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Spike In Urine ACR Level
My Urine ACR on 04/04/2025 was 2.84 mg/g creat (lab normal <30 mg/g creat)
But on 18/05/2025 it came 5.77 mg/g creat
There is a spike of 2.93 mg/g creat in 1 month 14 days
No protein intake with adequate hydration of 3 Lts of water before 24 hrs of the test
Previously,Urine ACR came 4.7 mg/g creat on 03/03/2024 & 2.51 mg/g creat on 08/03/2024
However,recent Serum Creatinine is 0.9 mg/dl,eGFR is 110.02 (CKD-EPI),Blood Urea is 24.3 mg/dl,Potassium is 4.4 mmol/l & USG of KUB is normal
BP (150/100) is temporarily high since the last 2 months.Also have mental stress
Is the spike in Urine ACR level worrisome ?
Can it be temporary ?
What might be the cause of such spike ?
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Don't worry about the ACR, it's normal. So is your eGFR, Sr.Creat
High Blood Pressure is a concern
Next Steps
Tab. Telpres 40 1-0-0
Tab. Ciplar LA 20 1-0-0
Stop deep fried, spicy food
Eat bland diet. Salt intake should be negligible.
Start minimum of 30 mins brisk walking daily
Eat more fruits and vegetables
Then check your BP again in 15 days
Health Tips
Follow up in 15 days
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I think you should forget about it.
Your Serum creatinine and GFR are normal. ACR is just a ratio. It is not an absolute figure.
In your case it has always been within range .
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ACR can vary,as long as it's below the normal limits you don't need to be concerned.Your serum creatinine level is normal.However your BP reading is corresponding to stage 2 hypertension.You can monitor your BP twice daily for a few days,if it's constantly above normal, consult a cardiologist
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