Kidney Function Examination Results Are Above Normal?
Asalamualailum doctor .. best wishes .. I am from East Java Kediri … My mother just yesterday has a kidney function test. The egfr number is above normal, which is 149, which is a reference value of 90-120. Can it be said that the kidney function is very good? Thank you doctor ..
Thank you for asking at HealthReplies.com.
eGFR is one of the kidney function tests performed for kidney function in general and to determine the degree of abnormality in kidney disease. The normal eGFR value is 90-116 mL / min / 1.73 m2 (depending on each laboratory). Changes in the value of eGFR also depend on the age of the individual, the more late, eGFR value decreases, for example, at the age of 20-29 years, the value of eGFR around 116, whereas, individuals with age 70 years, eGFR can range around 70.
However, the increase in eGFR values more than the normal value needs to be evaluated further, both related to other kidney function, and needs to be evaluated for other organ system conditions, especially the liver and heart. Several studies have shown, an increase in eGFR above normal may be related to the presence of CAC or coronary artery calcification or calcification of the coronary arteries, besides the possibility of a muscle atrophy or a decrease in muscle mass can also affect the increase in eGFR values. However, some opinions also convey that an increase in eGFR above normal is not a risky thing, and a high eGFR value can also be found in pregnant women.
Therefore, what needs to be known is the indication of the eGFR value check conducted by the doctor, whether there is a complaint from your mother regarding her health condition or this examination was carried out in connection with a general check up. In addition, what needs to be known is the clinical condition of your mother. By knowing the clinical condition of your mother and knowing the results of laboratory tests that have been carried out, it can be drawn conclusions related to examinations that have been carried out by doctors who treat your mother.
For now, you should advise your mother to re-consult with the doctor who refers to this blood test, so that the results of the blood test can be correlated with the results of a physical examination conducted by a doctor. Thus, medical conclusions can be drawn. If necessary, the doctor will plan a re-examination to another laboratory as a second opinion or, if necessary, the doctor will plan another examination to determine the function of other organ systems, such as the liver or heart organ system or the body's metabolic system.
Because in general these laboratory results can be of normal value and there is nothing to worry about until there is other medical evidence, what your mother can do now is to maintain a balanced fluid intake and live a healthy lifestyle.
Thus the info we can convey.