Can efgr improve drastically?

@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

My GFR was down to 28 before my GP mentioned it and set me up with an appt at the local dialysis center. Ummm....that was a hard NO for me. Both of my parents were on dialysis when they died and I decided to try and improve before resorting to drastic measures with dialysis.

I cut waaay down on red meat, began eating a lot more vegetables, limited myself to one cup of coffee a day, cut out soft drinks entirely, started an exercise regimen. I didn't drink alcohol, smoke or use drugs but would have stopped if I had. Three years down the road at almost 73, my GFR is consistently between 48 and 52, which for my age is good enough. So I definitely believe that being proactive about improving kidney function can be helpful. I have been a T2 diabetic for 18 years, btw.

@syedlaeeqahmed I also want to welcome you to Mayo Clinic Connect. I noticed in your original post that you mention blood pressure and blood sugar. Hypertension and Diabetes are the two most common causes of kidney problems. It sounds like you are working hard to control these conditions. As @gingerw mentioned the overall trend in eGFR is more useful than any one individual test. I am diabetic, have a history of hypertension and have been diagnosed with Stage 4 chronic kidney disease (CKD). My eGFR has bounced between 14 - 42 since 2016. It is currently in the low 30’s. Taking medications and treatment for other related conditions (such as diabetes and hypertension) can help even things out. This includes a dietician who is well versed in these conditions and can help you develop an eating plan to meet your particular situation. You also mentioned “serum”. Were you referring to creatinine? And you mentioned “ongoing medical procedures”. Are you comfortable with saying what that entails?

My grandmother, mother, and aunt went through dialysis. When my time arrives, I won't be doing it, even though I know the outcome. My nephrologist and renal nutritionist highly recommend a vegetarian diet. I am trying! I have eliminated red meat, but still having difficulty with the processed foods. I believe diet and exercise can help immensely. Good for you!!♥️

You can understand my feelings about dialysis, then. Hang in there with the diet and lifestyle changes because they do make a difference. I've always been a carnivore. Lol But I've learned to enjoy quite a few meatless meals such as Indian vegetable dishes, eggplant lasagna or parmesan, spaghetti with red clam sauce etc. Chicken and fish are okay, just avoid red meat for the most part. Best of luck to you. I enjoy Dadvice TV on YouTube and Facebook and have learned a lot from watching it.