Elevated Blood Creatinine

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karioare
New Member


Date Joined Jul 2010
Total Posts : 2
   Posted 7/4/2010 4:59 PM (GMT -7)   
My Father in Law (57 yrs old) was just diagnosed with end stage liver disease and acute kidney failure. His blood creatinine has been over 5 for the last 4 days and I was just wondering if anyone has had an experience like this who can offer any advice. We are waiting for a stent to drain the fluid off, they have drained 6 Liters off so far. He has only been in the hospital since wednesday 6/30/2010. Any advice is greatly appreciated, we do not have any experience with this so we do not know what to expect next. The doctors are just leaving us waiting....Holiday weekend and all.... Happy 4th of July.....

aimsgirl16
Forum Moderator


Date Joined Jun 2008
Total Posts : 1469
   Posted 7/5/2010 4:16 PM (GMT -7)   
Hey Karioare! Welcome to HW, allthough I am sorry under the circumstances. His creatinine is very high...do you know what is estimated kidney function is? . Sorry I am catching this so late. I don't have any advice except make sure he listens to what the doctors say. If they say stay away from high potassium foods, stay away from them, etc. I would also recommend you visiting our hepatitis/liver forum. I know they will probably be much better at answering questions concercning his liver..

Do you have any specific questions about the kidneys? Its hard to give advice when we are not sure what is going on. Do you know what has caused the kidney failure?

I sure hope things turn out ok and please keep us updated on his conditions!!!

karioare
New Member


Date Joined Jul 2010
Total Posts : 2
   Posted 7/5/2010 5:40 PM (GMT -7)   
Thank you so much for the reply! The doctors said his kidney function was less than 10% and it has remained about the same since Thur (6/1/2010). They expected it to decline quickly, but it has remained the same. His ammonia has just elevated to 86 so they are starting Lactulose for the first time. They believe his kidney failure was being caused by 1. the failed liver 2. the pressure on his kidneys from the fluid build up. They have drained 6 liters off now and are going to see if he meets criteria to have a shunt put in to keep the fluid drained off. They weren't giving us much hope Friday, but he is strong enough to pull himself up and he is still coherent and aware so it is hard to believe he doesn't have much time left. Also, his Creatinine has elevated a little more today. He is still using the bathroom on his own several times a day, if that means anything. We are pretty clueless about all this, my husband and I are 28 so this stuff is new to us.

aimsgirl16
Forum Moderator


Date Joined Jun 2008
Total Posts : 1469
   Posted 7/5/2010 6:06 PM (GMT -7)   
I hope you don't mind but I will be praying for you, your family, and your father in law. This has got to be a very difficult time for you! Please don't hesitate to ask any questions. If I can't answer them, i am sure someone else will come along that can! Please keep me posted on how things go!!!!

Hugs and prayers!!

susie_sassafrass
Regular Member


Date Joined Jun 2010
Total Posts : 317
   Posted 7/17/2010 9:18 AM (GMT -7)   
Karioare,
 
I  have end stage liver disease as well as kidney stones.  Have the doctors calculated a Model for End stage Liver Disease for your father-in-law?  They put your blood results for bilirubin, creatitine, and INR (your ability to clot blood) into it an equation that calculates how desperately you need a transplant.  40 means you are likely to die soon without transplant and the score ranges down to 6.  Alot of transplant centers require your MELD score to be above 20 for consideration for an immediate transplant.
 
Increased ammonia levels in the blood is another complication of end stage liver disease.  I could not tolerate the diarrhea that came with lactulose so my hepatologist has put me on Xifaxan.
 
Fluid can build up in the abdomen called ascites or in the legs and ankles.  I take several diuretics for my cankles.
 
Ironically, even though I suffer with calcium oxalate stones my creatnine level is normal and keeping my MELD score  around 14.  I have giant cell hepatitis and cirrhossis, but the cause is unknown.  Of course, I don't drink any alcohol.  The hepatitis forum on Healing Well is a great source of information and support.
 
Susie
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