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Liver or Kidney Problem??

Kidney & Bladder | Last Active: Aug 16, 2021 | Replies (14)

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@loribmt

I’d like to also extend my welcome to the Connect community along with @rosemarya. My recent history of a bone marrow transplant has me up close and personal with blood numbers.
The results you’ve posted for being 61 really don’t look that far out of whack. To this day my creatinine and Alkaline Phos are about the same level as yours. My doctors have very little concern over that at this point and I’m 67.
Your ferritin number appears in the normal range. That basically shows the amount of iron in your blood.
The eGFR is the flow rate of your urine through your kidneys. At your age, in a perfect world charts would want that at >60. Your number is 50 so that’s pretty flow-worthy. Just up your water intake to keep things flowing. Mine is around 42 right now because of some meds I’m taking.

My husband at 70 has a creatinine which has run from 1.1 to 1.2 for 10 years. It’s consistent and stable. With annual physicals his doctor feels he is in excellent health with no concern for that creatinine number. Doctors take into account the overall physical shape of a person as well as just one number.

Rosemary is so right that blood tests are more of a piece of the larger puzzle. There are more clues needed before you’ll get a definite answer.
Since your kidney numbers appear to be pretty normal, you feel your doctor is concentrating on your liver? What led him to the follow up?
Lab results which would be more value in showing liver damage or involvement would be a liver enzyme panel:
ALT alanine aminotransferase
AST (aspartate aminotransferase.
Bilirubin
Do you remember seeing these numbers on your CBC panel?

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Replies to "I’d like to also extend my welcome to the Connect community along with @rosemarya. My recent..."

Hi, Thank you for the welcome and information. I need all I can get! 🙂

I have an annual exam including routine blood work. This is the first time I've ever had abnormal results. Last year I skipped my labs due to COVID-19. Only the abnormal tests are below:

April: WBC 4.4 ALK Phos 153 C EGFR 56.
July: ALK Phos 180 Creat Serum 1.1 Creat EGFR 50 WBC 4.4.

july 29: Liver Ultrasound -revealed coarsened heterogeneous echotexture & size at upper limits of normal (15.9 cm). Hepatopedal flow in the portal vein. No gallbladder. Pancreas appears ok. Right kidney shows no evidence of hydronephrosis, shadowing renal calculi or suspicious mass. No ascites is appreciated in the visualized abdomen. No Murphy's sign. Possible underlying chronic liver disease.

Aug 4: Creat EGFR 50 Creat Serum 1.1 Ferritin 15.3 Alkaline Phos153

Bilirubin is normal. This is all I know. Does that help answer my question?