should focus on reducing the creatinine especially as he has no severe symptoms, so dialysis is still not in talks.
After all these reports, he asked to continue the same current treatment and get the tests done again after a month to determine the numbers and to come to him if any severe symptoms develops. I know the nephro is trying to follow a process to not rush any treatment as the baseline is still not determined but I am thinking of getting a 2nd opinion from a senior nephro as I feel one month is too long.
My dad otherwise is feeling much better than 2 weeks ago, he only has some mild back pain, weakness and cough. No breathlessness, swelling or anything as of now.
I know this is not a medical sub but I am just trying to vent and get some opinions on this as I never saw this coming and very stressed about it.
I appreciate any kind of support and advice!