Question Please; My GFR Blood Test Reads Low ( 55). Creatinine Is High ( 1.05 ). | MyMyelomaTeam

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Question Please; My GFR Blood Test Reads Low ( 55). Creatinine Is High ( 1.05 ).
A MyMyelomaTeam Member asked a question πŸ’­

I would like to know what the '(CKD-EPI)', after the GFR means?
So my kidneys are trying to tell me something apparently and it could be many things, according to a search ( age, weight, activity etc ).
SO, should I be concerned? My blood tests from yesterday are just starting to be posted in my patient portal, so I don't know what the rest of the results are yet. I don't usually have a problem, kidney wise.

posted May 7
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A MyMyelomaTeam Member

I have Kappa Light Chain so it affects my kidneys. I established care with a nephrologist when I was diagnosed because they were rapidly failing. He did some tests to make sure it wasn't being caused by something else. He put me on a 64 oz rule for water every day. He sees the results of my oncologist's tests and I can message him about any concerns. Really, there can be several reasons for your labs. My best advice is we need a specialist for major organs just like we do for cancer. I dont expect my oncologist to be my cardiologist or my nephrologist. Its important to know how well your kidneys are doing and what is affecting them.

posted May 7 (edited)
A MyMyelomaTeam Member

Greetings from Anchorage I too have problems with my kidneys due to my light chain myeloma. My primary care doctor sent me to the nephrologist so now I see the nephrologist every six months just another person added to my team as well as cardiologist to monitor the blood pressure. I have to take iron potassium folic daily. So hang in there there’s so many things we have to monitor get plenty of water exercise and good sleep. Take care.

posted May 7
A MyMyelomaTeam Member

Pain medications: Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil or Motrin) or naproxen (Aleve), can reduce blood flow to the kidneys. Acetaminophen and aspirin may also be harmful if overused.
Cholesterol medications: The dosing of certain cholesterol medications, known as "statins", may need to be adjusted.
Antibiotics: Some antibiotics can cause harm.
Anti-microbial medications: Many anti-fungal, antibiotic, and antiviral medications are cleared by the kidneys.
Contrast dyes: Iodinated radiocontrast dyes used during radiographic testing, such as a CT scan, can lead to kidney injury.
Natural health products: Some natural health products could cause harm.

National Kidney Foundation

posted May 7
A MyMyelomaTeam Member

This was from Medscape: "The CKD-EPI (Chronic Kidney Disease Epidemiology Collaboration) equation was developed in an effort to create a more precise formula to estimate glomerular filtrate rate (GFR) from serum creatinine and other readily available clinical parameters, especially at when actual GFR is >60 mL/min per 1.73m2."

Having said all that, it's just what you wrote, it depends on many factors, such as age, weight, health conditions, etc... Remember, what is a bad # for some, may be good for others and vice versa! My eGFR fluctuates , sometimes going down in the 50's, but now it's up to 72! And my creatinine was high, but now back down to .91.

Different for everyone based on so many different factors, I wouldn't worry and definitely consult with your doctor after all your results are in!πŸŒžπŸŒ»πŸ€—

posted May 7
A MyMyelomaTeam Member

Kathryn, as you know myeloma can affect our kidneys. One lab test doesn't mean much. The doctor's look for trends. Are your results the same as previous, better or worse? Hoping the rest of your labs are good. πŸ’• I'm posting a list of medications that can affect kidney function. Just something to be aware of.

posted May 7 (edited)

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