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What should I do if my 81-year-old father has high creatinine levels and is weak?
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Kidney & Urinary Health
Question #29314
45 days ago
106

What should I do if my 81-year-old father has high creatinine levels and is weak? - #29314

Client_23fc4d

My father aged 81 years admitted in the hospital due to general weakness. His creatinine level is increasing which is reached to 7 now. He is diabetic and heart patient as well. What should be the next course of action for him as we are totally confused. Appreciate your help.

How long has your father been experiencing weakness?:

- 1-2 weeks

Has he had any recent changes in his medication or diet?:

- No changes

Has he experienced any other symptoms along with weakness?:

- Swelling in legs or feet

What is his current blood sugar level management like?:

- Well-controlled

Has he had any previous kidney issues or treatments?:

- No previous issues

How is his heart condition currently managed?:

- Stable with medication

What tests have been done recently to assess his kidney function?:

- Creatinine test only
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
44 days ago
5

Hello dear See definitely creatinine levels are high But this itself doesn’t is a concern only You need to have urine analysis and kidney function test to see Urine output Filtering Urea level Sugar Potassium level Please share the below tests for confirmation with urologist Cbc Esr Serum ferritin Serum tsh Serum hb Rft Lft Gfr Serum creatinine Serum bilirubin Hemogram Kidney USG Hopefully you recover soon Regards

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Considering your father’s elevated creatinine level, which indicates possible kidney dysfunction, and his history of diabetes and heart disease, it’s essential to prioritize assessing and possibly treating acute or chronic kidney issues immediately. An increase in creatinine to level 7 is significant, suggesting the kidneys might not be filtering waste efficiently. This isn’t something to manage independently at home due to potential complications that can stem from renal impairment. The current priority should be to involve a nephrologist if not already done. The nephrologist can determine if the increase is due to acute kidney injury or a progressive chronic kidney disease. They may recommend further investigations such as blood tests, urinalysis, or even imaging studies to identify underlying causes like dehydration, infection, medication side effects, or heart-related issues. If the elevation is due to an acute kidney injury, possible interventions include managing contributing factors such as dehydration or infections and adjusting medications that might be impacting kidney function, particularly those affecting the renal system. Your father’s diabetes must be closely managed as persistent high glucose can harm the kidneys. Similarly, heart function needs to be monitored because heart issues can affect kidney health. Also, discussing with both a cardiologist and endocrinologist could potentially refine the approach to managing his heart condition and diabetes simultaneously. If the situation is urgent or life-threatening, the hospital team may consider treatments like temporary dialysis to support kidney function and stabilize his condition. Meanwhile, ensure he is getting appropriate hydration and nutrition, as guided by his healthcare team. The emphasis should be on coordinating the specialties involved to ensure each condition is addressed without negatively impacting another, considering his complex medical history. Ultimately, prompt and tailored medical attention based on comprehensive evaluation by specialists is vital in this context.

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