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Can efgr improve drastically?

Kidney & Bladder | Last Active: 2 days ago | Replies (19)

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@gingerw

@syedlaeeqahmed Welcome to Mayo Clinic Connect. Changing eGFR is often a topic of discussion here! Many of us like to follow the advice to watch a trend versus individual tests, to get a better overall picture. Does your father have any other health concerns that could be a factor in his overall health status?

When eGFR drops, it could be a result of progressing disease state, dehydration at time of the testing, illness/infection, medication interaction, diet choices. You haven't mentioned how long it has been since the 29 reading. A sudden drop could be an acute kidney infection/injury. Rebounding back like it seems to have done, it sure looks like you are doing the right things, now! Keep on being mindful of diet, stress, use of NSAIDs. Be careful to not be over-vigilant regarding the protein too much, as that is needed everyday in some form for good health.

Hydration, getting the right amount of fluids every day, is easy to say, sometimes harder to do. But our bodies really rely on the right fluid level in order to function well.

What do you plan to do from here?
Ginger

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Replies to "@syedlaeeqahmed Welcome to Mayo Clinic Connect. Changing eGFR is often a topic of discussion here! Many..."

Thank you so much, Ginger. This has been a huge relief. My father was diagnosed with CKD in October, with a serum creatinine level of 1.38 and an eGFR of 44. By December, his creatinine had risen to 1.58, and his eGFR had dropped to 36. In January, it worsened to 1.80 and an eGFR of 24, eventually surpassing 2.38 with an eGFR of 29.

Throughout this journey, I remained vigilant, staying in constant contact with the doctor. We strictly controlled his diet, limiting it to vegetables only, along with Dapa 10mg. Now, his serum creatinine has improved to 1.68, and his eGFR has risen to 44. He consumes no protein, no oily food—only boiled vegetables prepared with just half a spoon of oil.

Hey Ginger,
Hope you're doing well. I wanted to ask about my father's diet. He’s on a very restricted protein intake and is allowed only about 6 vegetables. We’re feeding him every 2–3 hours, and he also takes Pediasure for added nutrition.

His current meds include:

Loprin 75

Carvida 6.25 (morning)

Anifid Retard 20

Zyloric 100

Elezo capsule

Maxflow 0.4

Ketocell

Ruling 40mg

Insulin (8 units morning, 8 units night)

He was previously on Spiromid but that’s stopped now—no Lasix either and new tests are going to be on 1st of next month. Even with this routine, he seems to be getting weaker. Is there anything you'd recommend helping him maintain strength and energy while staying within his kidney-friendly limits?

Really appreciate your help. Thanks so much!