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Bloodwork Questions

belowpar
Posts: 14
Joined: Mar 2017

This is my first post to the Discussion Board.

I was diagnosed with kidney cancer February 6, 2017 and had a successful left radical nephrectomy on Feb 20, 2017. The tumor was contained and was removed with the kidney without complications For which I am very thankfu. My recovery has gone great and I feel fantastic well except that I am stressed out over my first post surgery blood Work drawn on March 7,2017.

Prior to surgery my BUN was 17 and now is 32; my Creatinine was .93 and is now 1.69 and my eGFR was 87 and is now 41.2

Are these my new "normal" readings or might they improve over time as these levels are alarming. My urologic surgeon has scheduled repeat blood tests the end of April. I have not seen a kidney specialist yet but suppose that is my next step.

Did anyone else have a similar experience? Any advice or knowledge is very much appreciated.

Thanks,

Brad

Bay Area Guy's picture
Bay Area Guy
Posts: 386
Joined: Jun 2016

I'm not sure of the answer to your question Brad.  I had a partial neph.  I know my creatinine level went from 1.0 to 1.1 after that, but I'm not sure what the "normal" numbers are after a total nephrectomy.  Others will chime in..

icemantoo's picture
icemantoo
Posts: 3235
Joined: Jan 2010

Brad,

 

The change in your numbers goes with the territory, but not necessarily that much. Other factors: age, weight. diet, possable high blood pressure or diabetes or other kidney disease factors besides the loss of 1 kidney. Definately consult with a Nephrologist. My numbers were similar to yours at one time, but have improved significantly after I lost over 65 pounds (diet in 2014 and pnemonia in 2016). My current creatine is 1.2-1.3 and current GFR in the low 50's. Previously my creatine and GFR were similal to yours. Also I am now 73 which raises my creatine and lowers my gfr absent any other factor. I am almost 15 years post neph.

 

 

Icemantoo

belowpar
Posts: 14
Joined: Mar 2017

Thanks. I am 64 have high blood pressure controlled by 2 meds and am overweight but working out on it. I will call to schedule an Appt with nephrologist next week.

icemantoo's picture
icemantoo
Posts: 3235
Joined: Jan 2010

Brad,

 

Losing weight also does wonders for your high blood pressure.

 

 

Icemantoo

sucotai
Posts: 19
Joined: Jan 2017

After a radical nephrectomy you lose 50% of your renal function initially, then the remaining kidney will eventually compensate to up to roughly 70% of renal function. The number may be more or less depending on the person's age and general health - young healthy individual may compensate more while a person with other comorbidities such as hypertension may not reach that number. Unfortunately you will likely never reach your baseline, but your renal function should start to at least increase somewhat in a couple of months.

belowpar
Posts: 14
Joined: Mar 2017

Thanks. That is reassuring. 

I do have other health issues that I am working on also.

It's great to have a "community of new friends" who understand.

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